Medication Safety Exam

1. Pitocin 10 units in D5LR 1000ml is ordered to infuse at 6 ml/hr. How many units of Pitocin is the patient getting per hour?

0.06 units/hr

1. For DVT prevention, a patient has ordered 2000 units of Heparin SC. The vial on hand reads 10,000 units/ 1ml. How many ml will you draw up?

0.2 ml

1. The order reads: 10,000 units of heparin SC q12h. On hand is a vial containing 50,000 units per ml. How many ml would you draw up per dose?

0.2 ml

1. The order reads 10,000 units heparin SC every 12 hours. On hand you have a vial which reads 50,000 units/1 ml. How many ml do you draw up per dose?

0.2 ml /dose

1. Your patient needs to be sedated. The physician orders 50mg IM of promethazine hydrochloride once STAT. The vial on hand is 100mg/ml. How many ml with the patient receive?

0.5 ml / dose

1. The order reads. Give 1 MMR vaccine SC once. The vaccine is supplied as 2-vial set. Add the sterile diluent to the powdered vaccine vial for a final concentration of 0.5 ml. How many ml do you draw up?

0.5 ml/dose

1. The provider orders 5000 units of Heparin for a patient with a DVT. On hand you have a vial with 10,000 units/ml. How many ml do you administer?

0.5 ml/dose

1. You are to give ampicillin 200 mg IM once. On hand is a vial of dry powder labeled ampicillin 250 mg. The directions for reconstitution are to add 1 ml sterile water for IM and 5 ml sterile water for IV injection. After you reconstitute the ampicillin, how many ml would you draw up per dose?

0.8 ml

If a medication is ordered at 3 am, how do you write that in military time?

03:00

1. A patient in the psych ED has ordered Haldol 2mg IM STAT. The vial on hand reads 10mg/5ml. How many ml do you draw up?

1 ml

1. A patient is prescribed chlordiazepoxide hydrochloride (Librium) 100mg IV x 1 dose for delirium tremors. The vial on hand reads 300mg/3ml. How many ml will you give?

1 ml

1. The physician orders 500 mg nafcillin IM. The vial reads: add 1.5 ml of sterile water to the dry powder. The final volume will be 2 ml with a concentration of 1g/ 2ml. Once you reconstitute the powder, how many ml do you draw up?

1 ml

1. A patient is on a liquid diet. Today he has had 6 ounces of coffee, a 12 ounce can of cola, 550 ml of soup, 8 ounces of milk, 240 ml of Ensure, plus 1000 ml of D5W, and 60 ml of antibiotics. Calculate the total amount of fluid this patient has had today.

1 oz= 30 mL 6 oz*30= 180 mL 12 ox*30= 360 ml 8 oz*30= 240 ml 180+360+240+1000+60= 2080 ml a day

1. A post C-section patient is to receive 1Liter D5.2NS with 10 mEq of KCL over 8 hours. How many mEq will the patient receive in 1 hour?

1.25 mEq/hr

1. The order reads 150 mg cortisone IM once. The vial on hand reads 200 mg/2ml. How many ml do you draw up?

1.5 ml

An adult patient is to receive Cefaclor 300mg P.O. per day. It is supplied as 190mg/ml. How many ml would you administer? (round to the 10ths place

1.6 ml

1. Your patient is receiving 1L of D5.45 with 20mEq KCL over 10 hours. How many mEq of KCL will they receive in 5 hours?

10 mEq in 5 hrs

1. Lasix is ordered as 10 mg IV stat. The recommended dose is 1mg/kg. The child weighs 22 lb. Is this a safe dose?

10 mg/dose

1. Order reads: 1000 ml D5.45NS with 20 mEq KCL/liter to infuse over 10 hours. At what rate would you set the pump?

100 ml/hr

1. Vancomycin 250 mg diluted in 100 ml is to be infused over one hour. At what rate would you set the IV syringe pump to infuse this drug as ordered?

100 ml/hr

1. Your patient is dehydrated and needs a 500ml bolus of 0.9NS to be given over 30 minutes. At what rate will you set the infusion pump?

1000 ml/hr

1. The NP orders 20,000 units of Heparin in 500ml of D5W to be infused at 25 ml/ hr. How many units/hr is the patient receiving?

1000 units/hr

1. Grandma is visiting from Europe and calls you in a panic because the child's temp is 40°C. You recognize this as ______ F and give Grandma some home care advice.

104 degree F

1. The order reads give 15 mEq of KCL daily. You have a vial labeled 20mEq/ 15ml. How much do you draw up in ml?

11.25 ml

1. A child with a G-tube is to receive 450 ml of formula over 4 hours. At what rate should you set the feeding pump?

113 ml/hr

An adult is prescribed 30 mg of Diltiazem four times daily for chronic angina. What is the total amount per day of Diltiazem in mg that this patient will receive?

120 mg/ dose

1. Infuse 1 L of Lactated Ringers at a rate of 125 ml/hr. Instead of an IV pump you have IV tubing with a drop factor of 60 gtt/ml. What is the new flow rate in gtt/min?

125 gtt/min

1. An adult is receiving an supplemental nutrition through an NG tube. The physician orders 1000 ml to run over 8 hours. At what rate do you set the feeding pump?

125 ml/hr

1. A 13 kg child is to receive fentanyl 15 mcg every hour IV prn pain. The recommended safe dose range is 1-2 mcg/kg/dose every 30-60 min PRN. Is the ordered dose safe?

13-26 safe 15 mcg/60 min therefore, dose is safe

1. Infuse 200 ml amoxicillin over 90 minutes via IV pump. At what do you set the pump?

133 ml/hr

1. The order reads: give Rocephin 1500 mg in 70 ml D5W every 6 hours to run over 30 minutes. At what rate will you set the pump?

140 ml/hr

1. 500 mg Dobutamine in 500 ml is infusing at a rate of 15 ml/hr. How many mg/ hr is the patient receiving?

15 mg/ hr

1. A patient has ordered Dopamine 400 mg in 500 ml NS to infuse at 200 mcg/min. You need to set the pump in ml/hr. At what rate do you set the IV pump?

15 ml/hr

1. An adolescent requests liquid acetaminophen instead of swallowing pills. The teen is prescribed 500 mg every 6 hours prn for fever. It comes from the pharmacy as 160 mg/5ml. How many ml do you administer per dose?

15.63 ml

1. What is the Daily Maintenance Fluid Requirement for a child weighing 55 lbs?

1600 ml/day

1. A dehydrated adult is to receive 1L of NS over 2 hours in the ED. You have an infusion set with a drop factor of 20 gtt/ml. Calculate the flow rate in gtt/min.

167 gtts/min

1. Infuse 500 ml of D5/0.225% NaCL over 10 hours. The IV tubing has a drop factor of 20 gtt/ml. Calculate the flow rate in gtt/min.

17 gtt/min

1. Now suppose you are in the ED. You still need to run the 200 mg of Gentamycin in 25 ml of NS over 30 minutes but have no IV pumps available. You do have IV tubing with a drop factor of 20 gtt/ml. What is the rate in gtt/min?

17 gtts/hr

1. The physician orders prednisolone for a child with asthma. The recommended dose is 2 mg/kg/day divided into 2 doses. The child weighs 40 pounds. What is the dose this child should receive?

18.18 mg dose

1. An infant is prescribed amoxicillin for infection. The safe dose range is 25 to 50 mg/kg/day with a max of 500 mg/dose. The infant weighs 16 lbs. Calculate the safe dose range for this infant.

181.75 mg- 363.5 mg/day

1. What is the Daily Maintenance Fluid Requirement for a child weighing 82 lbs? a. At what rate do you set the IV pump?

1845.4 ml day a. 77 ml/hr

1. An adult is prescribed 20 mg of omeprazole for GERD. On hand you have 10 mg capsules. How many capsules do you administer?

2 cap

1. The NP orders 1.2 million units of penicillin G benzathine (Bicillin) IM once for strep throat. The vial you have reads 1,200,000 units/2 ml. How many ml do you administer?

2 ml

1. The order reads: 0.5 mg digoxin once. The pharmacy sends you vial with a concentration of 250 mcg/ml. How many ml per dose do you administer?

2 ml

1. The physician prescribes 500 mg of amoxicillin twice daily for 10 days for strep throat. You have 250 mg tablets. How many tablets do you give per dose?

2 tabs/dose

1. The physician orders Vincristine 1.5 mg/ m2/dose IV once weekly for the child's ALL. The child's BSA is 1.5 m2. How many mg/ week will this child receive?

2.25 mg/dose

1. The physician orders Amidarone IV to run at 2 mcg/min. The medication comes from the pharmacy as 5 mg in 100 ml of D5W. At what rate do you set the IV pump?

2.4 ml/hr

1. 40 units of Pitocin in 1000 ml of D5W is running at 60 ml/hr. How many units of Pitocin is the patient receiving per hour?

2.4 units/hr

1. The physician orders ampicillin 125 mg IV Q6H. The pharmacy sends you a vial of powder which says add 5 ml sterile water for a concentration of 250 mg. How many ml do you draw up?

2.5 ml

1. You are to administer Piperacillin 1g IV once. Pharmacy delivers a 2 g vial of powdered Piperacillin with instructions to add 4 ml of normal saline to obtain a concentration of 1g /2.5 ml. How many ml will you give?

2.5 ml

1. 60 mg of Nipride is added to 300 ml of D5W. The IV pump is set at a rate of 100 ml/hr. How many mg/hr of Nipride is the patient receiving?

20 mg/hr

1. The physician orders 2 g ceftriaxone IV Q12H for bacterial meningitis. The vial you have reads 100 mg/ml. Infuse over 30 minutes. How many ml will you draw up for administration?

20 ml

1. Your patient has maintenance fluids running at a rate of 50 ml/hr. The current IV bag was hung at shift change 4 hours ago. How much fluid in ml has this patient received?

200 ml

1. Your patient is to receive 1L of 0.9NS with 10mEq KCL over 6 hours. After 2 hours you realize that only 200 ml have infused. Recalculate the rate. What is the new rate in ml/hr?

200 ml/hr

1. Panadol (acetaminophen) 10mg/kg PO q4h for fever or pain. Child weighs 45 lbs. How many mg do you give per dose?

204.5 mg per dose

1. The NP orders 10mg/kg/dose PO every 6 to 8 hours of Motrin for fever for a child weighing 25kg. What is the correct dose for this patient?

250 mg per dose

1. A patient is to receive 200 ml of Lactated Ringer's solution over 45 minutes. At what rate do you set the IV pump?

267 ml/hr

1. The order reads: 500 ml of D5W over 3 hours. a. You have an infusion set that reads 10 gtt/ml. Calculate the flow rate in gtt/min. b. You misread the infusion set. It actually reads 15 gtt/ml. Recalculate the rate.

28 gtt/min b. 42 gtt/min

1. A patient with a G-tube has an order for 3 cans of Ensure over 6 hours. Each can is 240 ml. You add all of the cans into one feeding pump bag. At what rate do you set the feeding pump?

3 can* 240 ml= 720 ml rate: 120 ml/hr

1. The NP orders 150 mg of Augmentin PO BID for acute otitis media. The medication comes as 250 mg/5 ml. How many ml do you administer per dose?

3 mL per dose

1. The physician orders ampicillin 150 mg IV Q8H. The pharmacy sends you a vial of powder which says add 5 ml sterile water for a concentration of 250 mg. How many ml do you draw up?

3 ml

1. The physician orders 600 mg of Ibuprofen PO every 6 hours. You have a bottle of 200 mg tablets. How many tablets do you give?

3 tabs

1. The doctor orders 750 mg of ampicillin for your patient. On hand you have a 1 g vial of powdered ampicillin. The label reads: add 4.2 ml sterile water to yield a final volume of 1 g/5 ml. How many milliliters of reconstituted ampicillin should you give?

3. 75 ml

1. A patient has ordered nitroglycerin 10 mcg/min. It comes from the pharmacy as 50 mg/200 ml solution. At what rate do you set the IV pump?

3.4 ml/hr

1. You are to give ampicillin 175 mg IV every 12 hours. On hand is a vial of dry powder labeled ampicillin 250 mg. The directions for reconstitution are to add 1 ml sterile water for IM and 5 ml sterile water for IV injection. After you reconstitute the ampicillin, how many ml would you draw up per dose?

3.5 ml

1. The physician orders penicillin to run at 3 mg/min. On hand you have a 500 mg/10ml syringe. At what rate do you set the IV pump?

3.6 ml/hr

1. Your adult patient has an order for 3 mcg/min of amiodarone. The solution comes from pharmacy as 5mg in 100ml of D5W. At what rate will you set the infusion pump?

3.6 ml/hr

1. The physician orders 750 mg of ampicillin IM once. The vial reads 1 g/5ml. How many ml of ampicillin do you draw up?

3.75 ml

1. An infant is not breastfeeding well. The physician orders 60 ml of formula to run over 2 hours. At what rate do you set the feeding pump?

30 ml / hr

1. Acetaminophen 10mg/kg PO q6h for fever or pain is ordered for a child weighing 66 lbs. How many mg per dose do you give?

300 mg/dose

1. An infant had a 2 ounce bottle of formula by mouth in addition to 6 ounces of formula via NG tube. Additionally, the infant received 60 ml of antibiotic, and a 10 ml NS IV flush. What is the infant's total fluid intake so far today in ml?

310 ml

1. The physician orders 500 mg ampicillin in 50 ml D5W IVBP over 15 minutes. You have a drop factor of 10 gtt/ml. What is the flow rate in gtt/min?

33 gtt/min

1. Your thermometer stops converting F to C so you need to do the calculation by hand. The child has a temp of 97.2°F. You document in the chart this as ______°C.

36.2 C

1. Your patient is receiving 1000 ml NS by IV at a rate of 75 ml/hr. How much NS will he get in 5 hours?

375 ml

1. The child has a BSA of 0.8 m2. The order reads: give acyclovir 250mg/m2 IV q8h. On hand you have a vial of acyclovir labeled 50mg/ml. How many ml do you give per dose?

4 ml per dose

If a medication is ordered at 16:00 hours, what time is that on a 12-hour clock

4 pm

1. A patient has ordered 50 mg diphenhydramine PO once STAT for anaphylaxis. On hand you have only 12.5 mg tabs. How many tabs do you give?

4 tabs

1. The physician prescribes 325 mg of aspirin for an adult. On hand you only have 81 mg tabs. How many tabs should you give?

4 tabs/dose

1. A patient has 4 mcg/min of amiodorone ordered. The medication arrives from the pharmacy as 5 mg/ 100 ml of D5W. At what rate do you set the IV pump?

4.8 ml/hr

1. The pharmacy send you 10,000 units of Heparin in 250 ml NS. How many units/ml will this patient receive?

40 units/ml

1. The order reads: infuse 250 ml of Lactated Ringers over 2 hours. Instead of an IV pump, you find IV tubing with a drop factor of 20 gtt/ml. Calculate the rate in gtt/min.

42 gtt/min

1. An infant is to receive 200 ml of formula via NG tube over 5 hours. After 1 hour you notice that only 25 ml of formula has infused. Recalculate the rate of the feeding pump so that all of the formula infuses in the remaining 4 hours.

44 ml

1. An infant is receiving formula via NG tube. The order reads give 150ml over 3 hours. At what rate will you set the feeding pump?

50 ml/ hr

1. The order reads give Gentamycin IV over 30 minutes STAT. The medication comes from the pharmacy as 200 mg Gentamycin in 25 ml of 0.9% NaCL. At what rate do you set the IV pump?

50 ml/hr

1. A patient in heart failure has a daily fluid limit of 1000 ml. Today the patient has had 6 oz. of orange juice, 8 oz water, 100 ml of NS with an antibiotic, and 20 ml of pain medication. How much fluid has the patient had today in ml?

540 ml

If a medication is ordered Q4H, how many times a day do you give it?

6 times a day

1. The physician orders 500 mg cefuroxime IV BID for Lyme disease. Infuse over 15-30 minutes. You have a vial which states add 10 ml sterile water for a concentration of 750 mg. How many ml do you draw up per dose?

6.67 ml

600 mg of Vancomycin in 100 ml is running at a rate of 100 ml/hr. How many mg/hr is the patient receiving?

600 mg/hr

1. A dehydrate patient is in the ED. He has received a 200 ml bolus of NS. His new orders are 1 L normal saline at a rate of 80 ml/ hr. If the patient was given the bolus at 10 am, what is the total amount of fluid this patient will have receive by 1500 hours?

600 ml total received

1. The order reads "infuse 300 ml of 0.9 NS over 30 minutes." At what rate do you set the IV pump?

600 ml/hr

1. The order reads: ceftriaxone 900 mg IV every 24 hours. On hand is a vial of dry powder labeled ceftriaxone 1 gram, to be diluted with 6.5 ml sterile water for a total fluid volume of 8ml. How many ml will the patient receive per dose?

7.2 ml

The order reads: magnesium sulfate 5.5 g IV. The pharmacy sends you magnesium sulfate 75 g /100ml D5W. How many ml of magnesium sulfate will the patient receive

7.33 ml

1. The physician orders Dopamine to maintain a patient's blood pressure. The order reads 150 mg dopamine in 500 ml D5W IV at a rate of 25 ml/hr. How many mg/hr is the patient receiving?

7.5 mg/hr

1. The order reads give 10 mEq of KCL daily. You have a vial labeled 20mEq/ 15ml. How much do you draw up?

7.5 ml/dose

1. The physician orders 250 mg acetaminophen PO Q6H for fever. It comes as 160 mg/5ml. How many ml do you administer per dose?

7.8 ml per dose

The recommended safe dose range for amphotericin B is 3-4 mg/kg/24h given every six hours; max dose 6mg/kg/24h. Calculate the daily safe dose range for a child weighing 52 pounds.

70.89 mg-94.52 mg

1. A patient is prescribed 800 mg ceftriaxone IV once daily for an infection. On hand is a vial of 1 g dry powder with instructions to add 8.5 ml sterile water for a final volume of 10 ml. Once you reconstitute the medication, how many ml do you administer?

8 ml

1. A child hospitalized for a serious infection has an order for 30 mg ampicillin to over 30 minutes. It arrives from the pharmacy as 30 mg ampicillin in 40 ml of fluid in a syringe. At what rate do you set the syringe pump?

80 ml/hr

1. A patient is NPO before surgery. The physician has ordered 500 ml of NS to run over 6 hours prior to surgery. After 1 hour you notice that 100 ml has already infused. Recalculate the rate so that the rest infuses over the time left until surgery.

80 ml/hr

1. The order reads: Nalfon 900 mg/m2 PO in divided doses. The child weighs 23 kg and has a BSA of 0.9 m2. How many mg per day will this child receive?

810 mg/day

1. Omicef comes as 125mg/5ml. Referring to the dose above, how many ml do you draw up per dose? Round to the nearest tenth.

9.8 ml

1. 900 mg of nafcillin in 500 ml is running at a rate of 50 ml/hr. How many mg/hr is the patient receiving?

90 mg/hr

If a medication is ordered at HS, when do you give the medication?

Hour of sleep

1. A 10 kg child is to receive ibuprofen 100 mg PO every 6-8 hours prn fever. The recommended safe dose range is 5-10 mg/kg/dose. Is the ordered dose safe?

Safe dose: 50-100 mg/dose

What does BID mean?

Twice a day

A neonate weighing 4kg is to receive spironolactone 15 mg PO q 8 hours. The oral solution is supplied as 50 mg/5ml. How many ml should this infant receive per dose?

a. 1.5 ml/dose

1. A child is prescribed 250 mg Omnicef BID antibiotic for his ear infection. The medication comes as 125 mg/5ml. a. How many ml should you give per dose? b. What is the total amount of ml this child will receive per day?

a. 10 ml/dose b. 20 ml/day

1. Your patient is receiving 5 mg/min via IVPB of an antibiotic solution. The concentration is 300 mg antibiotic in 100ml. a. At what rate do you set the IV pump? b. How many mg/hr would the patient receive?

a. 100 ml/hr b. 300 mg/hr

1. Omnicef (cefdinir) 7mg/kg PO Q12H for 10 days is prescribed for a child's Acute Otitis Media infection. The child weighs 18 kg. Omnicef suspension comes as 125mg/ 5ml. a. How many mg per dose should the child receive? b. How many ml do you draw up per dose?

a. 126 mg/dose b. 5 ml

1. A patient arrives in the ED in DKA. The physician orders 0.1 units/kg/hour IV until the serum glucose falls to 200 mg/dL. Then reduce the infusion to 0.05 units/kg/hr IV. The patient weighs 140 kg. On hand you have 100 units/100 ml NaCL 0.9%. a. At what rate do you set the IV pump initially? b. Once the patient's glucose reaches 200 mg/dL. Reduce the infusion to 0.05 units/kg/hr. Now what rate do you set the IV pump?

a. 14 ml/hr b. 7ml/hr

1. A patient is to receive 1L of D5W with 10 mEq of KCL in 6hours. a. At what rate do you set the pump? b. How many mEq of CKl will the patient receive per hour.

a. 167 hr b. 1.66 mEq/hr

1. A child is prescribed 5 mg methylphenidate PO BID for ADHD. The pharmacy sends you 2.5 mg chewable tabs. a. How many tabs do you give per dose? b. How many tabs will the child receive per day?

a. 2 tabs per dose b. 4 tabs/day

1. A patient is prescribed 400 mg Cimetidine 4 times daily for GERD. It comes as 200 mg tabs. a. How many tabs will this patient take per dose? b. How many tabs will this patient take per day?

a. 2 tabs per fose b. 8 tabs per day

1. A post C-section patient is receiving 1 L of D5.2 NS with 10 mEq of KCL over 5 hours. a. At what rate should the IV pump be running? b. How many mEq/ hr is the patient receiving?

a. 200 ml/hr b. 2 mEq/hr

1. A child is prescribed cefdinir BID for an acute otitis media. The recommended dose is 14 mg/kg/day divided in 2 doses with a max of 600 mg/day. The child weighs 30 kg. a. How many mg per dose will this child receive? b. Is this dose safe?

a. 210 mg/dose b. yes

1. A child is prescribed Omnicef 7mg/kg PO Q12H for 10 days. Child weighs 77 lbs. A. How many mg/dose should this child receive? B. How many mg/ day?

a. 245 mg/dose b. 490 mg/day

1. A patient is prescribed 400 mg of ibuprofen every 6 hours for fever. a. How many doses will the patient receive in 1 day? b. How many total mg will the patient receive per day?

a. 4 dose in 24 hours b.1600 mg/day

1. Your patient is in for alcohol withdrawal and has been prescribed 10mg IV diazepam (Valium) once now and 5mg Q4hrs. You receive a 5ml vial from pharmacy which reads 2.5mg/ml. a. How many ml will you draw up for the initial dose? b. How many ml will you draw up for the dose in 4 hours?

a. 4 ml b. 2 ml

1. The order reads: give Leucovorin Calcium 10 mg/m2 PO Q 6h. The child's BSA is 0.53 m2. a. How many mg do you give per dose? (round to the nearest whole number). b. Leucovorin Calcium comes as 5 mg tablets. How many do you give?

a. 5 mg b. 1 tab

1. A patient has an order for 40 mEq KCL over 5 hours. It arrives from the pharmacy as 250 ml of D5W. a. at what rate should you set the IV pump? b. How many mEq/ hr will the patient receive?

a. 50 ml/hr b. 8 mEq/hr

1. 500 mg Doboutamine IV in 500 ml is ordered to run at a rate of 10 mg/min. a. At what rate do you set the pump? b. Now suppose the actual order is 10 mcg/min. At what rate do you set the pump?

a. 600 ml/hr b. 0.6 ml/hr

1. The order reads: Give 1 unit of whole blood (250 ml) over 4 hours. a. At what rate do set the IV pump? b. You don't have an IV pump available. Instead, you have IV tubing with a drop factor of 15 gtt/ml. At what rate do you now give the unit of blood?

a. 63 ml/hr b. 16 gtt/min

1. A patient has 1500 ml of fluid replacement ordered as daily maintenance fluids to maintain hydration while the patient is NPO. The order reads 1.5 L of Lactated Ringers to infuse over 24 hours. a. At what rate should you set the pump? b. After 2 hours you notice that only 100 ml have infused. Recalculate the rate so that all of the 1.5 L will infuse over the remaining hours.

a. 64 ml/hr b. 64 ml/ hr

1. 800 mg Dopamine/ 500ml is ordered to be titrated until a maximum dose of 5 mcg/kg/min is reached. The initial starting dose is 2 mcg/kg/min. Increase the dose in increments of 1 mcg every 2 hours. The patient weighs 80 kg. a. Calculate the dose in ml/hour for initial the 2 mcg/kg/min loading dose. b. Now calculate rate in ml/hr for the first 1 mcg increase (now giving a total of 3 mcg/kg/min).

a. 6ml/hr b. 9 ml/hr

1. A patient in cardiogenic shock has Dobutamine ordered at 0.5 mcg/kg/minute. Titrate dose in 0.5 mcg increments until patient has stable vital signs. Your patient weighs 120 kg. The pharmacy sends you the medication as 250 mg/500 ml a. Calculate the initial dose in ml/hr b. Now calculate the next dose ( 1 mcg/kg/minute) and the appropriate rate. c. You need to titrate the dose up one more time. Calculate the new rate for a dose of 1.5 mcg/kg/minute.

a. 7.2 ml/hr b. 14.4 ml/hr c. 21.6 ml/hr

1. he pharmacy sends you a 5 million unit vial of Penicillin G sodium. The vial reads reconstitute with 10 ml of sterile water. The physician has ordered 4 million units of Penicillin G. a. How many ml will you draw up? b. How many units/ml will this patient receive?

a. 8 ml b. 500,00 units/ml

1. The doctor orders 80 mg Dilantin oral suspension TID. The medication comes from the pharmacy as Dilantin 100 mg/5 ml. a. What is the TOTAL daily amount of medication in mg this patient should receive? b. How about the Total daily in ml?

a. 80 mg *3 doses =240 mg b. 12 mL day

A child is scheduled to receive 500mg of amoxicillin BID. The safe range is 40-90/mg/kg/ day. The child weighs 44 lbs a. Calculate the Safe dose range: b. How much is child receiving per day? c. Is this a safe dose?

a. 800-1800 mg/day b. 100 mg/day c. yes

1. The physician orders replacement fluids to run at 150 mcg/kg/min. The patient weighs 150 lbs. The medication arrives from the pharmacy as 1000 mg in 1.5 L NS. a. At what rate do you set the pump? b. How long will this bag of medication last? c. If you start the medication at 10 am, what time will you need to change the bag?

a. 920 ml/hr b. 98 min c. 10 am + 98 -= 11:38 am

1. Naproxen oral suspension is ordered at 12 mg/kg PO BID. The maximum safe dose is 1000mg/day. Your patient weighs 80 lbs. Is this a safe dose? (show your work)

a. order: 436.32 mg/dose *2- 872.64 mg/day

A 45 pound child is febrile and to receive ibuprofen (Motrin) 200 mg PO q 6-8 hours for fever. The safe dose range for ibuprofen is 5-10 mg/kg/dose a. What is the safe dose range of Motrin for this child? b. Is the ordered dose safe?

a. safe dosage: 102.25-204.5 mg/dose b. safe (200 mg/dose)

1. A child has 500 mg Keflex PO Q6H ordered for a skin infection. The safe dose range is 25-100 mg/kg/day. The child weighs 75 pounds. a. Calculate the safe-dose range. b. Is this dose safe?

a. safe dose: 852.2 -3409 mg/day b. 2000 mg/day, yes it is safe

1. A child is scheduled to receive 500mg of amoxicillin BID. The safe range is 40-90/mg/kg/ day. The child weighs 60 lbs. a. Calculate the Safe dose range: b. How much is child receiving per day? c. Is this a safe dose?

a. safe: 1090.8 mg -2453.3 mg/day b. 1000 mg/day c. yes

1. Dilantin 30mg PO Q8h is ordered. The child weighs 18 kg. The recommended dose is 5mg/kg/day. Is this a safe dose?

recomended: 90 mg/ day ordered: 30 mg*3=90 mg/day yes, it is safe

1. Your 66-pound patient is receiving Keflex (cephalexin) PO every six hours for impetigo. The recommended safe dose range is 25-100 mg/kg/day. The ordered dose is 500 mg PO every 6 hours. Does this dose fall within the recommended safe dose range?

safe range: 750-3000 mg/day a. dose take: 2000 mg/day b. yes it is safe

1. Amoxicillin 1125mg BID PO is prescribed for an adolescent with Group A Strep pharyngitis & pneumonia. The patient weighs 45 kg. The recommended dosing is Oral: 50 to 75 mg/kg/day in divided doses every 12 hours; maximum daily dose: 4,000 mg/day. Is this dose safe?

safe: 2250-3375 mg/day ordered: 1125*2=2250 mg/day

A 25-pound toddler is to receive amoxicillin 125 mg PO TID. The standard dose safe dose range for amoxicillin is 25-50 mg/kg/day. Calculate the safe dose range for this child and state whether or not it is safe.

safe: 227.2mg-568 mg/day ordered: 125*3= 375 mg/day safe