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Nursing

DOSAGE CALCULATIONS PRACTICE TEST

Doctor’s Orders:         You Have:                 You Give:

1.  Bactrim 1.5 G         1 tab = 500 mg        ____________

 

2.  Morphine gr ¼         gr 1/8 per ml            ____________

 

3.  Atropine gr 1/150        gr 1/100 per ml         ____________

 

4.  Levoxyl 0.3 mg          1 tab = 300 mcg     ____________

 

5.  KCl 30 meq               20 meq/30 ml             ____________

 

6.  Valium  2.5 mg            1 tab = 5 mg              ____________

 

7.  PENN V – K 250,000 U         2 ml = 1 million U     ____________

 

8.  Demerol 35 mg                    1 ml  = 100 mg            ____________

 

9.  Tetracycline 500mg                          1.5 ml   = 1 gram       ____________

 

10. Bactrim 1 Gm  p.o.                            200 mg/5ml                 ____________

 

11. Benadryl gr i                                      gr 1/2 in 2ml               ____________

 

12. Ancef 1000 mg                                     1 cap = 250 mg      ____________

 

13. Codeine gr 1/3                                     1 tab = gr ¼              ____________

 

14. NaHCO3  1.7 Gm                            1 tab = 600mg              ____________

 

15. Robitussin 20 ml is ordered.  Robitussin comes in 4 ounce bottles.  How many doses are in each bottle.  __________________________

 

16.Garamycin 20 mg is ordered.  The drug is supplied in a 2 ml vial containing 40 mg per ml.  How many ml’s will you give? ____________________

 

17.You are to administer potassium chloride 36 meq.  The label on the vial reads KCL 10 ml = 20 meq.  How much will you give?  ______________________-

 

18.The vial of powdered material is labeled Keflin 1 Gram.  The directions say to add 2.5 ml of sterile saline.  The solution will then equal 3 mls.  You are to administer Keflin 500 mg IM.  How much will you give:___________________________

 

19.Patient is to receive 1000 ml.   D5W over 8 hours.  How many gtts/minute?__________

              Gtt factor = 20

20.Patient is to receive 75 ml. D5LR per hour.  How many ml will he receive in 24

hours?_____________________

              Gtt factor = 60

 

 

 

 

21.Patient is to receive 2500 ml  over 24 hours.  How many gtts/minute?___________

              Gtt factor = 20

 

 

 

 

22.  Patient is to receive 250 ml over 3 hours.  How many gtts/minute?___________

              Gtt factor = 15

 

 

 

 

23.Patient is to receive 1000 ml NS with 60 Meq KCL (50ml), 50ml NaHCO3, and 20 ml MVI over 10 hours.  How many gtts/minute?____________________________

              gtt factor = 60.

 

 

 

 

24.  Patient is receiving an IV at 15 gtt/minute.  At 8PM, when you get report, there are 720 ml to count.  At what time should it be completed?  _________

              Gtt factor = 10

 

 

 

 

25.  Your patient has an IV infusing at 25 gtt/minute.  How many ml will he receive per hour?________________

              Gtt factor 20

 

 

 

 

 

 

 

 

 

 

 

Answers to Practice Calculation Quiz:

  1. 3 tabs
  2. 2 ml
  3. 2/3 ml
  4. 1 tabs
  5. 45 ml
  6. 0.5  tabs
  7. 0.5 ml
  8. 0.35  ml
  9. 0.75  ml
  10. 25 ml
  11. 4 ml
  12. 4 caps
  13. 1 1/3 tabs
  14.  2.83
  15. 6
  16. 0.5 ml
  17. 18 ml
  18. 1.5 ml
  19. 41-42
  20. 1800
  21. 34-35
  22. 20-21
  23. 112
  24. 4am
  25. 75 ml

 

MORE problems for practice:

 

How to do the problems

 

gr 1  means 1 grain;    1 grain is equal to 60 milligrams

gr ss mean 1/2 of a grain

d/b means divided by in the problems below.

1 ounce is equal to 30 ml

The formula for IV calculations is:

 

Drops per minute = (volume times the drop factor) divided by time in minutes.

 

To calculate drug dosage:

Desired amount divided by the amount on hand times what the amount you have on hand is in.

 

 

 

1)     (1.5G divided by (d/b) 500mg) x 1 tablet  (have to convert grams to milligrams)

        1500/500  x 1 = ______ tab(s)

        3 x 1 =

        3 tablets to give the person

2)     gr 1/4 d/b gr 1/8 x 1ml. = _________ml.

       (1/4 d/b 1/8) = 1/4 x 8/1 = 8/4 = 2   Then 2 x 1ml. = 2ml.

3)     gr 1/150 d/b gr 1/100 x 1ml. = _______ml.

       1/150 d/b 1/100 = 1/150 x 100/1 = 100/150 = 2/3  Then 2/3 x 1ml. = 2/3 ml. .

4)     0.3 mg d/b 300 mcg x 1 tablet = ________tab(s)

        0.3 mg = 300mcg  So….. 300mcg d/b 300 mcg = 1;

        Then 1 x 1 tablet = 1 tablet to give the patient

5)     30 meq d/b 20 meq  x 30ml. = _______ ml.

        30 / 20 = 1 ½  

        Then 1.5 x 30 = 45 ml. to give the person

6)     2.5 mg d/b 5 mg x 1 tablet = _______ tab(s)

        2.5 / 5 = 0.5

        0.5 x 1 tablet = 0.5 tab to give the patient or ½ tablet to the patient

7)     250,000 units d/b 1 million units x 2ml. = _______ml.

       Convert first, then divide

       250,000 / 1,000,000 = ¼

       So ¼ x 2 ml. = 2/4  which = ½

       So give patient 0.5 ml. or ½ ml.

8)     35 mg d/b 100 mg x 1ml. = ______ ml.

       35/100 = 0.35

       So 0.35 x 1ml. = 0.35 ml. to give the patient

9)     500 mg d/b 1 gram x 1.5ml. = _______ml.

       Convert then divide

       500mg/1000mg = 0.5

       so 0.5 x 1.5 = 0.75ml. to give the patient

10)    1 gram d/b 200 mg x 5 ml. = _______ml.

        Convert then divide

        1000mg / 200 mg = 5

        so 5 x 5ml. = 25 ml. to give the patient

11)    griss d/b 0.12 grams x 2 ml. = _______ml.

        Convert first

        1 ½ grains = ______ mg;   0.12 grams = 120 mg

        There are 60 mg in 1 grain so 1.5 x 60 = 90 mg

        So…

        90/120 x 2ml.

        0.75 x 2 ml. = 1.5 ml. to give the patient

12)    1000 mg d/b 250mg x 1 capsule = ______ caps

        1000/250 x 1 =

        4 x 1 = 4 caps to give the patient.

13)    1/3 gr d/b 1/4  gr x 1 tab = _______tab(s)

        Convert then divide

        1 grain is 60 mg so…

        1/3 of 60 or 1/3 x 60 = 20 mg   

        Then 1/4 of 60 or 1/4 x 60 = 15 mg

        Then 20/15 x 1 tablet = ____

        1.3 x 1 = 1 1/3 tablets

14)    1.7 grams d/b 10 grains x 1 tablet =______tablet(s)

        Convert first

        If there are 60 mg in 1 grain then there are

        60 x 10 in 10 grains or

        600 mgs in 10 grains.

        1.7 grams = 1700 mgs so

        1700mg/600mg x 1 tablet = _______ tablet(s)

        2.83 x 1 tab = 2.83 tabs.

        In real life you’d need to call the doctor and get him to order it in liquid or    

        increase the dose or something because you can’t divide a tablet into 0.83!

        This is strictly a math problem. For drug dosage test, do not round unless   

        instructed to do so.

15)    20ml. each dose 4 ounces in 1 bottle.  How many doses are in each bottle?

        1 ounce = 30 ml. s so 4 ounces = how many ml. =  4 x 30 = 120 ml. s

        120 / 20 = 6; so there are 6 doses in each bottle

16)    20 mg / 40 mg x 1 ml

        20/40 = ½

        ½ x 1 ml = ½ ml or 0.5 ml to give the patient

        (you had a 2 ml vial with 40mg/ml)   (80 mg total in the vial)

17)    36meq/20meq x 10 ml = ______ mls

        1.8 x 10 mls = 18mls to give the patient

18)    500mg /  1 gram x 3 mls = _______ mls

        Convert first

        500mg/ 1000mg x 3 ml = ______

        ½ x 3 ml = 1.5 mls

        Remember that you will administer the solution, not the solute or powder in the   

        vial.   Have to mix it first; so use the total volume of the solution (powder & saline).

19)    1000 ml. over 8 hours.  How many gtts per minute do you infuse.

         I like small numbers, so I find out how many ml. s in 1 hour.

        1000ml. / 8 hours =  125 ml. / hour.  ( 125 ml. in 1 hour)

        Our drop factor is 20, so now plug into the equation:

        Gtts/minute = volume x gtt factor

                             time in minutes

         X = 125 x 20

  • (since there are 60 minutes in 1 hour)

           X = 2500/60

           X = 41.666  or 42 gtts per minute

        Always round drops to the nearest drop.

        You could reduce first then multiply:   125 x 1    =   41.666 or 42 gtts per minute.

20)    75ml. /hour.  How many in 24 hours.  75 x 24 = 1800 ml. or mls in 24 hours.

        75ml =   xml

        1 hr      24hr        x = 75 x 24

         x = 1800 mls.

21)    2500ml over 24 hours    Gtts per minute?  Gtt factor = 20

        2500ml /24hours = 104.2 ml in one hour

        Gtts per minute =  104.2 x 20

                                  60 minutes

         x = 2084/60 or  34.7 or 35 gtts per minute    

        could reduce and say (104.2 x 1) divided by 3 = 34.7 or 35 gtts per minute

22)    250 ml over 3 hours     Gtts per minute?

        250/3 = 83.3 ml in 1 hour

        gtts per minute = 83.3 x 15 (the drop factor given in the problem)

                                   60

         x = 1249.5/60  =  20.8

         x = 20.8 or 21 gtts per minute

         could reduce and say (83.3 x 1) divided by 4 = 20.8 or 21 gtts per minute

23)    Need to add all of the volumes injected into the IV bag to get the total volume in the         bag.

        1000 +50 +50 + 20 = 1120 mls in the bag total.  Need to know this first.

        Needs to infuse over 10 hours so

        1120/10 = 112 mls per hour the patient needs to receive.

         Gtt factor – 60 in this problem.

         Gtts/minute = 112 x 60

                                 60

        The 60s cancel each other out and the answer is 112 gtts per minute.  That’s what   

        is great about a drop factor of 60 in these problems.

24)    getting 15 gtts per minute, since the drop factor is 10; 15/10 = 1.5 ml per minute

        1.5 x 60 minutes = 90 ml /hour

        If 720 to count in the bag at 8PM when you get report:

        720 ml /90ml in 1 hour = 8 hours left to go

        When will it be completed?

        If 8 hours are left and it is 8PM, then should be in at 0400 or 4AM.

25)    25 gtt/minute infusing. How many ml will he get per hour if drop factor is 20.  Just    

        fill in the numbers into the equation. You know he is getting 25 gtts in one minute.

        A drop factor of 20 means that 20 gtts = 1 ml

        So how many ml is 25 gtts?   25/20 = 1.25 

        So the patient is receiving 1.25ml in one minute.

        So in 60 minutes or 1 hour, he receives 1.25 x 60 or 75 ml or mls