Drug Calculation Problems - Week 3 @ “Ac Ditectons: For each problem, round the final answer tothe nearest tenth, Round all weight to the nearest tenth atthe beginning. Document ime to the hundredths place without rounding, Be sure to include the appropriate units of measure with each answer. Round BSA my to the nearest hundredths place. ¥ See Rounding rules a4 the gucshon * 1.) Aminophylline IV drip is ordered to be delivered at 40 mg/hr. The concentration of ‘Aminophylline available is 1 gram in $00 mL DSW. What IV pump setting is needed to correctly deliver the order? _______- 2) You will be working a shift from 0730 to 1545. A patient has one IV site with a primary IV of 1.5 liter of DSNS to run over 12 hours. The patient will also receive metronidazole 375 mg (in 200 mL NS to run over an hour) IVPB at 0900, and 2100. Additionally the patient will receive gentamycin 75 mg {in 150 [Link] to run over $0 min) IVPB at 1100 and 1900, Calculate the patient's total parenteral intake that will occur during your shift. 3.) Rocephin 350 mg has been ordered IVPB TID daily for a child weighing 34 pounds. The IV drug reference states the appropriate dose range is 60-90 mg/kg/day. ot Quen! 3) What is the least amount and largest amount recommended for the daily dose? bb) Is the prescribed dose of 350 mg Rocephin within the safe limits? 4.) Youare to give Lidocaine 30 meg/kg/min to a child weighing 52 Ibs. The piggyback contains 150 mg of Lidocaine in 500 mL NS. How many milliliters of Lidocaine are infused per hour? Oo 5) Prescription: Niacin 3.5 g every TID. Available is Niacin 350 mg tablets. The patient will receive tablets per day6) Your patient has a PCA pump of Dilaudid. The dose thatthe patient may receive every 10 minutes is 1.5 mg. You are also ordered to set a basal rate of 2.5 mg/h. What isthe lockout dose (maximum dose per hour) for this client?, Utenth place) 7.) Tirofiban is prescribed for an adult patient weighing 154 pounds with acute coronary ‘syndrome. ‘The guidelines indicate that it can be given 0.25 meg/kg/minute, IV infusion for up to 12, hours. rie aban is salable with a concentration of 125 meg/SmL. (ushole Mumioor) Determine the correct IV infusion pump setting for this patient. 3) Heparin, 40,000 units in 500 mi 5% dextrose solution is being infused at 30 ml/h. Restate this flow rate in units per hour (nearest whole number). 10.) Nitropressis ordered and you are to titrate to maintain the systolic blood pressure at 140 mm He “available is Nitropress 100 mg/350 mL. The range is 9-15 meg/kg/min. Your patient weighs 130 lbs, Cearest rent lace 2) How many meg/min, lower and upper range could be administered? b) Within that range, what are the appropriate pump settings (for both the lower and upper)? 11) Ant piggyback must be prepared. 3 mi of lidocaine and 35 mL of potassium chovide are to be mixed i400 mL of NS, The prepared solution Is to be infused aver 2.5 hours, Determine the correct infusion pump setting to carry out this order.Drug Calculation Problems - Week 3 12.) Your patent’ ud intake on Tuesday from 0700 to 1900 was: 3/t ean of orange juice (1 can = 6 f. 02) 2 carton of mik (1 carton = 81. 02) 2/3 can of 7-UP (1 can = 12 fl. 02.) 1-1/2 cup of Ensure (1 cup= 8 on.) 230 ml of water PO. IV infusion from 0700-1200 at 90 ml/he stoped for 1 hour while patient showered. 41200-1300 V antibiotics delivered at 325 rl/nr 1300-1320 IV infusion stopped, at 1320 resumed at 90 ml/hr From 0700-1800: Patients total fluid intake was milliters. (Teavr place) 413.) An order is for 250 mg V of ciprofloxacin. It must be diluted in 175 ml of NS, then infused over 75 minutes. Determine the IV pump setting to infuse this antibiotic. ml/h Rx Only NOC 36000-0 Ciprofloxacin Injection, USP (10 mg/mL) Fer rtravenous (LV) Infusion SAE DOSE VL crs 400 mg Ciprofloxacin LUTE BEFORE USE. 14,) Prescription: Metformin 500 mg TID Available: Metformin 850 mg/SmL Quantity to give patient: ml per dose. Quantity to give patient: ml per day. lace, 415.) APCA pump of morphine sulfate has been setup for a patient. The dose that the patient may receive every 9 minutes is 3 mg. Youare also ordered to set a basal rate of 2.0 mg/hr. The concentration of this drug is 2 mg/mL. What is the lockout dose (maximum mL per hour) for this dlient? 16. 180 mgof Ceftin every 6 hours is prescribed for a 14 pound infant. Determine the me/ke/day dosing rate based on this prescription. ‘A drug reference indicates that 75 to 150 mg/ke/day is the recommended dosing range. Is the prescription considered “safe” according to these guidelines? Yes/no Hh éDrug Calculation Practice Problems ~ Week 3 17.) A patient is prescribed Zosyn, 3.5 g in 200 mL of DSW IV over 90 min. Your tubing set has a drop factor of 15 gtts/mL. Determine the correct flow rate ( gtts/min) for this patient( Wholé Number ) —_—______—- 18.) Doctor's orders: Heparin 20,000 units 1V q8h. How many milliliters will this patient receive per dose? NoCiestina ke lagu Sodium Injection, USP 50,000 t3%. 510m (5,000 us units per my For W or SC use Rronly 10 mL 19.) The protocol for a drug is 40 meg/min. This drug is available at 200 mg/500 mL. Determine the correct infusion pump setting (flow rate) to infusion this medication. 20.) A heparin infusion with a flow rate of 15 ml/h is directed for a patient. The supplied bag is 12,500 Units heparin in 250 mL. The patient is receiving units/h. 21.) Gabapentin is prescribed for a pediatric patient with epilepsy. Guidelines indicate that a starting dose of 10 to 15 mg/kg/day in four divided doses is appropriate for such a patient. The patient weighs 19 pounds. (round +o +e nearest tenth place) Determine the safe range (minimum and maximum) expressed in mg/day that this patfent can receive, :Drug Calculation Practice Problems ~ Week 3 22.) A patient is prescribes Brug x, 420,fg p 96°) Half of the prescribed amount is to be given now wth theres idedito pene -&noursapar rug Xis aval witha concentration of 70 ma/5. ire the mL given for the first dose ml. First dose: Give 23.) Apatient with osteomyelitis is prescribed Ciprofloxacin, 500 mg IV, every 6 hours. Directions ‘ate that for each infusion, the drug must be diluted in 200 mt of NS, then infused over 75 minutes. Determine the flow rate in mL/hour, Avaliable: Ciprofloxacin elo eius (50 ma/mU) For Intravenous Infusion Further Dilution Required pronchitis. The recommended dosing rate for be given right away. The balance is to be divided 24,) Drug Zis prescribed foy yo}sndLpatient adults is 0.25 meg/ke/daualt oMfhe ddse shout into two doses, given at i iRervals! The patient's first dose will be meg. 25.) Order: Heparin 40,000 units in 1 L NS, infuse at 75 mL/hr ‘The normal heparinizing range is 20,000-40,000 units q24h. Calculate the units/h and determine if the dose is safe. Is the dose safe? YES/NO Explain mathematically:Drug Calculation Practice Problems ~ Week 3 @Q@ 26,) Order: Amicar (ominocoproic acid) 3a/m* IV, add to 250 mt NS and infuse via pump over th ‘The patient weighs 30 pounds and is 32 inches tall. ‘A) How many mgs the child receiving? 8.) At what rate will you set the pump in ml/he? 27) Order: Sondostatin octreotide acetate) 200 meg subcutaneously aid. (round +o nearest tenth) ‘The label reads 1 mg/ml. How many milliliters will you administer? 28.) Order: Normodyne (labetalol HCL) 20 mg IVP slowly over 2 min ‘The label reads 5 mg/ml. How many milliliters of this antihypertensive drug will the patient receive per minute? 29) Order: .ncef(Cefazolin) 500 mg IM qh The directions forthe 1g vial tate: econsitut with 2.5 mLof sterile water for njcton and 230 mg/ml. How many milters wil yu give the patient? Crosd $0 nearest dent Place)Drug Calculation Practice Problems - Week 3 30) 31) 32.) 34) 35.) Order: Zantac (ranitidine) 50 mg in 100 mL DSW IVPB q 8h, infuse in 20 min Calculate the flow rate in milters per minute. Order: lidocaine 1 g in 250 mL DSW infuse at 3 mg/min Calculate the pump settings in mL/hr Calculate the flow rate in mL/hr if heparin isto be infused at the rate of 2,000 units per hour. The solution strength is heparin 50,000 units in 1,000 ml DSW. ‘An infusion of DSW has 800 milliliters left in the bag, The flow rate is 31 drops per minute, and the drop factor is 15 gtt/mL. How long will it take for the remainder of this IV fluid to infuse?, hr min ‘An [Vis infusing at 29 gtt/min. How many milliliters wll the patient receive in 10 hours? The drop factor is 12 gtt/ml.Directions: For each problem, round the final answer tothe nearest tenth. Round allweight to the nearest tenth atthe beginning, Document time to the hundredths place without rounding, Be sure to include the Spproprate unis of measure with each answer, Round BSA m’ tothe nearest hundredths place # Pounding Tues Speuffitdl at Lome guethons # 1) aminophylline Iv drip is ordered to be delivered at 40 mg/h. The concentration of AAminophyilne available is 1 gram in 500 mL DSW. What IV pump setting s needed to correctly deliver the order? mL_ Soom , La x 40s COme ~ 30 mtbr hr lg lode Nhe Tooo he 2) Youwill be working a shift from 0730 to 1545. A patient has one IV sit liter of DSNS to run over 12 hours. The patient will also receive metronidazole 375 mg (in 200 mL NS to tun over an hour) IVPB at 0900, and 2100. Additionally, the patient wil receive gentamycin 75 mg (in 150 mL NS to run over 90 min) IVPB at 1100 and 1900. (ound! 40 hundlreetth') with a primary lV of 1.5, coleate the pte’ total antral intake that wl occur arog your sie. TOO) = OmL yey) ie |aSenl J mulher 12Sealle 100m fhe 125 et/br peers Onl tp0- 1100 100 ~ | 30-1548 ©730 -#00 ‘ JOS X [She = [BTS 4 ACOmE + LAS eee + |SDe it SIAN 15m 5.) Rocophin 350 mghas been ordered IVPB TID dally for a child weighing 34 pounds. The V drug reference states the appropriate dose range is 60-90 me/ke/day. (round 40 nearest whole Number) a) What is the least amount and largest amount recommended for the daily dose>(whole Mummber) if mg dow ») Is the prescribed dose of 350 mg Rocephin wi : % Ylott meldese 4) You re to give Lidocaine 30 mee/kg/min toa child weighing 52 Ibs. The piggyback contains 150 img of Lidocaine in 500 mLNS. How many milliliters of Lidocaine are infused per hour (round +0 Whole number) 5) Prescription: Niacin 3.5 g every TID. Available is Niacin 350 mg tablets. The patient will receive tablets per day6) Your patient has a PCA pump of Dilaudid. The dose that the patient may receive every 10 minutes is 1.5 mg, You are also ordered to set a basal rate of 2.5 mg/hr. What is the lockout dose (maximum dose per hour) for this client? (4enHh Plaée) Pysal dove 2S eg} he Lismg , boph - 909 - 4 malhe Pr Qe i TOny 1 hy 10 Ww J ims. + aoe 21S roq)ne Tirofiban is prescribed for an adult patient weighing 154 pounds with acute coronary syndrome. 7) ‘The guidelines indicate that it can be given 0.25 meg/kg/minute, IV infusion for up to 12 hours. Tirofiban is available with a concentration of 125 mcg/S mL. Determine the correct IV infusion pump setting for this patient. aS Sm Jour I5U by Lk mo, 1 2gte Htgfima * TANG 8) Heparin, 40,000 units in 500 mL 5% dextrose solution, is being infused at 30 mL/hr. Restate this flow rate in units per hour (nearest whole number). hood hr YOO wis x 209K _ QYKK ns 2 eS x Ore unis rae ee The ‘4 10.) Nitropress is ordered and you are to titrate to maintain the systolic blood pressure at 140 mm Hg. Available is Nitropress 100 mg/350 mL. The range is 9 ~ 15 mcg/kg/min. Your patient weighs 130 tbs. (round to nearest tenth Place) C a) How many mcg/min, lower and upper range could be administered? 1 N10. = $3).% meafrain = 59] b.4 Gen (for both the lower and upper)? (tenth) S ring eZ OO. 4 1000 r : “Too 000 4 Astey400, 105 3 O00 11.) An IV piggyback must be prepared.3 mk of Lidocaine and.35-ml of potassium chloride are to be mixed in 400 mL of NS. The prepared solution is to be infused over 2.5 hours. Determine the correct infusion b) Within that range, what are the appropriate pump setting ) mifhe pump setting to carry out this order.Drug Calculation Problems - Week 3 12.) Your patient’ fluid intake on Tuesday from 0700 to 1900 was: 3/4 can of orange juice ( 1 can =6 [Link].) = 4.5 oz X30 = 13S ml 2earton of milk (1earton=8fl.0z) = Ih oz K3O~ YOme 2acanof7-uP (Lean=12f.02) =< Bor X80 = Byoml 1-1/2 cup of Ensure (1 cup= 8 02,) 1a ov X30 360 mt 230 mL of water RO. = 80 S30 ml Vinfusion from 0700-1200 at 90mVAr Sx GQ —YTOmE 7? YSOL ‘Stopped for 1 hour while patient showered. rte 1200-1300 IV antibioties delivered at 125 mi/hr_ 1S WL” 19 0- & rm 11300-1320 IV infusion stopped, at 1320 resumed at 90 mi/hr = | OOvZ Hil From 0700-1900: Patients total fluid intake was 22] QO, %__mililites. ‘round to nearest tenth Olace.) 13,) An order is for 250 mg IV of ciprofloxacin, It must be diluted in 175 ml of NS, then infused over 75 minutes Determine the IV pump setting to infuse this antibiotic. ml/h NOC 36000-011-01 ReOny Goal Ciprofloxacin ml =—— Injection, USP = Cool ((10 mg/mL) > ml QOOmL re tox Sue aon nL ty | Om tt ae 400 mg Ciprofloxacin UTE sePore USE See EE EEE 14) Prescription: Metformin 500 mg TID SoOmg , Sme_ Sak Available: Metformin 850 mg/Smt rae * Bbop 1do4 55 88 Quantity to give patient:__<"__mL perdose. — a @.8 1 Bdows = 2.9 mildow aa, Quantity togive patient:_&-8 __mbperday. (roond 40 tenth Pace) 15.) APCA pump of morphine sulfate has been setup for a patient. The dose that the patient may /mOX Tu wal)he receive every 9 minutes is 3 mg. You are also ordered to set a basal rate of 2.0 mg/hr. The 1omifhe § lin) - ntratign ofthis drug is 2 mg/mL. What isthe lockout dose (maximum mL per hour) for this roth cone client? Bos! oO (80 Coal ue E es rt iis ay hr m9 16. 180mg of Ceftin every 6 hours is prescribed for a 14 pound infant Determine the mg/kg/day dosing rate based on this prescription. ‘A drug reference indicates that 75 to 150 mg/kg/day is the recommended dosing range. 1s the prescription considered “safe” according to these guidelines? Yes/no (round fo Nearest tenth Place) ey] 26 y ESOU maDrug Calculation Practice Problems ~ Week 3 17.) A patient is prescribed Zosyn, 3.5 g in 200 mL of DSW IV over 90 min. Your tubing set has a drop factor of 15 gtts/ml. Determine the correct flow rate (gtts/min) for this patient. (whole number) Cea} ; IS otk , BWOrl _ 3000 9 _ 23 He : re eck men 18.) Doctor's orders: Heparin 20,000 units IV q8h. How many milliliters will this patient receive per dose? el HEPARIN Reus 50,000 Sin 10m (5,000 use units per mL) x DOOD vo ae Y ml dre For Vor SC use 19.) The protocol for a drug is 40 meg/min. This drug is available at 200 mg/500 mL. Determine the correct infusion pump setting (flow rate) to infusion this medication. Gal Cot in s ly Ym » x _ 1260000 — (yg mt yy a ~ 1O0D Eh Tiny IF OO,000 mothe 20.) A heparin infusion with a flow rate of 15 ml/h is directed for a patient. The supplied bag is 12,500 units heparin in 250 mL. The patient is receiving _] SD_units/n. one p iT) 12 S00 x BISDO vas — 7SO unrls} hr 21.) Gabapentin is prescribed for a pediatric patient with epilepsy. Guidelines indicate dose of 10 to 15 mg/kg/day in weighs 19 pounds that a starting four divided doses is appropriate for such a patient. The patient Determine the safe range (minimum and maximum) expressed in mg/day that this patient can receive [enth) F 2 doy 8 glowDrug Calculation Practice Problems ~ Week 3 42/) a patient is prescribed pafag X)429 mg/perday PO) Half of the prescribed amount is to be given now, with the rest divided Mita, tw equal doség, 6 hours apart. Drug X is available with a concentration of 70 mg/' .efermne the mL given for the first dose, First dose: Give 15m. 420mg + 2 doses 210 rng ML= ‘2lomg , Sm - Bow m1 215 mi Dey 19¢ 1 10 23.) A patient with osteomyelitis is prescribed Ciprofloxacin, 500 meg IV, every 6 hours. Directions indicate that for each infusion, the drug must be diluted in 200 mL of NS, then infused over 75 minutes. Determine the flow rate in ml/hour. ae Ciprofloxacin Cool Pe ails mM Q0r min Lite mil he | ne * Sas [!8 mif he} Forlntravenous Infusion fe — =F =1/Omce | Further Dilution Required i Ailuchey 1g 34.) Drug Z is prescribed for a 128 pound patient with bronchitis. The recommended dosing rate for ‘adults is 0.25 mcg/kg/day. Half of the dose should be given right away. The balance is to be divided into two doses, given ays-hot RT = first dose will be me. 25.) Order: Heparin 40,000 units in 1 L NS, infuse at 75 mL/hr The normal heparinizing range is 20,000-40,000 units q24h. Calculate the units/h and determine if the dose is safe. Is the dose safe? YES/NO) Explain mathematically: “J day 15. hy safe das ange BOPP bc a 8]24hrDrug Calculation Practice Problems ~ Week 3 3600ma, 26.) Order: Amicar (aminocaproic acid) 3g/m IV; add to 250 mL. NS and infuse via pump over 1h ‘The patient weighs 30 pounds and is 32 inches tall. A) How many mg is the child receiving? _[(oSO ma ISD mathe B,) At what rate will you set the pump in mL/hr? Me Geol = mq: ZoQms, 1 2SSp# (50mg ouschoU ETS: 5 BD Psa me ee mz 0.55 27.) Order: Sondostatin (octreotide acetate) 200 mcg subcutaneously q.i.d. The label reads 1 mg/mL. How many milters wil you administer? _O.2nl_ {fer Place) Goo me. mt y lee, Qoomyg ~ GOD _¢ : " o 7 J Cael log 10COry ] I dosz a0 28.) Order: Normodyne (labetalol HCL) 20 mg IVP slowly over 2 min The label reads 5 mg/mL. How many milliliters of this antihypertensive drug will the patient receive per minute? mt)onuc Jin 29.) Order: Ancef (Cefazolin) 500 mg IM qBh . needed hot needed al state: reconstitute with-2.5-mLof sterile water for injec LSml The directions for the!1'gv (330 ma/mL. How many mililiters will you give the patient? Boo SOOme = |, meDrug Calculation Practice Problems ~ Week 3 30.) Order: Zantac (ranitidine) 50 mg in 100 mt DSW IVPB q 8h, infuse in 20 min liters per minute. > mtn Calculate the flow rate in mil Goal ora 5 mi/mn am 31.) Order: lidocaine 1 g in 250 mL DSW infuse at 3 mg/min Calculate the pump settings in mUvhr_ “Sa hr Goo m . Osom, IA » SF, LOmm# - {S000 mM . Ys mifhy he ly 1000m§ I my Ine 1000 br 32.) Calculate the flow rate in mL/hr if heparin isto be infused at the rate of 2,000 units per hour. ‘The solution strength is heparin 50,000 units in 1,000 mL DsW,_‘7/ iv Fin: loom iy B00 — 2009 600RL ~ Yom) hr hy 50000 ws I hi SOOG0 Ir i 34.) An infusion of DSW has 800 milliliters left in the bag. The flow rate is 31 drops per minute, and the drop factor is 15 gtt/mL. How long will it take for the remainder of this IV fluid to infuse? £ br 7 min x SG » y =~ OOD he «YE hy 35.) An Visinfusing at 19 gtt/min, How many milliliters will the patient receive in 10 hours? The drop factoris 12gtt/mt._ JO tal_tn_ lO be Ie 4 LO row 10» “oo me By Oy OE = INCOMES oy. Z 12