Nurse ProCalc: A Complete Learning Package for Mastering Drugs and Solutions Calculation Skills (Single User Version Software and Study Guide)
Synopsis
Useful for both student nurses and staff nurses, Nurse ProCalc: Single-User Version, addresses drug calculations from the simple to the complex. This interactive CD-ROM program generates tens of thousands of calculations questions for GUIDED practice, using the solution approach of choice (ratio & proportion OR dimensional analysis). Included are 20 question types from 5 categories: conversions, calculations, dosages based on weight/BSA, solutions, and IV drug/fluid infusion rates. If desired, practice can be done with specific categories of drugs (general, critical care, psych, chemo, and/or OB/GYN) and/or age-specific dosages (adult, pediatrics, geriatrics). Also included are practice in reading drug labels and practice and self-testing with regard to knowledge of medication-related abbreviations and equivalents. Nurse ProCalc: Single-User Version CD-ROM is accompanied by Nurse ProCalc: Study Guide, which includes introductory content on drug calculations. The repetitive practice opportunity afforded by the CD-ROM, supplemented with the Study Guide, provide a complete learning package for mastering drug calculation skills! Requires IBM compatible computer with CD-ROM drive, 486 or pentium processor, minimum 8 MB of RAM, VGA color monitor, Windows 95 or higher.
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À propos de l?auteur
Pat Brown, RNC, PhD, received her BSN from Hunter-Bellevue School of Nursing, her MSN from Adelphi University, and her PhD in Educational Research from Hofstra University. After working in a variety of staff nurse and head nurse positions in medical-surgical areas, she taught at the Adelphi University School of Nursing for 15 years. In 1988, she started Professional Development Software, Inc., with her huband, Dennis, who writes all programs published by the company.
Extrait. © Reproduit sur autorisation. Tous droits réservés.
Sample Nurse ProCalc Question Types, Professional Development Software, 1998
Conversions: metric conversions (mcg, mg, g)
0.5 g of Ampicillin must be prepared. Ampicillin is available in mg. How many mg of Ampicillin should be prepared?
An IV solution contains 50 mg of Nitroglycerin. 50 mg of Nitroglycerin is equivalent to how many mcg?
Conversions: metric/apothecary conversions (gr, mg)
1/4 gr of Phenobarbital must be prepared. Phenobarbital is available in mg. How many mg of Phenobarbital should be prepared?
Conversions: metric/household conversions (tsp, tbs, mL)
250 mg of liquid Ampicillin has been prescribed. 250 mg is contained in 10 mL. A measuring device marked in tsp is being used. 10 mL is equivalent to how many tsp?
2 tsp of cough medicine has been prescribed. A measuring device marked in mL is being used. How many mL should be administered?
Conversions: metric/apothecary conversions (g, kg, lbs, oz)
An infant weighs 10 lbs 8 oz. You determine that 10 lbs 8 oz is equivalent to ___ kg.
Calculations: # of tabs, caps, or mL to prepare
0.5 g of Aldomet (Methyldopa) has been prescribed po. The Aldomet is available in tablets labeled 250 mg. How many tablets should you administer?
Ampicillin is available in liquid form labeled 500 mg in 5 mL. 250 mg of Ampicillin has been prescribed po. How many mL should you administer?
Vistaril (Hydroxyzine HCl) is available in a 10 mL vial labeled 25 mg in 1 mL. 50 mg of Vistaril must be prepared. How many mL should your withdraw from the vial in preparing the drug?
1 g of Zefazone (Cefmetazole Sodium) must be prepared. A 2 g vial of Zefazone in powdered form is available. Directions for reconstitution state: Add 7 mL of diluent to yield 250 mg in 1 mL. After reconstituting the drug as directed, how many mL should you withdraw from the vial?
Dosages Based on Weight/BSA: maximum safe dosage/dose or day (weight)
You need to verify that a prescribed dose of Proleukin (Aldesleukin) for a patient currently weighing 50 kg is appropriate. The drug literature recommends 600,000 units/kg/dose. You determine that an appropriate dose for this patient would be ___ units per dose.
You need to verify that a prescribed dose of Adenocard (Adenosine) for a patient currently weighing 30 kg is safe. The drug literature recommends a maximum of 0.25 mg/kg/dose. You determine that a maximum safe dose for this patient is ___ mg per dose.
You need to verify that a prescribed dose of Apresoline (Hydrazlazine HCl) for a patient currently weighing 80 lbs is safe. The drug literature recommends a maximum of 7.5 mg/kg/day. The drug is administered in two divided doses over a 24-hour period. You determine that a maximum safe dose for this patient would be ____ mg per dose.
Dosages Based on Weight/BSA: body surface area (BSA) calculation
The drug literature provides information regarding the maximum safe dose of a drug per day, based on BSA in square meters . Your patient's current weight is 110 lbs and height is 61 in. You determine that the patient's current BSA is ___.
The drug literature provides information regarding the maximum safe dose of a drug per day, based on BSA in square meters. Your patient's current weight is 50 kg and height is 152.5 cm. You determine that the patient's current BSA is ___.
Dosages Based on Weight/BSA: maximum safe dosage/dose or day (BSA)
You need to verify that a prescribed dose of Proleukin (Aldesleukin) for a patient with a current BSA of 2.1 is appropriate. The drug literature recommends 4,500,000 units/m2/day. You determine that an appropriate dose for this patient would be ___ units per day.
You need to verify that a prescribed dose of Amicar (Aminocaproic Acid) for a patient with a current BSA of 1.2 is safe. The drug literature recommends a maximum of 18 g/m2 /day. You determine that a maximum safe dose for this patient would be ___ mg per day.
Solutions: expressing solution strength
A 50% solution can be expressed as a fraction, ?/? , or a ratio, __:__.
A 1:2 solution can be expressed as a percent, ___ %, or a fraction, ?/? .
A 1/2 solution can be expressed as a percent, ___ %, or a ratio, __:__. determining amount of drug/solute in solution
A 50% solution for external use prepared from solid drug contains __ g of drug per 100 mL of solution or __ g of drug for every 1 mL of solution.
A 1:2 solution for external use prepared from solid drug contains __ g of drug per 2 mL of solution or __ g of drug for every 1 mL of solution.
2 mL of 0.5% Bupivacaine has been administered to a patient. The patient has received __ g of Bupivacaine.
50% Dextrose in Water contains __ g of dextrose per mL. preparing tube feedings
200 mL of 25% Magnacal must be prepared for a tube feeding. You have available full strength Magnacal. To prepare the feeding, you dilute ___ mL Magnacal with ____ mL water.
IV Fluid Calculations: mL/hr (volume of fluid prescribed)
An IV will be administered using an infusion pump that delivers mL/hr. D5W has been prescribed to run IV at a rate of 100 mL/30 min. The IV should infuse at how many mL/hr?
IV Fluid Calculations: gtts/min (volume of fluid prescribed)
600 mL of D5W has been prescribed for IV infusion over 5 hours. You are using an IV administration set that delivers 10 gtts/mL. You run the IV at ____ gtts/min.
IV Fluid Calculations: drug dosage/volume
2000 mg of Lidocaine has been added to D5W. The final solution has a volume of 1000 mL. You realize that the IV solution contains___ mg of Lidocaine per mL.
Lidocaine has been added to D5W. The final solution has a volume of 1000 mL and a strength of 2 mg Lidocaine per mL. You know that the total dose of Lidocaine in the solution is ___ mg.
IV Fluid Calculations: drug dosage based on weight
Your patient's current weight is 70 kg. Nitroprusside is to be infused at 0.5 mcg/kg/min. How many mcg of Nitroprusside should you infuse per min?
IV Fluid Calculations: mL/hr (drug dosage/hr or min prescribed)
An IV of D5W containing 50 mg of Nitroglycerin and a total volume of 250 mL is to be infused at a rate of 10 mcg/min. At how many mL/hr will you infuse the IV?
IV Fluid Calculations: mL/hr (drug dosage/kg/hr or min prescribed)
400 mg of Intropin (Dopamine HCl) in D5W is to be infused at a rate of 5 mcg/kg/min. The IV solution has a total volume of 250 mL. Your patient's weight is 110 lbs. At how many mL/hr will you infuse the IV?
IV Fluid Calculations: dosage of drug infusing/hr or min (mL/hr known)
D5W with Nitroglycerin is infusing at a rate of 10 mL/hr. The IV solution was prepared by adding 50 mg of Nitroglycerin to D5W. The final solution contained a total volume of 250 mL. How many mg are infusing per hr? How many mg are infusing per min?
IV Fluid Calculations: mL/hr for titrations (range of drug dosages prescribed)
Levophed in D5W is to be titrated 4-8 mcg/min to maintain a patient's BP. The IV solution was prepared by adding 4 mg of Levophed to D5W. The final solution contained a total volume of 1000 mL. The IV solution should be infused at a rate of __ to __ mL/hr.
IV Fluid Calculations: mL/hr for titrations (range of drug dosages/kg prescribed)
Nitroprusside in D5W is to be titrated 0.5-1.5 mcg/kg/min to maintain a patient's BP. The IV solution was prepared by adding 50 mg of Nitroprusside to D5W. The final solution contained a total volume of 250 mL. Your patient's current weight is 154 lbs. The IV solution should be infused at a rate of __ to __ mL/hr.
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