Calculation of Drug Dosages A Work

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Chapter 12: Parenteral Dosages
Ogden & Fluharty: Calculation of Drug Dosages, 10th Edition

COMPLETION

Round to the nearest hundredth if the dose is less than 1 mL. Round to the nearest tenth if the
dose is greater than 1 mL.

1. The physician orders Recombivax HB 10 mcg IM for hepatitis B vaccination. The medication
is supplied in 5 mcg/0.5 mL. How many milliliters will the nurse administer?
_______________

ANS: 1 mL

2. The physician orders Methergine 0.3 mg IM for postpartum bleeding. The medication is
supplied in 0.2 mg/mL. How many milliliters will the nurse administer?
____________________

ANS: 1.5 mL

3. The physician orders Stadol 2 mg IM for pain. The medication is supplied in 1 mg/mL. How
many milliliters will the nurse administer? ___________________

ANS: 2 mL

4. The physician orders Toradol 45 mg IM for migraine headache. The medication is supplied in
30 mg/mL. How many milliliters will the nurse administer? ____________________

ANS: 1.5 mL

5. The physician orders Lovenox 80 mg subcutaneous daily for prevention of deep vein
thrombosis. The medication is supplied in 80 mg/0.8 mL. How many milliliters will the nurse
administer? ____________________

ANS: 0.8 mL

6. The physician orders testosterone 170 mg IM weekly for hormone replacement. The
medication is supplied in 200 mg/mL. How many milliliters will the nurse administer?
____________________

ANS: 0.85 mL

7. The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia. The medication
is supplied in 300 mcg/mL. How many milliliters will the nurse administer?
_________________

ANS: 1.3 mL
 8. The physician orders furosemide 60 mg IV push stat for edema. Available: 10 mg/mL. How
many milliliters will the nurse administer? ____________________

ANS: 6 mL

9. The physician orders KCl 10 mEq in 1000 mL of D5 NS to infuse at 100 mL/h. Available: 10
mEq/5 mL. How many milliliters of KCl will the nurse add to the IV?
____________________

ANS: 5 mL

10. The physician orders Imitrex 4 mg subcutaneous for migraine headache. The medication is
supplied in 12 mg/mL. How many milliliters will the nurse administer?
____________________

ANS: 0.33 mL

11. The physician orders Imferon 90 mg IM (Z track) for anemia. The medication is supplied in
50 mg/mL. How many milliliters will the nurse administer? ____________________

ANS: 1.8 mL

12. The physician orders Solu-Cortef 90 mg IM q8 h. Available: 125 mg/mL. How many
milliliters will the nurse administer? ____________________

ANS: 0.72 mL

13. The physician orders morphine 9 mg IM q4 h for pain. Available: 15 mg/mL. How many
milliliters will the nurse administer? ____________________

ANS: 0.6 mL

14. The physician orders 30 mg of medication diluted in 100 mL of D5W given over 15 to 30
minutes IV. The medication is supplied in 40 mg/5 mL. How many milliliters will the nurse
add to the IV solution? ____________________

ANS: 3.8 mL

15. Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will
the nurse administer? ____________________

ANS: 1.5 mL

16. A patient with fluid volume overload has bumetanide injection 2 mg IV push ordered. The
bumetanide is available in a 0.25-mg per milliliter concentration. How many milliliters should
the nurse administer with each dose? _________

ANS: 8 mL
17. Arixtra 2.5 mg subcutaneous every morning is ordered for prevention of deep vein
thrombosis. The Arixtra is available in 5 mg per 0.4-mL vials. How many milliliters would
the nurse administer with each dose? __________

ANS: 0.2 mL

18. The physician has ordered Haldol 0.5 mg IV every 2 hours prn for agitation. The Haldol is
available in 5 mg per 1-mL vials. How many milliliters would the nurse administer with each
dose? __________

ANS: 0.1 mL

19. A patient with nausea and vomiting has prochlorperazine 5 mg IV every 6 hours prn. The
medication is supplied in 5 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 1 mL

20. A patient has fentanyl 100 mcg IV every 2 hours prn for pain after surgery. The medication is
available in 0.05 mg per 1-mL vials. How many milliliters would the nurse administer with
each dose? __________

ANS: 2 mL

21. Naloxone 0.1 mg IV every 30 minutes is ordered for a respiratory rate below 8 breaths/min.
The medication is available in 0.4 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 0.25 mL

22. A patient has labetalol 10 mg IV every 2 hours prn for systolic blood pressure more than 180
mm Hg. The medication is available in 5 mg per 1-mL vials. How many milliliters would the
nurse administer with each dose? __________

ANS: 2 mL

23. A patient with renal failure has orders for Epogen 10,000 units subcutaneous every Monday,
Wednesday, and Friday; hold if hemoglobin is greater than 11 g/dL. The medication is
supplied in 10,000 units per 1-mL vials. How many milliliters would the nurse administer
with each dose? __________

ANS: 1 mL

24. The physician has ordered hydromorphone 0.2 mg IV every 30 minutes prn for pain. The
medication is available in 2 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 0.1 mL
25. Arixtra 5 mg subcutaneous every morning is ordered for deep vein thrombosis prevention.
The medication is available in 5 mg per 0.4-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 0.4 mL

26. A patient with fluid volume overload has bumetanide injection 1.5 mg intravenous ordered.
The medication is available in a 0.25-mg per milliliter concentration. How many milliliters
should the nurse administer with each dose? _________

ANS: 6 mL

27. The physician has ordered Haldol 2 mg IV every 2 hours prn for agitation. The medication is
available in 5 mg per 1-mL vials. How many milliliters would the nurse administer with each
dose? __________

ANS: 0.4 mL

28. A patient has fentanyl 150 mcg IV every 2 hours prn for pain after surgery. The medication is
available in 0.05 mg per 1-mL vials. How many milliliters would the nurse administer with
each dose? __________

ANS: 3 mL

29. A patient with anemia has Epogen 5000 units subcutaneous every Monday. The medication is
supplied in 10,000 units per 1-mL vials. How many milliliters would the nurse administer
with each dose? __________

ANS: 0.5 mL

30. Naloxone 0.2 mg IV every 30 minutes is ordered for a respiratory rate below 8 breaths/min.
The medication is available in 0.4 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 0.5 mL

31. A patient has labetalol 20 mg IV every 2 hours prn for systolic blood pressure above 180 mm
Hg. The medication is available in 5 mg per 1-mL vials. How many milliliters would the
nurse administer with each dose? __________

ANS: 4 mL

32. A patient with nausea and vomiting has prochlorperazine 10 mg IV every 6 hours prn. The
medication is supplied in 5 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 2 mL
33. The physician has ordered hydromorphone 0.4 mg IV every 30 minutes prn for pain. The
medication is available in 2 mg per 1-mL vials. How many milliliters would the nurse
administer with each dose? __________

ANS: 0.2 mL

34. A patient has fentanyl 50 mcg IV every 2 hours prn for pain after surgery. The medication is
available in 0.05 mg per 1-mL vials. How many milliliters would the nurse administer with
each dose? __________

ANS: 1 mL

35. A patient with anemia has Epogen 7500 units subcutaneous every Monday, Wednesday, and
Friday. The medication is supplied in 10,000 units per 1-mL vials. How many milliliters
would the nurse administer with each dose? __________

ANS: 0.75 mL

36. Ondansetron 4 mg IV every 6 hours as needed for nausea is ordered. The medication is
available in a 2 mg/mL concentration. How many milliliters would the nurse administer with
each dose? ________

ANS: 2 mL

37. Diphenhydramine 10 mg IV every 6 hours is ordered postoperatively for itching. The

medication is available in a 50-mg/2-mL concentration. How many milliliters of
diphenhydramine would the nurse administer with each dose? ______

ANS: 0.4 mL

38. Hydralazine 10 mg IV every 4 hours is ordered for a patient with hypertension. The
medication is available in a 10-mg/2-mL concentration. How many milliliters of hydralazine
would the nurse administer with each dose? _____

ANS: 2 mL

39. Zofran 8 mg IV every 6 hours as needed for nausea is ordered. The medication is available in
a 2-mg/mL concentration. How many milliliters would the nurse administer with each dose?
________

ANS: 4 mL

40. Benadryl 25 mg IV every 6 hours is ordered postoperatively for itching. The medication is
available in a 25-mg/mL concentration. How many milliliters of Benadryl would the nurse
administer with each dose? ______

ANS: 1 mL
41. Apresoline 10 mg IV every 4 hours is ordered for a patient with hypertension. The medication
is available in a 5-mg/2-mL concentration. How many milliliters of Apresoline would the
nurse administer with each dose? _____

ANS: 4 mL

42. A patient with rapid atrial fibrillation has an order for Corvert 1 mg IV over 1 minute STAT.
The medication is available in a concentration of 0.2 mg/mL. How many milliliters of Corvert
would the nurse administer? _____

ANS: 5 mL

43. Narcan 0.8 mg IV every 30 minutes is ordered for a patient with a respiratory rate less than 8
breaths/min. The medication is available in 0.4 mg per 1-mL vials. How many milliliters
would the nurse administer with each dose?

ANS: 2 mL

44. The physician has ordered Dilaudid 0.6 mg IV every 30 minutes prn for pain. The medication
is available in 2 mg per 1-mL vials. How many milliliters would the nurse administer with
each dose? __________

ANS: 0.3 mL

45. A patient with fluid volume overload has Bumex 2 mg intravenous injection ordered. The
medication is available in a 0.25-mg per milliliter concentration. How many milliliters should
the nurse administer with each dose? _________

ANS: 8 mL

46. A patient with renal failure has Lasix 40 mg intravenous ordered. The medication is available
in a 10 mg/mL concentration. How many milliliters should the nurse administer with each
dose? _________

ANS: 4 mL

47. Protonix 20 mg is ordered IV twice a day for a patient. The medication is available in a 40
mg/10 mL concentration. How many milliliters would be given with each dose? ______

ANS: 5 mL

48. A physician orders Reglan 10 mg IV every 6 hours for a patient with high gastric residuals.
Using a vial with a 10 mg/mL concentration, how many milliliters would be administered
with each dose? ____________

ANS: 1 mL

49. A patient has an order for metoclopramide 5 mg IV every 6 hours for a patient with high
gastric residuals. Using a vial with a 10 mg/mL concentration, how many milliliters would be
administered with each dose? ____________
 ANS: 0.5 mL

50. According to the heparin protocol, a patient is to receive 70 units per kg IV before the
continuous heparin infusion is started. For a patient weighing 60 kg, how many units of
heparin should be administered? _________ Using a concentration of 1000 units/mL, how
many milliliters of heparin should be administered? _______

ANS: 4200 units; 4.2 mL

51. According to the heparin protocol, a patient is to receive 80 units per kg IV before the
continuous heparin infusion is started. For a patient weighing 75 kg, how many units of
heparin should be administered? _________ Using a concentration of 1000 units/mL, how
many milliliters of heparin should be administered? _______

ANS: 6000 units; 6 mL