Medication Administration Self Study Packet
NUR 201 Medication Administration Self Study Packet Please read and follow directions listed here for this packet. 1. Page 1 is the one you are reading now – Directions Page. Print this packet and bring to lab on designated day listed on syllabus or as directed by your instructor. 2. Take this pre study practice exam on pages 2 -8. There is a separate key —- grade yourself and see where you stand and what you need to practice. 3. Once you have completed and graded exam, begin studying… use all available resources. a. Look at your study guide that is attached on pages b. 9-11 c. Know your rounding rules on page 11 d. Complete your ATI medication Administration Modules per syllabus. We will do this packet together in your lab. Medication Administration competency exam will be given during the first 60 minutes of lab day. PLEASE CHECK SYLLABUS FOR EXACT DATE. A passing score of 90% or higher is needed. Please make your best effort to pass on the first attempt. You will want to get this off your study list as soon as possible. If you do not achieve a 90% or better, a retake exam will be scheduled – Date and time TBA. You MUST pass the medication administration competency before you will be allowed to go to clinical at Swedish American hospital. You will have total of 3 attempts at this exam to pass. 1 Practice Medication Administration Competencies 1. 60 lbs = __________________kg 2. 15 mg = __________________gr 3. 5 oz = ____________________ml 4. 4t = ______________________ml 5. 2 cups = ___________________oz 6. Gr X = _____________________mg 7. 72 kg = ___________________lb 8. 6172g = ___________________kg 9. 75 ml = ___________________oz 10. 360 ml = __________________cups(s) 11. 0.8 g = ____________________mg 12. A client has a 24 hour total of 1240 ml urine output. What is the average hourly output? (Round to the nearest whole number) ______________________________________________ 13. A client has voided 250 ml in the past 8 hours. What is the average hourly output? (Round to the nearest whole number) ________________________________________________ 14. A client had the following for lunch: 4 oz fruit cocktail, 1 Turkey sandwich, ½ cup of tea, ¼ pint of milk. What was the total ml intake? _________________________________________ 2 15. Determine the total number of milliliters consumed from the following: 3 popsicles (3 oz each), ½ quart of iced tea, ¾ cups of water, 12-oz soft drink. ___________________________________ 16. A client has a 500 ml IV bag hanging. There is 125ml remaining in the bag. How much fluid had been administered? _________________________________ 17. A client has a 1000 ml IV bag hanging. At the end of your 8 hour shift, how much would be left to administer if the patient is receiving IV fluids of 125ml per hour? ______________________ 18. Order: Amoxil 175 mg p.o. Q12h. Available: a. How many milliliters of diluent are recommended for reconstitution? __________________ b. How many milliliters will the bottle contain after reconstitution? ______________________ c. How many milliliters will you administer? _________________________________________ 3 19. Order: Diazepam 25mg IM Q6h Available: a. How many milliliters will you administer? ____________________________________ b. Shade the dosage on the syringe provided. 20. Amoxicillin 0.375g P.O. Q6H Available: 20. Amocicillin 0.375g P.O. Q6H Available: a. How much will you administer? _______________________________________________ 4 21. Order: Dilantin extended capsules 300mg P.O. every Day. Available: a. How many capsules will be administered daily? _______________________________ 22. Order: Tegretol 200mg P.O. T.I.D. Available: How many tablets will you administer for each dose? __________________________________ Indicate the number of milliliters shaded in on the following syringes: 23. ________________________ 5 24. _________________________ 25. ___________________________ 26. Order: Heparin 2500 units sub-q daily. Available: Shade in the amount you would administer on the syringe: 6 Using the syringes below and the labels provided, indicate the dosage you would prepare. Indicate the dosage on the syringe with an arrow and shade in. 27. Order: Humulin Regular U-100 35 units subcutaneous daily at 0730. Available: 28. Order: Humulin Regular U-100 18 units subcutaneous and NPH U-100 40 Units subcutaneous daily at 0730. Indicate the order of preparation (which would you draw up first). Available: 7 29. The recommended dosage for Mithracin for the treatment of testicular tumors is 25 to 30 mcg/kg. Your patient weighs 190 lbs. a. What is the patients weight in kilograms to the nearest tenth? ____________________ b. What is the dosage rang in milligrams for this patient? (round to the nearest tenth) ___________________ 30. Order: Amikacin sulfate 400 mg Q12h. Patient weighs 140 lb. Adult dose is 7.5 mg/kg/Q12h. Is the ordered dose appropriate for your patient? ____________________________ 31. Order: 1500 ml D5W in 12 hours. How many ml/hr will you administer? _________________________ 32. Order: 600 ml LR in 8 hours. How many ml/hr will you administer? ______________________________ Calculate the flow rate in gtt/min for the following questions. 33. Administer D5LR at 75ml/hr. The drop factor is 10gtt/ml. ______________________________ 34. 1000 ml of Normal saline is to infuse in 16 hours. The drop factor is 15gtt/ml. _____________________ 8 Medication Administration Competency Exam Study Guide: Please read Potter and Perry Chapter as well. Household Measure: 1 teaspoon (tsp) = 5 millilter (ml) 3 tsp = 1 Tablespoon (T) 1T = 15 ml 2T = 30 ml 30ml = 1 ounce (oz) 8 oz = I cup 2 cups = 1 pint 2 pints = 1 quart 4 quarts = 1 gallon 1000ml = 1 liter Other measures you should know: 1 grain = 60 mg 1 Gram (g) = 1000 mg Roman numerals: X = 10 V=5 Weights: 16 0z = 1 lb 2.2 lb = 1 kg Common abbreviations: QD = daily or every day BID = two times a day TID = three times a day QID = four times a day QOD = every other day PRN = as needed IM = intramuscular 9 SQ = Subcutaneous ID = Intradermal IV = Intravenous PO (per os) = by mouth NPO = nothing by mouth Gtts = drips Formulas: Dose over Have – Dose x vehicle = Have Weight Conversion: LBS to kg ———- divide by 2.2 Kg to Lbs. ——– multiple by 2.2 Calculate a drip rate: Rate x drop factor = Time Example: Administer D5LR at 125 ml/hr. The drop factor is 15gtss/min. Calculate your drip rate. 125 x 15 = 31.25 = 31 gtss/min 60 ** you can not count a partial drop or program partial drop – that is why you round to the nearest whole number. BY pump – • If using a pump the IV flow rare is ml/hr Volume (ml) x [pump (60min) ] Time (min) 1 hour 10 The 6 rights of Medication Administration: 1. 2. 3. 4. 5. 6. Right Medication Right Dose Right Patient Right Route Right Time Right Documentation Rockford University Medication Administration Rounding Rules: Tablets: – Round tablets to the nearest whole, half, or quarter tablet for tablet that can be divided o Example: 0.73 tab = 0.75 tab or 1.09 tab = 1 tab Oral Liquid medications: – If unable to accurately measure the dose in a medication cup, use a syringe to obtain the most accurate dose measurement. Milliliters – Round all liquid doses to the nearest tenths place o Example : 0.94334ml = 0.9ml 0.46031ml = 0.5ml 5.7452ml = 5.7 ml IV Flow Rates: – Electronic IV Pumps o Set as whole number in ml per hour (ml/hr) o Note: Most pumps are capable of accepting decimal flow rates which is commonly used only with critical care and pediatrics. o Example: Heparin 6.7489 ml/hr = 7ml 60.666 gtt/min = 61 gtt/min Weights: – All measurements (poungs, kilograms, grams, milligrams, etc.) should be rounded to the nearest hundredth. o Example: 77.272 lbs = 77.27 lbs 1.885 kg = 1.89 kg 11
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