Nursing · NCLEX-RN

Nursing Dosage Calculations I

Basic dosage calculation setups: desired-over-have, weight-based dosing, and IV drip rate formulas explained step by step.

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In the D/H x Q dosage formula, what does D stand for?
Desired dose (the dose ordered by the provider)
In the D/H x Q dosage formula, what does H stand for?
Dose on hand (the strength or concentration available)
In the D/H x Q dosage formula, what does Q stand for?
Quantity, the volume or form the dose on hand comes in
The basic dosage calculation formula is ____.
D/H x Q
Order: 500 mg. On hand: 250 mg tablets. How many tablets are given?
2 tablets
Order: 750 mg. On hand: 250 mg per 5 mL. How many mL are given?
15 mL
Why must D and H be in the same unit of measurement before calculating a dose?
Mismatched units produce an incorrect dose because the formula assumes both values share one unit
What is weight-based dosing?
Calculating a medication dose using the patient's body weight, usually expressed as mg/kg
One kilogram equals how many pounds?
2.2 pounds
A patient weighs 154 lb. What is the weight in kilograms?
70 kg
Order: 5 mg/kg/day. Patient weighs 60 kg. What is the total daily dose?
300 mg
A total daily dose of 300 mg is split into 3 equal doses. What is each dose?
100 mg
What formula converts a total daily weight-based dose into a single dose amount?
Total daily dose divided by the number of doses per day
In IV drip calculations, the drop factor is measured in ____.
drops per milliliter (gtt/mL)
What is the typical drop factor range for a macrodrip IV tubing set?
10 to 20 gtt/mL

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