Nursing · NCLEX-RN

Nursing Dosage Calculations II

Advanced dosage calculation scenarios including titrated drips, pediatric weight-based dosing, and unit conversions.

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What formula is used to calculate the amount of a drug to give, based on the desired dose and the dose on hand?
D/H x Q (Desired dose divided by Have, times Quantity)
What is the formula for IV flow rate in drops per minute (gtt/min)?
(Volume in mL divided by Time in minutes) x drop factor (gtt/mL)
What is the typical drop factor range for macrodrip IV tubing?
10 to 20 gtt/mL
What is the drop factor for microdrip IV tubing?
60 gtt/mL
1 kilogram equals how many pounds?
2.2 pounds
1 milligram equals how many micrograms?
1000 micrograms
1 gram equals how many milligrams?
1000 milligrams
1 liter equals how many milliliters?
1000 milliliters
What is the formula to convert a mcg/min drip order into mL/hr?
(Dose in mcg/min x 60) divided by concentration in mcg/mL
What is the formula to convert a mcg/kg/min drip order into mL/hr?
(Dose in mcg/kg/min x weight in kg x 60) divided by concentration in mcg/mL
How is a weight-based pediatric dose in mg calculated from an order in mg/kg/dose?
Multiply the mg/kg/dose ordered by the patient's weight in kilograms
Before calculating a pediatric dose given a weight in pounds, what must be done first?
Convert the weight from pounds to kilograms by dividing by 2.2
What is the Mosteller formula for body surface area (BSA)?
BSA (m squared) = square root of (height in cm x weight in kg divided by 3600)
BSA-based dosing is most commonly used for which category of drugs?
Chemotherapy drugs
Under the Holliday-Segar (4-2-1) rule, what maintenance fluid rate applies to the first 10 kg of body weight?
4 mL/kg/hr

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