Introduction to Medication Calculations for Nursing Students

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Objectives
Gain

an understanding of the formulas used to calculate correct medication for administration. Show examples of medication formulas and calculations. Practice questions throughout the presentation with a test at the end.
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Test Your Current Knowledge

1. A

patient is ordered an injection of 80mg of Pethidine. Each stock ampoule 100mg per 1ml. How much will you draw up? patient is prescribed 3g of Sulphadiazine, the stock contains 600mg/5ml. How much Sulphadiazine should be given to the patient? patient is prescribed 1L of a Saline solution. The rate is set at 100ml/hr. How long will the infusion take? many 300mg tablets are required for a prescribed dose of 450mg?

2. A 3. A

4. How 5. A

doctor orders Penicillin via Potassium oral suspension 56mg/kg/day in four doses per day for a child who weighs 25kg. The suspension available is 125mg/5ml. What volume should be administered at each dose?

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Answers
1. 2. 3. 4. 5.

.8ml 25ml 10 hours 1.5 Tablets 350mg

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Medication Formulas Tablets

Strength Required Stock Strength

Number Of Tablets

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MEANS DIVIDE THE TOP NUMBER BY THE BOTTOM

Medication Formulas Tablets

Medication Example:
750mg CIPROFLOXACIN IS ORDERED ON HAND ARE 500mg TABLETS. HOW MANY TABLETS SHOULD BE GIVEN?

Strength Required Stock Strength = 750mg 500mg = 1.5 TABLETS

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Number Of Tablets

Medication Formulas Tablets

Medication Example:
HOW MANY 20mg TABLETS OF CODEINE ARE REQUIRED FOR A DOSE OF 0.05g?
Strength Required Stock Strength

Number Of Tablets

Requires Conversion g to mg 0.05g x 1000 = 0.05 x 1000 = 50mg 50mg 20mg

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2.5 TABLETS

Medication Formulas Volume / Injection

Strength Required Stock Strength

Volume

Volume Required

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Volume in the Ampoule

Medication Formulas Volume / Injection

Volume Medication Example:
CALCULATE THE VOLUME TO BE DRAWN UP IF A PATIENT REQUIRES 1 mg OF BUMETANIDE, AND EACH STOCK AMPOULE CONTAINS 2mg/4ml Volume Formula Calculation Strength Required Stock Strength 1mg 2mg X 4ml X

Volume 2 ml

Volume To Be Administered

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Medication Formulas Volume / Injection

Volume Medication Example:
AN INFANT REQUIRES 2000 units OF CALCIPARINE. IF STOCK AMPOULES CONTAIN 20000 units in 1 ml. HOW MUCH SHOULD YOU DRAW UP? Volume Formula Calculation Strength Required Stock Strength 2000 units 20000 units X 1ml X

Volume

Volume To Be Administered

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Medication Formulas Volume / Injection

Volume Medication Example:
IF AN ADULT PATIENT WAS ORDERED 85mg OF CORTISONE, AND EACH STOCK AMPOULE WAS 5 ml AND CONTAINED 100mg OF CORTISONE, FIND THE VOLUME REQUIRED? Volume Formula Calculation Strength Required Stock Strength 85mg 100mg X 5ml X

Volume

Volume To Be Administered

4.25 ml

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Medication Formulas Volume / Injection

Volume Medication Example:
A PATIENT ORDERED 70mg OF PETHIDINE, FIND THE VOLUME REQUIRED IF THE STOCK SOLUTION CONTAINS 10g OF PETHIDINE PER 200ml? Volume Formula Calculation Strength Required Stock Strength Conversion Required g to mg 10g x 1000 = 10000mg 70 mg 10000 mg X 200ml X

Volume

Volume To Be Administered

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1.4 ml

Tablet and Volume Quiz

Strength Required Stock Strength
1. 2. 3.

Number Strength Required Of Stock Strength Tablets

Volume

4.

5.

The patient is ordered Amisulpride Tablets. Order is 1200mg Mane, the tablets come in 400mg. How many tablets do you administer? The patient ordered Coversyl Plus 2.5mg Mane. Coversyl comes in 5mg Tablets. How many tablets do you give? A patient experiencing pain is ordered 25mg of Toradol (Ketorolac Trometamol). The Toradol comes in 30mg/1ml. How many mls do you draw up? A 2 year old child is ordered Painstop (120mg Paracetamol/Codeine Phosphate 5mg/5ml). The child is ordered 5ml Painstop every 6 8 Hours. How many mls do you administer? A patient has returned from theatre with Nausea. The PRN order is for Ondansetron IMI. The order is for 6mg, the Ondansetron comes in 4mg/2ml. How many mls do you draw up?
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Tablet and Volume Answers

1.The patient

is ordered Amisulpride Tablets. Order is 1200mg OD, the tablets come in 400mg. How many tablets do you administer? 1200mg = 3 Tablets 400mg ordered Coversyl Plus 2.5mg Mane. Coversyl comes in 5mg Tablets. How many tablets do you give? 5mg 2.5mg =
1

2.The patient

/2 Tablet
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Tablet and Volume Answers

3.A

patient experiencing pain is ordered 25mg of Toradol (Ketorolac Trometamol). The Toradol comes in 30mg/1ml. How many mls do you draw up? 25mg 1ml 0.8ml = X 30mg 2 year old child is ordered Painstop (120mg Paracetamol/Codeine Phosphate 5mg/5ml). The child is ordered 5mg Painstop every 6 8 Hours. How many mls do you administer?
5ml

4.A

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Tablet and Volume Answers

5.A

patient has returned from theatre with Nausea. The PRN order is for Ondansetron IMI. The order is for 6mg, the Ondansetron comes in 4mg/2ml. How many mls do you draw up? 6mg 4mg X
2ml

3ml

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Medication Formulas Weight

Weight Calculation
mg for each Kg Example: Child weighs 48kg the dose is 16mg for each Kg.

16mg x 48kg = 768mg/Kg required Use whichever formula to complete how much you need.
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Medication Formulas Weight

Medication Example: A 5 YEAR OLD GIRL IS ORDERED PARACETAMOL STAT. THE PHARMACY GUIDELINES RECOMMEND 15mg/Kg. THE CHILD WEIGHS 18Kg. STOCK IS 125mg/5ml. HOW MANY mls WILL THE CHILD RECEIVE? WEIGHT CALCULATION 15mg for each Kg 15 x 18 = 270mg/kg Volume Formula Calculation Strength Required Stock Strength 270mg 125mg

Volume 10.8 ml

Volume To Be Administered

5ml

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Medication Formulas Weight

Medication Example: A CHILD WEIGHING 16kg IS ORDERED 40mg/Kg/Day. 4 DOSES A DAY, OF ERYTHROMYCIN. FIND THE STRENGTH FOR A SINGLE DOSE? Weight Calculation 40mg For Each Kg 40 X 16 = 640mg/Day New Calculation Formula Strength Required Per Day Number Of Doses Per Day 640mg 4 doses

Single Dose Per Day

160mg for each single dose

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Medication Formulas IV Infusions

Volume Flow Rate = Time

Volume of fluid being administered

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Time for volume to be infused

Medication Formulas IV Infusions

IV Infusion Calculation Example

A PATIENT REQUIRES 1000ml FLUID OVER 8 HOURS. FIND THE FLOW RATE? IV Infusion Calculation

Volume Flow Rate

1000mls = 8hr 125mls/hr

= Time

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Medication Formulas Iv Infusions

IV Infusion Calculation Example A PATIENT IS TO RECEIVE 600ml 5% DEXTROSE IN WATER IV TO BE INFUSED OVER 4 HOURS. CALCULATE THE RATE IN mls/h TO BE DELIVERED BY PUMP? IV Infusion Calculation

Volume = Time
150mls/hr

Flow Rate
600mls = 4hr

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Weight and IV fluid Administration Quiz

mg x Kg
1. 2. 1.
Flow Rate

Volume Time

2. 3.

Calculate the size of a single dose if a child weighing 20 kg is ordered Flucioxacillin 100mg/kg/day. 4 doses per day? Calculate the flow rate if 1.2L is to be infused over 24 hours? A 5 Year Old Girl is ordered paracetamol stat. The pharmacy guidelines recommend 15mg/Kg. The child weighs 25Kg. Stock is 125mg/5ml. How many ml will the child receive? A 1000ml bag of Hartman's is to be infused over 18hours. What is the flow rate? A patient is ordered antibiotics. A 100mg of Metronidazol in a 100ml. It is to be infused over an hour how what is the flow rate?
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Weight and IV fluid Administration Answers

1.Calculate the size of a single dose if a child weighing 20 kg is ordered

Flucioxacillin 100mg/kg/day. 4 doses per day?

Weight Calculation: 20kg x 100mg = 2000 2000 4 doses

500mg for each single dose

2.Calculate the flow rate if 1.2L is to be infused over 24 hours?

Conversion: Litres to mls 1.2 x 1000 = 1200mls

1200 24 Hours

50 mls/hr

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Weight and IV fluid Administration Answers

3.A

5 Year Old Girl is ordered paracetamol stat. The pharmacy guidelines recommend 15mg/Kg. The child weighs 25Kg. Stock is 125mg/5ml. How many ml will the child receive?
Weight Calculation: 25kg x 15mg = 375mg 375 125

5ml

15ml

4.A

1000ml bag of Hartman's is to be infused over 18hours. What is the flow rate?
1000 18 Hours

55.55* or 56 mls/hr

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Weight and IV fluid Administration Answers

5.A

patient is ordered antibiotics. A 100mg of Metronidazol in a 100ml. It is to be infused over an hour how what is the flow rate?
100mg 100ml
=

100 mls/hr
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Your Turn
1.

A child requires 50 milligrams of Phenobarbitone. If stock ampoules contain 200 mg in 2ml, how much will you draw up?

2.

What volume is required for the injection if a patient is ordered 500mg of Capreomycin Sulphate, and each stock ampoules contains 300mg/ml?

3.

A patient needs 5000mg of medication. Stock solution contains 1g per 1ml. What volume is required?

4.

A teenager is prescribed 1000mg of Chloramphenicol, stock on hand contains 250 mg/10ml in suspension. Calculate the volume required?

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Your Turn
5.

How many 25mg tablets are required for a prescribed dose of 0.05g? Calculate the size of a single dose if a child weighing 15 kg is ordered Flucioxacillin 100mg/kg/day. 4 doses per day. 500ml is to infuse over 5 hour period. Find the flow rate in ml/h? A child weighing 45kg requires antibiotics which are ordered 75mg/kg. How much will the child get in a single day if there are 3 doses a day?
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6.

7.

8.

Your Turn
9.

An adult is to be administered 500ml of blood in 3 hours. What is the mls/hr required to administer in the required time?

10.

A 100ml bag of Metronidazol is to be administered over 30minutes. What is the mls/hr to achieve this?

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End of Tutorial
Congratulations you have completed the first part of the medications tutorial. Please email you final answer to the following email address: Shane.King@usq.edu.au and a result and certificate of completion will be emailed back. The certificate is equivalent to .5 points towards your education requirements for the year. Upcoming Medication Tutorials will include: Drip Rates Formula for amount of fluid has been infused Formula for the length of time of the infusion Formula to find out the time it will take to infuse fluid Patient Controlled Analgesia calculations