Section E - Reconstitution and Medication Calculations Practice
1.
Step by Step Process
1. Read the order
2. Identify the supply and directions
for dilution, verify expiration date
3. Dilute the fluid
4. Identify the solution and new supply
5. Calculate amount to be given and
prepare for amount
6. Write on the label the solution
made: date, time, your initials
7. Store according to direction
Order: Tazicef 500 mg IM x 1 Now
Type and amount of diluent to be added: _____________________________________________
Dose strength of the mixed medication: ______________________________________________
What will the nurse administer? ________________
2.
Order: Ancef 250 mg IM x 1 Now
Type and amount of diluent to be added: _____________________________________________
Dose strength of the mixed medication: ______________________________________________
What will the nurse administer? ________________
Section E - Reconstitution and Medication Calculations Practice
3.
Order: Cefazolin 250 mg IM x 1 Now
Type and amount of diluent to be added: _____________________________________________
Dose strength of the mixed medication: ______________________________________________
What will the nurse administer? ________________
4.
Order: Augmentin 200 mg PO x 1 Now
Type and amount of diluent to be added: _____________________________________________
Dose strength of the mixed medication: ______________________________________________
What will the nurse administer? ________________
Section E - Reconstitution and Medication Calculations Practice
5.
Order: Ceftriaxone 250 mg IM x 1 Now
Type and amount of diluent to be added: _____________________________________________
Dose strength of the mixed medication: ______________________________________________
What will the nurse administer? ________________
6. Humalog SQ per fingerstick sliding scale, ac and hs as follows:
FS 150 - 200, give 5 units
FS 201 - 250, give 8 units
FS 251 - 300, give 12 units
FS 301 - 350, give 16 units
FS 351 - 400, give 20 units
FS > 400 - give 25 units and call MD
Morning fingerstick is 402
The nurse will administer ___________________
7. A client is to receive Hydroxyzine 40 mg PO twice daily. The medication is available as hydroxyzine
10 mg/5 ml. How many milliliters would the client receive for each dose?
8. The client is to receive Cephalexin PO 2 g twice daily. The medication is available as Cephalexin 500
mg per capsule. How many capsules would the client receive at each dose?
Section E - Reconstitution and Medication Calculations Practice
9. The client is to receive Digoxin 500 mcg PO daily. The medication is available as Digoxin 0.25 mg per
tablet. How many tablets should the client receive daily?
10. The physician ordered Gentamicin 50 mg IM TID. The drug is available in a vial labeled 40 mg/mL.
Using a 3 mL syringe, how many milliliters of Gentamicin would the nurse give for each dose?
11. The directions for reconstitution of Oxacillin Sodium for injection are on the drug label. Directions
read: “For IM use, add 5.7 mL sterile water for injection. Resulting solution contains 250 mg Oxacillin
Sodium per 1.5 mL. The vial contains Oxacillin Sodium equivalent to 1 g. Usual adult dosage of
Oxacillin Sodium is 250 mg to 500 mg IM every 4 to 6 hours.” The client is to receive 400 mg IM
every 6 hours. How many milliliters would the nurse administer?
12. The client is to receive Allopurinol 0.25 g PO daily. Each scored tablet contains 100 mg. How many
tablets would the client receive?