SUNY ORANGE
NURSING DEPARTMENT
WEEK 3
CLINICAL CALCULATION WORKSHEET
REVIEW
I. Alternate the following IV's q 24 h
1. q 8
2. q 8
3. q 8
1000 mL D/5/W
1000 mL D/5/.9 NS
1000 mL D/5/LR
A. Bottle #1 was hung at 0700 hrs. and at 1100 hrs. there was 500 mL LIB.
1. Is IV running at proper rate?
_________________________
2. If drop factor is 20 gtts/mL, how many gtts/min. would you run this IV?
_________gtt/min
3. What time does bottle #2 go up?
_________o’clock
B. At 15:00 hrs, there is 100 mL left in bottle #1. The client did the following on the 07001500 shift:
07:30 hrs
0 8:00 hrs.
10:00 hrs.
12:00 hrs
15:00 hrs.
vomited 300 mL
N/G tube inserted and connected to low intermittent suction
IVPB antibiotic in 50 mL
IVPB Zantac in 100 mL
N/G suction - nurse emptied 575 mL
Urine - nurse emptied 675 mL
1. What was the total intake 0700-1500?
_________________________
2. What was the total output 0700-1500?
_________________________
3. What would you do about the I & O?
_________________________
II. Furosemide 120 mg IV was ordered for a child who weighs 48 lb today. The literature states
that the therapeutic range for children is 2 to 6 mg/kg daily. What is the safe dose range for this
child's weight? Will you hold and clarify or give this medication?
SUNY ORANGE
NURSING DEPARTMENT
WEEK 3
III. Doctor ordered meperidine 15 mg IM preoperatively for a child who weighs 20 lb, 8 oz. The
safe range for children is 1 to 2.2 mg/kg IM/dose. On hand you have a tubex with 25 mg/mL.
How many mL will you give?
________mL
Is the order safe for this child?
IV. Mr. X has CHF and has an IV at KVO (20 gtts/min). He has 300 mL left in the IV bag at
0700. Mr. X did the following on the 0700-1500 shift: (1 cup = 180 mL)
08:30 hrs.
09:30 hrs.
10:00 hrs.
11:30 hrs.
12:30 hrs.
13:00 hrs.
14:00 hrs.
15:00 hrs.
drank 1 cup coffee, 4 oz juice, 8 oz skim milk
voided 250 mL
drank 8 oz water with meds
drank 2 oz water with meds
drank 2 cups coffee, 8 oz milk
voided 100 mL
drank 6 oz water with meds
50 mL is left in IV bag and he voided 100 mL
1. What was the total intake 0700-1500?
_________________________
2. What was the total output 0700-1500?
_______________________
3. What would you do about the I & O?
_________________________
V. Mrs. Z has a heparin drip at 1000 units/hr. Her PTT comes back at 50 and the doctor
increases her heparin to 1200 units/hr. She has premixed heparin of 25,000 units in 500 mL.
1. What was the IV pump set at initially?
____________________ mL/hr
2. What is the new IV pump setting?
___________________ mL/hr
VI. Mrs. Y has Lidocaine at 2 mg/min and begins having PVC's in bigeminy. The drip is
changed to 3 mg/min after a 50 mg IV bolus. Her IV is premixed Lidocaine 2 grams in 500 mL.
1. What was the IV pump set at initially?
mL/hr
________
SUNY ORANGE
NURSING DEPARTMENT
WEEK 3
2. Bolus Lidocaine IV comes as 100 mg/2 mL. How many mL is given?
___________
mL
3. What is the new IV pump setting?
__________
mL/hr