COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 1113 – INTRO TO PHARMACOLOGY AND DOSAGE CALCULATION
FALL 2011
COURSE COORDINATOR/INSTRUCTOR: OFFICE LOCATION:
MRS. DEBBIE WILSON, MSN, RN
OFFICE HOURS:
ALLIED HEALTH BUILDING # 106
EMAIL: dwilson@coahomacc.edu
T, TH, FRI 1-4, WED 2-4
TH. & FRIDAY AFTER CLINICALS BEGIN – TBA / REQUEST
PHONE: 662-621-4253
CO-INSTRUCTOR: OFFICE LOCATION:
MR. CHARLES R. SMITH MSN, RN ALLIED HEALTH BUILDING #105
OFFICE HOURS: E-MAIL: crsmith@coahomacc.edu
T, Th, Fri 1-4 , Wed 2-4
TH. & FRIDAY AFTER CLINICALS BEGIN – TBA / REQUEST
PHONE: 662-621-4254
Course Description:
NUR 1113 - INTRODUCTION TO PHARMACOLOGY AND DOSAGE CALCULATION
This course provides an introduction to basic pharmacological principles and drug categories to include metabolism, action, use, adverse actions and nursing implications, roles and responsibilities. This course also focuses on the knowledge needed for the development of basic dosage and calculation skills necessary for safe administration of medications. Co-requisite:
NUR 1011, NUR1117. Credits: 3 credit hours (3 theory clock hours per week/45 total clock hours).
Textbooks:
Required:
Abrams, A.C., Pennington, S. S, & Lammon, C. B. (2006) Cli nical drug therapy: Rationales for nursing practice, (9 th
ed.). Philadelphia: Lippincott, Williams & Wilkins.
Buchholz, S. (2009). Henke’s med-math: Dosage calculation, preparation & administration
(6 th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Dosage and Calculations (2011), Assessment Technologies Institute ®, LLC (ATI). http://atitesting.com
.
Hodgson, B.B., & Kizior, R.J. (2009). Saunders nursing drug handbook. St Louis: Elsevier-
Saunders.
Manning, L., & Rayfield, S. (2010) Pharmacology made insanely easy (3 rd ed.). Duluth, GA: I
CAN Publishing®, Inc.
Pharmacology made Easy, (2011) ), Assessment Technologies Institute ®, LLC (ATI). http://atitesting.com
.
1

Knippa, A., Sommer, S., Ball, B., et. al. (2010). RN pharmacology for nursing (5.0 ed.) . Content mastery series
®
Review module. USA: Assessment Technologies Institute
®
, LLC.
Recommended:
Kee, J. L. (2006). Laboratory and diagnostic tests with nursing implication.
(7 th ed.).
Upper Saddle River: Prentice Hall
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (7 th
ed.). St. Louis: Mosby.
Student Learning Outcomes: Upon completion of this course, the student should be able to:
Provider of Care
1.
Relate the nursing process to drug therapy and client safety.
2.
Identify responsibilities for client teaching in drug therapy to promote health and prevent illness.
3.
Calculate drug dosages, solution mixtures, and intravenous infusion rates accurately.
4.
Demonstrate accurate measurement of drug dosages using appropriate supplies.
Manager of Care
5.
Discuss the role of evidence-based care in the management of drug therapy and client safety.
6.
Identify the principle actions, therapeutic uses, nursing implications, and adverse effects of the major classifications of drugs.
Member of the Profession
7.
Discuss accountability and ethical decision making in self learning and nursing actions in relation to principles of safe drug administration.
Classroom and Clinical Policies and Procedures
See http://www.coahomacc.edu/healthsciences/HealthP&P.pdf
for classroom and clinical policies sections I-XII and Appendix A.
Non-Discrimination/Disability Policy:
Coahoma Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. An ADA/Section 504/Title IX Coordinator has been designated to handle inquiries regarding the non-discrimination policies. Contact the
Office of Academic Affairs at 662-621-4127 for more information.
2

Instructional Techniques:
Lectures
Independent and Group Study
Audio-visual Learning Aids
Post-test Review Sessions
Case Studies
Class Handout materials
Selected Web content
Methods of Evaluation:
Testing : A tentative schedule of content delivery and unit tests is included within the syllabus.
Any deviation from the scheduling of unit tests will be provided in class prior to the unit test.
Information from the lecture material as well as any other means by which information is provided in class, skills lab, or assigned reading, can reasonably be expected to be present within the confines of the unit tests. This includes audiovisual offerings, web content, class handouts, etc. The syllabus provides a list of recommended audiovisual materials for further study.
Assessment Technologies Institute ®. LLC (ATI) Resources:
The Associate Degree Nursing program utilizes ATI resources to enhance learning and to provide a means for evaluation of student comprehension of content and concepts presented in the nursing curriculum classes. An orientation to utilization of ATI resources will be provided to the students at the beginning of the semester. Resources include practice tests, proctored tests, and tutorials relevant to the content and concepts taught within each class of the nursing curriculum.
Completion of Pharmacology practice tests A and B is required for the student to be allowed to take the Proctored Pharmacology test at the end of the semester. The student is responsible for keeping a notebook containing printed information related to results on practice tests, proctored tests, tutorials, and focused review materials developed to address deficiencies identified by practice and proctored tests. This notebook is to accompany the student when meeting with their advisor for academic counseling. A minimum of three (3) academic counseling sessions will be scheduled to occur at the beginning and end of the semester, and at midterm. It is the student’s responsibility to schedule additional counseling sessions with their advisor as needed.
Grade Scale:
Grading Scale for Associate Degree Nursing Program
Grade Scale Quality Points
A-Excellent
B-Good
C-Average
D-Poor
F-Failure
93-100
85-2
77-84
70-76
69 or Below
4.0
3.0
2.0
1.0
0.0
3

I-Incomplete
W-Withdrawal
0.0
0.0
Z-Unassigned grade
CR : This grade will be assigned when the student successfully
0.0 completes programspecific requirements for advancement to the Associate Degree
Nursing program.
Associate Degree Nursing Program courses require a letter grade of “C”
(minimum 77%) for passing. Failure to attain this score will prevent the student from progressing to the next scheduled semester.
Course Grading System:
In order to pass theory component of a nursing course a minimum composite average score of
77% must be achieved. See http://www.coahomacc.edu/healthsciences/HealthP&P.pdf
for course grade requirements for progression in the Associate Degree nursing program.
Final Course Grade:
To earn credit for NUR 1113 Intro to Pharmacology and Dosage Calculation the student must have a passing course average of 77%.
I.
Course Average-the course average is a numerical grade, which will be determined according to the following percentage components:
1.
Unit Tests (6) 90%
2.
Final Comprehensive Exam (1) 10%
Total 100%
4

Course Grading Worksheet:
COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 1113 – INTRO TO PHARMACOLOGY AND DOSAGE CALCULATION
FALL 2011
Unit Tests
Test Score %
15% #1 Intro to Pharm / Basic concepts / Med Adm. / Nsg
Process In Drug Therapy & dosage calc. info
#2 Drugs affecting the CNS & ANS & dosage calc. info.
#3 Drugs affecting Endocrine system & dosage calculations
#4 Drugs used for Infections & dosage calculations
#5 Corticosteroids/Respiratory & dosage calculations
#6 Drugs affecting the Cardiovascular System & dosage calculations
Unit Test Total
Final Exam – includes Drugs Affecting the Digestive
System & dosage calculations
Course Total
15%
15%
90%
10%
15%
15%
15%
Points
Unit Tests _________________________
Final Exam _________________________
TOTAL _________________________
COURSE GRADE
_____________________ _____________
Instructor Date
___________
_____________________
Student
___________
Date
I Concur ______ I do not concur _____
5

Unit Objectives:
Upon completion of each unit of study, the student should be able to do the following:
1.
Demonstrate knowledge of the preparation and administration of medications using rights of medication administration.
2.
Demonstrate knowledge of pertinent data to be reviewed prior to medication administration
(e.g., vital signs, lab results, allergies, potential interactions).
3.
Perform calculation needed for medication administration.
4.
Evaluate appropriateness/accuracy of medication orders for client per institution policy including reconciling orders.
5.
Demonstrate knowledge of the interventions required to manage client experiencing side effects and adverse reactions to medications.
6.
Evaluate therapeutic effect of medication.
7.
Demonstrate understanding of requirements governing controlled substances.
8.
Demonstrate understanding of the interventions required to manage a client during and following procedures with moderate sedation.
9.
Demonstrate understanding of the use pharmacological measures for pain management.
10.
Educate client about medications.
11.
Demonstrate understanding of the interventions required to facilitate appropriate and safe use of equipment required in medication administration.
6

Week
1
This outline is intended as a guideline for the course. The College and the instructor reserve the right to make modifications in content, schedule, and requirements as necessary to enhance each student’s educational experience.
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F ALL 2011
Date
8/17/11
Time
9:00 – 9:30
9:30 – 11:00
11:00 – 12:00
Unit/Topic
Orientation
(Objectives 7, 10)
Section 1 – Introduction to Pharmacology
Basic concepts and processes
Arithmetic Needed for Dosage
Interpreting the language of Prescriptions
Metric, Apothecary, and Household Systems of Measurement
(Objectives 1, 3)
Assigned Readings
Media/Websites
Handout: Syllabus
Reading:
Abrams Ch. 1 pp. 2 - 8
Ch. 2 pp. 9 – 26
(Pharmacology) ATI – Ch.1,
Henke’s Med Math
Ch. 1 pp. 1-23
Ch. 2 pp. 30 - 45
Ch. 3 pp. 47 - 63
2
3
8/24/11
8/31/11
9:00 – 11:00
11:00 – 12:00
9:00 –9:45
9:45 – 11:00
(Objectives 1, 2, 3, 4, 5, 6, 7, 10, 11)
Section 1 –Administering Medications
Nursing Process in Drug Therapy
(Objectives 1, 2, 3, 4, 5, 6, 7, 10, 11)
Drug Preparations and Equipment to Measure Doses
Information Basic to Administering Drugs
Administration Procedures
Test #1: Intro to Pharm / Basic concepts & processes,
Administering Medications, Nursing Process in Drug Therapy
Section 2 – Drugs Affecting the Central Nervous System
( Objectives 1-11)
Opioid Analgesics and Pain Management

Opioid Agonists – Morphine sulfate, meperidine (Demerol)

Opioid Antagonists – naxolone (Narcan)
Analgesic-Antipyretic-Anti-Inflammatory and related drugs

Non-steroidal inflammatory drugs (NSAIDS) o 1 st generation NSAIDS – aspirin, ibuprofen (Advil),
Reading: Abrams ,
Ch. 3 pp. 27-47
Ch. 4 pp. 48 – 71
(Pharmacology) ATI – Ch. 2, 5, 6
ATI Tutorial – Dosage &
Calculations – Medication
Administration & Safe Dosage
Henke’s Med Math
Ch. 5 pp. 84 – 99
Ch. 12 pp. 351 – 373
Ch. 13 pp. 374 – 415
Reading :
Abrams ,
(Pharmacology) ATI – Ch. 7, 13, 35,
36,
Reading :
Abrams Ch. 6 pp. 79-99
Ch 7 pp. 100-129,
Ch. 8 pp.130-152
Ch. 11 pp. 196-216
7

Week
4
5
Date
9/7/11
9/14/11
Time
9:00 – 12:00
9:00 – 9:45
9:45 – 11:00
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Unit/Topic
Assigned Readings
Media/Websites
Ketorolac (Toradol)

Acetaminophen – (Tylenol)
Antianxiety and Sedative-Hypnotic Drugs

Sedative Hypnotic Medications – Benzodiazepines – o diazepam (Valium)

Antiepileptics (AEDs) – phenytoin (Dilantin), gabapentin
(Neurontin)
Section 3 – Drugs Affecting the Autonomic Nervous System
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Adrenergic Drugs

Adrenergic Agonists – epinephrine (Adrenaline),
Antiadrenergic drugs (18)

Alpha
1
Adrenergic Blockers (Sympatholytics) o prazosin (Minipress) o tamsulosin (Flomax)

Alpha
2
Agonists o methyldopa (Aldomet)

Beta Adrenergic Blockers (Sympatholytics) o Cardioselective – metoprolol (Lopressor) o Nonselective - propranolol (Inderal),
Cholinergic Drugs o neostigmine (Prostigmin) o edrophonium (Tensilon)
Anticholinergic Drugs – atropine, tolterodine (Detrol)
Test # 2: Drugs affecting the Central and Autonomic nervous System
& Dosage Calculations
Section 4 - Drugs Affecting the Endocrine System:
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Hypothalamic & Pituitary Hormones

Anterior pituitary Hormones/Growth hormone - Somatropin

Posterior Pituitary hormones / antidiuretic hormone –
Vasopressin (Pitressin synthetic)
Thyroid and Antithyroid Drugs

Thyroid hormones – Levothyroxine (Synthroid)

Antithyroid medications - propylthiouracil (PTU)
ATI Tutorials – Pharmacology –
Analgesics
Sedatives
Abrams Ch 16 pp 265-279
Ch. 17 pp. 278-294
Ch. 18 pp. 295-312
Ch. 19 pp. 313-324
Ch 20 pp. 325 – 338
ATI Pharmacology, pp. 155, 190,
254, 255, 257, 268, 403,
ATI Tutorial – Pharmacology –
Neurological Drugs
Reading:
Abrams Ch. 22 pp. 345-356
Ch. 24 pp. 378 – 392
ATI Unit 10 pp. 483 - 518
ATI Tutorial - Pharmacology –
Endocrine Drugs
ATI Pharmacology Practice Test A to be completed by this date.
8

Week
6
7
Date
9/21/11
(Monday)
9/26/11
Time
11:00 – 12:00
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Unit/Topic

Thyroid Radioactive iodine – Radioactive Iodine ( 131 I)

Thyroid Nonradioactive iodine – strong iodine solution
 (Lugol’s Solution)
Calculation of Oral Medications – Solids and Liquids
(Objective 3)
9:00 – 11:00
11:00 – 12:00
9:00 – 9:45
9:45 – 11:00
Complete Drugs affecting the Endocrine System:
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Hormones that Regulate Calcium and bone metabolism

Calcium Supplements – calcium citrate (Citrical)

Bisphosphonates – alendronate (Fosamax)

Calcitonin – Salmon – calcitonin salmon (Fortical)
Antidiabetic Drugs

Insulin – Regular insulin (Humulin R, Novolin R)

Oral hypoglycemics ( Ch. 26) o Sulfonylureas – 1 st generation - tolbutanide (Orinase)
2 nd generation – glipizide (Glucotrol) o
Meglitinides – repaglinide (Prandin) o Biguanides – Metformin HCL (Glucophage) o Thiazolidinediones “Glitizones” - rosiglitazone
(Avandia) o
Alpha Glucosidase Inhibitors – acarbose (Precose)
Medications for Insulin Overdose – Glucagon
Liquids for Injection
(Objective 3)
Test 3: Drugs Affecting the Endocrine System & Dosage
Calculations
Section 5 – Drugs Used for Infections
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Beta-Lactam Antibacterials: Penicillins, Cephalosporins, and other drugs

Penicillins
– Penicillin G (Bicillin LA)
Assigned Readings
Media/Websites
Henke’s Med Math – Ch. 6 pp. 101-
129
ATI Tutorial – Dosage &
Calculations – Oral Medications
Reading:
Abrams: Ch. 25 pp. 393 – 409
Ch 26 pp. 410 - 442
ATI
Unit 9 pp. 396-397, 400-406,
Unit 11 pp. 444-459
ATI Tutorial – Pharmacology –
Vitamins and Minerals
Henke’s Med Math – Ch. 7 pp. 141-
189
ATI Tutorial – Dosage &
Calculations – Injectable Medications
Reading:
Abrams Ch, 29 pp. 468-485
Ch. 30 pp. 486-502
Ch. 31 pp. 503-513
Ch. 32 pp. 514-526
Ch. 33 pp. 527-540
Ch. 34 pp. 541-558
Ch. 35 pp. 559-580
9

Week
8
9
Date Time
11:00 = 12:00
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Unit/Topic

Cephalosporins o 1 st generation – cephalexin (Keflex) o 3 rd generation – ceftriaxone (Rocephin)

Carbapenems – Imipenim (Primaxin)

Monobactams – vancomycin (Vancocin)
Aminoglycosides and Fluoroquinolones

Aminoglycosides – gentamycin (Garamycin)

Fluoroquinolones – ciprofloxacin (Cipro)
Tetracyclines, Sulfonamides, and Urinary Agents

Tetracyclines – tetracycline hydrochloride (Sumycin)

Sulfonamides and Trimethoprim trimethoprim-sulfamethoxazole (TMP-SMZ, Bactrim)
Macrolides, Ketolides, and Miscellaneous Antibacterials

Antiprotozoals – metronidazole (Flagyl)

Bacteriostatic Inhibitors (Macrolides) erythromycin (E-
Mycin)
Drugs for Tuberculosis and Mycobacterium avium Complex

Antimycobacterial (Antituberculosis) – isoniazid (INH)
Antiviral Drugs

Antiviral – acyclovir (Zovirax)
Antifungal Drugs amphotericin B deoxycholate (Fungizone)
Ch. 8 – Calculation of Basic IV Drip Rates
(Objective 3, 11)
9:00 – 12:00 Complete Drugs used for Infections
Assigned Readings
Media/Websites
Ch. 36 pp. 581-599
ATI Unit 12 pp. 561-618
ATI Tutorial – Pharmacology –
Antimicrobial Drugs
Henke’s Med Math Ch. 8 – p 203 –
227
ATI Tutorial – Dosage and
Calculations – Parenteral (IV)
Medications
10/5/11
10/12/11 9:00 – 9:45
9:45 – 12:00
Test # 4: Drugs used for infection & Dosage Calculations
Section 7 - Drugs Affecting the Respiratory System
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Drugs for Asthma and other Bronchoconstrictive Disorders
Reading:
Abrams Ch. 44 pp. 712 - 730,
Ch. 45 pp. 731-744
Ch. 46 pp. 745-756
10

Week
10
Date
10/19/11
Time
9:00 – 12:00
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Unit/Topic
Assigned Readings
Media/Websites

Beta
2
Agonists – albuterol (Proventil)

Methylxanthines – theophylline (Theolair)

Inhaled anticholinergics – ipratropium, inhaled (Atrovent)

Glucocorticoids – Fluticasone (Flovent, Flonase)

Mast Cell stabilizers – cromolyn sodium (Intal)

Leukotriene Modifiers – montelukast (Singulair)
Antihistamines and Allergic Disorders

Antihistamines (45) o
1 st generation Histamine
1 receptor antagonists – nonselective (sedating) – diphenhydramine (Benadryl), o 2 nd generation Histamine
1 receptor antagonists – selective (non-sedating) – loratadine (Claritin)
Nasal Decongestants, Antitussives and Cold remedies

Antitussive – Opioids – hydrocodone (Hycodan)

Mucolytics - acetylcysteine (Mucomyst)
Decongestants - phenylephrine (Neo-Synephrine)
Complete Corticosteroids & Respiratory Meds
Begin Drugs Affecting the Cardiovascular System
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Section 8 - Drugs Affecting the Cardiovascular System
Drug Therapy for Heart Failure

Cardiac glycosides – digoxin (Lanoxin)
Antidysrhythmic Drugs

Class 1B Sodium channel blockers – lidocaine (Xylocaine)

Class III Potassium channel blockers – amiodarone
(Cordarone)

Class 1V Calcium channel blockers – verapamil (Calan),

Endogenous glucoside
– adenosine (Adenocard)
Antianginal Drugs

Organic Nitrates – nitroglycerine (Nitrol), isorbide dinitrate
(Isordil)
Antihypertensive Drugs

Angiotensin-converting enzyme (ACE) Inhibitors – captopril
(Capoten)

Angiotensin II Receptor Blockers (ARB) Losartan (Cozaar),
Olmesartan (Benicar)
ATI Unit 3 pp. 205-232
ATI Tutorial – Pharmacology –
Respiratory Drugs
Reading:
Abrams Ch. 48 pp. 763-778
Ch. 49 pp. 779-796
Ch. 50 pp. 797-813
Ch. 51.pp. 814-823
Ch. 52 pp. 824-845
Ch. 53 pp. 846-860
Ch. 54 pp. 861-880
Ch. 55 pp. 881-896
ATI Unit 4 pp. 233-306
Unit 5 – Ch. 25 pp. 308-324
ATI Tutorial – Pharmacology –
Cardiovascular Drugs
ATI Pharmacology Practice Test B to be completed by this date.
11

Week
11
12
13
Date
10/26/11
11/2/11
11/9/11
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Time Unit/Topic
Diuretics

High Ceiling Loop Diuretics – furosemide (Lasix)

Thiazide Diuretics – hydrochlorothiazide (HydroDIURIL)

Potassium Sparing Diuretics - spironolactone (Aldactone)
Drugs that Affect Blood Coagulation

Anticoagulants Heparin, Warfarin (Coumadin),

Anticoagulant reversal agents
Protamine Sulfate, Vitamin K,
Test 5 – Respiratory Meds
Complete Drugs affecting the Cardiovascular system
9:00 – 9:45
9:45 – 12:00
9:00 – 12:00 Section 9 – Drugs Affecting the Digestive System:
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Drugs used for Peptic Ulcers & Acid Reflux Disorders

Histamine
2
Receptor Antagonists - Cimetidine (Tagamet),
Famotidine (Pepcid) Ranitidine (Zantac)

Proton Pump Inhibitors - Esomeprazole (Nexium),
Lansoprazole (Prevacid), Omeprazole (Prilosec) Pantoprazole
(Protonix), Rabeprazole (Aciphex)

Sucralfate (Carafate)

Antacids - Amphojel, Gelusil, Maalox, Mylanta
Prostaglandin E analog - Misoprostol (Cytotec)
9:00 – 11:00 Test 6 – Cardiovascular Drugs
Complete / Review Drugs affecting Digestive system
(Objectives 1, 2, 3, 4, 5, 6, 10, 11)
Antiemetics

Serotonin antagonists – Ondansetron (Zofran)

Dopamine antagonists – (phenothiazines) Prochlorperazine
(Compazine), Promethazine (Phenergan)

Corticosteroids – dexamethasone (Decadron)

Cannabinoids – Dronabinol (Marinol)
 anticholinergics – Scopolamine (Transderm, Scop)

Antihistamines – Dimenhydrinate ( Dramamine), Hydroxyzine
(Vistaril), Meclizine (Antivert)

Prokinetic agents – Metoclopramide (Reglan)
Assigned Readings
Media/Websites
Reading :
Abrams, Ch. 48-55
ATI – Unit 6 & 9
Reading:
Abrams , Ch. 59 pp. 952-970
ATI Unit 10 pp. 412 – 422
ATI Tutorial – Pharmacology –
Gastrointestinal Drugs
Abrams Ch. 62 pp. 995-1008
ATI Unit 6 – Ch 28 pp. 343 – 354
Reading :
Abrams , Ch. 59 pp. 952-970
ATI Unit 10 pp. 412 - 422
Abrams Ch. 62 pp. 995-1008
ATI Unit 6 Ch. 29 pp. 355 – 358, 363,
12

Week Date Time
NUR 1113: TOPICAL OUTLINE AND CLASS CALENDAR
F
ALL
2011
Unit/Topic
Assigned Readings
Media/Websites
14
*
15
16
11/16/11
11/21 – 11/25
11/30/11
12/7/11
9:00 – 12:00 Review of Semester content in preparation for comprehensive final exam
(Objectives 1-11)
Thanksgiving Holidays
Proctored ATI Pharmacology 9:00 – 10:00
9:45 – 11:00
9:00 – 11:00 Comprehensive Final Exam
Final Exam Week
With all medications – It is recommended to learn the classification of the medication, the prototype, mechanism of action, indications for use, contraindications, adverse reactions, anticipated actions, and management considerations
(Notice information included in prototype profile)
13

COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 1113 – FALL 2011
Dosage Calculations Handout
Objectives:
1.
Memorize equivalents, drop factors, & abbreviations.
2.
Convert conventional time to military time.
3.
Calculate & convert dosages within same equivalent system & from one system to another.
4.
Calculate oral, intramuscular, & subcutaneous dosages for medication administration.
5.
Calculate the flow rate of intravenous fluids in mL/hr & gtts/min.
6.
Calculate the infusion time of a prescribed intravenous fluid.
Drop Factors :
Standard IV tubing = 15 gtt/mL sometimes 20 gtt/mL
Microdrip IV tubing = 60 gtt/mL
Blood set tubing = 10 gtt/mL
Conventional and Continental Time Conversion (Military Time):
12:01 AM = 0001 - Morning Hours (single digit hours) – “0” before time = 7:00 AM = 0700
10 AM = 1000 hours, 11 AM = 1100 hours, 12 Noon = 1200 hours
For evening Hours – add 12 to the time - 1 PM = 1300 hours, 2 PM = 1400 hours, etc.
Temperature Conversion Method
To convert from Fahrenheit to Celsius :
Fahrenheit :
◦F = ◦C x 1.8 + 32
◦F = ◦C x 9/5 + 32
◦ F = temperature in degrees Fahrenheit
Celsius
To convert from Celsius to
◦C = (◦F – 32) ÷1.8
◦C = (◦F – 32) x 5/9
◦C = temperature in degrees
14

COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 1113 – FALL 2011
Dosage Calculations Study Guide # 1
Common Formulas
*
*
Dosage Calculations:
D x Q = X
H
D = dosage desired
H = dosage on hand
Q = quantity (amount on hand)
X = unknown
Ratio-Proportion: Dosage on hand Dosage desired (cross multiply)
Volume on hand X volume
*
mg
mL mg (cross multiply)
X mL
IV Infusion times/rate per hour: Drip Rate
Total Volume = Total Hours Total Volume x gtt factor = gtt/min
mL/hr Time (in minutes)
Total mL ordered = mL/hr
Total hr ordered
Drug Conversions
Apothecary System
1 oz
8 oz
16 oz
32 ounces
15-16 minims
1 gr (grains)
15 gr
1/60 gr
Metric System
30 mL
240 mL
500 mL
1,000 mL (1liter)
1 mL
60-65 mg *
1 g (1,000 mg)
1 mg (1000 mcg)
1 kg (1,000 grams)
15

Weight:
Volume:
Length:
COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 1113 – FALL 2011
Dosage Calculations Study Guide #2
Abbreviations : gtt = drop hr = hour min = minutes
PM / pm = evening AM / am = morning s = without
NPO = Nothing by mouth c = with
NKA = No Known Allergies p.r.n. = as necessary a.c. = before meal p.c. = after meal stat = immediately ad. lib. = as desired b.i.d = twice / day q.i.d. = 4 times / day q = every
ID = intradermal po = by mouth
IM = intramuscular SL = sublingual susp = suspension oint = ointment qs = quantity sufficient
IV = intravenous tab = tablet elix = elixir h.s. = at bedtime t.i.d. = 3 times / day p.r. = per rectum
SQ = subcutaneous cap = capsule tr = tincture supp = suppository IVF = intravenous fluid
IVPB = Intravenous piggyback
IVP = Intravenous push
KVO = keep vein open
HAL = Hyperalimentation Nutrition TPN = Total Parenteral Nutrition
PEG = percutaneous endoscopic gastrostomy JT = jejunaostomy tube
GT = gastrostomy tube
D5NS = Dextrose 5% 0.9% Saline
NGT / NG = nasogastric tube
NS = normal saline or 0.9% Saline
LR = Lactated Ringer’s solution
D5LR = Dextrose 5% Lactated Ringers
D5W = Dextrose 5% Water
D5 ½ NS – Dextrose 5% & 0.45% Saline
D10W = Dextrose10%Water
D51/4NS = Dextrose 5% & 0.225 % saline
Equivalents gram milligram microgram kilogram pound grain liter milliliter ounce cup meter centimeter millimeter g mg mcg kg lb (#) gr ss
L mL oz cup m cm mm
1g = 1000 mg
1 mg = 1000 mcg
1 mcg = 0.001 mg
1 kg = 1000 g
1 kg = 2.2 lbs
1 lb = 16 oz gr i = 60 mg ss = ½
1 L = 1000 mL
1 mL = 0.001 L
1 oz = 30 mL
1 cup = 8 oz
1 m = 100 cm = 1000 mm
1 cm = 10 mm = 0.01 m
1 mm = 0.1 cm = 0.001 m
16

inch in. 1 in = 2.5 cm
17