chapter 13: answers to practice questions - cengage 1e clinical dosage calculations for australia...

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Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter 13: Answers to practice questions Page 227 General mathematics: 1. 19 2. 74 3. 492 4. 1113 5. 488 6. 389 7. 87 8. 2634 9. 4824 10. 45 11. 498 12. 648 13. 1598 × 18 = 28 764 14. 4852 × 45 = 218 340 15. 9889 × 72 = 712 008 16. 9 17. 24 18. 55 19. 63 20. 93 Fractions – simplify the following: 21. 8 1 24 3 = 22. 25 1 1000 40 = 23. 13 1 39 3 = 24. 2 1 13 13 8 4 =

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Page 1: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 1

Chapter 13: Answers to practice questions

Page 227

General mathematics:

1. 19 2. 74 3. 492 4. 1113 5. 488 6. 389 7. 87 8. 2634 9. 4824 10. 45 11. 498 12. 648 13. 1598 × 18 = 28 764 14. 4852 × 45 = 218 340 15. 9889 × 72 = 712 008 16. 9 17. 24 18. 55 19. 63 20. 93

Fractions – simplify the following:

21. 8 124 3

=

22. 25 11000 40

=

23. 13 139 3

=

24. 2 113 138 4=

Page 2: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 2

25. 22 114 430 15

=

26. 27 255 5=

27. 19 328 8=

28. 23 536 6=

29. 125 1125

=

30. 23 5118 18

=

31. 1 3 3 16 23 138 46× = =

32. 17 5 8523 9 207

× =

33. 7 1 725 2 50

× =

34. 1 2 23 9 27× =

35. 2 7 1 7 75 22 5 11 55× = × =

36. 2 19 2 23 463 23 3 19 57÷ = × =

37. 1 9 1 11 112 11 2 9 18÷ = × =

38. 3 2 3 5 1511 5 11 2 22

÷ = × =

39. 7 1 7 2 1425 2 25 1 25

÷ = × =

40. 13 3 13 4 52 2622 4 22 3 66 33

÷ = × = =

Page 3: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 3

Page 228

Convert the following fractions to decimals:

41. 0.86 42. 0.88 43. 0.26 44. 0.61 45. 0.35

Decimals:

46. 0.158

47. 0.098

48. 0.096

49. 5.746

50. 5.281

51. 82.82

52. 0.29

53. 8.31

54. 60.32

55. 4.87

56. 6198.3

57. 3054.87

58. 5568.42

59. 1396.55

60. 768.96

61. 1.70

62. 0.14

63. 0.14

64. 1.90

65. 18

Page 4: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 4

Conversion:

a) 0.475 g

b) 2.5 L

c) 0.125mg

d) 0.5g

e) 35,000mg

f) 750,000mcg

General questions:

1. 6.3 mL 2. 8.3 mL 3. 4.2 mL 4. 3.1 mL 5. 6 mL 6. 1.5 mL 7. 2.4 mL 8. 2.5 mL 9. 0.5 mL 10. 8.32 mL 11. 20.8 mL 12. 2.5 mL 13. 0.6 mL 14. 1.25 mL 15. 15 mL 16. 3 suppositories 17. 3 tablets 18. 4 tablets 19. 32.5 mL 20. 7.5 mL 21. 0.93 mL 22. 1.2 units 23. 50 mL 24. a. 2.5 tablets b. 7.5 tablets 25. ¾ tablet 26. 12.5 mL 27. 1.2 mL 28. 3 mane, 3 lunch, 2 nocte 29. 0.5 tablets 30. 1.5 tablets

Page 5: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 5

31. 3.5 mL 32. 6 tablets 33. 30 mL 34. 25 mL/hr 35. 1000 units/hr 36. 80mg/hr 37. 20mL/hr 38. 60mL/hr38, which

39.

Formula method

Calculate rate in mL/min

0.2 mL/min Calculate rate in mL/hr

12 mL per hour Milronine infusion

Ratio method

Calculate rate in mL/min 𝓍 = 0.2 mL/min Calculate rate in mL/hr

𝓍 = 12 mL hr⁄ rate gives 40 mcg min⁄ , which is the equivalent of 0.5 mcg kg⁄ /min for this 80 kg patient

40.

Formula method

Calculate rate in mL/min

0.05 mL/min Calculate rate in mL/hr

3 mL per hour GTN infusion

Ratio method

Calculate rate in mL/min 𝓍 = 0.05 mL/min Calculate rate in mL/hr

𝓍 = 3 mL hr⁄ rate gives 5 mcg min⁄

41.

a. Total dose

Dose 1: 180 mcg

Page 6: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 6

Dose 2: 90 mcg

Dose 3: 90 mcg

To calculate total dose, simply add the three doses together:

360 mcg Digoxin

b. Initial loading dose (from part a) is 180 mcg

Formula method

3.6mL Digoxin mixture for loading dose

Ratio method

𝓍 = 3.6 mL Digoxin mixture for loading dose Calculate rate in mL/hr

𝓍 = 3 mL hr⁄ rate gives 5 mcg min⁄ c. Amount to be administered for doses 2 and 3, i.e. 90 mcg

Formula method

1.8 mL Digoxin mixture for doses 2 and 3 (each, not combined)

Ratio method

𝓍 = 1.8 mL Digoxin

42.

0.48 mg per dose 43.

86.9 kg

44.

14.58 mL/min

45.

a. 398

b. 212

46.

a. 11000

b. 1500

47.

Page 7: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

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Chapter 13 © 2012 Cengage Australia Pty Ltd 7

a. 77%

b. 85%

48.

a. 75%

b. 20%

49.

a. 320

b. 1150

50.

1.6 mg in 1 mL or 1.6 mg/mL

Page 232

51.

0.5 units in 1 mL or 0.5 units/mL

52.

a.

Formula method

55.5 or 56 drops per minute

Ratio method

𝓍 = 55.5 or 56 drops per minute b.

Formula method

166.67 mL per hour or 167 mL per hour (rounded up)

Ratio method

𝓍 = 166.67 mL hr or 167 mL hr⁄⁄ (rounded up)

53.

a

Formula method

41.66 or 42 drops per minute

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Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 8

Ratio method

𝓍 = 41.66 or 42 drops per minute b.

Formula method

125 mL/hr

Ratio method

𝓍 = 125 mL/hr

54.

15 mL over 5 minutes

Formula method

180 mL/hr

Ratio method

𝓍 = 180 mL/hr

55.

20 mL over 8 minutes

Formula method

150 mL/hr

Ratio method

𝓍 = 150 mL/hr

56.

125 mL/hr

57.

𝓍 = 238 minutes = 3.96 hrs

This infusion is running at an approximately 4 hourly rate.

Calculate rate in mL/hr:

125 mL/hr

58.

a. 9 hrs remaining

b. 15 mins remaining

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Brotto 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual

Chapter 13 © 2012 Cengage Australia Pty Ltd 9

59.

a. 8.8 mL diluent required

b. 9.3 mL diluents required

60.

a. 1.436 m2 or 1.44 m2

b. 1.333 m2 or 1.33 m2

61.

a. 350 mcg/min

Formula method

0.44 mL/min Calculate rate in mL/hr:

26.25 or 26.3 mL/hr

Ratio method

Calculate rate in mL/min:

𝓍 = 0.438 mL/min Calculate rate in mL/hr:

350 mcg min⁄ , which is the equivalent of 5 mcg kg⁄ min for⁄ this 70 kg patient

b. Infusion 3 mg (3000 mcg) Noradrenaline in 50 mL

Formula method

Calculate rate in mL/min:

0.133 mL/min Calculate rate in mL/hr:

7.99 or 8 mL/hr

Ratio method

Calculate rate in mL/min:

𝓍 = 0.133 mL/min Calculate rate in mL/hr:

7.99 or 8 mL hr⁄ rate

Drug chart questions:

Page 10: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

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Page 11: Chapter 13: Answers to practice questions - Cengage 1e Clinical Dosage Calculations for Australia and NZ – Solutions Manual Chapter 13 © 2012 Cengage Australia Pty Ltd 1 Chapter

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Chapter 13 © 2012 Cengage Australia Pty Ltd 11

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