Clinical Calculation 5 th Edition
|
|
- Rosalind Singleton
- 5 years ago
- Views:
Transcription
1 Clinical Calculation 5 th Edition Chapter 6 Calculation of Oral Medications Pages Oral Medications Medications that are administered by mouth and absorbed via the gastrointestinal tract are known as PO (by mouth or orally) drugs. Variation of the oral route is called sublingual (sl) route, whereby medication is placed under the tongue for absorption via the mucous membrane. Buccal route, medication is placed between cheek and gum for similar absorption. Neither sublingual nor buccal medications should be chewed or swallowed whole, as a rule they are not followed by water. Finally it is important to know different forms of oral medication and symbol used and understand how to read labels of medication containers, and calibrating on equipment used to dispense liquid medications. 1
2 Oral medication forms Tablets Contain a powered drug compressed into a tablet Coated tablets Covered with flavored coating to help swallowing and taste Enteric coated Delay dissolution till it reaches intestine, no dividing or crushed Capsules Gelatin container to conceal taste, ok to open and placed in the food Caplets Looks like capsules it may be coated, but it should not be broken Sustained-release capsules or tablets (time release) Coated to dissolve at different time, should not be broken. Liquids Dispensed as elixirs, syrups, suspensions or solutions Pictures 2
3 The medicine cup Basically there are 3 different type of measuring cups that we deal with here, and they are collaborated in one or more of the 3 measuring systems Metric system Apothecaries system Household system When solution is poured into a cup page 42 Concave surface is called meniscus and reading should be done at its lowest point. Read the amount in a cup at the eye level and on the flat surface setting. Look and note the smallest collaboration amount in each cup. When measuring smaller amount use syringe for accuracy if not pre-measured. You may use syringe and/or administer with spoon. check and double check before administrating to make sure it is done correctly, it may require to be opened at the bedside for one more opportunity for correct dosage. If between factors use syringe to collaborate the correct amount. It measuring in teaspoon or tablespoon, round to nearest tenth 3
4 When administrating tablets Tablet is scored in half or quarter Use pill splitter to score un-scored pills If oral medications that are not to be broken/ and it require ½ quantity, consult the pharmacist or the physician in regard to rounding Can be broken Tablets Contain a powered drug compressed into a tablet Capsules Gelatin container to conceal taste, ok to open and placed in the food Can not be broken Enteric coated Delay dissolution till it reaches intestine, no dividing or crushed Caplets Looks like capsules it may be coated, but it should not be broken Sustained-release capsules or tablets (time release) Coated to dissolve at different time, should not be broken. Reading labels and calculating dosage Name of the drug and its generic name Dosage strength: amount or concentration of the drug, per ml, Name of manufacturer Form: liquid-ml, tablet, Expiration date Lot number- manufacturer's code in order to be able to track and trace incase of recall. Total amount per container. Direction for administration (or scoring), mixing, shaking Bar code Recommendation for storage (not on the list) Web site: seaction=reports.reportsmenu 4
5 The label for a bottle of medication is shown. 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 1. Pfizer mg 3. piroxicam 4. Capsules 5. Feldene Order: Lasix 20 mg PO How many tablets should be administered? 1. Starting factor = ORDER 2. Answer unit 3. Equivalents equation 4. Conversion equation 5
6 Order: Aldactone 50 mg PO How many tablets should be administered? 1. Starting factor = ORDER 2. Answer unit 3. Equivalents equation 4. Conversion equation 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container Order: Augmentin 500 mg PO How many ml should be administered? 1. Starting factor = ORDER 2. Answer unit 3. Equivalents equation 4. Conversion equation 6
7 Order: Calan SR 240 mg PO How many caplets should be administered? 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container 1. Starting factor = ORDER 2. Answer unit 3. Equivalents equation 4. Conversion equation Order: Brethine 5 mg PO How many tablets should be administered? 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container 7
8 Calculation based on body weight Prescription may prescribed according to a designated amount of drug per kilogram or pound. Because the amount of medication to be given is determined by the weight of the person, the weight and calculated dosage considered an equivalent relationship. Starting factor for this type of the problem is in pound or kilogram. Answer label is in whatever units the medication is dispensed (e.g., ml, mg, tab, etc.). Use dimensional analysis to calculate the correct amount to be administered per dose. Order: Mintezol Suspension 25 mg per kg per dose PO for an adult weighing 60 kg Available Supply: Mintezol Suspension (thiabendazole) 500 mg per 5 ml How many ml should be administered per dose? 1. Starting factor = weight 2. Answer unit 3. Equivalents equation 4. Conversion equation 8
9 Use dimensional analysis to calculate the correct amount to be administered per dose. Order: Myambutol 15 mg per kg per dose orally for an adult weighing 118 lb Available Supply: Myambutol (ethambutol) 400 mg per tab How many tablets should be administered per dose? 1. Starting factor = weight 2. Answer unit 3. Equivalents equation 4. Conversion equation A client who weighs 62 kg is to receive Nydrazid 5 mg per kg per day PO. The drug label states: Nydrazid (isoniazid) 300 mg per tab. Use dimensional analysis to calculate the correct number of tablets to be administered per dose. 1. Starting factor = weight 2. Answer unit 3. Equivalents equation 4. Conversion equation 9
10 Use dimensional analysis to calculate the correct amount to be administered per dose. Order: Augmentin 20 mg per kg per day in divided doses PO every 8 hours for a client who weighs 38 kg. Remember to divide by the number of does per day. Use dimensional analysis to calculate the correct amount to be administered per dose. Order: Ancobon 50 mg per kg per day PO in divided doses every 6 hours for a client who weighs 176 lb Available Supply: Ancobon (flucytosine) 500 mg per capsule n g Remember to divide by the number of does per day. 10
11 Clinical Calculation 5 th Edition Chapter 8 Calculation of Parenteral Medications Pages Parenteral Medication Medications that are administered via injection into dermal or intramuscular tissues or directly into vein are called parenteral medications. Administered by route outside the gastrointestinal tract. Parenteral route 1. Intradermal (ID) -Chap 8 2. Subcutaneous (subcut) -Chap 8 3. Intramuscular (IM) -Chap 8 4. Intravenous (IV) -Chap 10 and Intrathecal -not covered 6. Intracardial -not covered 7. Intra-articular -not covered 11
12 The Syringe and Needle Syringe Needle for penetration of the medication and the choice of needle depends on the route and site of administration, the size and obesity of the client, and viscosity of the medication. Hub lower end of the syringe and holds the needle. Barrel holds the medication Plunger made of clouded, color glass or plastic and it is operated to fill or empty the barrel Safety shield to protect its sterility for transport for injection and be locked into place to provide a permanent shield for disposal following injection, some syringes comes with retractable technologies which automatically retracts into the syringe barrel after injection. Needle Hub Barrel Plunger The type of syringes The tuberculin syringes Measures a total of 1 ml, and it is calibrated in hundredths (0.01 ml) and also in minims (16 minims per ml) Used for small quantities of medication and usually used with a 5/8 long needle The insulin Syringes Collaborated in Units and should be used only for administration of insulin. If very small quantity of medication ordered, it is also possible to use Tuberculin syringe, it requires conversion to ml or minims. It is available in 0.3 ml, 0.5 ml and 1 ml. The 0.5, 3, 6, 10, 12, and 35 ml Syringes Smaller ones are calibrated in 0.1 ml and larger ones 10, 12 are calibrated in 0.2 ml 12
13 The type of Needles The choice of needle depends on the route and site of administration, the size and obesity of the client, and viscosity of the medication. Varies in length from ¼ to 3. Shorter needles (1/4 1 ) are used for intradermal or subcutaneous injections Longer needles (1-2 ) are used for intramuscular injections, irritating medications, and larger or obese clients. Diameter of the needle is indicated by a gauge number. Runs from 14 to 27, the larger the number, the smaller the diameter of the needle Fine needles are used for aqueous solutions and heavier needles for suspensions and oils. Bevel the angle point of the needle increases the sharpness of the needle See page 87 for pictures Reading the Syringe On most single use syringes the plunger has a rubber tip that has 2 rings in contact with the barrel. Measurement must be made at the top ring, the one closer to the tip in order to read the accurate dose. Read at this point and Not here 13
14 Read the following syringes 1.2 ml 6.4 ml.38 ml Rounding OFF Because clinical calculation does not round to nearest collaborate syringe size, it is necessary to round off these values. When calculating dose obtained does not results in tenths of milliliter, the carry your decimal to hundredths and then For 5 or more round up For less than 5 (4 or less) round down 2.36 = = 2.3 If using tuberculin syringe, it is possible to measure hundredths of ml. Therefore, the computation should be carried to thousandths and then round off to hundredths. 14
15 Parenteral Medication Forms Drugs for parenteral medication are available in a variety of forms. Some are powder or frozen form and it must be reconstituted to a liquid, where as others are in solution and are dispensed in Single Dose ampoules constricted stem that facilitates snapping them open Single- and Multiple-dose Vials the vial is entered through the rubber diaphragm Pre-filed Cartridges single-dose disposable cartridges, may or may not be a needle attached to the cartridge. Reading Labels Manufacturer s product insert describes, in detail, the composition of the drug, its action, indications and contraindications for use, precautions and adverse reactions, dosage, direction for dilution or reconstitution, and if necessary direction for administration. See sample on pages
16 Calculating dosages obtained from Premixed Solutions Many parenteral drugs are dispensed in vials or ampoules that contain single or multiple doses. Label or printing on each container indicates the amount and the solution strength of the contents. Use this values as equivalent when calculating quality of solution is needed for the required dosage. Read label 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container 16
17 Read Label 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container Calculate the correct amount to be administered per dose. Order: diazepam 2.5 mg IM 1. Starting factor = order 2. Answer unit 3. Equivalents equation 4. Conversion equation 17
18 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container 7. The medication should be stored below what temperature? Calculate the correct amount to be administered per dose. Order: Robinul 0.2 mg IM 1. Starting factor = order 2. Answer unit 3. Equivalents equation 4. Conversion equation 18
19 A client is to receive chlorpromazine HCl 20 mg IM. The available supply is labeled Thorazine (chlorpromazine HCl) 25 mg per ml. How many milliliters should the nurse withdraw for the IM injection? 1. Starting factor = order 2. Answer unit 3. Equivalents equation 4. Conversion equation Prescription order states: trimethobenzamide 0.2 g IM. The vial of medication is labeled trimethobenzamide 100 mg per ml. How many milliliters should the nurse withdraw for the IM injection? 19
20 Calculations based on Body Weight Method of calculating based on the body weight is similar to the method used in Parenteral dosages. You have to start from client s body weight. Use dimensional analysis to calculate the correct amount to be administered per dose. Carry the answer to the hundredths place and round to the nearest tenth. Order: isoniazid 5 mg per kg per day IM for an adult weighing 45 kg (maximum 300 mg per day) Available Supply: isoniazid 100 mg per ml 20
21 Use dimensional analysis to calculate the correct amount to be administered per dose. Carry the answer to the hundredths place and round to the nearest tenth. Order: Amikin 10 mg per kg as a loading dose for an adult weighing 125 lb Available Supply: Amikin (amikacin) 250 mg per ml Reconstitution of Drug in Powder Form Some drugs lose their potency a short time after being placed in solution, so they are not reconstituted until they are ready to be used. A sterile diluents, usually water or 0.9% sodium chloride (normal saltine) must be added according to directions on the label or manufacturer s inserts. Label must indicate for injection or for injection. It is important that only diluents designed in the directions be used for reconstitution, because they have been determined to be compatible with the drug or the IV solutions to which the drug will be added. If asked for water do not added 0.9% sodium chloride. 21
22 Powder Form After the diluents is added, the vial must be shaken to dissolve the powder, then it may be drawn up into syringe for administration. Diluents volume May expand the volume of the solution. May not expand the volume of the solution. Read the drug label closely to make sure correct strength or concentration of the reconstituted solution to use for correct volume in your calculation. Read label 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container 22
23 Refer to the information on the medication package provided. In addition to the IM administration route, by which other route can the medication shown be administered? Intravenous Units of Medication Some drugs are measured in quantities called units. It is frequently is used for hormones, vitamins, antibiotics, Because the type of effect varies for each drugs, there is no common definition for a units. 23
24 Read Label 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container Use dimensional analysis to calculate the correct amount to be administered per dose. Round to the nearest tenth. Calculate the number of ml to be administered for the loading dose. Indicate this amount on the syringe. Order: heparin sodium 3500 units subcut 24
25 Read label 1. Identify the manufacturer's name. 2. Identify the dosage strength of the medication 3. Identify the generic name of the medication. 4. Identify the form of the medication. 5. Identify the trade name of the medication. 6. Total amount in the container Use dimensional analysis to calculate the correct amount to be administered per dose. Carry the answer to the hundredths place and round to the nearest tenth. Calculate the number of ml to be administered for the loading dose Order: Pfizerpen 3.2 million units in 4 divided doses per day 25
26 Use dimensional analysis to calculate the correct amount to be administered per dose. Round to the nearest tenth. Calculate the number of ml to be administered for the loading dose. Order: Pfizerpen 400,000 units IM Available Supply: reconstituted supply of Pfizerpen (penicillin G potassium) 500,000 units per ml Clinical Calculation 5 th Edition Chapter 9 Administration of Parenteral Medications Pages
27 Insulin Preparations Person with diabetes caused by insulin-secretion deficiency may be treated by one or more injection daily of manufactured insulin. Regular insulin is clear solution designated by letter R on the bottle. It is the only type of insulin that can be administered intravenously. Modified insulin designated by L (Lente Insulin), N (NPH insulin) and U (Ultralente insulin). They can only be administered subcutaneously. Lantus is a long acting synthetic human insulin administered subcutaneously. Combination of regular and modified insulin may have been ordered. Such combination may be reported as proportions of regular and modified. Read Label 27
28 State the dosage strength of the insulin. 100 units per ml Which of the following syringes should be used to administer the order? Answer using the name of the correct syringe. Order: Humulin 50/50 insulin 18 units subcutaneously Unit
Division 1 Introduction to Advanced Prehospital Care
Division 1 Introduction to Advanced Prehospital Care Chapter 7 Intravenous Access and Medication Administration Part 1 Principles and Routes of Medication Administration Topics Aseptic Technique Medication
More informationWithin the proportion the two outside numbers are referred to as the extremes. The two inside numbers are referred to as the means.
Basic Formulas Speaker: Jana Ogden This lecture will demonstrate the expectations for performing a variety of the more complex calculations. You are expected to refer to your text and complete the designated
More informationINFORMATION TOPIC: II-5 OR DEMONSTRATION: II-5. DOSAGE, MEASUREMENTS, AND DRUG FORMS (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:
LESSON PLAN: 5 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,
More informationINFORMATION TOPIC: II-5 OR DEMONSTRATION: II-5. DOSAGE, MEASUREMENTS, AND DRUG FORMS (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:
LESSON PLAN: 5 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,
More informationNonparenteral medications
Nonparenteral medications Capsules and unscored tablets are rounded to the nearest whole tablet. Scored tablets are rounded to the nearest 1/2 tablet. Liquid medications are rounded to one decimal place
More informationChapter 2 is a general introduction to the drug administration
Chapter 2 Safe and Accurate Drug Administration Chapter Overview Chapter 2 is a general introduction to the drug administration process. It introduces the student to the role of the person who administers
More informationClinical Calculation 5 th Edition
Clinical Calculation 5 th Edition Chapter 12 Pediatric Dosage Pages 211-232 Pediatric Dosage There are several methods for calculating pediatric medication dosage based on various combinations of age,
More informationChapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always
1 3 4 5 6 7 8 9 10 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always take appropriate Standard measures
More informationPediatric Medication Calculations
SECTION 7 Pediatric Medication Calculations CHAPTER 0 Pediatric Oral and Parenteral Medications CHAPTER Pediatric Intravenous Medications 00 Cengage Learning. All Rights Reserved. May not be scanned, copied
More informationPart 1 Principles and Routes of Medication Administration
1 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration 2 Caution: Administering medications is business Always take appropriate Standard measures to reduce your
More information2 : In both figures, 1 is the numerator. and 2 is the denominator. 2/5 or 2 : In both figures, 2 is the numerator. and 5 is the denominator.
CHAPTER 1 CAlculation of dosages and solution RATES USING RATIO AND PROPORTION (3 CONTACT HOURS) By Alene Burke, MSN, RN, received her Master of Science in Nursing Administration and Nursing Education
More informationUsing Ratio and Proportion
Chapter 2: Calculation of Dosages and Solution Rates Using Ratio and Proportion 4 Contact Hours By Alene Burke, MSN, RN. Alene received her Master of Science in Nursing Administration and Nursing Education
More informationCHAPTER 4 Medication Preparation & Supplies
CHAPTER 4 Medication Preparation & Supplies drug form (drug preparation) type of preparation in which the drug is supplied most pharmaceutical companies prepare a drug in a form most suitable for route
More information6. SR, XR, CR, and TR are examples of formulations. A) oral B) modified release C) repeat action D) soft gels
1. Which is a parenteral route of administration? A) oral B) vaginal C) sublingual D) rectal 2. A local effect occurs A) at the site of administration. B) throughout the body. C) only after intravenous
More informationLESSON 14 Medication Math
LESSON 14 Medication Math What is Med Math? (Drug/Dosage Calculations) Nurses must perform dosage calculations when administering medications and intravenous fluids. Pharmacology math requires the nurse
More informationObjectives. Objectives 9/11/2012. Chapter 12 Pharmacology. Copyright 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
Chapter 12 Pharmacology Objectives Define the terms drug and pharmacology Recall the four names given to a drug Identify the various laws and regulatory agencies that regulate drug administration Describe
More informationStandard operating procedures for preparation and administration of intramuscular injections. No Action Rationale
Standard operating procedures for preparation and administration of intramuscular injections Preparation Overview No Action Rationale 1 Collect and check all equipment 2 Check that the packaging of all
More informationChapter 3. Learning Objectives. Learning Objectives 9/11/2012. Drug Administration: Safety and Procedures
Chapter 3 Drug Administration: Safety and Procedures Learning Objectives Define standing orders, one-time orders, and as-needed (prn) orders Discuss six patient rights of drug administration Explain routes
More informationPharmaceutical Preparation For Internal Use
Pharmaceutical Preparation For Internal Use 1. Solid Preparations (Tablet, Capsule, Pill) 2. Liquid Preparations (Aqua, Syrup, Elixir, Extract, Liquor, Emulsion, Mixture, Infusion, Decoction). 3. Powder
More informationChapter 64 Administration of Injectable Medications
Chapter 64 Administration of Injectable Medications Injectable Medications Injection or intravenous (IV) infusion More invasive than administration by mouth, rectum, or through the skin Common methods
More informationPARENTERAL PREPARATIONS
PARENTERAL PREPARATIONS INTRODUCTION Parenteral (Gk, para enteron, beside the intestine) dosage forms differ from all other drug dosage forms, because they are injected directly into body tissue through
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION ALPROLIX [pronounced all prō liks] Coagulation Factor IX (Recombinant), Fc Fusion Protein This leaflet is part III of a three-part "Product Monograph" published when ALPROLIX
More informationDosage and Calculation
Dosage and Calculation Module for Common & Complex: Medical-Surgical Nursing TABLE OF CONTENTS: PAGE I. Abbreviation 2 II. Systems of Measurement 4 III. Methods of Calculations: Dimensional Analysis 8
More informationINSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER
INSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER Introduction The following instructions explain how to prepare and inject Enbrel powder for injection. Please read the instructions carefully
More information48 th Annual Meeting. A Review of Pharmacy Calculations for Pharmacy Technicians. Metric System of Measurement. Disclosure. Common Conversions
48 th Annual Meeting A Review of Pharmacy Calculations for Pharmacy Technicians Nina Pavuluri, Ph.D. Navigating the Oceans of Opportunity Metric System of Measurement Base Unit Factor Name Symbol 1 (g,
More informationThis chapter shows how to use a formula method for dosage calculation to calculate the
CHAPTER 15 osage Calculation Using the Formula Method Objectives After reviewing this chapter, you should be able to: 1. Identify the information from a calculation problem to place into the formula given
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION ALPROLIX [pronounced all prō liks] Coagulation Factor IX (Recombinant), Fc Fusion Protein This leaflet is part III of a three-part "Product Monograph" published when ALPROLIX
More informationSyllabus. Allied Health Dosage Calculation Online ALH-1202
1 Syllabus Allied Health Dosage Calculation Online ALH-1202 Contact information Laura Hodgson RN,BSN IVCC Nursing OFFICE:A-214b PHONE:815-224-0525 EMAIL: laura_hodgson@ivcc.edu - please feel free to call
More informationSouth Texas College Associate Degree in Nursing. RNSG 1262 Clinical 1. Math and Dosage Calculations Module
South Texas College Associate Degree in Nursing RNSG 1262 Clinical 1 Math and Dosage Calculations Module Study this Module and answer all the practice questions. Show your computation and write the final
More informationRoutes of drug administration
Routes of drug administration Definition:- A route of administration in pharmacy is the path by which a drug is taken into the body. Classification:- The various routes of administrations are classified
More informationInstructions for Use. For use with. 10 mg vial
Instructions for Use For use with 10 mg vial Table of Contents Parts of the ZOMA-Jet 10... 1 Supplies you will need to mix a ZOMACTON 10 mg Vial... 2 Mix a ZOMACTON 10 mg vial... 3 Reset the ZOMA-Jet 10...
More informationIntravenous Fluid and Drug Therapy
11 Intravenous Fluid and Drug Therapy OUTLINE Overview Direct Intravenous Injections Continuous Intravenous Injections Solution Additives Calculating IV Components as Percentages Calculating IV Flow Rates
More informationJones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION
Forfunlife/Shutterstock Chapter 7 Dosage Calculations CHAPTER OUTLINE 7- Comparing the Supply to the Ordered Dose 7-2 Methods of Dosage Calculation A. Ratio-Proportion. Fractional Ratio-Proportion 2. Linear
More informationNursing Division. PN Dosage Proficiency Exam Study Guide. Effective Fall 2010
Nursing Division PN Dosage Proficiency Exam Study Guide Effective Fall 2010 Page 2 PN Dosage Proficiency Exam (DPE) Study Guide Description This study guide is for Practical Nursing (PN) and Associate
More informationUSER GUIDE. Melanotan must not be used if you are:
USER GUIDE This document is for guidance purposes only and in no way replaces any official statements or other legal guidance documentation. This document does not claim to be correct or complete, no one
More informationWITH APPLICATIONS TO : ; : GENERAL AND SPECIALTY AREAS
f Fourth Edition WITH APPLICATIONS TO : ; : GENERAL AND SPECIALTY AREAS Joyce LeFever Kee, RN, MS Associate Professor Emerita College of Health and Nursing Sciences University of Delaware Newark, Delaware
More informationDrug Dosage Calculations
8 Drug Dosage Calculations OUTLINE Overview Dosage and Doses The Desired Dose Calculating the Amount to Administer OBJECTIVES Upon completion of this chapter, the student should be able to: 1. Distinguish
More informationMath Review 5. Multiple Choice Identify the choice that best completes the statement or answers the question.
Math Review 5 Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Identify the correct dose of insulin in the syringe. a. 15 units b. 14 units c. 16 units
More informationPfizer, BeneFIX R2 Recombinant Factor IX
Pfizer, BeneFIX R2 Recombinant Factor IX BeneFIX, Recombinant Factor IX, is indicated for the prevention and control of bleeding episodes in people with hemophilia B (Christmas Disease). BeneFIX is also
More informationRECONSTITUTION, DOSING AND ADMINISTRATION
Prescribing Information can be found within this document CORRECT RECONSTITUTION FOR SC AND IV ADMINISTRATION VELCADE (bortezomib) 3.5 mg powder for solution for injection is available for intravenous
More informationInstructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial
Instructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial How do I prepare and give an injection with Enbrel multiple-dose vial? A multiple-dose vial contains
More informationPackage leaflet: Information for the user. GlucaGen HypoKit 1 mg Powder and solvent for solution for injection Glucagon
Package leaflet: Information for the user GlucaGen HypoKit 1 mg Powder and solvent for solution for injection Glucagon Read all of this leaflet carefully before you are given this injection because it
More informationGood practice for drug calculations
Good practice for drug calculations A step-by-step guide for nurses, doctors and all other healthcare professionals Pharmacyservices 7048 Drug Cal Guide A6 Update_AW.indd 1 22/07/2014 09:55 2 Contents
More informationHuman Anatomy Course.com PHARMACOLOGY MATH FOR THE PRACTICAL NURSE
Human Anatomy Course.com PHARMACOLOGY MATH FOR THE PRACTICAL NURSE TABLE OF CONTENTS Lesson Paragraphs INTRODUCTION... PRETEST FOR LESSON 1 Pretest Answer Sheet 1 BASIC MATH Section I. Basic Arithmetic
More informationTechnician Training Tutorial: Dispensing Meds that (Mostly) Go in the Mouth
(Page 1 of 6) Technician Training Tutorial: Dispensing Meds that (Mostly) Go in the Mouth There s a wide variety of oral dosage forms available. Capsules, tablets, and liquids are likely to come to mind
More informationALPROLIX Coagulation Factor IX (Recombinant), Fc Fusion Protein INSTRUCTIONS FOR USE Do not Do not YOUR KIT CONTAINS:
ALPROLIX Coagulation Factor IX (Recombinant), Fc Fusion Protein INSTRUCTIONS FOR USE Read the Instructions for Use before you start using ALPROLIX and each time you get a refill. There may be new information.
More informationSection 5: Appendices
MEDICATION ASSISTANCE IN ASSISTED LIVING Section 5: Appendices Medication Terminology Definitions Abbreviations 60 Appendix A: Medication Terminology There are many terms associated with medications and
More informationHow to Use ENBREL : Vial Adapter Method
How to Use ENBREL : Vial Adapter Method SETTING UP FOR AN INJECTION Select a clean, well-lit, flat working surface, such as a table. Take the ENBREL dose tray out of the refrigerator and place it on your
More informationInjection Techniques Principles and Practice. Introduction. Learning Objectives 5/18/2015. Richard E. Castillo, OD, DO
Injection Techniques Principles and Practice Richard E. Castillo, OD, DO Administering injections is considered a routine clinic activity Safety demands knowledge of: Anatomy & Physiology Pharmacology
More informationCumulative Math Practice Worksheet
Name: Date: Use the following to answer questions 1-3: Fill in the blank for each pair of ratios to form a proportion: 1. How many capsules are needed to fill a prescription for three days for mefenamic
More informationDosage Calculations. Worksheet #4
Dosage Calculations Worksheet #4 2 1. Ordered: Humulin 30/70 insulin 12 units subcut pmac. How many units of short acting insulin are in the above dose? How many units of intermediate acting insulin are
More informationAppendix 7: Vaccine presentation, preparation, disposal, and needle-stick recommendations
Appendix 7: Vaccine presentation, preparation, disposal, and needle-stick recommendations A7.1 Presentation of vaccines Most of the vaccines in current use are supplied in prefilled syringes or vials.
More informationMOD 4: Medication Administration
NSE22 Page 1 1. MOD 4: Medication Administration October1310 8:12 PM The CNO identifies eight rights of medication administration. Identify the eight rights and the rationale for each Right Client give
More informationHOW TO USE... 5mg. Pocket Guide
HOW TO USE... Pocket Guide 4 ZOMACTON [somatropin (rdna origin)] for Injection Supplies ZOMACTON 5 mg (powder) Preparation syringe Syringe and injection needle Diluent (liquid) Diluent (liquid) contains
More informationA step-by-step preparation guide
A step-by-step preparation guide For needle and needle-free systems This guide provides detailed instructions on the reconstitution, dilution, and storage of VELETRI. It is intended to be used after your
More informationB Figure 17-7 A, CellCept oral suspension 200 mg per ml. B, Depakene oral solution 250 mg per ml.
Calculating Oral Liquids Medications are also available in liquid form for oral administration. Liquid medications are desirable to use for clients who have dysphagia (difficulty swallowing) or who are
More informationPharmacology. Pharmacology. Pharmacology. Safety the ultimate goal. Patient advocate. Responsible = responsive
Safety the ultimate goal Patient advocate Responsible = responsive Correct medication history and administration Be aware of specific facility guidelines May be responsible for obtaining, maintaining,
More information2. The nurse must know the institution's administration procedures for the client's welfare and the nurse's legal protection.
Unit 4: Medication Administration: Medication: Is a substance administered for the diagnosis, cure, treatment, relief, or prevention of disease. Six Rights of Medication Administration After paramedics
More informationCox College Springfield, MO. Dosage Calculation Competency Level II Practice Sheet STUDENT NAME: DATE: STUDENT I.D. #: ADVISOR:
Cox College Springfield, MO Dosage Calculation Competency Level II Practice Sheet Updated 4/2015 STUDENT NAME: DATE: / / STUDENT I.D. #: ADVISOR: A 95% must be achieved on the competency exam to progress
More informationPATIENT INFORMATION What is VITRAKVI? and and
PATIENT INFORMATION VITRAKVI (vi trak vee) (larotrectinib) capsules and oral solution What is VITRAKVI? VITRAKVI is a prescription medicine that is used to treat adults and children with solid tumors (cancer)
More informationArtesunate 60 mg for injection WHOPAR part 3 November 2015 (Guilin Pharmaceutical Co., Ltd.), MA051 PATIENT INFORMATION LEAFLET
PATIENT INFORMATION LEAFLET 1 PATIENT INFORMATION LEAFLET: INFORMATION FOR THE USER Artesun 60mg * Artesunate 60 mg for injection and sodium bicarbonate injection 50 mg/ml (1ml) and sodium chloride injection
More informationPatient Education Pharmacy Services
Patient Education This handout details the types of insulin. It also covers how to store, mix and inject insulin. What is insulin? Insulin is made by the pancreas and acts as a key to move glucose (sugar)
More informationMedical Mathematics Handout 1.3 Introduction to Dosage Calculations. by Kevin M. Chevalier
Medical Mathematics Handout 1.3 Introduction to Dosage Calculations by Kevin M. Chevalier Now that we covered the foundation of medical mathematics in the first two handouts, we can apply those concepts
More informationSafe Use of Needles. Year Group: All. Document number: CSL_U02
Year Group: All Document number: CSL_U02 Equipment for this station: Needles Syringes Sharps bin Equipment list: In most situations, you will not need to recap needles but will dispose directly into a
More informationPreparation of TAMIFLU for Oral Suspension. Emergency Compounding of an Oral Suspension from TAMIFLU Capsules (Final Concentration 15 mg/ml)
Preparation of TAMIFLU for Oral Suspension It is recommended that TAMIFLU for Oral Suspension be constituted by the pharmacist prior to dispensing to the patient: 1. Tap the closed bottle several times
More informationChloroform Codeine Ether
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Chapter 6, Part 1 GENERAL PRINCIPLES OF PHARMACOLOGY Part 1 Basic Pharmacology Drugs are chemicals used to diagnose, treat, and disease. Pharmacology is the study of drugs
More informationPharmaceutical Calculations
Pharmaceutical Calculations Introduction Pharmaceutical calculations dealing with: Expressions of concentration Master formulae to working quantities Changing concentrations Small quantities ( trituration)
More informationPHAR 7632 Chapter 7. Table Market and Share of Pharmaceuticals by ROA Data from Viswanathan, 2004
Student Objectives for this Chapter After completing the material in this chapter each student should:- be able to describe various routes of drug administration including the concentration versus time
More informationInstructions for Use Enbrel (en-brel) (etanercept) Single-use Prefilled SureClick Autoinjector
Instructions for Use Enbrel (en-brel) (etanercept) Single-use Prefilled SureClick Autoinjector How do I prepare and give an injection with Enbrel Single-use Prefilled SureClick Autoinjector? This section
More informationParenteral Products. By: Howida Kamal, Ph.D
Parenteral Products By: Howida Kamal, Ph.D Dosage forms Route of administration Enteral INTO Parenteral ONTO Topical Dosage forms Physical form Solid Liquid Semi-solid Powder Granules Tablets Capsules
More informationH1N1 Vaccine Administration Manual for Paramedics
H1N1 Vaccine Administration Manual for Paramedics TABLE OF CONTENTS I. Introduction II. Policy and Procedure for Administering Medications A. Intradermal B. Intramuscular C. Subcutaneous III. Pictorial
More informationMYALEPT (MAI-uh-lept) (metreleptin) for injection for subcutaneous use
.3 mg per vial _ A healthcare provider should show you how to inject MYALEPT before you use it for the first time. A healthcare provider should also watch you inject your MYALEPT dose the first time you
More informationURGENT: Important Safety Information
July 2018 URGENT: Important Safety Information Subject: Notice of New Special Handling Instructions due to Potential for Cracked Needle Hubs and Particulate in Multiple Carpuject Luer Lock Glass Products-Corrected
More informationChapter 7. Principles of Pharmacology
Chapter 7 Principles of Pharmacology Introduction Administering medications is a serious business. Medications may alleviate pain and improve patient s well-being. Used inappropriately, may cause harm
More informationHome Care Services HomeMed MedEQUIP Michigan Visiting Care Michigan Visiting Nurses Wheelchair Seating Service PROCEDURE
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS UMHHC-HCS: 253.054 First Approved Date: 3/2010 Home Care Services HomeMed MedEQUIP Michigan Visiting Care Michigan Visiting Nurses Wheelchair Seating
More informationDosage Calculations. Worksheet #3. 1. Ordered: Cefazolin 450 mg IV TID Supplied: see label. What volume will you administer per dose?
1 Dosage Calculations Worksheet #3 2 1. Ordered: Cefazolin 450 mg IV TID Supplied: see label. What volume will you administer per dose? 2. Ordered: Humulin 30/70 insulin 40 units subcut amac. How many
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN 07/81 9/10 1 of 5 PURPOSE: 1. To maintain aseptic technique in preparing and administering
More informationBAYER: KOGENATE FS WITH BIOSET (Recombinant FVIII)
BAYER: KOGENATE FS WITH BIOSET (Recombinant FVIII) KOGENATE FS, Recombinant Antihemophilic Factor, is indicated for the prevention and control of bleeding episodes in people with hemophilia A (classical
More informationVial. A healthcare provider should show you how to inject MYALEPT before you use it for
MYALEPT (metreleptin) for injection Instructions for Use MYALEPT (MAI-uh-lept) (metreleptin) for injection Vial A healthcare provider should show you how to inject MYALEPT before you use it for 8 Do not
More informationCore procedures assessment form
1. Venepuncture guidance choose appropriate needle or cannula have appropriate vials to hand choose a suitable, palpable vein after applying tourniquet insert needle with bevel upwards and advance 2-3mm
More informationBack to Basics: A Simple Guide to Calculations for Pharmacy Technicians
Page 1 Back to Basics: A Simple Guide to Calculations for Pharmacy Technicians By: Kevin McCarthy, R.Ph Back to Basics: A Simple Guide to Calculations for Pharmacy Technicians Accreditation: Pharmacy Technicians:
More informationMedication Administration. By: Carolyn McCune RN, BSN, MSN, CRNP
Medication Administration By: Carolyn McCune RN, BSN, MSN, CRNP Percutaneous Administration Medications application to the skin or mucus membranes Ointments, creams, powders, lotions, solutions into the
More informationThe Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel.
Instructions for Use Welcome! The Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel. Your healthcare provider has prescribed Enbrel SureClick autoinjector
More informationPatient Information Publications Warren Grant Magnuson Clinical Center National Institutes of Health
Warren Grant Magnuson Clinical Center National Institutes of Health What is a subcutaneous injection? A subcutaneous injection is given in the fatty layer of tissue just under the skin. A subcutaneous
More informationA step-by-step preparation guide
A step-by-step preparation guide This guide provides detailed instruction on the reconstitution, dilution, and storage of Veletri (epoprostenol) for Injection. It is intended to be used after your healthcare
More informationTo provide nursing staff with guidelines for the safe and appropriate administration of insulin.
SUBJECT: ADMINISTRATION OF INSULIN This cancels NP 513 dated 3/1/07 1. PURPOSE: COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Medications POLICY NUMBER: 513 Effective Date: June
More informationDisclosures. Learning Objectives 9/23/2018. Pharmacy Calculations Commonly Used in Prescription Drug Preparation
Pharmacy Calculations Commonly Used in Prescription Drug Preparation Joshua Hahn, PharmD; Lauren Zupsic, PharmD PGY1 Pharmacy Residents St. Luke s Boise Medical Center September 28 th, 2018 Disclosures
More informationFundamentals of nursing Medication Administration
University of Mosul College of Nursing Second Stage Fundamentals of Nursing Name of chapter (Medication Administration) Prepared by Mohamed Salah Assistant Lecturer Medication Administration Overview Safe
More informationInsulin Basic facts. Patient Education Patient Care Services. What is insulin? What types of insulin are there? Basal Insulin
Patient Education Insulin Basic facts Insulin is a protein made by the pancreas that allows your cells to use glucose for energy. There are different types of insulin: Basal long-acting insulin that controls
More informationPATIENT INFORMATION LEAFLET MEDICINE TO TREAT: DIABETES. Insulin
PATIENT INFORMATION LEAFLET MEDICINE TO TREAT: DIABETES Insulin This medicine has been proven to be safe and effective, but it can cause serious injury if a mistake happens while taking it. This means
More informationProduct Catalog 2016 EMEA
Product Catalog EMEA 2016 PORTFOLIO SOL-M Standard medical devices SOL-GUARD Basic safety medical devices SOL-CARE Innovative and advanced safety-engineered medical devices Sol-Millennium Europe Sp. z
More informationPART III: CONSUMER INFORMATION
IMPORTANT: PLEASE READ PART III: CONSUMER INFORMATION NiaStase RT (eptacog alfa, activated) Activated Recombinant Human Blood Coagulation Factor VII Room Temperature Stable This leaflet is Part III of
More informationTechnician Tutorial: Oral Dosage Forms 101
(Page 1 of 6) Technician Tutorial: Oral Dosage Forms 101 There s a wide variety of oral dosage forms available. Capsules, tablets, and liquids are likely to come to mind immediately. However, these categories
More informationGuide for Storage of Insulin
Guide for Storage of Insulin Every effort is made to assure the accuracy of the attached information. This information is not intended to be used as a tool to prescribe medication or provide other clinical
More informationChapter : Sources and Bodily Effect of Drugs
Systemic Effect- drug acts in a widespread area away from the administration site Ex: Tylenol rectal suppository- given rectally but is absorbed and distributed thru the body to cause a reduction in fever
More informationREAD THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION. Teduglutide for injection
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr REVESTIVE * Teduglutide for injection Read this carefully before you start taking REVESTIVE and each time you get
More informationNUH Medicines Policy: Code of Practice
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST NUH Medicines Policy: Code of Practice THE USE OF SYRINGES TO ADMINISTER FLUSHES, FEEDS AND MEDICATION VIA THE ORAL AND ENTERAL ROUTES POLICY Reference CL/MM/037
More information1 - Drug preparations and route of drug administration
1 - Drug preparations and route of drug administration - There are many ways to administer drugs 1. Enteral > drugs taken into gastro-intestinal (GI) tract, e.g. swallowing a pill 2. Parenteral > drugs
More informationPreparation and Administration
Preparation and Administration A guide for healthcare professionals XOLAIR IS INDICATED FOR: Adults and adolescents (aged 12 years) with moderate-to-severe persistent asthma who have a positive skin test
More informationC HAPTER 6 D RUG LABELS AND P ACKAGE INSERTS
C HAPTER 6 D RUG LABELS AND P ACKAGE INSERTS Learning Outcomes 6-1 Identify on a drug label the drug name, form, dosage strength, route, warnings, and manufacturing and storage information. 6-2 Locate
More information