Medication Dosage Exam – Answer Sheet The following exam is required to advance to the next clinical rotation, where you may be passing medications for the first time. You MUST pass this exam with a minimum score of 86% in order to begin the next clinical rotation. Round as needed, unless otherwise stated. 1 2 3 4 5 Order Lasix 20mg IV Stat Available furosemide 100mg / 10mL Order Ativan 1 mg IV Available lorazepam 2mg / ml Order Gentamycin 500mg IV Available Gentamycin 1gm powder to be mixed with 10ml NSS Order NSS 10ml syringe Tylenol 15mg / kg PO PO Available 125mg /5ml Elixer Weight 24 pounds Order Ibuprofen 10mg / kg Available 100mg / 5mL Elixer 6 Weight Order 10 pounds, 8 ounces 1L NSS over four hours 7 Order 500mL LR IV over two hours. 8 Drip Factor Order 10 gtt/ml 250ml NSS IV over 30 minutes 9 Order 2L LR over six hours Drip Factor 15gtt/mL How many mL will you give? 2 mL How many mL will you give? 0.5 mL How many mL will you give? 5 mL How many mg will you give? 163.5 MG How many mL will you give? 6.5 mL* How many mg will you give? 48 MG How many mL will you give? 2.5 mL* How many ml/Hr will you set the IV Pump? How many gtt/min are needed? How many mL per hour is the IV Pump to be set? How many gtt/min are needed? 250mL/Hr 42 gtt/min* 500mL/Hr 83gtt/min* 10 Order Amitriptyline 25 mg PO Available 11 Order 12 Order 0.5 Tabs How many mL will you give (Do not round) 0.6 mL How many units of Humalog will you give? 0 Units How many units of Novolog will you give? 3 Units How many units of Novolog will you give? 0 Units How many units of Novolog will you give? 11 Units How many units of Novolog will you give? 7 Units How many mg will you give? 100 mg Heparin 5000 units/mL 13 Order FSBS – 110 / 30 = # Units Humalog FSBS How many tablets will you give? Warfarin 5mg Heparin 3000 units SQ Loading Dose Available 2 Tabs Amitriptyline 12.5mg Warfarin 2.5 mg PO Available How many tablets will you give? 130 14 Order FSBS – 110 / 30 = # Units Novolog FSBS 200 15 Order FSBS – 110 / 30 = # Units Novolog FSBS 75 16 Order FSBS – 110 / 30 = # Units Novolog FSBS 450 17 Order FSBS – 110 / 30 = # Units Novolog FSBS 321 18 Order Weight Lovenox 1mg/kg 220 pounds How many mL will you give? Available 100 mg / mL 19 Order Lovenox 1mg/kg How many mg will you give? 57 mg* How many mL will you give? 0.6 mL* How many mg will you give? 95 mg How many mL will you give? 1mL* 1 mL Weight 125 pounds Available 100 mg / mL 20 Order Lovenox 1mg/kg Weight 95kg Available 100 mg / mL Use the following chart to answer questions 21, 22 and 23. PTT ≤ 60 61-78 GOAL 79-118 119-135 > 136 21 Order NONE HOLD 60 minutes Heparin 5 units/kg/hr currently New PTT Rate Adjustment ↑ 4 units/kg/hr ↑ 2 units/kg/hr NONE ↓ 2 units/kg/hr ↓ 3 units/kg/hr Recheck PTT 6hrs 6hrs In AM 6hrs 6hrs What is the rate adjustment (units/kg/hr)? 64 22 Order New PTT Rebolus or Hold Bolus: 80units/kg Bolus: 40units/kg NONE Heparin 5 units/kg/hr currently What is the rebolus amount for a 75kg patient? What is the rate adjustment (units/kg/hr)? 125 23 Order New PTT Heparin 5 units/kg/hr currently What is the rebolus amount for a 75kg patient? What is the rate adjustment (units/kg/hr)? 100 What is the rebolus amount for a 75kg patient? Use the Chart below to answer questions 24,25,26 and 27 Algorithm 1 Glucose Units / Hr <70 Off 70–109 0.2 110–119 0.5 120–149 1 150–179 1.5 180–209 2 210–239 2 240–269 3 270–299 3 300–329 4 330–359 4 >360 6 Algorithm 2 Glucose Unit / Hr 70–109 0.5 110–119 1 120–149 1.5 150–179 2 180–209 3 210–239 4 240–269 5 270–299 6 300–329 7 330–359 8 >360 12 24 Original Order 2 Unit/Hr. Regular Insulin IV Current FSBS 185 7units/kg/hr 3,000 units 3units/kg/hr NONE NONE NONE Algorithm 3 Glucose Units / Hr 70–109 1 110–119 2 120–149 3 150–179 4 180–209 5 210–239 6 240–269 8 270–299 10 300–329 12 330–359 14 >360 16 Using Algorithm 1, how many units/hour will you give? 2 units/hr (same) 25 Original Order 2 Unit/Hr. Regular Insulin IV Current FSBS 265 26 Original Order 1 Unit/Hr. Regular Insulin IV Current FSBS 250 27 Original Order 1 Unit/Hr. Regular Insulin IV Current FSBS 28 Order 181 Cardizem 200 mg PO Available 29 Order Cardizem 100 mg PO Tylenol 15mg / kg PO PO Available 125mg /5ml Elixer Weight 36 pounds 30 Order Available Weight Ibuprofen 10mg / kg Using Algorithm 2, how many units/hour will you give? 5 units/hr How many units/hour will you give using Algorithm 3? 5 units/hr How many tablets will you give? 2 tabs How many mg will you give? 246 mg How many mL will you give? 10 ml* How many mg will you give? 60 mg* How many mL will you give? 3 mL* How many ml/Hr will you set the IV Pump? How many mL will you give? 500ml/Hr How many tablets will you give? 4 Tablets 13 pounds 1L NSS over two hours hours 32 Order Thorazine 25mg PO Available 33 Order Thorazine 10mg/5ml Aspirin 325mg PO Available 34 Order Aspirin 81mg Amoxicillin 20mg/kg Amoxicillin 125mg/5ml Weight 35 Order Available 36 Order 20 Pounds Methadone 10 mg PO Methadone 2.5 mg Tamiflu 30mg PO Available 37 Order Tamiflu 30mg Tylenol 1 gm Available 5 units/hr 100mg / 5mL Elixer 31 Order Available How many units/hour will you give using Algorithm 2? Tylenol 500 mg 12.5 mL How many mg will you give? 180 mg How many teaspoons will you give? 1.5tsp* How many tablets will you give? How many tablets will you give? 4 tabs How many tablets will you give? 2 tabs 1 tab 38 Order Zithromax 2gm PO How many mg will you give? 2000 mg Available 39 Order Zithromax 500 mg Tablets Keflex 0.075 gm How many ml will you give? 5 ml Available 40 Order Keflex 75mg/5ml Ampicillin 500 mg PO How many tablets will you give? 4 tabs Available 41 Order Ampicillin 125 mg Tablets Valium 5 mg IM Available 42 Order Valium 10mg / 2mL Tetracycline 750mg PO Available 43 Order How many mL will you give? 1 ml How many tablets will you give? 3 tabs Tetracycline 250 mg Tablets Tobramycin 100 mg IV How many mL will you give? 2.5 ml Available 44 Order Tobramycin 40mg/mL Zofran 2mg IV How many mL will you give? 0.5 ml Available 45 Order Zofran 4mg/mL Milk of Magnesia 30 mL PO 46 Order FSBS – 110 / 30 = # Units Novolog FSBS 269 47 Order FSBS – 110 / 30 = # Units Novolog FSBS 85 48 Order Neurontin 900 mg PO Available 49 Order gabapentin 300 mg Capsules Flexeril 5 mg PO Available 50 Order cyclobenzaprine 10 mg Tablets Percocet 5/325 mg, x2 tablets PO Available Percocet 5/325 mg Tablets How many ounces will you give? 1 ounce How many units of Novolog will you give? 5 units* How many units of Novolog will you give? 0 Units How many capsules will you give? 3 caps How many tablets will you give? 0.5 Tab How many tablets will you give? 2 Tabs 51 How many mL are in the syringe? 6.2 52 How many mL are in the syringe? 3.8 53 Available: 4mg/2mL How many mg are in the syringe? 54 A nurse asks you to verify the dose of a drug that is 1mg/mL and the order is for 65mg. Is this the correct dose? 2 mg No 55 How many mL are in the syringe? 7.4 56 How many mL are in the syringe? 2.6 57 How many mL are in the syringe? 6.5 58 Order: Tylenol 15mg/kg Available: Tylenol 125mg/5mL Weight: 22 pounds Yes Is this the correct dosage? 59 How many mL are in the syringe? 0.5 60 How many mL are in the syringe? 0.24 61 How many units of insulin are in the syringe? 18 62 How many units of insulin are in the syringe? 10 63 How many units of insulin are in the syringe? 40 64 How many units of insulin are in the syringe? 34 65 How many units of insulin are in the syringe? 16 66 How many units of insulin are in the syringe? 4
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