MED CALC
Convert the following:
550 mcg =
1225 mg =
0.45 mg =
550 mcg = 0.55 mg
1225 mg = 1.225 g
0.45 mg = 450 mcg
What does ORIF stand for?
Open Reduction and Internal Fixation
What is a colloid solution?
Colloids maintain a high osmotic pressure in the blood. Particles in the colloids are too large to pass semi-permeable membranes such as capillary membranes, so colloids stay in the intravascular spaces longer than crystalloids. Example: Albumin to maintain circularV after blood loss.
1 unit of PRBC ordered to be given over 3 hours & the unit volume is 320mL, what is the rate mL/hr?
106.7mL/hr
An expected outcome of cast application that the nurse evaluates is:
A) Skin irritation at the cast edges
B) Decreased capillary refill and pallor
C) Tingling and numbness distal to the cast
D) Slight edema, soreness, and limitation of range of motion
D) Slight edema, soreness, and limitation of range of motion
A patient who has severe burns, the fluid is starting to accumulate in that patient's abdominal tissue. There is no change in weight, and intake & output are equal. What do you suspect?
A) It's normal after a burn.
B) Intravascular compartment syndrome.
C) Third spacing
C) Third spacing
MD writes an order for Digoxin 250 mcg PO daily. Patient’s apical pulse is 65 bpm. Pharmacy dispenses 0.5 mg/2 ml. How many ml will you administer per dose?
1mL
What are 2 assessments that must be completed prior to ambulation with/post an epidural?
Postural hypotension & Motor strength
A client who has been suffering from severe diarrhea has developed hypokalemia and cardiac arrhythmias as a result. Which of the following treatments would most likely be ordered for this client to correct the situation?
A) Encourage intake of Potassium rich foods.
B) IV administration of Potassium.
C) PO Potassium.
B) IV administration of Potassium.
Your patient weighs 22kg and order of 15mg/kg of PO Acetaminophen. It comes in a 40mg/mL liquid bottle. What is your dose in mg and how many mL will you draw up to administer?
22kg x 15mg/kg = 330mg and will give 8.25mL
While horseback riding a patient fell from the hose sustaining a pelvic fracture. What complications should the nurse know to monitor for that are common to pelvic fractures?
A. Paresthesia and ischemia
B. Hemorrhage and shock
C. Paralytic ileus and a lacerated urethra
D. Thrombophlebitis and infection
B) Hemorrhage & Shock
A client has developed hyponatremia as a result of syndrome of inappropriate anti-diuretic hormone. Which type of IV fluid would the nurse most likely administer?
A) Mannitol
B) 0.9% NaCl
C) 0.45% NS
D) 3% Normal saline
D) 3% Normal saline
Pt weighs 15kg. Ordered: Ancef 90mg/kg/day over 3 doses. How many mg per day will the patient receive? How many mg per dose will the patient receive?
1350mg & 450mg
List 5 possible side effects of epidural opioid.
1. Respiratory depression
2. Urinary retention
3. Nausea
4. Pruritus
5. Excessive motor sensing blocks
A 4 year old male is having an adverse reaction to a PRBC transfusion. He’s becoming tachycardic, hypotensive, increased work of breathing and developing a rash. What type of shock is this?
Distributive → Anaphylactic