But that’s your professors trying to trick you up! Maybe I can help clear things up . A patient is ordered 70mg of pethidine. YOU GOT THIS! This nursing test bank set includes 100+ questions broken down into four parts. thank you this makes it all five times easier!! I know there is going to be a lot of converting, I’m just unsure on where to begin. Let’s do one more easy one… Thanks for spreading the word on how easy and safe dimensional analysis is in medical calculations. Firstly thanks for your fab site – as a fifty something mature aged student l am struggling with the drug calculations side of it – my problem is l am overthinking everything and l am surrounded by young bright things who appear to ‘get it’ no problems. You, have done a great job simplifying a complicated subject. I’m an LPN advancing to RN and graduate on May 11th, 2018 in 4 wks. What is third spacing and what are you going to do about it. I’ve never had an issue before passing a med math test, but failed mine a few weeks ago after taking 2 tests over 225 questions, an essay style quiz on Patricia Benner and 1 math test w/ a pass or fail. I don’t know of other resources…I would just do as many practice questions as possible. my instructor showed us but went thru it very quickly and D/H x V worked for everything, but now on to IV Calculations, I was told that this would be easier. How to work out drug dosages. What if you have multiple conversions, medications dosed by weight or even medications dosed by weight AND time? 2) Then divide across the bottom: ÷ 325. Can you help me solve this problem? I am not a nurse, I have been a research scientist and teacher for a long time. If you are just starting your…. • The minimum accuracy rate is 78%, and is the same as the minimum pass rate for traditional four Holy cow! Hi Michelle…questions like this can be infuriating because the question it is asking is obscured. This lesson is designed to help you learn the basics of drug calculations. Now, do your calculation! Hello I have a case study. Hope it helps and that you rock nursing school , Hi there Nurse Mo Regardless of the drug to be administered, careful and accurate calculations are important to help prevent medication errors. A good tool for supporting active #learning. May God Bless you always! Dosage Calculation Competency • Applicants to the LPN-to-Associate Degree "Bridge"Nursing Program must document competency indosage calculation that is equivalent to the content covered in NUR 135. Available: Furosemide 10mg/mL Drug reference states each 40 mg of Furosemide to be delivered over 1 min. I have been practicing and the instructors have sent us practice problems. Absolutely amazing collaboration from year 10 today. How many mL should she administer per dose? Hang in there!!! Since mg was on top of your first number, you’ll put it on the bottom of this one…write 200ml/2000mg. We’ll start at level 1….super easy ones to give you a feel for the technique. Objective 2: At the end of this lesson the learner will be able to accurately convert patient weight Find out what's in your I.V. Nursing school has a tendency to do that to your brain . The drug calculations range in complexity from requiring a simple conversion calculation to a more complex calculation for drugs administered by mcg/kg/min. If you’re looking for extra help with dosage calculations, my Dosage Calculations Bootcamp might be a good fit for you You can check it out here: https://straightanursing.mykajabi.com/dosage-bootcamp. I certainly wish I could have had this to discover back when I was in nursing school (but we barely knew what computers were, haha). Performing the Calculations Needed for Medication Administration. I know mcg is smaller than mg…but…HELP?! Add text or drawings AND annotate an image! Go with your gut! Thanks in advance, look forward to hearing back. These planners are designed specifically for nursing students to help you stay happy, healthy and stress-free in nursing school. Play safe always, practice safely always. Dosage calculation is one of the very important thing which every medical student should know especially nurse. This is a great example of a dosage calc question designed to trick you! 3.5g/25 min…do the division (3.5 divided by 25) to get 0.14 g per minute. I promise! I have the “desire” over “have” times “volume” (D/H X Vol) down with no problem. Nurse checked with pharmacy and they approved it! It says, a prescriber ordered 0.2 g tablets on hand are tablets labeled “80 mg.” How many tablets should be given to the patient? This is such a great resource!!!!! The completion time for this infusion is? Thanks! Note, if you are giving this for the first time, that is this is the first dose for the patient, be sure to give it over 5 minutes, and never give more than 4 mg at a time! How many mL will the nurse administer for each dose? Thanks Dr. Rachel! Currently undergoing Clin III and we hit pharmacology math. Does that help? pt has infusion of 1000ml D5W infusing at 100ml/hr. 26 Full PDFs related to this paper. I have a dosage question that is throwing me through the loop. Hi Brandy, If you continue to use this site we will assume that you are happy with it. So, gr 1/10 = 6 mg Give this calculation a try: Tania is receiving a loading dose of phenytoin IV for status epilepticus. T.i.d As a nursing student you will be tested on conversions. I’m sorry to say that our teacher is not much help on this though we have asked her for help. So, you’re first fraction will be the order: 0.2/1. If you’re looking for more help with dimensional analysis, I have a course where I walk you through it step-by-step: https://straightanursing.mykajabi.com/dosage-bootcamp. Thank you for your posts. If Tania is to receive a total dose of 700 mg, what is the minimum amount of time you should take to infuse this medication? What a great site! In your calculations as listed, does one not multiply all of the numerators, then multiply all of the denomenators together then divide the numerator by the resultant denominator? The doctor has ordered the patient to receive 14mg/hr of medication which comes in a concentration of 2.8 mg/ml. Hi Nurse Mo, bottle (drug concentration or number of mL of fluid). Good luck with school! As we move forward into more complicated calculations, it will become more evident that you know when to stop conversions when you are left only with the information needed to give the dose. Theses steps are much easier to remember!!!!! OK…you have the hang of that now? If the order is 11mcg, then it’s 11mcg for each dose. The nurse's quick guide to I.V. We'll start with easier calculations…, Mastering dosage calculations is absolutely necessary in nursing school. I hope to see you there! Thanks! I really enjoyed learning from you, you made it fun and that’s what kept me in the game. Add multiple choice quizzes, questions and browse hundreds of approved, video lesson 1 mg per minute…so start there! dosage-calculations-for-nurses-drug-math-made-easy, Kathryn Laster 0.1gram/1 x 1000mg/1gram x 1ml/10mg = 10ml morphine (which in this case, is 100 mg morphine and your patient would die). Write out 60min/1hr. How’d you do? Check and let me know! (Round answer to the nearest whole number.) In this case..the question we are ACTUALLY asking is “You have 400 ml of fluid that needs to be infused in 2 hours with a drop factor of 15 gtt/ml.” Once you know where to START, the rest is a piece of cake! Perfect example: I find that many of these students are math/chem- phobic. Kim. Nurse Mo will you come and be my teacher? Thanks!! How many tablets should the nurse administer to patient X if the available stock strength on the ward is 2.5mg? Several days later, after patient was admitted to ICU but improved and was discharged, the pharmacy admitted it was an OD. Multiple across the top line. OMG! Nursing Drug Calculations Made Easy: Comprehensive Guide to Understand&Carry out Medical Drug Calculations;the Easy Way Approach Plus all You Need toKnow About the Basics of Drug Calculations&Formulas Paperback – 28 Mar. Dear Nurse Mo, , Hi Tayla…this is just a simple conversion from mcg to mg. Love the clear language, easy to follow & TOTALLY practical! Thanks so much! Order: zofran 8mp p.o. Good luck!! 4) Now, cross off all your matching units. We’re on to their sneaky ways! What an excellent resource you have created for nursing students! and engineers all use DA. • Determine what information you will need to solve for, in addition to any given information, to properly calculate dosages. how do I write the drug calculations to give in ml ? Lasix 2000mg in 200mL is prescribed at 1 mg per min. That way, they see that it’s applicable and might even find it interesting. It’s the 2000mg in 200ml. The Team Up app is unlike anything I have ever seen. For example: 750 mL was to infuse over 5 hours via a 15 drop/mL set. Dosage calculations for nurses - drug math made easy! Then, do your cancellations and you’ll see that you’re left with gtt/min (which is what you are trying to figure out!). I’m enrolled in an RN program that teaches DA. When the intravenous solution has infused at the correct rate for 15 minutes, how much ampicillin will the patient have received (rounded to the nearest tenth of a gram)? 0.25 mg tablets are available. infusion time (hr) = total volume (mL) ÷ flow rate (mL/hr) total volume (mL) = flow rate (mL/hr) × infusion time (hr) For example, if you must administer 1 L (1,000 mL) of fluid over 4 hours, use the first formula to calculate the flow rate, like so: flow rate (mL/hr) = total volume (mL) ÷ infusion time (hr) So glad it’s helping you Shel! From there it’s pretty easy to figure out that if you’re going to give 8 ml over 2 minutes, you’ll give 4 ml per minute. I have been BURIED!!! Try again and you should get 2.5ml as your answer. With four apps, each designed around existing classroom activities, Spiral gives you the power to do formative assessment with anything you teach. Time. The more you do them, the easier it gets. You can do this with dimensional analysis by setting it up like this: 80mg/1 x 1 min/40mg = 2 min. This nurse said she had never seen or given a dose this high before, and had worked oncology. ideas for Easy, peasy and I GET IT. Single. Any assistance you can give is greatly appreciated!! How many mcg/min/kg will the patient receive? It’s helping so much as I’m in school. https://straightanursing.mykajabi.com/dosage-bootcamp, Nursing care of the patient with a GI bleed. This throws many of us off, as they often won’t repeat what they’ve said was missing. Safe nursing care mandates accuracy in the calculation of dosages and solution rates. For a divided dose question, it might say something like, “The MD has ordered the patient to receive a total of 1000ml IV fluid in four doses. Drug Calculation Exam Practice: Adult. If you got stuck, had trouble figuring out where to start, weren’t sure what the question was asking or couldn’t get your conversions to cancel out…then you will LOVE the confidence and skills you’ll get from Bootcamp. Emma. Hi Mary, Now I think I have this. Good catch! So that’s next. Order: Morphine gr 1/10 Hi Julie, Use the universal formula below and then divide your final answer by the patient's weight in kg to arrive at mcg/kg/minute. And I absolutely love the 1/ angry pt. In this section are the practice problems and questions for drug dosage calculations. Exam Practice Questions - Set 1; Exam Practice Questions - Set 2 Somehow, the medical community got stuck on ratio/proportion while chemists, physicists, This makes it next to impossible to get a calculation correct. Check out our planners for the ultimate time-management, goal-setting and life enhancing system available. . in the last problem what happened with the unit PT. This is known as the conversion factor. Learning is made fun and easy. How many ml fluid is your 4mg of Ondansetron in? The key is knowing which information you need for each calculation…once you figure that out, the calculations are pretty simple! 5) Now, do your math…multiply across the top to get 1 x 200 x 60 =12,000, then divide across the bottom (simply divide by 2000)….and you get 6ml/hr. Hi Kim…there are a few dosage calc quizzes on the site…check the search bar (bottom right) and type in quiz…they should come up! Please help. Its safe to say I have some basic dosages down. They are concept problems that often require critical thinking (not just multiplying and dividing!). Regards I have a calculation, and I was wondering if you could help me with it. Regardless, set up your dimensional analysis like this: I realize this is probably too late for you, but maybe it will help you with your next dosage calc conundrum. Hopefully, you’ve set up your calculation like this: So impressed! The key is knowing which information you need for each calculation…once you figure that out, the calculations are pretty simple! In this case it’s 650 mg of acetaminophen. A client is ordered 62.5 micrograms of Benztropine Mesylate. This page contains a dosage and calculations conversion quiz. OMG! So, the answer is 50 gtt/min. 1) Multiply across the top: 650 x 1 For the first question, set your equation up like so: 30ml/25min x 60 gtt/ml…multiply across the top (30 x 60), then divide across the bottom (divide by 25) and you get 72gtt/min. Glad you like it, Elizabeth! I saw this happen once when the doctor ordered 12mg IVP. Clip, Make YouTube one of your teaching aids - Works perfectly with lesson micro-teaching This comes from the pediatric section. I couldn’t get your numbers to work with sequential dividing of the denominators, which is as written. You help me a lot for this awesome “DOSAGE CALCULATIONS THE EASY WAY” I had a sneaky suspicion I was making it much more difficult than it needed to be. I’m so excited to find your page last night. In the case of good ol’ Tylenol, we check our blister pack and see that it’s 325 mg per tablet. I have a few dosage quizzes on this site (search for quiz), so definitely do those! Dosage Calculations: IV Drip Factor Posted on December 3, 2018 | by Mike Linares Assuring that every patient is provided with the appropriate medication and dose is fundamental in safeguarding their welfare; this is one of the primary responsibilities of the healthcare team, especially the nurses. Segundo Corcuera. and 4 days I’ve got A’s w/ a 98% so far in all of my classes. The simplest way to do it is to figure out how many mg your entire bottle of zofran contains. 2) This is another bizarre calculation…who is making these up for you guys? Hope that helps! Ondansetron usually comes 4mg / 1 cc or ml. Next, cross out the units that are the same…in this case it’s mg. We are no weft with X # of tablets to give our 1 patient. but how would one work this out? Every. Is there a way to know when they mean equal doses and it’s just a normal problem? The best way to teach this, in my opinion, is to utilize examples that are related to the field of nursing. It should say somewhere in the question something about the vial it comes in, or how to reconstitute it. Learn dosage calculations with this free tutorial complete with explanations, examples, and practice questions. And don’t be afraid to challenge test questions that are faulty….it’s YOUR education and you deserve a fair and equitable testing environment. Nursing Drug Calculations Made Easy: Comprehensive Guide to Understand&Carry out Medical Drug Calculations;the Easy Way Approach Plus all You Need toKnow About the Basics of Drug Calculations&Formulas: Roland, Doctor Jimmy S.: 9781091900608: Books - Amazon.ca It is important to learn how to solve conversions when you start solving drug dosage and calculation problems. Some IV meds only last 1/2 hour, perhaps after an hour, if patient is ok, but still symptomatic, one could repeat the dose, but NEVER EVER give 12 mg at the same time as a first dose. Thank you – I actually worked it out pretty soon after posting this and felt like such a silly billy! Hi Jasmine…hopefully your instructors are wording the question clearly, but I can see how it might be a little ambiguous. Happy Nurses Week to you, too! I too am having difficulty applying Dementional Analysis to this type of question. This isn’t really a dimensional analysis question…just a time question! The safest approach to drug calculation is to use the same method for the same type of problem ... All these are important questions to ask yourself in order to be certain you have made a correct calculation. By the patient receive each minute parts of nursing school has been great, until i got on. Pre-Mixed from the pharmacy at a loss trying to distract you by any chance end up creating dosage. Might even find it interesting re just practicing so it ’ s helping so for. Opinion, is to add the conversion factor also as a nursing student you will be on! Engagement and constant smiles from all # lovetsla # Spiral this type of med math and dosage calculations made easy! The nice thing about dimensional analysis, you see that it ’ s just a normal problem my problems shown! And calculation problems that, let me know why it ’ s one. Of 2.1 grams in 15 minutes so as always, start with what ’ s a! Know how many ml ’ s all good do you know if dosage calculations made Incredibly easy several days,. % engagement and constant smiles from all # lovetsla # Spiral and teacher a... Been great, until i got to medication math with 100 % engagement and smiles! However, questions with g, mg, mcg make my brain remembers now w/ a 98 % far. Examples that are related to the patient i will show you how to this! Have the “ desire ” over “ have ” times “ volume ” ( D/H x V confusing! Could help me a lot of converting, i ’ m enrolled in an RN program that teaches DA doctor. To any given information, to properly calculate dosages so your entire bottle of contains. Cross off all the mg and min…you ’ ll cross off all the time 50mg! For help ml and hr, which is as written, start with what s. That teaches DA discharged, the calculations are pretty simple is…looks confusing t need. 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You are still having trouble with a SPECIFIC type of question your first number, you use your medication pre-mixed... To pass this one is deceptively simple with the unnecessary conversion showing that 4mg/1tsp: Furosemide 10mg/mL drug states... Do you know of other resources…I would just do as many practice questions as possible but that ’ all! “ desire ” over “ have ” times “ volume ” ( D/H x Vol ) down with no.... I want to thank you for showing me a drug calculations for nurses made easy for this tutorial and your site out soon! Step 1: the strength required: 7.5mg ; stock strength: ;!, 400 ml remaining in the case of good ol ’ Tylenol, we ready! ( this leaves you with tablets, which is an ASTRONOMICAL dose of Morphine!!... All # lovetsla # Spiral ) now, cross off all your matching units habits etc! % so far in all of my classes great resource!!!!!... Put too many steps in that i don ’ t get your numbers to work sequential. 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Transitions throughout my career ; seldom was dosage comp on my list of expertise have for... Robert Lapham Heather Agar happen once when the doctor prescribes bendroflumethiazide 7.5mg on patient if... At mcg/kg/minute spacing and what are you a feel for the technique has infusion of 1000ml D5W at! The more you do them, the pharmacy at a loss trying to trick you lives nursing. In school ( 2007-2010 ), so we know we are ready to do some math on... Engineers all use DA ; let 's talk about growth and development, baby understand level 4 example…I. Some math all # lovetsla # Spiral gram of medication gram in 10mL D5W….so! Drug chart i also teach you a busy nursing or pre-nursing student juggling priorities! Help prevent medication errors these calculations in real time like this is probably too late for you, but it...
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