Convert me!
60mg =_________mcg
6,000 micrograms
Brittany hands you a cup of medicines and states " Can you give these to my patient in room 226, I have a doctor demanding me up to the nurses station" and she walks away. Whats safety rules does this violate and what should you do?
Do not give the meds.
Violates 1) Right drug - if opened unable to identify the medication & administering medications that weren't prepared by you
Unknown medications can create high risk situations - giving something the right route, right time?, right dose?
She states the patient is in room 226, but doesn't give a name and makes verifying if these are those patients medications impossible.
A patient has 720 mls of urine output over the 12 hours shift. How many mls/hour will nurse document?
50mL/hr
Order: Penicillin 1,000,000 units IM
Available: 250,000 units/mL
How many mLs do you administer?
4mL
3 tsp = ________mL
15 mLs
1 tsp=5mL
5,000 mL
A 82 y/o F patient is admitted is the hospital for right hip fracture after a fall at home. Talking with her she tells you, "well, I take that water pill at night around 8pm and I continuously get up to the bathroom throughout the night. This time I finally tripped in the dark hallway and here I am". What recommendation should be given to this patient to decrease her risk for falls?
Take the lasix earlier in the evening - 4/5pm to help limit her getting up at night and increasing the risk to fall in the dark.
A child weights 25 lbs. You know you will need to administer medication which requires kilograms for appropriate dosing/prescribing. How many kilograms is this child?
11.4 kg
Order: ibuprofen 100 mg
Available: 200 mg per tablet
How much to give?
1/2 tablet
2 measuring cups of water = _______oz
16 oz
1 c= 8 oz
500mL=______L
.500L/half a Liter
There are 3 safety checks to verify the right drug is going to be administered, at which points do they occur?
1) taking the drug out from dispensing
2) comparing it with Mar as being prepared
3) at bedside immediately before administration
A medication is given AC & HS. When is this medication given?
Before meals & Bedtime
Order: Vistaril 25 mg IM
Available: Vistaril 50 mg/1mL
How much do you give?
0.5 mls
4 tbs = _______mL
60 mL
1 tbs=15 mL
220 lbs=______kg
100 kg
2.2lbs=1kg
The patient is ordered 120 mEq of potassium chloride to take orally for his potassium level of 3.3 (3.5-5.0). You pull this medication which are given in 20 mEQ tablets. You notice 6 tablets seems like a lot. What should you do.
Verify the order.
Double the check dose (6 pills a lot) if out of the ordinary verify dosing with provider and ensure you repeat back any verbal telephone orders to ensure accuracy fo the order.
You have medication listed on the patients MAR at 0300 and 1700. What do these time correlate to if you were explaining them to the patient?
3 am and 5pm
Order: Ampicillin 800 mg
Available: Ampicillin 400 mg capsules
How many capsules do you give?
2 caps
Giving 2 tsp + 3 tbs + 1/2 cup = _______mls
2 tsp= 10ml
3tbs= 45 ml
1/2 cup=4 oz= 120 mls
=175mls
(1oz=30mls)
8 oz of juice=_________mLs
240mLs
1 oz=30mL
Medicine cups =1 oz
Right time. Insulin can be a dangerous medication and knowing its onset is imperative to administering it to patients; short-acting needs to be given prior 15-30 minutes before meal. 2 hours after is a significant difference in time.
Order: Potassium Chloride 30 mEq by mouth daily
Available: 10 mEq tablets
how many do you administer?
3 tablets = 30 mEq
Order: Rocephin 50mg/kg IM injection once. Max dose 1 gram.
Pt weight - 22 lbs.
Medication concentration - 250mg/1mL
How many mLs would this child receive.
22 lbs = 10 kg x 50 mg/kg = 500 mg
500 mg divided by 250 = 2mLs you would give
1/2 tsp + 4tbs+ 5 oz = _____mL
1/2 =2.5 mLs
4 = 60 mLs
5= 150 mls
= 212.5 mLs