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MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ Everything Except Chapter 10 1) Round the following to the nearest thousandth. a) 12.33458 b) 12.3345 c) 12.0040 2) Convert to percents a) 0.05 b) 0.10 c) 1.00 d) 3.4 3) Convert to fractions a) 0.05 b) 0.10 c) 1.00 d) 3.4 4) Solve for x in the following ratios. a) 16/76 = 12/x b) 12:98::3:x c) 2:100::x:5 4) Give meaning to the following abbreviations and as to whether the abbreviation is to be used and the words to substitute for the abbreviation(s). a) sp b) sol c) KVO d) tbsp e) mEq f) gtt g) AU h) sc sq i) tiw j) qn k) po l) prn m) pc n) biw 5) If traditional time, change to military time. If military time, change to traditional time. a) 12:00 am b) 12:00pm c) 1300 d) 5:30 am e) 1000 f) 1400 6) Interpret the following orders. a) Tylenol 325 mg tabs ii po q6h © Copyright 2007 by P.E.P. 1 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ b) Prednisone 10 mg po every day c) Morphine sulfate 10 mg subcutaneously stat and 10 mg q6h prn d) Ampicillin 1g IVPB q6h e) Humulin R 25 units subcutaneously every day 7) What are the following for the drug label shown below? a. NDC number b. Trade name c. generic name d. strength of the drug e. form of the drug f. usual dosage g. route of administration h. storage i. precautions j. manufacturer’s name k. expiration date l. lot number m. additives 8) Calculate: a) Order: NPH insulin 10 units and Humulin insulin 5 units subcutaneous every day 7am Supply: vials of NPH insulin U 100 and Humulin insulin U 100 b) Order: add 15 mEq potassium chloride to IV stat Supply: vial of liquid labeled 40 mEq (3g) per 20 mL © Copyright 2007 by P.E.P. 2 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ c) Order: Phenobarbital 0.1 g IM q6h Supply: ampule of liquid labeled 200 mg/3mL d) Order: atropine sulfate 0.5 mg IV at 8:00 am Supply: vial labeled 0.5 mg/mL e) Order: epinephrine 0.2 mg subcutaneous stat Supply: ampule labeled 1: 1000 (2-mL size) f) Order: 400,000 units IM Supply 500,000 units/mL 9) For the following picture: a) What are the types of packaging shown below? [Label each] b) What is the route of administration? 10) Give an example of a multidose container. 11) Answer T for true or F for false for the following: a) _________ Vials only contain liquids. b) _________ A sealed medication cup contains one dose of a liquid for oral administration. c) _________ Ampules only contain liquids. © Copyright 2007 by P.E.P. 3 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ 12) Match the letters with the correct small roman numeral(s): i. for the ear ii for the eye a. ____ otic b. ____ ophthalmic c. ____ auric 13) Nurse Ratchet must administer medication to a patient at 0600. She notices that the cabinet contains enough medication for 1 dose. The pharmacy has not opened yet in the facility at which she works. The patient needs 2 doses. The expiration date was yesterday’s date. What should Nurse Ratchet do? 14) Convert the following to the metric indicated. a) 2 mL to L b) 4 tbsp to fluid ounces c) 60 mg to g d) 0.060 mg to mcg e) gr ii to mg f) 165 mcg to mg g) 500 mL to qt h) 2 tsp to mL i) 1 fluid oz to drams Helpful Info for the above problems Given the following equivalents for liquids (metric, household and apothecary) 1 tsp = 5 mL 1 tbsp =15 mL = ½ fluid oz = 4 drams 1 oz = 30 mL = 2 tbsp = 1 fluid oz = 8 drams 1 pt = 500 mL 1 qt = 1000 mL 4 qt = 1 gal 2.2 lb = 1 kg Given that Liquid equivalents in the apothecary system are 1 m = 1 gtt 1 dr = 4 mL 8 dr = 1 oz ℥ i = 32 mL Given the following equivalents for solids 15 grains = 1000 mg 1 grain = 60 mg (or 1 grain = 65 mg) 15) On the syringe below, use arrows to mark the following doses: a) 45 cc b) 1.5 oz © Copyright 2007 by P.E.P. 4 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ 16) Draw a line on the medicine cup (please ignore the coloring and the volume in the image) indicating the amount you would pour for the following: Order: Dilantin susp 200 mg po tid Supply: liquid labeled 75 mg/10 mL 17) Determine the amounts to be given: a. Order: digoxin 0.120 mg po Supply: liquid in a dropper bottle labeled 500 mcg/10 mL b. Order: chlorpheniramine maleate syr 2.0 mg po bid Supply: liquid in a bottle 1mg/10 mL c. Order: propranolol 0.04 g po bid Supply: scored tablets labeled 20 mg d. Order: Lanoxin 50 mcg every day po Supply: 0.1-mg capsules 18) How many grams per 100 mL for a) 25% b) 1.5% c) 0.55% 19) A nurse prepared a syringe containing two insulins (Humulin R and Humulin L). He performed this procedure carefully with respect to the number of units that the doctor ordered for each © Copyright 2007 by P.E.P. 5 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ insulin type. However, he did NOT do the “clear to cloudy” routine as his MATH 102 instructor taught him. Should he give the insulin mixture to the patient? 20) Nurse Flighty does not know where to find information about the reconstitution of powders. Help her! Give at least three references. a. b. c. 21) Calculate …. Reconstitution directions for cefazolin sodium (Ancef) are as follows: Preparation of Parenteral Solution Preparation of drug products should be SHAKEN WELL when reconstituted, and inspected visually for particulate matter prior to administration. If particulate matter is evident in reconstituted fluids, the drug solutions should be discarded. When reconstituted or diluted according to the instructions below, Ancef (sterile cefazolin sodium, SK&F) is stable for 24 hours at room temperature or 96 hours if stored under refrigeration. Reconstituted solutions may range in color from pale yellow to yellow without a change in potency. Single-Dose Vials For IM injection, IV direct (bolus) injection, or IV infusion, reconstitute with Sterile Water for Injection according to the following table. SHAKE WELL Vial size: 500 mg Amount of Diluent: 2.0 mL Approximate concentration: 225 mg/mL Approximate Available Volume: 2.2 mL a) Order: Ancef 200 mg IM q6h Supply: On the shelf there is one vial size of powder: 500 mg. Supply chosen: Diluting fluid and number of milliters: Solution and new supply: Rule and arithmetic Answer: Write on label: Storage: 22) Calculate drip factors: a) order: 160 mL D5 1/3 NS 6pm – 12 am supply: macrodrip (10gtt/.mL); microdrip (60 gtt/mL) b) order: Amikacin 0.4 g IVPB q6h supply: 2-mL vial labeled 250 mg/mL Package directions: 100 mL/D5W 30 minutes Available: macrodrip tubing 10gtt/mL How many mL of Amikacin should be added to the IV? What are the gtt/min? © Copyright 2007 by P.E.P. 6 MATH 102 Mathematics For Allied Health Sample Final Student Name _________________________________________ Section ___ Date ______ 23) Patient’s skin looks swollen at the site of infiltration. What other signs should you look for? a. b. c. 24) Calculate: Hgt, 5’5’’; wgt 155 lb; BSA 1.8m2 Order: Ara-C 160 mg (100 mg/m2) in 1 L D5W over 24 hr Is dose correct? What is the pump setting? © Copyright 2007 by P.E.P. 7