Question

- The MD has ordered 250 units/1 hr through IV. The pharmacy
sends an IV bag labeled Heparin 25,000 units/500 mL of D5W IV
solution.
**Calculate the IV pump setting for mL/hr. Round your answer to the nearest whole number.**

- Order is for 50mg/1 hr. Med sent to the RN is 2g/100 mL Normal
Saline.
**Calculate the mL/hr to set the pump. Round your answer to the nearest whole number.**

- MD order is 500 mL of 0.9% NaCl to infuse in 45 minutes. The
drop factor listed on the IV tubing box is 15 gtt/mL.
**Calculate the number of drops per minute required to infuse the IV bolus. Round to the neatest whole number.**

- A dosage of 350 mg is ordered. The solution strength is 150
mg/2 mL.
**How many mLs are required for this dose?**

- Order: Ketorolac 100 mg IM every 12 hr PRN for pain

Available: Ketorolac 50 mg/mL.
**How many mL will you administer? Round to the
nearest** **tenth.**

- MD ordered Enoxaparin (Lovenox) 1.5 mg/kg subcutaneous. Medication available is Enoxaparin 80 mg/mL. Patient weighs 196 lb. How many mL will RN administer? (If needed, round to nearest tenth).

- Patient has order for Tolbutemide (Orinase) 0.125 g PO.
Medication available is Tobutemide 250 mg/scored tablet.
**How many tabs will RN administer? (If needed, round to nearest whole number).**

- MD has ordered Morphine Sulfate (Duramorph) 60 mg PO. Available
medication is Morphine Sulfate 20 mg/5 mL.
**How many tsp will nurse administer? (If needed, round to nearest whole number).**

- MD has ordered Cyclosporine (Neoral) 12 mg/kg/day. Patient
weighs 150 lb.
**How many mg will nurse administer? (If needed, round to nearest whole number).**

- MD orders 3,000 mL of total parenteral nutrition (TPN) to be
infused from 1900-0700.
**How many mL/hr should the IV pump be programmed for?**

- MD orders 500 mL of Dextran to be infused over 24 hours.
**How many mL/hr should the IV pump be programmed for?**

- Mr. C who has peptic ulcer disease, has Pepcid 20 mg in 100 mL
D5W ordered every 12 hr. The Pepcid is to be infused over 30
minutes.
**With a drop factor of 10 gtt/mL, how many drops per minute should be given?**

- Mrs. T has an order for 500 mL of 0.9% NaCl IV over 4 hours for
Oliguria. The drop factor is 10 gtt/mL.
**How many gtt/min should be given?**

- A terminal patient has an order for Dilaudid at 0.5 mg/hr by
continuous drip. Given a bag with a concentration of 20 mg Dilaudid
in 100 mL of D5W,
**how many mL/hr should the IV pump be programmed at?**

Answer #1

Answers

**Q1:** Answer is 5ml/hr

This can be calculated by:

Doctors order – 250 units of heparin/hr

Available - Heparin 25,000 units/500 mL of D5W IV solution.

To find the ml/hr use the equation,

ml/hr = Volume of IV fluid in ml × Units in dose

Total number of units in volume time/hr

= 500ml × 250units

25000 units 1 hr

= **5ml/hr**

**Q2:** Answer is 2.5ml/hr

This can be calculated by:

Order – 50mg/hr

Available dose is 2gm/100ml

Covert gm to mg,

1 gram is 1000 mg , Hence 2gm is 2000mg

ml = Dose ordered

Available dose

= 50mg ÷ 2000 mg × 100 ml

= **2.5 ml/hr**

**Q3:** Answer is 167 drops/min

This can be calculated by:

Order - 500 mL of 0.9% NaCl to infuse in 45 minutes.

Drop factor – 15gtt/ml

To find the drops per minute,

Number of drops per minute = Total volume × Drop factor

Time (in mints)

= 500 ml ÷ 45 mints × 15 gtt/m

= 166.66 = **167 drops/min**

**Q4:** Answer is 4.7 ml

This can be calculated by:

Order is 350mg

Available dose is 150mg/2ml

To calculate the ml,

ml = Dose ordered × Quantity in ml

Available dose in mg

= 350 mg × 2ml

150 mg

= 4.66 = **4.7 ml**

Order: Ketorolac 100 mg IM every 12 hr PRN for pain
Available: Ketorolac 50 mg/mL. How many mL will you
administer? Round to the nearest
tenth.
MD ordered Enoxaparin (Lovenox) 1.5 mg/kg subcutaneous.
Medication available is Enoxaparin 80 mg/mL. Patient weighs 196 lb.
How many mL will RN administer? (If needed, round to nearest
tenth).
Patient has order for Tolbutemide (Orinase) 0.125 g PO.
Medication available is Tobutemide 250 mg/scored tablet.
How many tabs will RN administer? (If needed, round...

1) The physician orders morphine syrup 30mg po q4hrs prn for
pain. The pharmacy supplies morphine syrup 20mg/mL for this
patient. The nurse should administer ..................mL per dose
for pain.
Please round to nearest 10th if necessary
2) The physician orders clindamycin 300mg in 100ml 0.9% normal
saline to infuse at 10mg/min. How long will this infusion last?
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23. 1000 ml of D5 0.9 NS daily. What is your hourly rate?
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a. How many mLs of the adrenalin will you administer?
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c. What is the flow rate of the IV in mL/hr? d. What is the flow
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A nurse is preparing to administer dobutamine 2.5
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mu/hr (Round the answer to the nearest whole number. Use a leading
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1) A Nurse is preparing to administer Ampicillin 1,000 mg PO per
day, divided in four equal doses. Available is Ampicillin 250 mg
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