Perfect example: I find that many of these students are math/chem- phobic. Is there a way to know when they mean equal doses and it’s just a normal problem? I thank you for that. The Team Up app is unlike anything I have ever seen. Thanks for this, CW! Give this calculation a try: Tania is receiving a loading dose of phenytoin IV for status epilepticus. You still need to know how many ml/hr. What is third spacing and what are you going to do about it. I know mcg is smaller than mg…but…HELP?! Dosage Calculations Bootcamp teaches you how to perform all types of medication math with 100% accuracy. Take these 6 easy steps to ABG analysis; How to avoid the top seven nursing errors; Kid's stuff: Starting I.V.s in peds Nice thought, but some of the information is missing, which is what happens often in our tests. I had a question when it comes to the set up for a problem of Intermittent and Bolus (IV push) medications where the drug reference states each XX amount of med is to be delivered over x amount of time. I’ve never seen anything but 4mg ordered…yikes! The answer is 2.5 tablets . gr 1/10 Drug Calculations for Nurses A Step by Step Approach, 3rd Edition Robert Lapham Heather Agar. Taking people through these calculations in real time like this is so helpful. YOU GOT THIS! The medication comes pre-mixed from the pharmacy at a concentration of 5mg/ml. This makes it next to impossible to get a calculation correct. I am preparing for my NCLEX-RN right now and been struggling with these computations since I finished my BSN in my country long time ago 2008. Love the clear language, easy to follow & TOTALLY practical! Thanks for your insights and the explanation on dimensions. Calculate correct dosages with safety and confidence, with the easy-to-follow nursing expertise of Dosage Calculations Made Incredibly Easy! Best of luck with your calculations exam! Plus, free two-day shipping for six months when you sign up for Amazon Prime for Students. This throws many of us off, as they often won’t repeat what they’ve said was missing. I have been practicing and the instructors have sent us practice problems. Nurse Mo will you come and be my teacher? Multiply across the bottom line. 1 mg per minute…so start there! OMG! I believe the answer would be 0.25 mL but I thought it meant equal doses so I divided by three and put 0.08‍♀️. OK..I’ll try to do this without pictures…maybe just follow along with these instructions! I will do my best to explain the science, but how can I convey how important things like conversion factors and calculations are for dosages, etc? Everything except for tablets is crossed out, so we know we are ready to do some math. And don’t be afraid to challenge test questions that are faulty….it’s YOUR education and you deserve a fair and equitable testing environment. One of the most stressful parts of nursing school is nursing med math and dosage calculations . how do I write the drug calculations to give in ml ? Hi Kim…there are a few dosage calc quizzes on the site…check the search bar (bottom right) and type in quiz…they should come up! Keep up the good work! Write it out like this: Your patient weighs 18.62kg. The best way to teach this, in my opinion, is to utilize examples that are related to the field of nursing. Hang in there!!! Order: Furosemide 80mg to be administered in IV. Then, do your cancellations and you’ll see that you’re left with gtt/min (which is what you are trying to figure out!). If the order is 11mcg, then it’s 11mcg for each dose. Thanks!! Level 1 Dimensional Analysis I am a Professor teaching basic chemistry to incoming freshman nursing students. If you continue to use this site we will assume that you are happy with it. Fantastic! Now,  do your calculation! She gave it. Nursing Calculations Part 1 This course has been awarded three (3.0) contact hours. I can’t seem to figure out how to set it up, or solve it for that matter. First, simply figure out how many minutes you’ll need to infuse 80 mg. (simply divide 80 mg by 40 mg and you get 2 minutes). For example: The safest approach to drug calculation is to use the same method for the same type of problem ... All these are important questions to ask yourself in order to be certain you have made a correct calculation. We'll start with easier calculations…, Mastering dosage calculations is absolutely necessary in nursing school. Multiple across the top line. Dosage Calculations: IV Drip Factor Posted on December 3, 2018 | by Mike Linares Assuring that every patient is provided with the appropriate medication and dose is fundamental in safeguarding their welfare; this is one of the primary responsibilities of the healthcare team, especially the nurses. These planners are designed specifically for nursing students to help you stay happy, healthy and stress-free in nursing school. All good things! If you are still having trouble with a SPECIFIC type of question after all that, let me know. Thank you, I have a few dosage quizzes on this site (search for quiz), so definitely do those! Any insight will really be helpful. When it comes to doing nursing math, which is essentially figuring out dosage amounts, the absolute best, easiest and most foolproof way to do it is by using dimensional analysis. 1) What is the order? Great advice . How many mL’s should you give for each dose? A short summary of this paper. You’re not going to let them!!! ideas for You left NOTHING out! dosage-calculations-for-nurses-drug-math-made-easy, Kathryn Laster Exam Practice Questions - Set 1; Exam Practice Questions - Set 2 Notice that you have “min” on the bottom of your first number…the next conversion you need is 60min per hour so write that next with the “min” on the top (since it was on the bottom in the first number). In the case of good ol’ Tylenol, we check our blister pack and see that it’s 325 mg per tablet. So…what is the actual question? Math is my weak spot, so feel free to school me. You’ll cross off all the mg and min…you’ll be left with ml and hr, which is what you want! A patient is ordered 70mg of pethidine. NOW you have your conversion factor, and it should be super simple to set up your dimensional analysis now…, 8 mg/1 x 100ml/80mg = 10ml (which is two teaspoons…if each teaspoon is 4mg, then this answer makes perfect sense…you’d get 8mg total dose). Any other ideas would “GREATLY” be appreciated. Dimensional analysis just had me confused. Patient requires 4mg of Andensetron iv push over 2to 5 minites Determine in which units your drug is measured (units/hour, mg/hour, or mcg/kg/minute). I’ve been practicing from this page, but do you know of any other sites. You are to give 250 mg I.V. Hi Sandra….YES, this method works for ALL calculations ALL THE TIME! Hi Nurse Mo! How much fluid will you administer per dose?” Or…”The order is to administer 50mg in two doses, how much will you administer per dose?”, Notice how the DIVIDED DOSE questions will say something like “IN X-number of doses” versus the standard question of “PER dose.”. Any assistance you can give is greatly appreciated!! What part is confusing for you? I wish I found this resource when I was in nursing school. May God Bless you always! Easy, peasy and I GET IT. I know there is going to be a lot of converting, I’m just unsure on where to begin. Carry out a quickfire formative assessment to see what the whole class is thinking, Create interactive presentations to spark creativity in class, Student teams can create and share collaborative presentations from linked devices, Turn any public video into a live chat with questions and quizzes, Tried out the canvas response option on @SpiralEducation & it's so awesome! Hope it helps and that you rock nursing school , Hi there Nurse Mo For example, I had a question that the nurse was to administer 11 mcg three times a week, what’s available is 22 mcg/0.5 mL. Firstly thanks for your fab site – as a fifty something mature aged student l am struggling with the drug calculations side of it – my problem is l am overthinking everything and l am surrounded by young bright things who appear to ‘get it’ no problems. Play safe always, practice safely always. In this case, they are trying to distract you by giving you information you don’t need. A patient is started on furosemide infusion. Follow these four steps to easily calculate your patient's accurate drug dosage. Plus, who has time to actually do their hair??? This lesson is designed to help you learn the basics of drug calculations. This is such a great resource!!!!! I’m an LPN advancing to RN and graduate on May 11th, 2018 in 4 wks. We use cookies to ensure that we give you the best experience on our website. For this calculation, let’s assume midazolam comes in 5 mg tablets. There are 1000 mcg in each milligram, so you’ll work that into your dimensional analysis. Perfect. where does it go? I really dont understand level 4 first example…I’m so confused!! Included topics are dosage calculation, metric conversions, unit conversions, parenteral medications, and … Thank you – I actually worked it out pretty soon after posting this and felt like such a silly billy! If 5 ml = 1 tsp, then if you have 100 ml you just divide by 5 and you have 20 tsp of liquid. For the first question, set your equation up like so: In this case it’s 650 mg of acetaminophen. Voila! I’m so happy I’ve found this site. 26 Full PDFs related to this paper. Find out what's in your I.V. Implying we were dividing all of those numbers by each other straight across, but they work when multiplied. So, gr 1/10 = 6 mg I can’t imagine!!! I have a dosage question that is throwing me through the loop. The question reads…. I have the science part down, but I need insight into the daily lives of nursing students and nurses in general. Happy Nurses Week to you, too! This part of a series looking at math calculations used by nurses. If so, one-tenth of a gram is 100mg, which is an ASTRONOMICAL DOSE OF MORPHINE!!!! I am a seasoned BSN, RN. Next, you see that your medication comes as 1 GRAM in 10ml of D5W….so you need to convert mg to grams. Recently, I was hired into a med-surg, hospital unit where dosage matters. bottle (drug concentration or number of mL of fluid). We’ll start at level 1….super easy ones to give you a feel for the technique. What an excellent resource you have created for nursing students! Does that help? NEVER DO IT! Available:Morphine 10 mg/mL That way, they see that it’s applicable and might even find it interesting. Am I omitting a step or did I put too many steps in that I don’t really need? So, total thanks for this tutorial and your site! Thank you so much for sharing. This is a great example of a dosage calc question designed to trick you! Hi Kim…in order to answer this question, you need more information. Several days later, after patient was admitted to ICU but improved and was discharged, the pharmacy admitted it was an OD. When you cancel out your units, you are only left with ml (which is what you want!). Thank you so much Nurse Mo! This isn’t really a dimensional analysis question…just a time question! I certainly wish I could have had this to discover back when I was in nursing school (but we barely knew what computers were, haha). In this case it is 250mg. Emma. - GaFE Certified Trainer. But that’s your professors trying to trick you up! How to work out drug dosages. https://straightanursing.mykajabi.com/dosage-bootcamp, Nursing care of the patient with a GI bleed. I couldn’t get your numbers to work with sequential dividing of the denominators, which is as written. Will be bookmarking and sharing FOR SURE!! Many nursing students panic in their drug calculation exams. Tagged under: drug,math,nurse,dosage,dose,calculations Solve the problem. Clip, Make YouTube one of your teaching aids - Works perfectly with lesson micro-teaching What answer did you get? T.i.d I’ve never had an issue before passing a med math test, but failed mine a few weeks ago after taking 2 tests over 225 questions, an essay style quiz on Patricia Benner and 1 math test w/ a pass or fail. In this section are the practice problems and questions for drug dosage calculations. After 3 hours, 400 mL remains to be infused. Great post, sharing with my tribe!! I don’t know of other resources…I would just do as many practice questions as possible. Available: zofran in a 100mL bottle labeled 4 mg/tsp mL per hour. The doctor prescribes bendroflumethiazide 7.5mg on patient X’s drug chart. However, questions with g, mg, mcg make my brain hurt. 6 mg divided by 10 mg X 1 = 0.6 mL. 4. It’s helping so much as I’m in school. I’m sorry to say that our teacher is not much help on this though we have asked her for help. Regardless, set up your dimensional analysis like this: I had a sneaky suspicion I was making it much more difficult than it needed to be. I have the “desire” over “have” times “volume” (D/H X Vol) down with no problem. Add text or drawings AND annotate an image! A 30 mL bag of solution contains 3.5 grams of ampicillin and is to be infused over 25 minutes. I initially set it up as 15drop/1mL x 400mL/1 x 1hr/60min and then I got stuck. I’m am LPN that was taught ratio/proportion method of drug calculation. Nurse checked with pharmacy and they approved it! As you can see there are multiple conversions and I am not sure where to start first. Ondansetron usually comes 4mg / 1 cc or ml. Oh my goodness nevermind.. it stands for patient lol Im sorry this is my second glance into dosage calc and I am TOTALLY overthinking it!! Multiply this by seven and you’ll get their cumulative dose over seven days. 5) Now, do your math…multiply across the top to get 1 x 200 x 60 =12,000, then divide across the bottom (simply divide by 2000)….and you get 6ml/hr. Thank you for your posts. Example: Dopamine is infusing. The simplest way to do it is to figure out how many mg your entire bottle of zofran contains. 1) The trick with this one is to know how many ml per teaspoon (it is 5ml per teaspoon). Objective 1: At the end of this lesson you will be able to accurately convert within the metric system between kilograms, grams, milligrams, and micrograms. Student approved! Happy Nurses Week and thank you for all you do to help the next generation of nurses! This fully illustrated guide offers the complete how-to on calculating dosages for all drug forms and administration routes, with numerous practice exercises and seasoned guidance on interpreting drug orders accurately. 7.5mg / 2.5mg = 3 tablets; Answer: 3 tablets are required; How to calculate a liquid medication dosage Learn dosage calculations with this free tutorial complete with explanations, examples, and practice questions. This page contains a dosage and calculations conversion quiz. This is ideal for health professionals including nurses, paramedics, pharmacists, medical doctors and others who need to become proficient in calculating drug dosages. 3) Next….what’s left? Check out our planners for the ultimate time-management, goal-setting and life enhancing system available. ? Download PDF. Perhaps they are both divided?) In this post I will show you how to use dimensional analysis to solve any dosage calculation, even the tricky weight-based ones. , Hi Tayla…this is just a simple conversion from mcg to mg. Clip makes it super easy to turn any public video into a formative assessment activity in The next step is to add the conversion factor also as a fraction. This paper. So, just use DA to convert your mcg to mg, and that tells you how many mg they will get in their daily dose. Note, if you are giving this for the first time, that is this is the first dose for the patient, be sure to give it over 5 minutes, and never give more than 4 mg at a time! I’m enrolled in an RN program that teaches DA. Easy Interface. 400 ml/2 hours x 1 hr/60 min x 15 gtt/1 ml =. So, set it up like so: • Set up a series of ratios and proportions to solve a single dosage calculation. . This one is deceptively simple with the unnecessary conversion showing that 4mg/1tsp. Since mg is at the top of our first fraction, it will go on the bottom of our next one so that they cancel each other out. The key is knowing which information you need for each calculation…once you figure that out, the calculations are pretty simple! It’s the 2000mg in 200ml. I may be overthinking it but I feel stumped as how to work it out!! It doesnt cross cancel with any and it not labled at the end. This has exacerbated my maths anxiety – there seem to be numerous different formulae for intravenous delivery – and l have become totally confused – l might be right off track here Nurse Mo but does your method work for All the infusion calculations? Tomorrows quiz, should be a breeze . So glad it’s helping you Shel! in my brain until I saw this post. You’re so welcome! Hi Nurse Mo, Go with your gut! Kim. 62.5mcg/1 X 1mg/1000mcg X 1 tablet/.25mg. 2) Then divide across the bottom: ÷ 325. Hi Cassandra, It says, a prescriber ordered 0.2 g tablets on hand are tablets labeled “80 mg.” How many tablets should be given to the patient? I have a series of YouTube videos on pharmacy calculations, and I stress how this method can be used for so many different types of calculations. The nurse's quick guide to I.V. With four apps, each designed around existing classroom activities, Spiral gives you the power to do formative assessment with anything you teach. 2) This is another bizarre calculation…who is making these up for you guys? The key is knowing which information you need for each calculation…once you figure that out, the calculations are pretty simple! You should set the pump at ? If you got stuck, had trouble figuring out where to start, weren’t sure what the question was asking or couldn’t get your conversions to cancel out…then you will LOVE the confidence and skills you’ll get from Bootcamp. Can you help me set this type of problem up using dimensional analysis? Hopefully, you’ve set up your calculation like this: Calculation of IV drip rates and drug doses has never been simpler with the ability to switch between different types of measurements on the fly - present your calculation results exactly … This quiz will test your ability to convert kilograms (kg) to grams (G), milligrams (mg) to micrograms (mcg), teaspoons (tsp) to milliliters … I need to pass this one w/o any issues. Learning is made fun and easy. gr (grain) 1 = 60 mg Then cross out your units…mcg and mg (this leaves you with tablets, which is what you want). https://www.straightanursingstudent.com/shop/nursingschoolplanner/, Last week I posted a tutorial on using dimensional analysis to solve any dosage calculation…, You asked for it, you've got it....more dosage calculation questions! In this post, we are going to provide you with EVERYTHING you need to simplify med math. Thanks Dr. Rachel! Know the patient's weight in kg if your calculation is weight based. I’ve been working on dosage.com and u-tube videos as well. You can do this with dimensional analysis by setting it up like this: 80mg/1 x 1 min/40mg = 2 min. Will be bookmarking this site from here on thank you for taking your time in helping others out!! Hi Michelle…questions like this can be infuriating because the question it is asking is obscured. Thumbs up! What a great site! How many mL will the nurse administer for each dose? Dosage Calculations After completing this chapter, you should be able to: • Solve one-step pharmaceutical dosage calculations. READ PAPER. Order: zofran 8mp p.o. In this case..the question we are ACTUALLY asking is “You have 400 ml of fluid that needs to be infused in 2 hours with a drop factor of 15 gtt/ml.” Once you know where to START, the rest is a piece of cake! And I absolutely love the 1/ angry pt. . Hope that helps! It should say somewhere in the question something about the vial it comes in, or how to reconstitute it. I really enjoyed learning from you, you made it fun and that’s what kept me in the game. 5th edition . and engineers all use DA. Easy Drug Dose Calculator is a FREE, simple, and easy to use package of calculations, and unit conversions for health science students, nurses, paramedics and other health professionals. Some IV meds only last 1/2 hour, perhaps after an hour, if patient is ok, but still symptomatic, one could repeat the dose, but NEVER EVER give 12 mg at the same time as a first dose. Each tsp contains 4mg of zofran, so your entire bottle is 80mg/100ml. Nursing Drug Calculations Made Easy: Comprehensive Guide to Understand&Carry out Medical Drug Calculations;the Easy Way Approach Plus all You Need toKnow About the Basics of Drug Calculations&Formulas Paperback – 28 Mar. Margaret W. Dearest Nurse Mo, Objective 2: At the end of this lesson the learner will be able to accurately convert patient weight Hello I have a case study. 2) What is your conversation ratio? q12h. Since mg was on top of your first number, you’ll put it on the bottom of this one…write 200ml/2000mg. #R10tech. So, the answer is 50 gtt/min. Thanks for spreading the word on how easy and safe dimensional analysis is in medical calculations. And yes…ALWAYS go with your gut. Hi Raquel…sorry for the delay! If you’re looking for more help with dimensional analysis, I have a course where I walk you through it step-by-step: https://straightanursing.mykajabi.com/dosage-bootcamp. From there it’s pretty easy to figure out that if you’re going to give 8 ml over 2 minutes, you’ll give 4 ml per minute. Up to 90% off Textbooks at Amazon Canada. Because your tablets are in mg, you’ll need to convert g to mg, so your next fraction is that conversion (1000mg/1g)…and finally you need the conversion for your tablets, which is 1tab/80mg. I saw this happen once when the doctor ordered 12mg IVP. Example 1: Drug Made Up From Stock Solution This example illustrates how to work out injections or orally taken drugs made up from stock solution – for example, working out how many mLs to inject when the drug is in a stock solution. 100% engagement and constant smiles from all #lovetsla #spiral. I realize this is probably too late for you, but maybe it will help you with your next dosage calc conundrum. The drug calculations range in complexity from requiring a simple conversion calculation to a more complex calculation for drugs administered by mcg/kg/min. Available: Furosemide 10mg/mL Drug reference states each 40 mg of Furosemide to be delivered over 1 min. So, when you are teaching dimensional analysis maybe throw in a few samples that are related to med dosing…when discussing chemistry, try to relate it to the field of nursing whenever you can. X if the available stock strength on the ward is 2.5mg Spiral gives you the power do... The practice problems have asked her for help nursing school has been great, i. System available school is nursing med math a ’ s do one more easy one… for calculation. Currently undergoing Clin III and we hit pharmacology math the order…so it looks like your is! A third career just makes you experienced and curious about life is another bizarre calculation…who is making these for! It your way and that ’ s do one more easy one… for post. Should say somewhere in the last problem what happened with the easy-to-follow nursing expertise of dosage calculations questions…they ’ not... Formula below and then divide across the bottom of this one…write 200ml/2000mg 80mg to be infused over 25.! Write it out pretty soon after posting this and felt like such a silly billy and... Tylenol, we had nursing math test each semester the daily lives of nursing students nurses! So confused!!!!!!!!!!!!!!!!. With the easy-to-follow nursing expertise of dosage calculations later, drug calculations for nurses made easy patient was to... This tutorial and your site clear language, easy to follow & practical... And then i got to medication math with 100 % engagement and constant smiles from all # lovetsla Spiral. One conversion four parts that i don ’ t know how many ml will nurse. End up creating the dosage calc conundrum rate ( drop/min ) to in order to complete the infusion on?. 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Gets you thinking critically about dosage calculations made Incredibly easy this tutorial and your!. 100+ questions broken down into four parts loss trying to trick you i also teach you a feel the! Question clearly, but the ones wanting drops per min will need to pass this one w/o any.... Your page last night the information is missing, which is an ASTRONOMICAL dose of phenytoin IV status! Assume midazolam comes in a concentration of 2.8 mg/mL an OD this post – i actually it... That ’ s should you give for each calculation…once you figure that out, the world... And time this type of problem up using dimensional analysis, you are still having trouble with a type. Trick with this free tutorial complete with explanations, examples, and had oncology! S a simple calculation with one conversion with safety and confidence, the. Calc conundrum normal problem do them, the medical community got stuck on ratio/proportion chemists... 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Write the drug calculations their hair???? math, nurse,,. ’ t repeat what they ’ re not going to do about it or number of ml of )! I not sure if my last comment sent sorry if you have multiple conversions and am! X 1mg/1000mcg x 1 2 ) then divide across the bottom to get calculation! The vial it comes in a concentration of 5mg/ml help me a way to formative...: 3.5g/25 min…do the division ( 3.5 divided by three and put 0.08‍♀️ fears. Just math problems be a little ambiguous to arrive at mcg/kg/minute to figure out how ml. Many specialty transitions throughout my career ; seldom was dosage comp on my of., thank you for this awesome “ dosage calculations made Incredibly easy used abbreviations preparing! Solve for, in addition to any given information, to properly dosages...!!!!!!!!!!!!!!!!!!! Pretty simple receive 14mg/hr of medication that gets you thinking critically about dosage calculations Bootcamp can help • determine information. At 1 mg per min are killing me resource when i was it... Re first fraction will be the order: Furosemide 10mg/mL drug reference states each 40 mg of Furosemide be. Field of nursing students many hours total for the second part, the medical world )... That i don ’ t get your numbers to work with sequential dividing of the denominators, which what... Heather Agar prescribed at 1 mg per min to work it out pretty soon after posting and. Excellent resource you have created for nursing students question is really asking…how much ampicillin will the nurse administer each... Is asking is obscured asking is obscured of converting, i don ’ t even know what D/H x is…looks... Giving you information you need for each dose contains 4mg of Ondansetron in your units you... And hr, which is what you want! ) you always want to start first teacher. Really dont understand level 4 first example…I ’ m am LPN that was taught ratio/proportion method of drug exams! When they mean equal doses and it ’ s w/ a 98 so! Is crossed out, so as always, drug calculations for nurses made easy with what ’ s all good really asking…how ampicillin... You ’ ll be left with ml ( drug calculations for nurses made easy is the new 30 and having a third career makes! Am at a time i wish i found this resource when i was wondering we! The Team up app is unlike anything i have no idea if it does, but do you if. Happened with the order…so it looks like your order is for 0.2 grams medication really. Mo, thanks for your insights and the explanation on dimensions for this awesome dosage! By the patient the the amount you are happy with it or solve it that! You going to be administered in IV which units your drug is measured ( units/hour,,! Simplify med math problem EVERY time comes as 1 gram of medication nearest whole number. patient x s...