HCC Nurse Education Program Nurs-235 Nursing Care of Patients in Community and Mental Health Settings Practice Dosage

Calculations 1. A client being discharged with the following order: Effexor (venlafaxine) 25 mg orally three times a day for 4 days Effexor (venlafaxine) 50 mg orally three times a day for 4 days, Effexor (venlafaxine) 75 mg orally three times a day until next office visit. The medication is supplied in 25 mg tablets. On the tenth day following discharge, how many tablets should the nurse instruct the client to take per dose? Answer: tablets

2.

Ordered: Xanax (alprazolam) 1.5 mg orally three times a day. Xanax (alprazolam) 2.0 mg orally every 4 hours, p.r.n. The maximum daily dose of Xanax (alprazolam) should not exceed 10mg daily. How many p.r.n .doses can the client receive in 24 hours? Answer: p.r.n.doses in 24 hours

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Order: Haldol (haloperidol) 2 mg IM now . On hand: A vial of haloperidol 5mg/mL. How many milliliters should the nurse administer? Answer: mLs

4.

Order: Norpramin (desipramine) 150 mg orally twice a day for depression. On hand: Norpramin (desipramine) 100 mg scored tablets. How many tablets should the nurse administer with each dose? Answer: tablets

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5. Order: dextroamphetamine extended release capsule 10 mg orally twice a day.

On Hand:

How many capsules should be administered in one day?

Answer:

capsules

6.

A client has been prescribed Lithium 300 mg orally twice a day by mouth. The community mental health nurse is counting remaining pills to determine medication compliance. The medication is supplied in 300 mg tablets and there are 60 tablets in the bottle. The client started a new bottle of lithium on May 1 and is taking the lithium at 7:00 am and 7:00 pm. It is now 10:00 AM on May 8. How many tablets should be in the bottle? Answer: tablets

7.

Order: IV fluids 1000 mL 5% dextrose in .45% sodium chloride with 2 g of magnesium sulfate, 1 mg of folate and 100mg of thiamine to run at 125mL/hour. How many hours will it take to infuse? Answer: _______ hours

8. Your agency uses an assessment scale to measure the severity of alcohol withdrawal. The order reads: For an assessment score of 10 or more, administer Valium (diazepam) 20 mg orally every hour until assessment score is less than 10. Your patients assessment score is 15. On hand: Valium 10 mg tablets. How many tablets will you administer? Answer:_________tablets

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9.

Your patient in the emergency department is being treated for opiate overdose. Order: naloxone 0.2 mg every 10 minutes IV push until respiratory rate is 12 or more/min. On hand is naloxone 0.4 mg/mL.. The patients respiratory rate is eight breaths per minute. How many milliliters of naloxone will you administer? Answer: _________mLs

10.

The nurse is assisting a patient to maintain a necessary supply of medications. The patient takes Prozac (fluoxetine) 20mg orally twice a day. The medication is supplied in 10 mg tablets and the pill bottle contains 60 tablets. How many full days of medication are supplied? Answer: _______ days

11.

Order: Suboxone N8 2 tabs sublingual daily.

On Hand:

How many milligrams of buprenorphine is being administered per day? Answer: __________ mg of buprenorphine

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12.

Order: Gabapentin 300 mg orally 3 times a day February 1-3, then gabapentin 600 mg orally 3 times a day February 4-6, then gabapentin 1200mg orally twice a day. On the February 8 how many capsules will you administer in one day?

On Hand:

On the February 8 how many capsules will you administer in one day? Answer: ______ capsules in one day

13.

Order: lorazepam 3 mg IM stat. On hand is lorazepam 2 mg/mL vial. How many milliliters should be administered? Answer: mLs

14.

Order: IV fluids 1000 mL 5% dextrose in .45% sodium chloride with 2 g of magnesium sulfate, 1 mg folate and 100 mg thiamine to run at 125 mL per hour. After 3 hours, how many milliliters will remain in the IV bag? Answer: mLs

15.

Order: haloperidol (Haldol) 10 mg orally q4h p.r.n .not to exceed 50 mg in 24 hours. The patient has received one dose. How many more doses can the patient receive? Answer: dose(s)

16.

Order: Haldol 10 mg IM stat, benztropine 1 mg IM stat, diphenhydramine 25 mg IM stat. The diphenhydramine comes in a vial of 50mg/mL. How many milliliters of diphenhydramine should be administered? Answer: mLs

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Ordered: haloperidol (Haldol) 5 mg IM stat, with diphenhydramine 25 mg IM stat, to be mixed in one syringe. On hand: haloperidol (Haldol) 5 mg/mL and diphenhydramine (Benadryl) 50 mg/mL. How many milliliters should be administered? Answer: mLs

18.

Ordered: divalproex sodium daily (Depakote delayed-release) 500 mg orally three times a day. The maximum safe dose is 30 mg per kg body weight. The patient weighs 154 pounds. Is this a safe dose for this patient? Answer: ________ (yes or no)

19.

Order: IV fluids 500 mL dextrose in 0.45% sodium chloride with 1 g of magnesium sulfate, 0.5 mg folate and 50 mg thiamine to be infused over 4 hours. The infusion set delivers 15 gtts/mL. What is the flow rate in drops/min? Answer: drops/min

20.

A 10-year-old weighing 40 pounds is ordered lorazepam (Ativan) 0.02 mg/kg IM stat. How many milligrams should be administered? Shade in the correct dose on the syringe below. On Hand:

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nswers to NURS 235 Practice Dosage Calculations

Reminder: To calculate using Dimensional Analysis (DA): Unit of measure desired X = available unit/amount in unit X Desired dose/1 unit To calculate using ratio and proportion (R & P): Available dose/unit=Desired dose/X unit 1. Answer: 3 tablets DA :The dose is 75 mg. X tab = 1 tab/25 mg X 75 mg/1 tablet= 3 R&P: 25 mg/tab= 75 mg/X tab = 3 Answer: 2 doses The patient receives 4.5 mg in scheduled doses. The daily maximum is 10 mg/day. Subtract 4.5 from 10= 5.5 mg. The p.r.n. is supplied in 2 mg tablets. 5.5/2= 2. Answer: 0.4 mL DA: X mL =mL/5 mg x 2 mg/1 = 0.4 R&P: 5 mg/ 1mL= 2 mg/X mL = 0.4 Answer: 1.5 tablets Each dose should be 150 mg = 300/2 DA: X tablets= 1 tab/100 mg x 150 mg/ tablet = 1.5 tablets R&P: 100 mg/tablet = 150 mg/ X tablet = 1.5 tablets Answer: 2 capsules Calculate the capsule amount at each dose and multiply by 2. DA: X capsule = capsule/5mg x 10 mg/capsule= 2 capsules R&P: 5mg/capsule= 10 mg/capsule =2 Answer: 45 tablets 2 tablets are taken each day x 7 days = 14 tablets + 1 at 7am = 15. 60-15 = 45. Answer: 8 hours You are solving for hours. 1000mL/ 125mL= 8 hours Answer: 2 tablets DA: X tablet = 1 tab/10 mg x 20 mg/tablet= 2 tablets R&P: 10 mg/tablet= 20 mg/X tablets = 2 tablets

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Answer: 0.5 mL DA: X mL = 1mL/0.4 mg x 0.2 mg/ mL= 0.5 mL R & P: 0.4 mg/mL= 0.2 mg/ x mL = 0.5 mL Answer: 15 days 20 mg per dose 10 5 mg tablets = 2 tablets each dose x 2 doses per day= 4 tablets. 60 tablets /4 tablets = 15. The patient has enough for 15 days. Answer: 16 mg Each tablet contains 8 mg of buprenorphine X 2 tablets = 16 mg. Answer: 8 tablets On the 8th day, the patient should receive 4 tablets of 300mg each X 2 doses = 8 tablets Answer: 1.5 mL DA: x mL= 2 mg/1 mL X 3 mg/mL= 1.5 mL. R&P: 2 mg/mL = 3mg/ X mL Answer: 625 mL 125 mL x 3 hours= 375 mL . 1000 mL 375 mL= 625 mL. Answer: 4 doses One dose = 10 mg. 50 mg 10 mg= 40 mg. 40/10 = 4 doses. Answer: 0.5 mL DA: X ml= 1 mL/50mg X 25 mg/ml = 0.5 ml R&P: 50 mg/1 mL= 25 mg/X mL = 0.5 mL Answer: 1.5 mL Haldol is 5 mg/mL. You will draw up 1 mL. The diphenhydramine is 50 mg/mL. You will draw up 0.5 mL. 1 mL + 0.5 mL = 1.5 mL. Answer: yes

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1 lb = 2.2 kg 154 / 2.2 = 70 kg; 30 mg x 70 kg = 2100 mg. Received dose is 1500 mg which is less than 2100 mg. 19. Answer: 31 gtts/min. You are solving for gtts/min. 500mL/4 hours X 1 hour/ 60 mins X 15 gtts/1 mL= 31.25. 31.25= 31 gtts/min. Round gtts/min to a whole number. You can only count whole drops. Answer: 0. 18 mL R & P: 1 kg=2.2 lbs. 40/2.2 = 18.18 kg; 0.02 mg x 18.18 = 0. 36 mg; 2 mg/1mL= 0.36 mg/X. DA: 1mL/2mg X .02 mg/kg X 1kg/2.2 lbs. X 40 lbs = .8/4.4 = 0.18 mL

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