IV Mini Bag

N250 Medication Calculation Practice Exam (no answers)

Hours to AdministerHow many hours are required to administer the following fluids at the given rates?

1. Rate: TPN 1000 ml at 30 ml/hrHours?

2. Rate: D5 NS 1000 ml at 125 ml/hrHours?

Drop RateCalculate the drop rates (drops per minute; gtts/min) for the following:

3. D5 NS at 125 ml/hra. 10 gtt/mlb. 15 gtt/mlc. 20 gtt/mld. 60 gtt/ml

4. D5 NS at 75 ml/hra. 10 gtt/mlb. 15 gtt/mlc. 20 gtt/mld. 60 gtt/ml

Antibiotics—IntravenouslyAnswer these questions: a. What is the correct drug dose?b. What is the drop rate in gtt/min?

5. Give amikacin 800 mg IVPB, nowAvailable: Amikacin 500 mg/2 mlSet and solution: D5W 150 ml minibag and a drip factor of 15 gtt/ml setInstructions: Infuse over 60 mina. Drug dose?b. Drop rate?

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Buretrol

D5W 500ml

6. Give nafcillin 250 mg IVPB q4hAvailable: Nafcillin 500 mg and 1.8 ml diluent to yield 2 mlSet and solution: Buretrol with a 60 gtt/ml drip factor and NS (normal saline) 500 mlInstructions: Dilute in 50 ml and infuse over 30 min

a. Drug dose?b. Drop rate?

7. Give tobramycin (Nebcin) 60 mg IVPB q6hAvailable: See label belowSet and solution: 50 ml bag D5W and a set with a 15 gtt/ml drip factorInstructions: Dilute with 50 ml and infuse over 30 min

a. Drug dose?b. Drop rate?

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Where you find the drop factor on the IV tubing package

8. Give cephradine 1 g IVPB q6hAvailable: Cephradine 500 mg, add 4.5 ml diluent to each vial to yield 5 ml/vialSet and solution: 50 ml bag of D5W and a set with a 15 gtt/ml drip factorInstructions: Infuse over 30 min

a. Drug dose?b. Drop rate?

9. Give oxacillin 250 mg IV q4hAvailable: See label below

Set and solution: 100 ml bag of D5W and a set with a 20 gtt/ml drip factorInstructions: Infuse over 1 houra. Drug dose?b. Drop rate?

10. Order: Heparin units 8000, subQ, q6hDrugs available:

a. Which heparin would you use?b. How many milliliters of heparin would you give per dose?

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11. Order: Enoxaparin (Lovenox) 30 mg, SQ, bid, post-hip surgeryDrug available:

a. The patient should receive Lovenox how many times a day?b. How many milliliters (ml) should the patient receive per dose?

12. Order: Vitamin B12 500 mcg, IM, 2 per weekDrugs available:

a. Which cyanocobalamin cartridge would you use?b. How many milliliters of cyanocobalamin would you give per dose?

13. Order: Kanamycin (Kantrex) 400 mg, IM, q8hPatient weight: 90 kgDose parameter: 15 mg/kg/day in two or three divided dosesDrug available:

a. What is the dose parameter according to the patient’s weight?b. How many milligrams would the patient receive per day?c. Is the drug dose within safe dose parameters?d. How many milliliters of Kantrex would you give per dose?

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14. Order: Diazepam (Valium) 10 mg, IM, statDrug available:

a. How many milliliters (ml) should the patient receive?

15. Order: Prochlorperazine (Compazine) 7.5 mg, deep IM, statDrug available:

a. How many milliliters of Compazine would the patient receive?

16. Order: Cefazolin (Ancef) 0.25 g, IM, q6hDrug available:

a. How many milliliters of diluent would you add?b. After reconstitution, how many milliliters of cefazolin solution would you have?c. How many milliliters of Ancef would you administer per dose?

17. Order: Ethambutol HCl 800 mg, PO, qidParameter: 15 mg/kg/dayPatient weighs 121 lbDrugs available: Ethambutol 100 mg and 400 mga. How many kilograms does the patient weigh?b. What is the maximum dose the patient should receive per day?c. Which bottle of ethambutol would you use?d. How many tablet(s) would you give?

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18. Order: Timolol maleate (Blocadren) 10 mg, PO, bid; then, after 2 weeks, the patient is to receive 40 mg in two divided dosesDrug available:

a. Which bottle of Blocadren would you choose for the first 2 weeks?b. How many tablet(s) should the patient receive per dose during the first 2 weeks?c. Which bottle of Blocadren would you choose after the first 2 weeks? Why?d. How many tablet(s) should the patient receive per dose after the second week?

19. Order: Phenytoin (Dilantin) 1 g, PO, loading dose (LD) in three divided doses in 24 hrParameter: 15 to 18 mg/kg/LDPatient weighs 60 kgDrug available: Dilantin 100 mg capsulea. In 24 hr, three divided doses would be every _____ hrs.b. How many milligrams would the patient receive per dose in 24 hr?c. Is the dose within safe parameters? Explain.d. How many capsule(s) would you give per dose?

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20. Order: Doxycycline monohydrate (Vibramycin) 100 mg, PO, initially; then 100 mg, PO, in two divided doses per dayDrug available:

a. How many milliliters (ml) should the patient receive initially?b. How many milligrams (mg) should the patient receive per dose after the initial

dose?c. How many milliliters (ml) should the patient receive per dose after the initial

dose?

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