Name:______________________________________

1: Jack weighs 44.9lbs. His is ordered Septra susp. 40.5mg PO at bedtime for Reflux prophylactics. Prophylactics is 2mg/kg/day based on the trimethoprim component.

A: Patient weight in KG (Round to the nearest tenth):___________________B: Is this safe dosing?__________________________C: How much would you draw up (round to the nearest tenth)?_____________________________

Name:_________________________________

2: The patient is ordered 72mg of Motrin susp PO once.

How much of the children’s Motrin should she give? ________________

How much should the mother give of infants? ________________

Name:_______________________________________

3: A patient comes in and had to take 375mg of Augmentin. Based on the make-up of the medication how much of the Clavulanic Acid is the patient receiving?______________________________________

Name:_______________________________________________

4: Patient needs to receive 228mg of Tylenol. The patient weight is 33.6 lbs. The drug guild expresses it 10-15mg/kg every 4-6hrs. Round to the nearest tenth.

A: Weight in KG:___________________________B: Safe range:_____________________________C: Is this dose safe:_________________________D: Based on the above dose how many mLs would you give?____________________

Name:___________________________________________________5: Order is Bactrim pediatric suspension 7.5mL PO q12hrs for a child who weighs 15kg and has a urinary tract infection (UTI). The drug guide states for children (PO) 8mg/kg TMP/day in 2 divided doses q 12hrs. (Based on TMP component).

A: Calculate the safe single dose for this child:_______________________B: Is it safe?_______________

Name:________________________________________6: NO CALCULATOR: Prior to drawing up your dose of medication critically think the situation at hand. Fill in the following statement on estimations you would expect with the following order. Circle the correct answer.

A: You estimate that you would give (more/less) than 5 mL.B: Without a calculator an estimated range is best? 3.5-5 mLs or 2-4 mLs

Order: Ceclor 100mg PO TIDSupply:

Name:_______________________________________________7: NO CALCULATOR: Prior to drawing up your dose of medication critically think the situation at hand. Fill in the following statement on estimations you would expect with the following order. Circle the correct answer.

You estimate that you would give (more/less) than 0.5 mL.Without a calculator an estimated range is best? 0.1-0.5 mL or 0.5 mL-0.7 mL(between X mL – X mL)

Order: Morphine Sulfate 1.8mg IM once NOWSupply:

Name:____________________________________________8: Solu-medrol 10mg IM q6hrs for a child who weighs 95 lbs. The drug guild states: Not less than 0.5mg/kg/day.

A: Is this dose therapeutic?____________________________________B: Based on the above dosage how much would you draw up? Mark on the syringe below.

Name:_____________________________________________________

9: Lea weighs 49Kg. The resident orders 3mg PO every 3 hrs PRN Pain. The appropriate dosing is 0.04-0.08mg/kg q 3-4hrs in opioid-naïve patients.

A: Is this dosage safe: ____________________________________B: What is the safe dose range: _______________________________C: On the syringe mark how much you would draw up.

Name:________________________________________________

10. Krista weighs 68.2 lbs. She takes Haldol 6.4mg IM daily. According to the drug book Children can have 0.05-0.15 mg/kg/day

A: What is the safe dose range?_________________________B: Is this a safe dose?_________________________________C: How much would you draw up for this medication at the current dosing?__________________________

Name:______________________________________

11: Janice is 7 years old and weighs 47.2lbs. She has been vomiting for 2 days with mild diarrhea. Mother has been able to give about 8oz of Gatorade in 12 hrs.

A. What is the patients weight in Kg:_________________Round weight to the nearest tenth

B. What is the MDFR:________________

Name:_______________________________________

12: Kevin is 2 yrs old and was here with a fever. His weight is 22.3lbs. The resident orders Tylenol 150mg PO once now. Dosage is 10-15mg/kg/dose.

A: Weight in Kg (round to the tenth):_______________________

B: Safe Range:_________________________________________

C: Is this a safe dose:____________________

Name:______________________________________________

13: The resident orders 7.5mg PO once STAT.

How much medication would you draw up?____________________

Name:______________________________________________

14: You are to give 127mg of Clindamycin to a patient weighing 17kg. Dosage is 20-40mg/kg/day divided into 4 doses.

How much medication would your draw up (round to the nearest 100th)?_______________________

Is this a safe dose:__________________

Name:______________________________________

15: You are giving Tylenol 120mg PO once. If the concentration is 160mg/5mL how much would you give?____________________

Mark the amount on the syringe below.

Name:________________________________________

16: The physician orders morphine sulfate 1.8mg IM STAT. The child weighs 79lbs. The drug guild states Morphine 0.2-0.5mg/kg q 4-6hrs.

Is this dosage safe?_______________________________

Is it High / Low / Safe? ____________________________

Name:____________________________________________

17. Practitioner orders Vistaril 20mg IM q 4-6hrs PRN nausea. The drug guild states safe dosing as 0.5-1mg/kg/dose. Pt weight is 20 lbs.

What is the safe dose range?___________________________

Is this dose safe?____________________________________

Name:_________________________________________________

18: Calculate the Dose:Order: Morphine Sulfate 1.8mg IM STATSupply: Morphine Sulfate 5mg/mL

Dose Is (mg/ml)?__________________________________

Mark Where you would draw up to on the syringe.

Name:_______________________________________________19: Calculate the Dose:

Order: Vistaril 20 mg IM q4-6hrs PRN nauseaSupply: Vistaril 50mg/ml

Dosage (mg/mL):______________________________________

Mark where you would draw up to on the syringe

Name:__________________________________________________20: Order is Keflex 125mg PO BID for a child who weighs 44lbs. The drug guild states for children when given PO is 30mg/kg/day in divided doses BID. Max is 2G/day. Round to the nearest tenth

A: What is the child’s weight in KG?___________________________

B: What is the safe dose per day?_____________________________

C: What is the safe dose per dose?____________________________

D: Is this dose safe?_______________________________________

Name:_______________________________________________21: Order for Furosemide oral solution 10mg PO BID for a child who weighs 16lbs. The drug guild states pediatric dosage is 0.5-2mg/kg BID.A: Is the order safe?_____________________________________B: What is the safe dose range?___________________________B: How many mLs do you draw up for the above dosage:________

Name:__________________________________________________

22: Calculate a single dose:Order: Ceclor 100mg PO TIDSupply: Ceclor 125mg/5ml

How much will you give? :__________________________________

Name:__________________________________________

23: Identify the parts of the drug label.

Trade Name:_________________________Generic Name:_________________________Reconstitute with & How much:_________________________Component amounts per 5mL:_________________________Expires:_________________________

Name:__________________________________________24: Identify the parts of the drug label.

Trade Name:_________________ Generic Name:________________________Expires in ______ hrs at room temp or _____ hrs if refrigerated. Amount of components per vial:______________________________________ Manufacturer:__________________ Distributed by:_____________________

Name:____________________________________________

25: Carol weighs 88 lbs. The resident orders 16mg IV once now. Drug guild states IV 0.06-0.3mg/kg/day. Round to the nearest 10thA: Pt weight in KG:__________________________B: Safe dose range:_________________________C: Is this dose safe?__________________________D: How many mLs to give the above dose:___________________

Name:___________________________________________26: Calculate the dosage.

Order: Ativan 7.5mg IV once nowSupply:

What is the dosage in mLs?________________________________Draw a line to indicate how much you would draw up for this dose.

Name: _________________________________________

27: You patient who weighs 100 lbs needs an IV to get his MDFR for bowel reset prior to surgery. Determine the MDFR and rate to run over 24 hours.

A: Weight in KG (nearest 10th):____________________________

B: MDFR:__________________________________

C: Rate for 24 hours:_________________________ (Round to the nearest whole number)

Name: ____________________________________________

28: You have IV fluids running at 65 mL/Hr. You have to give an 55 mL antibiotic over 30 min including the 15 mL flush.

A: How fast do you run the antibiotic and flush in 30 min:_________

B: How much fluid will your patient receive during your 8 hr shift if the primary pump is off during the time of the bolus?____________ (round to the nearest tenth)

Name:___________________________________________

29: Your patient is receiving IV with D5W with 20 mEq KCL (1L bag). The IV is running at 66mL/hr continuously.

A: How many mEq KCL per hour?__________________________

B: How many mEq KCL per day?___________________________

Name:____________________________________________

30: You are giving the patient the human rabies immune globulin (HRIG) post bat exposure. The patient weighs 132 lbs.

A: Weight in KG (round to the nearest 10th):____________________B: Dosage:______________ C: ML for dosage:_________________D: Number of shots to administer dosage:______________________E: How many mLs per syringe?_______________________________

Name:_____________________________________________

31: Your patient has an IV running at 45mL/hr. She has taken in 180mL juice and 60mL of water. The patient weighs 45.6 lbs.

A: What is the weight KG:______________________________ (Round to the nearest 10th)

B: What is the MDFR:__________________________________

C: Is her intake adequate?_______________________________

Name:_______________________________________________

32: Your patient needs a bolus of 300mL to run over 45 minutes then to have continuous IV fluid running at 75mL/hr.

A: What do set the pump to run the bolus over 45min? __________________________

B: How much fluid will the patient receive in 8hrs?_______________

Name: _____________________________________________33: Calculate the following dosage:Order: Ketamine 27 mg IV push Stat

How many mLs would you draw up?_________

Show where you would draw up to on the syringe below.

Name:_______________________________________________

34: Your patients IV is running at 80mL/hr. The patient needs an antibiotic in 45mL 0.9% NS that need to run over 30min with a 15mL flush.

A: What rate do you set your pump at to complete the antibiotic over 30 min?___________________________

B: How much fluid will the patient get in an 8hr shift?____________

Name:______________________________________________

35: Your patient has D5W with 20mEq KCL (1L bag) running at 45mL/hr.

A: How much KCL is the patient getting every hour?____________

B: How much KCL is the patient getting in 24 hrs?______________

Name:__________________________________________

36: Your patient is receiving 0.9% NS at 33mL/hr. He had 2-8oz cups of juice and 16 oz of water today. Your patient weighs 52.4 lbs.

A: What is the weight in KG:______________________(Round to the nearest 10th)

B: What is the MDFR:____________________________

C: Did the patient meet her MDFR?_________________

Name:___________________________________37: You are reconstituting this medication. How much do you reconstitute the vial with?___________________What is your final concentration per mL?______________________What can you reconstitute with?_____________________________How long is the vial good for?________________________________

Name:_______________________________________________

38: Your patient is to receive a bolus of 175mL with a 17mL flush over 30 min. She currently has D5/0.9% NS with 20 mEq KCL (1L bag) running at 15mL/hr.

A: What do you set the pump at to deliver the bolus in the prescribed time?___________________________________B: How much fluid will the patient take in during an 8hr shift?_____________________C: How many mEq of KCL is the patient getting in an 8 hr shift?_____________________

Name:______________________________________

39: Calculate the dose.

A: The resident orders 202.5mg PO daily for prophylactics. How many tablets do you give the patient?____________________________B: Is this form of medication appropriate for this dosing?_____________________________C: This medication should not be __________ or ______________.

Name:____________________________________________________

40. Your patient weighs 147 lbs. The patient is receiving D5NS with 10mEq KCL (1L bag) at 72mL/hr. The patient is NPO before surgery.

A: Weight in KG:_____________________ (Round to the nearest 10th) B: What is the MDFR: ___________________________

C: Is the patient receiving her MDFR?_______________________

D. How many mEq of KCL is the patient received per hour?______________

E: How many mEq KCL in a 12 hr shift?____________________

Name:_________________________________________________

41. You patient is to receive a bolus of 700mL over 45 min then go to maintenance fluids at 70mL/hr. The patient weighs 105kg. Patient is NPO.

A: What do you set the pump to run the bolus over 45 min?________________

B: What is the MDFR? _______________________

C: Is the patient going to meet his MDFR today if kept NPO?_______________

D: How much fluid with the patient get in 12 hrs?________________________

Name:_________________________________42. Calculate the dose:

Order: Tylenol 330mg PO once now

How many ML will you give this child? _________________

Please mark on syringe how much you would draw up

Name:____________________________________

43: Your patient is receiving D10/0.225%NS with 40 mEq KCL (1 liter bag) running at 72mL/hr. Your patient weighs 82 lbs.

A: What is the patient’s weight in KG (round to the nearest 10th)? ____________________________

B: How many mEq KCL per hour?____________________________

C: How many mEq KCL per 10 hr shift?________________________

D: What is the patients MDFR?______________________________

Name:______________________________________________

44: Convert the following:

A: 71.6lbs = _________KG

B: 15oz = _________mLsC: 7 Tbsp = _________tspD: 1 liter = _________mLsE: 16 lbs = _________ozF: 129lbs = _________KG

Name:______________________________________

45: Jack needs 2mg IV push once now.A: How much would you draw-up (mg/ml)?___________________ (Show how much you would draw up on the syringe below)

B: How fast can you give it? ________________________________

Name: ___________________________________________

46: Patient needs Rocephin 175mg/40mL and 15mL flush. This will run over 45min. Then the patient will have maintenance fluids running at 77mL/hr.

A: What rate do you need to set the pump at to run the antibiotic and flush over 45 min?___________________________________

B: How much fluid will the patient get over an 8hr shift?________

Name:___________________________________________

47: Patient weighs 37.4 lbs is ordered Acyclovir 166mg IV every 8hrs around the clock. According to the drug book the dose is 5-10 mg/kg IV every 8 hrs for 7 days. The vial is to be reconstituted with 5mL sterile water.

A: Weight in KG?______________________B: What is the safe dose range?__________________

C: Is this dose safe?_____________________________D: How much will you draw up mg/mL?_____________ Mark the amount on the syringe below.

Name: ___________________________________________

48: The provider orders Ceftriaxone 320mg IV BID. Per the drug guild dosing is 50-75 mg/kg/day. The patient weighs 20 lbs.

A: Weight in KG?__________________________B: What is the safe dose range?______________C: Is this dose safe?_________________________D: How much will you draw up mg/mL?_________ Mark the amount on the syringe below.

Name: ___________________________________________________________

49: The provider orders Ceftriaxone 400mg IV BID. Per the drug guild dosing is 50-75 mg/kg/day. The patient weighs 30 lbs.

A: Weight in KG?__________________________B: What is the safe dose range?______________C: Is this dose safe?_________________________D: How much will you draw up mg/mL?_________ Mark the amount on the syringe below.

Name:_______________________________________________

50. You are caring for a child who burned their foot and it has now become infected. The provider orders Cefazolin 3.8 G IV q 8 h. Child weights 85lb. Drug guide states Cefazolin infants and children 50-100 mg/kg/day divided every 8 hours; maximum dosage is 6 g/day.

What is the child’s weights in KG?___________________________What is the safe dose range?______________________________Is this order safe? _______________________________________

Name: _______________________________________________

51. Your patient is diagnosed with otitis media. Orders state Septra suspension 7.5 mL of TMP 40 mg per 5 mL p.o. q 12 h for a child who weighs 22 lb. Drug guide states Septra combination drug containing trimethoprim (TMP) 40 mg and sulfamethoxazole 200 mg in 5 mL oral suspension. Dosing based on TMP component 6-12 mg/kg/day p.o. in divided doses q 12h.

A: What is the maximum daily dosage divided into 2 doses? ___________________________________________B: What volume of medication in mL would you give? _________C:Is this dose safe? ______________________________________

Name: _________________________________________________52. Child is diagnosed with pneumonia by xray. You start the first dose of antibiotic in the ER. He weighs 45lbs 4oz.

Order reads: Penicillin G 250,000 units/kg/day divided q 4hrs.Supply: Penicillin G One million units (1,000,000) . Directions: Reconstitute with 20 mL diluent for a concentration of 50,000 units/mL.

a. How much will you give the patient? ____________ mlb. How much can you put in each syringe per shot for IM injection?

________c. Based on ‘b’ how many IM injections will this patient receive per

dose?___________________

Name: _____________________________________________

53. Order KCL 10 MEQ for a 44 lb child. Directions: Dilute in 100 mL D5W and give at 25 mL/hr over 4 hours. The rate should not exceed 3 MEQ/kg/24hours.

Is the ordered dose safe? True or False

Name: _______________________________________________

54. Ampicillin IVPB for a child weighing 55 lb. At a dosage of 20 mg/kg/day in 4 equally divided doses. The Ampicillin is provided as 100 mg in 1.5 ml after reconstitution.

How many mLs per dose? ________________________________

Name: _______________________________________________

55. Order: Tylenol suspension ½ tsp po q 4 h prn for fever for achild weighing 32 lb. The recommended dose is 25-35 mg/kg/day q4h prn. The medication is supplied as 325 mg per 10 mL.

A: Is this dose correct?_________________________

B: What is the safe dose range?____________________________

C: What is the patient Wt in KG?___________________________

Name:_________________________________________________

56: Camron had 5-oz of water, 8-oz of Coke and 1 oz of apple juice. He also has D5W with 40 KCL running at 50mL/hr. Cameron weighs 56 lbs.

A: What is the patients weight in KG?_________________________

B: What is the MDFR?______________________________________

C: How much fluid is the patient getting in 12hrs?________________

D: Is the patient getting their MDFR?__________________________

Name: __________________________________________________

57: Joan is receiving D5W with 40 mEq KCL (1 liter bag) running at 88mL/hr. Your patient weighs 78 lbs.

A: How much fluid is the patient getting over an 8 hr shift?________

B: How many mEq of KCL is the patient getting an hour?_________

C: How many mEq of KCL in a 12hr shift? ______________________

D: What is the patient’s MDFR? ______________________________

Name: ________________________________________________

58: You patient has an IV running at 88mL/hr, 3 hrs into your shift You are to start her antibioitics which is a 50mL piggyback with a 10mL flush over 30 minutes. After it is competed the IV rate is changed to 60mL/hr.

A: What do you set the pump to for the Bolus and flush over 30 min?__________________________________

B: Over you 12 hr shift how much fluid with the patient get? ______________________________________

Name:__________________________________________________

60: The patient is to have 126mg of Amoxicillin twice a day. How much of the Clavulanate Potassium will the patient have?_________

How much water do you reconstitute with?____________________

Name:_________________________________________________

61: The patient is ordered 370mg PO BID.

A: How much water do you use to reconstitute?_________________B: How much Cefuroxime is in the bottle?______________________C: How long is the medication good for?_______________________

Name:__________________________________________________

62: Identify the following parts of the label

A: Trade:___________________ B: Generic:___________________C: Concentration of both meds:______________________________ D: Expires:___________________ E: Storage:___________________F: Reconstitute with/how much?_____________________________

Name:__________________________________________________

63: Identify the following parts of the labelA: Trade:___________________ B: Generic:___________________C: Medication Concentration:______________________________ D: Expires:___________________ E: Storage:___________________F: Reconstitute with/how much?_____________________________

Name:__________________________________________________

67: Identify the following parts of the labelA: Trade:___________________ B: Generic:___________________C: Concentration of both meds:______________________________ D: Expires:___________________ E: Storage:___________________F: Reconstitute with/how much?_____________________________

Name:__________________________________________________

68: You patient is ordered 28mg Paxil PO Qday. A: How much of the medication do you give (mg/mL):____________

Please mark the amount you would draw up on the syringe.

Name:___________________________________________________________

69: Your patient is getting 72mL/hr of 0.9% NS with 40 mEq KCL (1 liter bag). Your patient weighs 92 lbs.

A: What is the patients weight in KG?___________________________________

B: What is the patient MDFR?_________________________________________

C: How much KCL with the patient get an hour?___________________________

D: How much KCL in an 8 hr shift?______________________________________

Name:___________________________________________________________

70: Your patient is getting 46mL/hr of D5/0.225% with 20 mEq KCL (1 liter bag). Your patient weighs 45lbs.

A: What is the patients weight in KG?___________________________________

B: What is the patient MDFR?_________________________________________

C: How much KCL with the patient get an hour?___________________________

D: How much KCL in an 8 hr shift?______________________________________