Nurs 300 final
The physician orders amiodarone IV drip at 0.5 mg/min for ventricular dysrhythmias. The medication is supplied in 900 mg/500 mL of D5W. Calculate the flow rate in milliliters per hour.
17 mL/hr
37.8 degrees C is equivalent to ___howmany degrees F?
100
The physician orders ibuprofen 600 mg po prn for cramping. The medication is supplied in 200-mg capsules. How many capsules will the nurse administer
3 capsules
Packaging of parenteral medications:
-Ampules -Vials -Mix-O-Vials -Syringes
Total Amount of Medication
-Could be listed on drug label -Indicates the total amount of medication in container.
Directions for Medication Preparation
-Could be listed on drug label -Should be checked
Trade Name of Medication
-First name written on the label -Always followed by the ® registration symbol. -Usually capitalized and written in bold print
Strength of the Medication Dosage
-Indicates amount or weight of medication supplied in specific unit of measure. -Could be listed per capsule, tablet, or milliliter.
Form in Which Medication Is Provided
-Indicates how drug is supplied. -For examples: tablets, capsules, liquids, suppositories, and ointments
Route of Medication Administration
-Indicates how drug is to be administered. -For examples: oral, topical, injection, and intravenous
proportion method
-Place the equivalent between the two measures (units) on the left side of the proportion. -Set up the right side of the proportion so the abbreviations (units) match the left side. -Use the symbol x to represent the unknown quantity. -Rewrite the proportion without using the abbreviations. -Solve for x by multiplying the means and extremes. -Write the answer as a decimal.
Intravenous Infusion Set
-Sealed bottle or bag -Tubing Drip chamber connected by small tube or spike Tubing leading from drip chamber to needle or catheter Clamp to adjust flow rate
metric conversions: dimensional analysis method
-Set up the single equation by putting the desired answer (which unit of measurement) on the left side. -Place the equivalents between the two items in the problem or known factor on the right side .-Finally, place the given quantity and the units in which it is supplied also on the right side of the equation.
Why does Occupational Safety and Health Administration recommend the administration of parenteral medications with a needleless system?
-To protect both patient and nurse -Because the system provides a shield to cover device
Types of syringes
-hypodermic -tuberculin -insulin
parts of a syringe
-tip -barrel -plunger
The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child's weight is 33 lb. The medication is supplied in 125 mg/mL. How many milliliters will be administered for each dose?
.06 mL/dose
150,525 mcg equals ___ g?
0.150525
The physician orders Synthroid 100 mcg po daily for a patient with hypothyroidism. The medication is supplied in 0.1-mg tablets. How many tablets will the nurse administer?
1 tablet
The physician orders acyclovir 400 mg po three times a day for herpes. The medication is supplied in 800-mg tablets. How many tablets will the nurse administer?
0.5
The physician orders Lovenox 80 mg subcutaneous daily for prevention of deep vein thrombosis. The medication is supplied in 80 mg/0.8 mL. How many milliliters will the nurse administer?
0.8 mL
900 mg=____g?
0.9
Utilizing the 24hr clock 9:00 am is converted to?
0900
The number of generic names a drug can have is ______?
1
The physician orders Recombivax HB 10 mcg IM for hepatitis B vaccination. The medication is supplied in 5 mcg/0.5 mL. How many milliliters will the nurse administer?
1 mL
1 mg is equivalent to how many mcg?
1,000
1 gm is equivalent to how many mcg?
1,000,000
The physician orders Methergine 0.3 mg IM for postpartum bleeding. The medication is supplied in 0.2 mg/mL. How many milliliters will the nurse administer?
1.5 mL
The physician orders Toradol 45 mg IM for migraine headache. The medication is supplied in 30 mg/mL. How many milliliters will the nurse administer?
1.5 mL
The physician orders Methergine 0.3 mg po postpartum bleeding. The medication is supplied in 0.2-mg tablets. How many tablets will the nurse administer?
1.5 tablets
The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child's weight is 33 lb. The medication is supplied in 125 mg/mL. What is the child's weight in kilograms?
15 kg
A patient with a thrombosis has a heparin infusion at 15 mL/h. The heparin concentration is 25,000 units in 250 mL of D5W. How many units per hour is the patient receiving? _
1500 units/hr
Using the 24 hr time clock what time is equivalent to 6pm?
1800
The physician orders Stadol 2 mg IM for pain. The medication is supplied in 1 mg/mL. How many milliliters will the nurse administer?
2 mL
The physician orders famotidine 20 mg IVPB every 12 hours. The medication is supplied in 20 mg/100 mL to infuse over 30 minutes. Calculate the flow rate in milliliters per hour.
200 mL/hr
The recommended safe dose of rifampin for a child is 5 mg/kg/dose. The child's weight is 11 lb. The medication is supplied in 10 mg/mL. Calculate the safe and therapeutic dosage for this child
25 mg/dose
The physician orders Zestril 15 mg po daily for hypertension. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?
3
The physician orders magnesium sulfate 500 mg/h. The medication is supplied in 4 g/250 mL. Calculate the flow rate in milliliters per hour
31 mL/hr
The physician orders a norepinephrine IV drip at 2.5 mcg/min for hypotension. The medication is supplied in 2 mg/500 mL of D5W. Calculate the flow rate in milliliters per hour.
38 mL/hr
The physician orders procainamide IV drip at 3 mg/min for premature ventricular contractions. The medication is supplied in 2 g/500 mL of NS. Calculate the flow rate in milliliters per hour
45 mL/ hr
The physician orders a lidocaine IV drip to infuse at 3 mg/min for premature ventricular contractions. The medication is supplied in 1 g/250 mL of D5W. Calculate the flow rate in milliliters per hour
45 mL/hr
The recommended safe dose of rifampin for a child is 5 mg/kg/dose. The child's weight is 11 lb. The medication is supplied in 10 mg/mL. What is the child's weight in kilograms?
5 kg
The physician orders a continuous IV hydromorphone drip at 0.5 mg/h. The medication is supplied in 10 mg/100 mL. Calculate the flow rate in milliliters per hour.
5 mL/hr
The physician orders a nitroglycerin IV drip to infuse at 8 mcg/min for chest pain. The medication is supplied in 25 mg/250 mL of D5W. Calculate the flow rate in milliliters per hour
5 mL/hr
112.2 lb =___kg?
51
3/4 cup is equivalent to how many fluid ounces?
6
The physician orders a continuous IV morphine drip to infuse at 6 mg/h. The medication is supplied in 50 mg/50 mL. Calculate the flow rate in milliliters per hour
6 mL/hr
The physician gives orders to infuse 1 L of lactated Ringer's solution in 15 hours. Calculate the flow rate in milliliters per hour
67 mL/hr
The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child's weight is 33 lb. The medication is supplied in 125 mg/mL. Calculate the safe and therapeutic dosage for this child.
75 mg/dose ---15 kg*20 mg= 300/4 equal dosages
1 cup is equivalent to how many oz?
8 fl oz
A patient has a deep vein thrombosis and an order for heparin at 800 units/h. The concentration is heparin 50,000 units in 500 mL of D5W. How many milliliters per hour should the IV pump be programmed for? _
8 mL/hr
180lb is equivalent to how many kg?
81.8
Infuse 1000 mL of lactated Ringer's solution (LR) over 12 hours. How many mL/h should the IV pump be programmed for?
83 mL/hr
A patient with diabetes has an order for regular insulin IV at 9 units/h. The concentration is insulin 500 units in 500 mL of 0.9% NS. How many milliliters per hour should the IV pump be programmed for?
9 mL/hr
3 oz is equivalent to how many mL?
90
Generic Name of Medication
Appears directly under the trade name. -Usually found in smaller or different type letters from the trade name. -Sometimes is only name found on drug label.
Base Units of Metric System
Weight (grams) Volume (liters) Length (meters)
prn is defined as:
as needed
ac is defined as:
before meals
The ______ indicates if a medication must be mixed before use and the required amount of diluent will be listed along with the resulting strengths of medication.
directions
qh is defined as:
every hour
The ____ name is the official name of the drug.
generic
When administering a medication or IV fluid by an IV pump, the nurse solves for _______
mL/hr
commonly used prefixes
micro- one millionth milli- one thousandth centi- one hundredth kilo- one thousand
The _____ will indicate how the drug is to be administered (oral, topical, IV, etx)
route
Household measurements
weight- pounds volume- cups, teaspoons length- feet, inches
