2Conversions: 1 liter (L) = 1000 ml (milliters) 1 gram (g) = 1000 mgs (milligrams)1 mg (milligrams) = 1000 mcgs (micrograms)1 gram (g) = 15 grain (gr)1 grain (gr) = 60 mg (milligrams)1 dram (dr) =4 ml (milliters)1 ounce (oz) = 30 ml (milliters)1 tsp (teaspoon) = 5 ml (milliters)1 tbs (tablespoon) = 15 ml (milliters)1 kg (kilogram) = 2.2 lbs (pounds)1 inch = 2.54 cm (centimeters)16 ounces (ozs) = 1 lb (pound)1 cup = 8 ounces (ozs)1 ml (milliter) = 15 minims1 drop (gtt) = 15 minims
3IV Drip Rate Calculation: mls to infuse (X) drip factordivided by = gtts/min.minutes (min.) to infuse
4Drug Rate Calculation: Drug Ordered (X) drip factordivided by = gtts/min.Drug Concentration (X) 1 Minute
5Dose/ Body Weight Rate Calculation: Microgm/kg (X) Wt kg (X) drip factor= gtts/min.Concentration on hand (X) time
6Client Rights: Right client Right drug Right dose Right time Right routeRight documentationRight to refuse treatment
7Drug Names:Generic Names are official names used by the drug companies (Acetaminophen).Trade or Brand Names are names assigned to a product by its manufacturer (Tylenol).
8Recommended Volume for Administration Per Sites: Intradermal = 0.1 ml (example PPD, allergy testing)Subcutaneous injection = ml per siteIntramuscular injection = 3.0 ml per site(1 ml in the deltoid)IV injection (IV push) = 1-60 ml
9A Calculation Method: use the calculation method easiest for you Medication Available: 250mg tablets250mg (:-is to) 1 tabletMedication Ordered: 500mg (how many tablets you would give)500mg (:-is to) (X) tabletFormula:Ordered (Desired)(X) Supplied (tsp, ml, tablet, capsule, etc.)= XAvailable (Have)500 mg : X tablets (X)(cross multiply) = = = 2 tablets250 mg : 1 tablet (X) X5. Checking Accuracy of Answer:250mg X (ordered medication)(X) = = 500mg (your answer is correct)1 tablet tabletsREMEMBER: Always check your answer for accuracy (step 5). An error in calculation can result in life threatening complications for the client.
10Calculation Method: use the calculation method easiest for you 1. Medication Available: 250mg tablets250mg = 1 tablet2. Medication Ordered: 500mg500mg = (X) tablets3. Formula:250mg 500mg 500mg(X) = = 2 tablets1 tablet x tablets x 250mgChecking you answer for accuracy:250mg x=ordered medication (500mg)(X) = = 500 mg (your answer is1 tablet 2 tablets is your answer is correct)REMEMBER: Always check your answer for accuracy (step 4). An error calculation can result in life threatening complications for the client.
11Calculation Method:use the calculation method easiest for you Available Ordered *Ordered Medication: 100 mg Lasix1. Medication Medication PO QD50 mg Lasix 100 mg Lasix Available Medication: 50 mg Lasix inml1 ml X ml How many ml would you2. Cross multiple administer? 2 ml = 100 mg100 mg (times) 1 ml 100= = x is 2 ml (how many ml (=) 100 mg Lasix)50 mg (times) x ml3. Check your work!50 mg Lasix x mg Lasix (medication ordered)1 ml ml (to administer 100 mg Lasix)4. Cross multiple50 mg (times) 2 ml= = 100 mg Lasix (this is the medication ordered and your1 ml (times) x mg answer of 2 ml is correct)
12Practice Question:The physician orders Ampicillin 500mg q6h orally (po). Ampicillin is available: 250mg capsule (cap). How many capsules would you administer q6h?*check answer:
13Practice Question:The physician orders Lanoxin 0.25mg IM every day. Lanoxin is available: 0.5mg per2 ml. How much Lanoxin would you administer IM ?*check answer:
14Practice Question:The physician orders Theophylline 160mg q6h orally (po). Theophylline is available:80mg per 15 ml. How much Theophylline would you administer q6h?*check answer:
15Practice Question: The physician orders Morphine 5mg IM q4h. Morphine is available: 1grain per 5 ml. How much Morphine would you administer?1 grain = 60mgMorphine is available: 60mg per 5 ml*check answer:
16Practice Question:The physician orders Morphine 1/100 grain (gr) IM q6h for abdominal pain. Morphine is available: 0.5mg per 0.5 ml. How much would you administer?1/100 grain = 0.01 grain = 0.6mg*check answer:
17Practice Question:The physician orders 1000 ml 0.9% Normal Saline to run over 10 hours. The IV tubing drip rate is 10 drops (gtts) per ml. How many drops per minute would the IV be regulated to?1000 ml (X) 10 gtts per ml = gtts in 1000 mldivided by60 minutes (X) 10 hours = 600 minutes (min.)10000 gtts in 1000 ml / 600 min. = gtts per min. (round up)17 gtts per min.*check answer:
18Practice Question:The physician ordered Keflex 2500mg orally (po) in divided doses q6h every day. Keflex is available: 250mg per 5 ml. How much would you administer per dose?2500mg / (4) doses (q6h) = 625mg per dose*check answer: