Study Questions 1.

What are the steps of the nursing process and the primary purpose of each step ? 2. Explain how the nursing process relates to administration of medications. 3. What are the essential components of a goal ? Write a goal that incorporates all essential components. How and when would you know if a goal or outcome is realistic for client ? 4. What is the basis of a nursing diagnosis ? 5. List a least five principles of health teaching about drug therapy regimens. 6. Describe at least six health teaching strategies that demonstrate cultural sensitivity. 7. Identify at least two ways to organize multiple medications taken on a daily basis. 8. List three ways to evaluate whether a client is compliant with a drug therapy regimen.

Practice 1 Larger to smaller units 1. Change 2 g to mg 2. Change 0.5 (1/2)g to mg 3. Change 2.5 L to ml Smaller to larger units 4. Change 1500 mg to g 5. Change 3 g to mg 6. Change 500 ml to L

Practice 2

Larger to smaller units 1. Change 3 qt to pt 2. Change 1.5 pt to f3

Smaller to larger units 3. Change 3 pt to qt 4. Change 32 f3 to qt

Practice 3 Larger to smaller units 1. Change 3 oz to T 2. Change 5 T to t 3. Change 3 coffee cups to oz

Smaller to larger units 4. Change 3 T to oz 5. Change 16 oz to a measuring cup 6. Change 12 t to T

Practice 4 Metric System: Refer to table 4A-1 as needed 1. 2g= mg 2. 1.2 kg= g 3. 5 mg= mcg 4. 2.5 L= ml 5. 500 mg= g 6. 10000 mcg= mg 7. 2400 mg= g 8. 1500 ml= l Apothecary system: refer to table 4A-2 as needed 1. 2. 3. 4. 5. 6. 7. 8. 5 qt= 2 pt= F3v= 1.5 pt= 8 f3= 3 pt= 12 f3= 32f3= pt f3 f3 f3 pt qt f3 qt

Household system: refer to table 4A-3 as needed 1. 5 glasses= 2. 3 T= 3. 2 c= oz t oz

4. 4 oz= 5. 15 t= 6. 5 T=

T T oz

Practice 1 1. Order; cimetidine (tagamet) 0.4 g PO, q6h Available : How many tablet (s) of tagamet should the client receive?........ 2. Order : doxycycline hyclate (vibra-tab), PO, initially 200 mg; then 50 mg, PO, b.i.d. Drug available : a. How many tablet(s) would you give as the initial dose?......... b. How many tablets would you give for each dose after the initial dose?.........

3. Order : Phenobarbital 15-mg tablet How many tablet (s) should the client receive?............ 4. Order : hydrochlorothiazide (hydroDIURIL) 25 mg PO, daily Available : How many tablet(s) should the client receive?...........

5. Order : cefadroxil (Duricef) 500 mg PO, b.i.d Available : How many milliliters should the client receive?.........

6. Order : dicloxacillin 100 mg PO, q8h Available : dicloxacillin 62.5 mg/5 ml How many milliliters should the client receive?............ 7. Order : meperidine (Demerol) 35 mg IM STAT Available : How many milliliters should the client receive?.......... 8. Order: atropine sulfate gr 1/200 SC on call Available: atropine sulfate 0,4 mg/1 ml How many milliliters should the client receive?............

Practice 2

9. Order: ampicillin (principen) 50 mg/kg/day PO in four divided doses (q6h). Client weighs 88 pounds, or 40 kg (88 2.2 = 40 kg) Available : Factors : 250 mg = 5 ml (drug label) Conversion factor none (both are in milligrams) a. How many milligrams per day should the client receive?....... b. How many milligrams per dose should the client receive?........ c. How many milliliters should the client receive per dose?............

10. Order : Codeine gr I (1) PO; STAT Available: Factors : 30 mg = 1 tablet (drug label) Conversion factor 1 gr = 60 mg How many tablet (s) should be given?..........

11. Order : Ciprofloxacin (Cipro) 0.5 g PO, b.i.d How many tablets should the client receive per dose?............

Practice 3 Drug dosage using body weight 12. Order : sulfisoxazole (gantrisin) 50 mg/kg/day PO in four divided doses (q6h). Child weight 44 Ib. How many mg should the client receive per day?......Per dose?........ 13. Order: albuterol (Proventil) 0.1 mg/kg/day PO in four divided doses. Client weighs 86 Ib. How many mg should the client receive per dose?............ 14. Order: cefprozil (Cefzil) 15 mg/kg/day PO in two divided doses. Child weighs 33 Ib. Available : a. How many milligrams should be given per day?........ b. How many milliliters should the child receive per dose?..............

Practice 4 Drug dosage using body surface area 15. Client is 62 inches tall and weighs 130 Ib. What is the BSA?....... 16. Order: bleomycin sulfate 20 units/m2 IV. Client is 70 inches tall and weighs 160 Ib. How many unit(s) should the client receive?................. 17. Order: sulfisoxazole (gantrisin) 2 g/m2 in four divided doses. Child is 50 inches tall and weighs 60 Ib. Available : sulfisoxazole 500 mg/ 5 ml a. What is the childs BSA?.............. b. How many gram (s) should the child receive per day?.......... c. How many milliliters should the child receive pe dose?..........

Practice 1 Oral medications 1. Order : doxepin HCl (Sinequan) 30 mg PO, at bedtime. Available: How many capsule(s) should the client receive?............. 2. Order: Lisinopril (Zestril) 5 mg PO, daily Available: How many tablets should the client receive?....... 3. Order: aspirin gr x STAT Available : aspirin 325 mg tablet How many tablet (s) of aspirin should the nurse give?..... 4. Order: digoxin (Lanoxin) 0.5 mg PO, daily Available: How many tablet(s) should the nurse administer?........... 5. Order: nitroglycerin (nitrostat) 1/150 gr sublingual STAT Available: How many sublingual tablet (s) should the client take?...... 6. Order: bethanechol Cl 20 mg PO, t.i.d Available a. Which Urecholine bottle should the nurse select?.........

b. How many tablet (s) should the client receive per dose ?..... 7. Order : amoxicillin clavulanate 500 mg PO, b.i.d Available : How many milliliters should the client receive per dose?........... 8. Order: cefadroxil 500 mg PO, b.i.d Available: How many milliliters should the client receive per dose?........ 9. Order: prazosin 10 mg PO, daily. Available: prazosin 1-mg, 2-mg, and 5-mg tablets Which tablet should be selected and how much should be given?.........

10. Order: carbidopa-levodopa 12.5- 125 mg PO, b.i.d Available : Sinemet 25-to 100-, 25-too 250-, 10-to 100-mg tablets Which tablet should b selected and how much should be given?............ 11. Order omeprazole (prilosec) 20 mg PO, daily Available: Factors: 10 mg = 1 capsule (drug label) Conversion factor none (both are in milligram) How many capsule (s) should the client receive?......... 12. Order: amoxicillin (amoxil) 0.1 g PO, q8h Available: Factors : 200 mg = 5 ml Conversion factor 1000 mg = 1 g How many milliliters should the client receive per dos?......

Practice 2 1. Order: valproic acid 8 mg/kg/day in four divided doses. Client weighs 165 Ib. How much depakene should be administered per dose?.......... 2. Order: cyclophosphamide (cytoxan) 4 mg/kg/day. Client weighs 176 Ib. How much cytoxan should the client receive per day?............

Practice 1 Think through and answer each question. Correct answers are given at the end of the section. 1. To mix 4 ml of bacteriostatic water in a vial with a powdered drug, which size syringe should be used? 2. To give 0.4 ml of drug solution subQ, what type of syringe should be used ? 3. Meperidine (Demerol) is available in a prefilled cartridge. Half of the drug solution is used. Should the remaining solution in the prefilled cartridge be saved for future use? 4. Which has the larger needle lumen, a 21 gauge needle or a 25 gauge needle? 5. Which needle has a length of 5/8 inch, a 21 gauge needle or a gauge needle? 6. Which needle is used for an IM injection, a 20 gauge needle with a 1.5 inch length or a 25 gauge needle with a 5/8 inch length?

Latihan 1 Lebih besar ke unit yang lebih kecil 1. Ubah 2 g untuk mg 2. Ubah 0.5 (1 / 2) g untuk mg 3. Ubah 2,5 L dapat ml Yang lebih kecil untuk unit yang lebih besar 4. Ubah 1500 mg ke g 5. Ubah 3 g untuk mg 6. Ubah 500 ml L

Praktik 2 Lebih besar ke unit yang lebih kecil 1. Ubah 3 qt ke pt 2. Ubah 1,5 pt untuk f3

Yang lebih kecil untuk unit yang lebih besar 3. Ubah 3 pt untuk qt 4. Ubah 32 f3 untuk qt

Praktik 3 Lebih besar ke unit yang lebih kecil 1. Ubah 3 oz T 2. Ubah 5 T untuk t 3. Ubah 3 cangkir kopi ke oz

Yang lebih kecil untuk unit yang lebih besar 4. Ubah 3 T untuk oz 5. Ubah 16 oz ke gelas ukur 6. Ubah 12 t T

Praktek 4 Sistem Metrik: Lihat tabel-4A 1 diperlukan 1. 2g = mg 2. 1,2 kg = g 3. 5 mg = mcg 4. L = 2,5 ml 5. 500 mg = g 6. 10000 mcg = mg 7. 2400 mg = g 8. 1500 ml = l sistem Apoteker: lihat tabel-2 4A diperlukan 1. 5 qt = pt 2. 2 pt = f3 3. F3v f3 = 4. 1,5 pt = f3 5. 8 f3 = pt 6. 3 pt = qt 7. 12 f3 = f3 8. 32f3 = qt Sistem Rumah Tangga: lihat tabel-3 4A diperlukan 1. 5 gelas = oz 2. 3 T = t

3. 2 c = oz 4. 4 oz = T 5. 15 t = T 6. 5 T = oz

Latihan 1 1. Order; simetidin (Tagamet) 0,4 g PO, q6h Tersedia: Berapa banyak tablet (s) dari Tagamet harus klien menerima ?........ 2. Order: doksisiklin hyclate (getar-tab), PO, awalnya 200 mg, kemudian 50 mg, PO, tawaran Obat yang tersedia: a. Berapa banyak tablet (s) yang akan Anda berikan sebagai dosis awal ?......... b. Berapa banyak tablet yang akan Anda berikan untuk setiap dosis setelah dosis awal ?......... 3. Order: fenobarbital tablet 15-mg Berapa banyak tablet (s) harus klien menerima ?............ 4. Order: hidroklorotiazida (hydroDIURIL) 25 mg PO, harian Tersedia: Berapa banyak tablet (s) harus klien menerima ?...........

5. Order: sefadroksil (Duricef) 500 mg PO, b.i.d Tersedia: Berapa mililiter harus klien menerima ?.........

6. Order: dicloxacillin 100 mg PO, q8h Tersedia: dicloxacillin 62,5 mg / 5 ml Berapa mililiter harus klien menerima ?............ 7. Order: meperidin (Demerol) 35 mg IM STAT Tersedia: Berapa mililiter harus klien menerima ?.......... 8. Order: atropin sulfat gr 1 / 200 SC panggilan Tersedia: atropin sulfat 0,4 mg / 1 ml Berapa mililiter harus klien menerima ?............

Praktik 2 9. Order: ampisilin (principen) 50 mg / kg / hari PO dibagi dalam empat dosis (q6h). Klien berat 88, atau 40 kg (88 2.2 = 40 kg) Tersedia: Faktor: 250 mg = 5 ml (label obat) Faktor konversi tidak ada (keduanya dalam miligram) a. Berapa miligram per hari harus klien menerima ?....... b. Berapa miligram per dosis harus klien menerima ?........ c. Berapa mililiter harus klien menerima per dosis ?............

10. Order: Codeine gr I (1) PO; STAT Tersedia: Faktor: 30 mg = 1 tablet (label obat) Faktor konversi 1 gr = 60 mg Berapa banyak tablet (s) harus diberikan ?..........

11. Order: Ciprofloxacin (Cipro) 0,5 g PO, b.i.d Berapa banyak tablet yang harus klien menerima per dosis ?............

Praktik 3 Dosis obat menggunakan berat badan 12. Order: sulfisoxazole (gantrisin) 50 mg / kg / hari PO dibagi dalam empat dosis (q6h). Anak berat badan 44 pound. Berapa mg harus klien menerima per dosis hari ?...... Per ?........ 13. Order: albuterol (Proventil) 0,1 mg / kg / hari PO dibagi dalam empat dosis. Klien memiliki berat 86 pon. Berapa banyak mg harus klien menerima per dosis ?............ 14. Order: cefprozil (Cefzil) 15 mg / kg / hari PO dibagi dalam dua dosis. Anak memiliki berat 33 pon. Tersedia: a. Berapa miligram harus diberikan per hari ?........ b. Berapa mililiter seharusnya anak terima per dosis ?.............. Praktek 4

Dosis obat menggunakan luas permukaan tubuh 15. Klien adalah 62 inci dan berat 130 pon. Apa BSA yang ?....... 16. Order: bleomycin sulfat 20 units/m2 IV. Klien adalah 70 inci dan berat 160 pon. Berapa banyak unit (s) harus klien menerima ?................. 17. Order: sulfisoxazole (gantrisin) 2 g/m2 dalam empat dosis terbagi. Anak adalah 50 inci dan beratnya 60 pon. Tersedia: sulfisoxazole 500 mg / 5 ml a. Apakah anak BSA ?.............. b. Berapa banyak gram (s) harus anak terima per hari ?.......... c. Berapa mililiter seharusnya anak menerima dosis pe ?..........

Latihan 1 Oral obat 1. Order: doxepin HCl (Sinequan) 30 mg PO sebelum tidur. Tersedia: Berapa banyak kapsul (s) harus klien menerima ?............. 2. Order: lisinopril (Zestril) 5 mg PO, harian Tersedia: Berapa banyak tablet yang harus klien menerima ?....... 3. Order: aspirin gr x STAT Tersedia: aspirin 325 mg tablet Berapa banyak tablet (s) dari aspirin harus perawat memberikan ?..... 4. Order: digoxin (Lanoxin) 0,5 mg PO, harian Tersedia: Berapa banyak tablet (s) harus perawat mengelola ?........... 5. Order: nitrogliserin (nitrostat) STAT 1 / 150 gr sublingual Tersedia: Berapa banyak tablet sublingual (s) harus klien mengambil ?...... 6. Order: Cl bethanechol 20 mg PO, t.i.d Tersedia a. Yang Urecholine botol harus perawat pilih ?......... b. Berapa banyak tablet (s) harus klien menerima per dosis ?..... 7. Order: amoksisilin klavulanat 500 mg PO, b.i.d Tersedia:

Berapa mililiter harus klien menerima per dosis ?........... 8. Order: sefadroksil 500 mg PO, b.i.d Tersedia: Berapa mililiter harus klien menerima per dosis ?........ 9. Order: prazosin 10 mg PO, setiap hari. Tersedia: prazosin tablet 1-mg, 2-mg, dan 5-mg Yang tablet harus dipilih dan berapa banyak harus diberikan ?.........

10. Order: carbidopa-levodopa 12,5-125 mg PO, b.i.d Tersedia: Sinemet 25-sampai 100 -, 25-terlalu 250 -, 10-untuk tablet 100 mg Yang tablet harus b dipilih dan berapa banyak harus diberikan ?............ 11. Order omeprazole (Prilosec) 20 mg PO, harian Tersedia: Faktor: 10 mg = 1 kapsul (label obat) Faktor konversi tidak ada (keduanya dalam miligram) Berapa banyak kapsul (s) harus klien menerima ?......... 12. Order: amoksisilin (amoxil) 0,1 g PO, q8h Tersedia: Faktor: 200 mg = 5 ml Faktor konversi 1000 mg = 1 g Berapa mililiter seharusnya klien terima per dos ?......

Praktik 2 1. Order: asam valproik 8 mg / kg / hari dalam dosis terbagi empat. Klien memiliki berat 165 pon. Berapa banyak depakene harus diberikan per dosis ?.......... 2. Order: siklofosfamid (cytoxan) 4 mg / kg / hari. Klien memiliki berat 176 pon. Berapa cytoxan banyak yang harus klien menerima per hari ?............

Latihan 1 Memikirkan dan menjawab setiap pertanyaan. jawaban yang benar diberikan di akhir bagian.

1. Untuk campuran 4 ml air bakteriostatik dalam botol dengan bubuk obat, yang ukuran alat suntik harus digunakan? 2. Untuk memberikan 0,4 ml subQ larutan obat, apa jenis jarum suntik yang harus digunakan? 3. Meperidin (Demerol) tersedia dalam kartrid prefilled. Setengah dari larutan obat yang digunakan. Jika solusi yang tersisa dalam kartrij prefilled disimpan untuk digunakan di masa depan? 4. Yang memiliki lumen jarum yang lebih besar, jarum gauge 21 atau jarum 25 gauge? 5. Jarum yang memiliki panjang 5 / 8 inci, jarum gauge 21 atau jarum gauge? 6. Jarum yang digunakan untuk suntikan IM, 20 gauge jarum dengan panjang 1,5 inci atau 25 jarum mengukur dengan panjang 5 / 8 inci?