Drop factors/ 6 rights of medications
What are the two patient Identifiers
_________________ & ____________________
What types of medications are considered parental route?
Name and DOB
injectable medications (parenteral route (also referred to as injection route) is the fastest and the second commonest route of drug administration. The term parenteral is made up of two words – par meaning beyond and enteral meaning intestine
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
An IV infusion of heparin is infusing at 22 mL/hr. The label on the 250 mL IV bag reads: heparin 10,000 units. How many units of heparin are infusing each hour?
answer - 880 units/hr
units 10,000 = hr 40 units 250 1 mL 22 mL × = 40 22 = 1 hr × 880 units/hr
A infant has a body temperature of 96.5 F and when converted _____________C
35.8 C
The recommended dosage of clindamycin oral suspension is 8 to 25 mg/kg/day in four divided doses. The child weighs 30 kg. The maximum dose for 24 hours is _______________.
240-750 mg
The physician orders 1,000 mL of 0.45% NS to infuse at 90 mL/h. Tubing drop factor is 20 gtt/mL. Calculate the flow rate in drops per minute.
30 gtt/min
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
A continuous infusion of heparin at 27 units/kg/hr is ordered for a patient weighing 82 kg. On hand is a 500 mL bag of D5W labeled: heparin 50 units/mL. What is the mL/hr flow rate? __________
answer is 44.3 ml/hr
mL 500 = hr 1 mL 25,000 50 units 27 units × kg 82 kg /hr × 2214 = 50 = 44.28 mL/hr (rounded to nearest tenth) = 44.3 mL/hr
Store the vaccine serum at 8 C
46.4
The physician orders prednisone 10 mg oral every 12 hours for a child weighing 22 lb. The prednisone syrup is available in a 5 mg/5 mL concentration. The recommended dose is 0.5 to 2 mg/kg/24 h. How many milligrams per kilogram per 24 hours is the patient receiving?
Correct Responses
2 mg/kg/24 h
The physician orders 500 mL of NS to infuse at 175 mL/h for a patient with vomiting. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.
43.75 = 44 gtt/ml
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
1. 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?
2. 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?
1. 3 cap
2. 0.5 tab
15kg = _______________lbs.
15 kg = 33 pounds
Pounds and kilograms conversions (Round to tenths)
1. 22 lb = ________ kg
2. 37 lb = ________ kg
3. 4.8 kg = ________ lb
4. 13 kg = ________ lb
Pounds and kilograms conversions
1. 10
2. 16.8
3. 10.6
4. 28.6
1. The physician orders ampicillin 1 g in 100 mL of D5W IVPB to infuse over 20 minutes. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.
2. 1 ml = _________units
1. 75 gtt/min
2. 1 ml= 100 units
1. The doctor orders 500mL of 0.45% NS with 20mEq of KCL to infuse over 8 hours. Calculate the flow rate. What is the volume?
2. What is the time?
1. What is the volume? – answer 500 mL
2. What is the time? – answer 8 hours formula = hr mL 8 500 = _____ = hr mL 8 500 = 62.5 . Remember to round up! Therefore, the flow rate will be 63 . Let’s add in something you learned about dose calculations in a previous module.
1.The physician ordered a Heparin bolus of 5,000 units IV followed by a Heparin drip at 500 units per hour. There is also an order for a stat PT/PTT.
Using the standard Heparin preparation (25,000 units in 500 ml), calculate the cc/hr you will program into the IV pump.
2. 1 ml= __________cc
10 ml/hr
1ml=1cc
Dopamine order: 5 mcg/kg/min.
Bag is labeled: Dopamine 400 mg in 250ml NS.
Pt weight= 63 kg.
Using mcg/kg/hr, how many ml/hr would you calculate for the IV flow rate?
Answer: 11.8 ml/hr----this is what the pump must be set at (-round up to 12ml/hr)
Remember that pumps deliver ml/hr, so drips that deliver per minute need to have time conversion factored in (60 min/1 hr); those drips that are delivered per hour do not need this time conversion 1. Desired (dose ordered) = 5 mcg/kg/min x (pt weight) 63 kg 2. Have = 400 mg Dopamine; must convert to mcg by multiplying by 1000 3. Volume = 250 ml (volume in IV bag) 4. Also include time conversion of 60 min/hr 5 mcg/kg/min x 63 kg x 250 ml x 60 min/hr = 4725000 400,000 mcg (400 mg x 1000 mcg/1 mg) 400,000
The recommended children's dose is 3 to 5 mg/kg/day q12h. The child weighs 9 lb.
What is the safe dose per day?
What is the safe dose per dose?
12.3-20.5 mg/day
6.2-10.3 mg/dose
1. An antibiotic with a volume of 50mL is to infuse over 30 minutes. The minidrip tubing is calibrated at 60gtt/mL. What is the volume? (hint no calculation needed).
2. 6 rights of medication
Right ___________ Right _____________
Right ___________ Right _____________
Right ___________
Right ____________
1. What is the volume? – answer 50 mL
2. Right Patient Right Medication
Right Time Right Route
Right Dose Right Documentation
1. Medication B 15 mEq po every day. Available: Medication B 10 mEq/5ml. How many ml's will you give?
2. The doctor orders Rocephin 1g IVPB q 24 hours. On the shelf in the medication room there is Rocephin 1 g in 250ml of D5W to be given over 1 hour. What is the flow rate?
7.5 ml
1a) Set up proportion. (Units are matched therefore no need to convert- mEq to mEq and ml to ml) b) Cross multiply and solve for x. 10𝑚𝐸𝑞 5𝑚𝑙 = 15𝑚𝐸𝑞 𝑋𝑚𝑙 10x=75 x= 75 10 15 mEq= 7.5 ml
2. answer 250 mL
1. A solution of 30,000 units of heparin in 500 mL normal saline is infusing at 22 mL/hr. How many units of heparin are being delivered each hour? __________
2. A solution of 40,000 units of heparin in 1 L of D5W is infusing at 35 mL/hr. How many units of heparin are being delivered each hour?
1. 1320 units/hr
2. 1400 units/hr
Answer. First convert L to mL; 1 L = 1000 mL units 40,000 = hr 40 units 1000 1 mL 35 mL × = 40 35 = 1 hr × 1400 units/hr
1. Order: Dopamine 20 mcg/Kg/minute. The bag is labeled Dopamine 100 mg/50 ml. The patient weighs 88 lbs. How fast will the IV run to give the dose?
2. 15 g = ________mg
1. 24 ml/hr
Must convert pounds to kg 88 ÷ 2.2 = 40kg
Dose ordered x weight (if weight based) x volume x time Have (dose of drug you have; must match units in dose ordered) 20 mcg/kg/min x40 kg x50 ml x 60 min = 2400000 = 24 ml /hr
2. 15,000 mg
Amantadine HCl 35 mg p.o. t.i.d. The recommended pediatric dosage of amantadine is 4.4 to 8.8 mg/kg/day p.o. in three divided doses not to exceed 200 mg/day.
The order is safe for a 35-lb child because the child's daily dose is ___________
70-140 mg/day