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?
3) The doctor’s order is 5L of D5W with 20mEq of potassium to
infuse over 48 hours. What is the amount (in...

A nurse is preparing to administer dextrose 5% water (D5W) 250
mL IV to infuse over 4 hr. The Drop factor of the manual IV tubing
is 60 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Do not se trailing zero.)

21. The MD Orders Solumedrol 250 mg IV to infuse over one hour.
If you dilute the medication in 75 mls of fluid, how fast do you
run the IV in order to infuse it in one hour? __________ ml per
hour.
22. 3000 ml in D5W to run over 24 hours on pump. What is the hourly
rate?
23. 1000 ml of D5 0.9 NS daily. What is your hourly rate?
24. Epivir 0.6 gram is ordered. The dose...

Dobutamine 250 mg in 250 mL D5W at 34 mL/hr via IV pump. The
patient weighs 190 pounds. How many mcg/kg/min is the patient
receiving?

The order is for D5W 500mL in 4 hours; the IV tubing has a drop
factor of 20 gtt/mL. Additionally there is an order for adrenalin
0.4mg sub-Q every 20 minutes until symptoms resolve. The dose on
hand is adrenalin 1 mg/2mL.
a. How many mLs of the adrenalin will you administer?
b. What route will you use?
c. What is the flow rate of the IV in mL/hr? d. What is the flow
rate of the IV in gtt/min?

Medication order: Erythromycin 200 mg in 250 mL D5W to infuse
over 1 hour. The drop factor is 10 gtt/mL. Calculate the flow rate
in drops per minute (gtt/min). Round to the nearest whole
number

An order reads “Vancomycin 1.5g IVPB now”. The pharmacy sends an
IV bag of Vancomycin 1500 mg diluted in 250 mL 0.45% sodium
chloride solution. The IV must run over 2.5 hours. Calculate the
mL/hr flow rate. Round to the whole number.

1) A Nurse is preparing to administer Ampicillin 1,000 mg PO per
day, divided in four equal doses. Available is Ampicillin 250 mg
capsules. How many capsules should the nurse administer per
dose?
2) A Nurse is preparing to Administer Rhogam to a Mother 28
weeks pregnant with a negative blood type. The Nurse needs to
administer 50 mcg IM. Available is Rhogam 300 mcg/2ml. How many ml
should the nurse administer? Round to the nearest tenth.
3) A nurse is...

A nurse is preparing to administer dobutamine 2.5
mcg/kg/min by continuous IV infusion to a
client who weighs 65 kg The amount available is
dobutamine 250 mg/250 mL. the IV pump to deliver how many
mu/hr (Round the answer to the nearest whole number. Use a leading
zero if it applies.

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