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Medication Competency Review

. Medication Competency Review. Medication Administration. Cup = 240 ½ cup = 120 ¼ cup – 60 1/8 cup = 30 1/3 cup = 80 2/3 cup = 160. Medication Administration. Convert 4500 mcg = mg Step 1: Move 3 spaces to the left. ANSWER 4.5 mg. Medication Administration. Convert 4.5 mg to mcg

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Medication Competency Review

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  1. . Medication Competency Review .

  2. Medication Administration • Cup = 240 • ½ cup = 120 • ¼ cup – 60 • 1/8 cup = 30 • 1/3 cup = 80 • 2/3 cup = 160

  3. Medication Administration • Convert 4500 mcg = mg • Step 1: Move 3 spaces to the left. • ANSWER 4.5 mg

  4. Medication Administration • Convert 4.5 mg to mcg • Step 1: Multiply by 1000, or move the decimal point 3 places to the right • 4.5 0 0 or 4.5 x 1000 = 4500 • ANSWER 4500 mcg

  5. Medication Administration • Convert grams 56.7 grams to milligrams: • Step 1: Multiply by 1000, or move the decimal point 3 places to the right • Step 2: 56.7 grams x 1000 = 56,700 milligrams or 5 6, 7 0 0 • ANSWER 56,700 milligram

  6. Medication Administration • Convert 56,700 mg to grams: • Step 1: Move the decimal point 3 places to the left ANSWER 56.7 grams

  7. Medication Administration • You must add 40 meq of a drug to each liter of IV fluid. The drug is available as a 2 meq solution/mL. • How many mLs of medication will you need to add to the IV medication? • Step One: 40 = 20 mL 2 • Answer: 20 mL

  8. Medication Administration • Give medication at 3 mcg/kg/min. Available as medication 800 mg/500 mLs D5W. Weight -154 pounds. • How many mg/hr is the patient receiving? Step 1: 154/2.2 = 70 kg Step 2: .003 mg x 70 kg x 60 min = 12.6mg/hr

  9. Medication Administration • Give medication at 3 mcg/kg/min. Available as medication 800 mg/500 mLs D5W. Weight -154 pounds. How many mLs per hour? Step 1:154/2.2 = 70 kg Step 2: .003 mg x 70 kg x 60 min= 12.6 mg/hr Step 3: 12.6 mg/800 mg x 500 = 7.88 mL/hr

  10. Medication Administration • Give medication at 3 mcg/kg/min. Available as medication 800 mg/500 mLs D5W. Weight -154 pounds. • How many mLs /min is the patient receiving? Step 1: 154/2.2 = 70 kg Step 2: .003 mg x 70 kg x 60 min =12.6 mg/hr Step 3: 12.6 mg/800 mg x 500 =7.88 mL/hr Step 4: 7.88 mL/hr/60 min = 0.13 mL/min ANSWER: 0.13 mL/min

  11. Medication Administration • Give medication 0.5 mg. Available as 2 mg/2 mLs Step 1: 0.5 mg = 0.25 mL per 1 mL 2 mL Step 2: 0.25 mL x 2 mLs= 0.5 mL ANSWER: 0.5 mL

  12. Medication Administration • Give 250 mg of medication that comes as 2 grams/2 mLs. Step 1: Change grams to mgs.  2 grams = 2000 mg Step 2: 250 mg = 0.125 per mL         2000 mg Step 3: 0.125 mL x 2 = 0.25 mL Step 4: Answer 0.25 mL

  13. Medication Administration • Your patient is on a medication drip of 1000 units per hour. Pharmacy sent you a medication of 20,000 units in 500 mL D5W. • How many mLs/hour are you going to give your patient? Step 1: 500 mL X 1000 units = 500,000 20,000 units x 1 20,000 units Answer: 25 mL/hr

  14. Medication Administration • You are to give medication at 2mg/min. Pharmacy sent up medication 1 gram in 500 mLs of D5W. • How would you give this dose in mL/hr using an infusion pump? Step 1: Convert from grams to mg. 1 gram to 1000 mg Step 2: 1000 mg = 2 mg/mL           500 mL Step 3: 2 mg /min x 60 min = 120 mg/hr Step 4: 120 mg/hr = 60 mL/hr           2 mg ANSWER: 60 mL/hr

  15. Medication Administration • You are to give medication at 2mg/min. Pharmacy sent up medication 1 gram in 500 mLs of D5W. • How many mLs per minute will you give?  Step 1: Convert from grams to mg. 1 gram to 1000 mg Step 2: 1000 mg = 2 mg/mL  = 1 mL           500 mL ANSWER: 1 mL/min

  16. Medication Administration • Give 20 meq of medication in 100 mLs of D5 W over 4 hours IV piggyback. How will you set this up using a volume pump? mL/hour? Step 1: 100 x X            240 60 Step 2: 240X = 6000 Step 3: X = 25 mL/hr ANSWER: 25 mL/hr

  17. Medication Administration Medication comes in container labeled 375mcg/ml, you are going to give 30 mg BID. How many mLs is the patient receiving daily? How many ounces? Step 1: 375 mcg/ml = 30,000 mcg 1 X Step 2: 375x=30,000 x= 80 mL (BID) = 160 ml Daily Step 3: 160 = 5.33 ounces 30

  18. Medication Administration Medication to be given at 2 mg/min. Bag from pharmacy has 2 grams in 500 mLs D5W. How many mLs /min is the patient receiving? Step 1: 2 mg = 2000 mg X 500 mL Step 2: (2 mg) x (500 mL)=10x =0.5 ml/min (2000 mg)/min

  19. Medication Administration Medication to be given at 2 mg/min. Bag from pharmacy has 2 grams in 500 mLs D5W. How many mLs /hour is the patient receiving? Step 1: 2 mg = 2000 mg X 500 mL Step 2: (2 mg) x (500 mL)=10 mL =0.5 mL/min (2000 mg)/min Step 3: (0.5) x 60 minutes = 30 mL/hr

  20. Medication Administration • Heparin 2050 units/hr. Available is 50,000 units in 1000 mL NS. The IV flow rate is: • 2050 x 1000 = 41 mL/hr 1 hr 50,000

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