Hunters MAPE Study Set
There is 90 mL of D5 0.5NS left in an IV bag that is infusing at 60 drops per minute (gtt/min). The drop factor is 15 drops/mL (gtt/mL). How many hours will the IV fluid last? Round the answer to the nearest tenth or first decimal place.
0.4 hours equation: (volume remaining (mL) / drops per min) x drip factor = minutes remaining; minutes divided by 60 = hours remaining Volume remaining: 90 mL drops per minute: 60 Drip factor: 15 (90 / 60) x 15 = 22.5 minutes 22.5 / 60 =0.375 hours, rounded to the nearest 10th is 0.4 hours
The provider ordered 425 mcg of levothyroxine. What is the mg equivilent? (round to the nearest hundredth)
0.43mg 425 mcg is 0.425 mg, round to the hudredth is 0.43
Convert 674 mg to grams. (round to the nearest 10th)
0.7g 674 mg to kg is 0.674 rounding to the nearest 10th gives me 0.7g
Convert 829 mg to grams. (round to the nearest hundredth)
0.83g 829mg is 0.829g, when rounded to 100th is 0.83g
The physician orders cefuroxime (Zinacef) 1 gram in 50 mL of normal saline solution (NSS) to be infused over 30 minutes. The tubing drop factor is 60 drops (gtt)/mL. How many drops per minute should be given to infuse the total amount of the medication over 30 minutes? Round the answer to the nearest whole number.
100 gtt/min v (mL) / t (min) x gtt = gtt/min v = 50 mL t = 30 min gtt = 60 50 / 30 x 60 = 100 gtt/min
Administer 1 gram of vancomycin (Vancocin) over 60 minutes. The vancomycin is diluted in 100 mL D5W. How many milliliters per hour (mL/hr) should the IV infusion pump be programmed for? Round the answer to the nearest whole number.
100 mL/hr equation: total IV volume / Time (hour or minute) = mL/hour or minute Total IV volume: 100 mL time: 60 minutes, converted to hours is 1 hour 100 mL / 1 hour = 100 mL per hour, which is already rounded to the nearest whole number
The physician orders cefazolin (Kefzol) 1 gram diluted in 50 mL D5W to be infused over 30 minutes via IV piggy back (IVPB) using an IV infusion pump. How many milliliters per hour (mL/hr) should the IV pump be programmed for to infuse the Kefzol over 30 minutes? Round the answer to the nearest whole number.
100 mL/hr equation: total IV volume / time (hour or minute) = mL/hour or minute Total IV volume: 50 mL time in hours: 30 minutes / 60 minutes/hour = 0.5 hours 50 / 0.5 = 100 mL/hour
360 mL is how many oz?
12 oz 360 / 30 = 12
A patient comes in with burns covering 33% of total body surface area the patient weights 210lbs. LR is ordered to be given over the first 24 hours at 4mL/kg for each percentage of total body surface area burned. How many mL of fluid will the patient get in the first 24 hours. For calculation purposes, 33% is not converted to a decimal; use 33 as a whole number. Round to the nearest 10th.
12,600 mL convert 210 lbs to kgs (210 / 2.2 = 95.454545) multiply by % TBSA burned as a whole number (95.454545 x 33 = 3150) and multiply this by the mL/kg, which is 4 (4 x 3150 =12,600) PAY ATTENTION TO UNITS, IS IT mL or L?!
A patient weighs 60kg. what is his weight in lbs? (round to the nearest tenth)
132 lbs. 60kg x 2.2 lbs = 132 lbs, rounded to the nearest 10th is still 132. no trailing zero's!
Order: vancomycin 1 gram in 375 mL IVPB to be infused over 150 minutes. Calculate the mL/hour.
150 mL/hour convert 150 minutes to hours (2.5 hours) divide mL by hours (150mL/hour)
A patient comes in with burns covering 23% of total body surface area the patient weights 198 lbs. LR is ordered to be given over the first 24 hours at 8mL/kg for each percentage of total body surface area burned. How many L of fluid will the patient get in the first 24 hours. For calculation purposes, 23% is not converted to a decimal; use 23 as a whole number. Round to the nearest 10th.
16.6 L 198 to kg divide by 2.2 for 90 kg multiply 90 kg by mL/kg (8) multiply this by TBSA burned (23) for 16560 mL convert to L 16.560 round to tenth 16.6 L
The healthcare provider prescribes unfractionated heparin 850 units/hour. The Pharmacy supplies the heparin as 25,000 units in 500 mL normal saline solution (NSS). How many milliliters per hour (mL/hr) should the IV pump be programmed for to deliver the prescribed amount of heparin? Round the answer to the nearest whole number.
17 mL/hour 25,000 units in 500 mL =50 unites per mL 850 / 50 = 17 mL/hour
A patient comes in with burns covering 35% of total body surface area the patient weights 275lbs. LR is ordered to be given over the first 24 hours at 6mL/kg for each percentage of total body surface area burned. How many mL of fluid will the patient get in the first 24 hours. For calculation purposes, 35% is not converted to a decimal; use 35 as a whole number. Round to the nearest 10th.
26,250 mL 275lbs / 2.2 kg = 125 x 6 = 750mL x 35 =26,250 mL, rounded to nearest 10th is still 26,250 mL.
A client with peptic ulcer disease has famotidine (Pepcid) 20 mg in 100 mL normal saline solution (NSS) prescribed q 12 hours. The medication is to be infused over 30 minutes. With a tubing drop factor of 10 drops (gtt) per milliter (mL), how many drops per minute (gtt/min) should be given? Round the answer to the nearest tenth or first decimal place.
33.3 gtt/min v (mL) / t (min) x gtt = gtt/min V = 100 mL t = 30 min gtt = 10 100 / 30 x 10 =33.333333 round to 33.3 gtt/min
A patients temperature is 100.6 Fahrenheit. What is his temperature in Celsius? round to the nearest 100th
38.11 100.6 - 32 = 68.6 68.6 / 1.8 = 38.11111111 round to 100th = 38.11
A premature baby weighs 2176 g. how many lbs and oz is this? round to the nearest 10th.
4 lbs, 12.6 oz First, convert 2176 to kg, 2.176 Second, convert kg to lbs 2.176 x 2.2 = 4.7872 (lbs is 4) Now, convert 0.7872 to oz, there are 16 oz in a lb so multiply it by 16 = 12.5952. Round to nearest 10th, 12.6 oz. add lbs and oz to get 4 lbs, 12.6 oz.
a patient weighs 10 lbs 5 oz, what is their weight in kg? (round to the nearest thousandth)
4.688 kg first convert oz by dividing by 16 add to lbs convert to kgs by dividing by 2.2 round to nearest 1000th.
Order: 0.45% NS 1,000 mL IV with Heparin 25,000 units to infuse at 1,000 units/hr. Calculate the flow rate in mL/hour.
40mL/hour determine units per mL (25000/1000 = 25) desired is 1000, have is 25, quantity is 1 mL, 25/1000 = 40 x 1 = 40
One thousand milliliters (mL) of D5LR was to infuse in 8 hours at 30 drops/minute (gtt/min). The tubing drop factor is 15 drops/mL (gtt/mL). After 4 hours, the nurse notices 700 mL of fluid is left in the IV bag. Recalculate the flow rate in drops/minute (gtt/min) for the remaining solution. Note: The infusion is behind schedule. After 4 hours, half of the volume (500 mL) should have infused. Round the answer to the nearest whole number.
44 gtt/minute equation: [Volume (mL) x time (minutes)] x gtt/mL= gtt/min Volume: 700 mL Time = 4 hours x 60 minutes = 240 minutes gtt/mL = 15 700 / 240 = 2.916666667 x 15 = 43.75 rounded to nearest whole number is 44 gtt/minute
An intravenous infusion is being regulated at 20 drops per minute (gtt/min). How many hours will it take for 100 mL to infuse if the tubing drop factor is 60 drops/mL? Round the answer to the nearest whole number.
5 hours equation: (volume remaining (mL) / drops per minute) x drop factor = minutes remaining, minutes / 60 = hours remaining volume remaining: 100 mL drops per minute: 20 Drop factor: 60 100 mL / 20 gtt/min = 5 x 60 = 300 300 / 60 min/hour = 5 hours
The healthcare provider prescribes potassium 40 mEq diluted in 250 mL of D5W and administer intravenously (IV) now. The agency's policy states to infuse potassium at a rate of no more than 10 mEq per hour. How many milliliters per hour (mL/hr) should the IV pump be programmed for to infuse the potassium at a rate of 10 mEq/hour? Round the answer to the nearest tenth or first decimal place.
62.5 mL/hour equation: total IV volume / Time (hour or minute) = mL/hour or minute Total IV volume = 250 mL Time: 10 mEq per hour for 40 mEq, 40/10= 4 hours 250 mL / 4 hours = 62.5 mL/hour, which is already rounded to the nearest 10th.
An intravenous (IV) solution is infusing at 35 drops per minute (gtt/min). The tubing drop factor is 15 drops/mL (gtt/mL). How many milliliters (mL) of fluid will the client receive in 5 hours? Round the answer to the nearest whole number.
700 mL equation: [gtt/min / gtt/mL] x minutes (or hours x 60) = total mL infused gtt/min = 35 gtt/mL = 15 minutes = 5x60 = 300 [35/15]x300 = 700 mL
The healthcare provider prescribes D5 0.9% normal saline (NS) 1000 mL with 25,000 units of unfractionated heparin at 35 mL/hr. Calculate the dosage in units/hour. Round the answer to the nearest whole number.
875 units per hour 25000 units per 1000 mL = 25 units per mL 25 x 35 =875 units per hour
A patients temperature is 37.3 degrees C. What is his temperature in Fahrenheit? round to the nearest 10th.
99.1 37.3 x 1.8 = 67.14 67.14 + 32 = 99.14 round to tenth: 99.1
A client weighs 165 pounds. The healthcare provider prescribes unfractionated heparin bolus at 80 units/kg followed by an IV infusion to run at 18 units/kg/hour. The Pharmacy supplies the Heparin as 25,000 units mixed in 500 mL D5W. A) Calculate the initial heparin bolus dose in units. B) Calculate the infusion rate and determine the rate of infusion in milliliters/hour (mL/hr) at which the IV infusion pump will be set. Round the answers to the nearest whole number.
A: weight in kg = 165 / 2.2 = 75 kg 75 kg x 80 = 6000 units B: 25,000 units per 500 mL/hour = 50 units/mL 18 units per kg per hour: 75 x 18 =1350 units per hour / 50 units per mL = 27 mL/hour
What do the following abbreviations mean: ac, pc, bid, qid, MDI, IVPB, SL, SR, EC, supp, gal
AC: before meals PC: after meals BID: twice daily QID: four times daily MDI: Metered Dose Inhaler IVPB: IV piggy back SL: sublingual SR: Sustained Release EC: Enteric Coated supp: suppository gal: gallon
What do the following abbreviations mean: AS AD AU OS OD OU
AS- left auricle AD- right Auricile AU- both Auricles OS- left eye OD- right eye OU- both eyes
Intramuscular (IM) injection Needle Length, Site, Gauge, Angle of Insertion, and Maximum Volume per site
Length: 1-1.5 Inches in adult or 5/8 to 1 inch in child or thin adult. Sites and volumes: Deltoid (1mL), Vastus Lateralis (3mL), and Ventrogluteal (3mL) Gauge: 20-25g (in Ventrogluteal and 18 may be used for VERY viscous fluids) Angle of Insertion: 90 degrees
Subcutaneous (SQ or SC) injection Needle Length, site, gauge, angle of insertion, and maximum volume
Length: 3/8 to 5/8's of an inch Site: Abdomen, Triceps, anterior thigh, posterior hip, or shoulder blade Gauge: 23-27g angle of insertion: 45 degrees in thin adult or child, 90 degrees in adult Max volume: 1 mL
Intradermal (ID) injection Needle Length, site, gauge, angle of insertion, and maximum volume
Length: 3/8 to 5/8s of an inch Site: Forearm (ventral) or upper back Gauge: 25-29g Angle of Insertion: 5-15 degrees Maximum Volume: 0.1 mL's
State the entire Do Not Use list
U, u; IU; QD; QOD; Trailing 0's, Lack of leading 0's; MS, MSO4, MgSO4
