
Part I Essential Math Review for Medication Calculations 


1  (76) 

Essential Math SelfAssessment 


2  (3) 


5  (51) 


6  (1) 


6  (1) 

Essential Math Vocabulary and Concepts 


6  (1) 


7  (1) 

Implied Decimal Points and Trailing Zeros 


8  (1) 

Arabic Numerals and Roman Numerals 


9  (1) 


10  (1) 


10  (1) 


11  (1) 


11  (1) 


12  (1) 


12  (1) 


12  (1) 


13  (1) 


13  (1) 


13  (1) 


13  (1) 


14  (1) 


14  (1) 


15  (1) 

Powers of 10 Calculations 


16  (1) 

Multiplying and Dividing by 10, 100, and 1000 the Fast Way 


16  (1) 


17  (1) 

Reading Numbers and Decimals 


18  (1) 

Writing Decimals in Fraction Form 


19  (1) 

Comparing Decimals to See Which is Larger 


20  (1) 

Rounding Decimals and Whole Numbers 


20  (2) 

Adding and Subtracting Decimal Numbers 


22  (1) 


22  (1) 


22  (2) 


24  (1) 

Alternative Fraction Forms 


25  (1) 


25  (1) 


25  (1) 

Converting Mixed and Improper Fractions 


26  (1) 

Converting an Improper Fraction to a Mixed Fraction 


26  (1) 


26  (1) 

Common (Same) Denominator and Lowest Common Denominator 


27  (1) 

Lowest Common Denominator (LCD) 


27  (1) 


28  (1) 


29  (1) 

Adding and Subtracting Fractions 


29  (2) 


31  (1) 

Fraction Multiplication and Canceling Fractions 


32  (1) 

Multiplication With Mixed Fractions 


33  (1) 


33  (1) 


34  (1) 

Changing a Fraction to a Percentage 


34  (1) 

Changing a Percentage to a Fraction 


35  (1) 

Changing a Decimal to a Percentage 


35  (1) 

Changing a Percentage to a Decimal 


36  (1) 

Calculating the Percentage of a Whole Number 


36  (1) 


37  (1) 

Finding Unit Values and Totals 


37  (1) 


37  (1) 


38  (18) 

Dimensional Analysis Calculations 


56  (21) 


56  (2) 

Required Elements of a Dimensional Analysis Equation 


58  (1) 

The Setup of a Dimensional AnalysisStyle Equation 


58  (3) 

Conversion Formula Review 


61  (7) 

Problems That Call for More Than One Conversion Formula 


68  (9) 

Part II Modern Metric System and Medication Calculations 


77  (118) 

Measurement Units and Conversions for Medications 


78  (25) 


78  (2) 

Metric Measurements: Base Units 


80  (1) 


80  (1) 

Metric Prefixes and Values 


80  (4) 

Equivalent Metric Measurements of Weight or Mass 


84  (1) 

Metric Equivalent Measurements of Volume 


85  (1) 

Metric Measurements of Length 


86  (1) 


87  (1) 

Finding Equivalents: Changing Milligrams to Grams and Grams to Milligrams 


88  (3) 


91  (1) 


92  (1) 

Other Medication Measurement Systems 


93  (4) 

Key Points About the Three Measurement Systems 


97  (6) 

Patient Records, Medication Orders, and Labels 


103  (46) 


103  (3) 

Medication Storage and Security 


106  (1) 

Medication Forms and Packaging 


107  (1) 


108  (1) 


109  (3) 


112  (2) 

Frequency and Times of Medication 


114  (4) 


118  (2) 

Interpreting Labels and Orders 


120  (6) 

Calculating Dose Based on Label and Order Information 


126  (5) 

Orders for Two or More Medications to be Combined 


131  (1) 

Telephone and Verbal Orders 


131  (1) 

Examples of Orders That Must Be Clarified 


131  (2) 


133  (3) 

Medication Administration Records 


136  (3) 


139  (10) 

Solid and Liquid Oral Dose Calculations 


149  (46) 


149  (5) 

Converting Grams to Micrograms and Micrograms to Grams by Moving Decimal Places 


154  (5) 

Analyzing Liquid Dose Orders 


159  (1) 

Setting Up DAStyle Equations for Liquid Dose Calculations 


160  (2) 


162  (3) 

Equipment for Administering Oral Liquid Doses 


165  (1) 


165  (9) 


174  (21) 

Part III Reconstituted Medications 


195  (58) 


196  (28) 


196  (1) 


197  (2) 


199  (1) 

Total Capacity and Lowest Measurable Dose 


200  (1) 

Where to Measure the Dose on Syringes 


201  (4) 

Examining the Calculated Doses for Correct Syringe Selection 


205  (2) 


207  (1) 

Oral Syringes Versus Injectable Syringes 


208  (1) 

Prefilled Injectable Syringes 


208  (1) 

Prefilled Medication Cartridges for Injection 


209  (1) 


210  (1) 


211  (1) 

Safety Issues and Disposal of Sharps 


212  (7) 

Recommended Fluid Volume for Selected Sites 


219  (5) 

Reconstitution of Powders and Liquids 


224  (29) 


224  (2) 

Reconstituted Medications 


226  (1) 

Expired Reconstituted Drugs 


227  (8) 

Reconstituted Parenteral Drugs 


235  (3) 

Reconstituted Drug Prefilled Containers 


238  (4) 

Liquid Concentrates: Diluting Liquids 


242  (1) 

Inactive Ingredients Used for Dilutions 


243  (1) 

Converting Dilution Ratios to Fractions and Percentages 


243  (1) 

Using a DA Equation to Calculate the Amount of Concentrate 


244  (9) 

Part IV Parenteral Medication Calculations 


253  (118) 

Injectable Medication Calculations 


254  (29) 


254  (1) 


255  (1) 


256  (1) 


257  (1) 


258  (7) 


265  (8) 

Medicines Supplies in Units 


273  (10) 

Basic Intravenous Calculations 


283  (52) 


283  (3) 

Overview of Intravenous Therapy 


286  (2) 

Basic Intravenous Equipment 


288  (1) 

Types of Intravenous Solutions 


288  (1) 

Tonicity of Intravenous Solutions 


288  (1) 

Intravenous Solution Volume 


289  (1) 

Intravenous Solution Orders for Milliliters per Hour 


290  (1) 

Determining Infusion Durations 


290  (2) 

Intravenous Flow Rate Entries for Electronic Infusion Devices 


292  (1) 


293  (1) 

Intravenous Administration Sets 


294  (1) 

Selection of Gravity Infusion Administration Sets 


295  (1) 

Calculating Flow Rates for Gravity Infusion Devices 


296  (8) 

Intravenous Piggyback Solutions 


304  (5) 

Regulating and Positioning Gravity Infusion Devices 


309  (2) 


311  (1) 

Monitoring the Flow Rate on Infusion Devices 


311  (2) 

Calculating Milliliters per Hour from Drops per Minute at the Bedside 


313  (1) 

Setting the Alarm for Intravenous Equipment 


314  (1) 

Calculating the Volume for a ``Volume to be Infused'' Alarm 


315  (5) 

``To Keep Open'' Flow Rates 


320  (1) 

Calculating Grams of Solute in Intravenous Solutions 


321  (1) 

A Word About Potassium Chloride 


322  (1) 

Intravenous Intermittent Solution Delivery Systems 


323  (4) 


327  (8) 

Advanced Intravenous Calculations 


335  (36) 


335  (2) 

Equation Setups for Advanced Intravenous Calculations 


337  (1) 

Conversion Formulas That May Be Needed for Intravenous Infusion Calculations 


338  (1) 

Calculating Medicated Intravenous Flow Rates That Require One Conversion Formula 


339  (2) 

Calculating Intravenous Flow Rates That Require Two Conversion Formulas 


341  (1) 

Calculating Flow Rates for WeightBased Doses 


342  (4) 

Equipment for Medicated Intravenous Solutions 


346  (3) 

Deriving Infusion Dose from Existing Flow Rate and Available Solution 


349  (1) 

Dilutions: When the Nurse Prepares the Drug for the Intravenous Solution 


350  (2) 

Intravenous Direct Push Medications 


352  (1) 

Direct Intravenous Push Calculations 


353  (6) 

Hyperalimentation: Total Parenteral Nutrition 


359  (12) 

Part V Oral and Injectable Hormone Medications 


371  (64) 


372  (41) 


372  (3) 


375  (2) 

Parenteral Antidiabetic Agents: Insulin Products 


377  (2) 


379  (1) 

Short, RapidActing Insulins 


380  (2) 

IntermediateActing Insulins 


382  (1) 


383  (2) 

Steps to Prepare Doses for Insulin Syringes 


385  (1) 

Matching Insulin Concentration and Syringes 


385  (1) 

Reading Units on Insulin Syringes 


386  (1) 

Even and OddNumbered Scales on Insulin Syringes 


386  (1) 


387  (3) 

Sites for Insulin Injection 


390  (1) 


390  (7) 

When the Mix Must Be Prepared by the Nurse 


397  (1) 

Technique for Preparing Insulin Mixes 


397  (4) 

Intravenous Insulin Infusions 


401  (3) 

Insulin Administration Devices 


404  (9) 


413  (22) 


413  (8) 

Injectable Anticoagulants 


421  (1) 

LowDose Heparin Concentrations used to Maintain Patency of Intravenous Devices (Flushes) 


421  (1) 

Heparin Concentrations Used for Subcutaneous Administration and Bolus Intravenous Doses 


422  (1) 

Heparin Concentrations Used for Intravenous Infusions 


423  (2) 

Calculating Heparin Flow Rates in Milliliters per Hour (mL/hr) and Units per Hour Using DAStyle Equations 


425  (10) 

Part VI Medications for Infants and Children 


435  (39) 

Pediatric Medication Calculations 


436  (38) 


436  (2) 

Comparing Adult and Pediatric Medication Doses and Schedules 


438  (1) 

Calculating Kilograms to Nearest Tenth from Pounds and Ounces 


439  (2) 

Sequence for Calculating Safe Dose Range 


441  (2) 


443  (3) 

Equipment for Medication Administration to Pediatric Patients and Patients Unable to Chew Tablets and Pills 


446  (5) 

Injection Sites for Pediatric Patients 


451  (1) 

Injection Volumes for Pediatric Populations 


452  (4) 

Fluid Requirements for Pediatric Patients 


456  (1) 

Intravenous Injections for Infants and Children 


457  (6) 

Comparing Safe Dose Range and order 


463  (11) 
MultipleChoice Final Review 

474  (5) 
Comprehensive Final Practice 

479  (20) 
Answer Keys 

499  