1 UNIVERSITY HOSPITAL OF THE WEST INDIES NURSING STAFF DEVELOPMENT DIVISION Drug Dosage Calculations Practice Paper Name

Answer the following questions on ruled paper or folder leaves. Show all working. Please give a value to all your answers e.g. ml, tablets, mg or drops. 1. Elixir of digoxin contains 50 micrograms (mcg) in each ml. How many micrograms of the drug are in 0.25ml of the elixir? 2. A physician orders 75mg of Meperidine HCL (Pethidine) IM for a client who is postoperative. The solution available contains Meperidine 50mg/ml. How many mls must the nurse administer? 3. 5000units of Heparin sc is ordered for Mrs. Brown. There is a vial that contain 25000units in 5ml. How many ml would you give the patient for each dose? 4. Fentanyl 70mg IM stat is ordered. Available is a 2ml ampoule containing 50mg/ml. How many mls should the patient receive? 5. 3000units of Heparin IV are to be given to Less Truman. There is a 10ml vial of available. There are 5000units/ml in the vial. How many ml will you withdraw to administer Mr. Truman dose? 6. Dr. orders 30mg of dextrose IV for Ms Tate who is hypoglycaemic. You have 50ml bags of 10% Dextrose. How many mls should you give? 7. Calculate how many grams of Sodium are in a 1 litre bag of 0.9% Sodium Chloride. 8. The label reads: 5% Dextrose and 0.45% Sodium Chloride 1000ml. a. How many grams of dextrose are in the bag? b. How many grams of Sodium are in the bag? 9. Gentamycin is to be administered to Sarah. The recommended dose is 6mg/kg/day in 3 divided doses. You have available Gentamycin 20mg/ml. Sarah weighs 9 kg. How many mls is Sarah to get each time she gets her medication?

2 10. A bag of 0.9% Sodium Chloride is to be infused over four hours. How many mls/min is the patient to receive? 11. If Johnathon is getting 1000ml of fluid over 8 hours, how many mls/hr is he receiving? 12. Calculate the drip rate if Sharlene is to get 500ml 0.9%Sodium Chloride over 4 hours if the drop factor the giving set is 30gtts/ml? 13. 800ml of fluid is to be given IV to a patient over 6 hours. The IV set delivers at 20drops/ml. Calculate the drip rate? 14. Dr. has ordered 1000ml lactated ringers for Mr. Charles. It is to be infused at 75ml/hr. The giving set delivers 60drops per ml. What is the drip rate? 15. 500ml D%W at 85ml/hr. Drop factor 10gtt/ml. Calculate the drip rate. 16. 1000mg= ________ mcg, 500mg = _______ kg, 60mls = _______teaspoon 17. 0.35milligrams-=__________mcg, 1.25g= _________milligrams 18. The patient is to receive ranitidine hydrochloride syrup (Zantac syrup) 300mg PO. On hand is a bottle of Zantac syrup labeled 1ml contains 15mg. How much should you administer? 19. The patient is to receive chloropropamide (Diabinese) 0.2g PO. On hand are tablets of Diabinese labeled 100mg. How many tablets should be given to the patient? 20. Diazepam (Valium) oral solution 10mg PO is ordered. The container is labeled 5mg/ml. How many ml should be given to the patient? 21. The recommended dose for Digoxin is 0.02mg/kg/24hour. Available is Digoxin Elixir 0.05mg/ml. Joshua weighs 9lbs. His medication is to be given twice daily. How many mls will he get at medication time? 22. Gentamycin is to be administered to Sarah. The recommended dose is 6mg/kg/day in 3 divided doses. You have available Gentamycin 20mg/ml. Sarah weighs 9 kg. How many mls is Sarah to get each time she gets her medication? 23. Valium (diazepam) 0.2mg/kg IM stat is ordered. Available is Valium 5mg/ml. Johnathon weighs 72lbs. How many mg is he to get?

3 b. How many mls will you give him to ensure he gets the correct dose of medication? 24. How many grams of dextrose would be in 500ml of a 10% dextrose in water solution. 25. You have just given a patient 200mls of 0.45% normal saline solution IV. How many mg of sodium did the patient receive? 26. Determine how many grams of sodium chloride would be in 250 ml of a 0.9% sodium chloride solution? 27. Jonathon is to have two (2) tablespoons full of Augmentin. How many mls is he to get? 28. Jason is to get 10mls of Bactrim bd. The ampoule says 80mg/5mls. How many mgs of Bactrim will Jason get at the end of the day? 29. The antibiotic metronidazole has been ordered, stock 500mg/100mls. The patient is to get 100mls. The recommended infusion rate is 5mls per minute. How long will it take for you to administer 100mls of metronidozole? 30. Clarence has Diabetes and is to take Metformin 500mg with meals. Stock tablets are 500mg per tablet. How many tablets should Clarence get with his meals? 31. Jason had surgery and is having pain. Pethidine 100mg IM has been prescribed. In stock is Pethidine 50mg/ml. How many mls of Pethidine is Jason to receive? 32. Doctor has ordered that Patrick have 15mg acetaminophen per kg of body weight. Patrick weighs 36lbs (pounds). How much should the nurse give? 33. 200mls Lactated Ringers IV to go over 24hours. Drip factor 15gtts/ml. Calculate the flow rate per minute? 34. Methylprenisone 75mg IM has been ordered for John. Available is Methylprednisone 125mg/2mls ampoule. How many mls will John get? 35. Gelofusin 200msl is to run over 2 hours. How many drops per minute are to be delivered if a microdrip is used? 36. James is to get 1L of clear fluid in 24 hours. How many mls of clear fluid would he have gotten in 48 hours? 37. Peter is to have Fortum 1.5g Iv. The drug is labeled Fortum 2g per vial in powder form. To mix add 8.6mls of sterile water for injection to give stock of 200mg/ml. How many mls should be administered? 38. Your patient is to have 100mls of 0.9% Normal Saline. It is to be infused over 12hours. This solution set delivers 10gtts/ml. Calculate the drip rate. 39. Baby Teisha is to be given a total of 240mls of IV fluid in a day. There is no infusion pump so nurse Reta has to use a micro dripper infusion set. How many mls/hour will baby Teisha receive? 40. If Keisha is receiving 50mls/min of Lactated Ringers, how many mls/hour will she receive? 41. Doctor has ordered that the patient get 450mg Aspirin. On hand you have 300mg in one tablet. How many tablets will you give? 42. Konakion 1mg is ordered for a neonate. Stock solution is 2mg in 0.6mls. How much will you give? a. 1.2mls

4 b. 3mls c. 0.3mls d. 1ml 43. Hydrallazine 40mg po has been ordered for your patient. The container says 10mg tablets, how many tablets would you give? a. 0.25tabs b. 0.4tabs c. 1.0tab d. 4.0tab 44. Augmentin is ordered for Miss Dixon; in stock is liquid that contains 600mg/6mls. The doctor orders 600mg. How much are you going to give? a. 60mls b. 6mls c. 30mls d. 3mls 45. Four Hundred (400mls) of blood is ordered to run over 3 hours. How many drops per minute does this correspond to if the set delivers 20 drops per minute? a. 30drops/min b. 133drops/min c. 44drops/min d. 40drops/min 46. Steven is getting 500mls of 0.9% Normal Saline over 10 hours. How many mls per hour will he receive? a. 5mls/hr b. 50mls/hr c. 20mls/hr d. 200mls/hr 47. Ilopas injection label reads 500mg/ml. Emma is to receive 250mg every 8 hours, how much should she get per dose? a. 0.3mls b. 0.5mls c. 0.8mls d. 1.0ml 48. How many 10mg doses of Morphine can be given from a 20ml vial that contains Morphine 20mg/ml? a. 10 b. 2 c. 20 d. 40 49. Felix gets his tablets t.i.d., this means a. Twice a day b. Three times a day c. Every three hours d. When necessary 50. Mr. Gates gets 12 tablets at the end of 24 hours. He gets his medication q.i.d. . How many tablets does he get at each dose?

5 a. 1 b. 4 c. 2 d. 3 51. Leo weighs 22lbs (pounds). His Doctor has ordered Vancomycin 40mg/kg body weight per day. This is to be given IV every 6 hours. How many mgs should the nurse give per dose? a. 60mg b. 80mg c. 100mg d. 120mg