Problems

1. Order: Solu-Medrol 250 mg IV q6h.
    Supply: Each 2 mL contains methylprednisolone sodium succinate equivalent to 125 mg.
    Give _____ mL Solu-Medrol
    Drug handbook states: "give by direct IV at a rate of 500 mg or fraction thereof over 60 seconds."

    How many mL per minute should be administered?

2. Order: Digoxin 0.25 mg IV qd.
    Supply: Digoxin 500 mcg in 2 mL
    Give _____ mL Digoxin
    Drug handbook states: 
    "may be administered diluted in 4 mL sterile water. Administer each direct IV dose over at least 5 min."

    How many mL per minute should be administered?

3. Order: morphine sulfate 2mg IVP q 30 min for breakthrough pain.
    Supply: morphine sulfate 2 mg per mL
    Give _______ mL morphine sulfate

    Drug handbook states: "may be given by direct IV over 4 - 5 min."
    If you give the medication over 4 minutes, how many mL will be injected every minute? 

4. Order: Droperidol 0.625 mg IV q6h for postoperative nausea
    Supply: Droperidol 5 mg/2mL
    Give _____mL Droperidol

    Drug handbook states: "may be given undiluted at a rate of 10 mg over 60 seconds"
    If you administer the dose over 1 minute, how many mL will be injected every 15 seconds?

5. Order: Lasix 80 mg IVP q8h
    Supply: Lasix 40 mg/4mL
    Give _____mL Lasix

    Drug handbook states: "give by direct IV undiluted at a rate of 20 mg over 1 minute."
     What is a safe infusion time for the entire 80 mg dose?
     How many mL per minute should be administered? 

6. The IVP dose to be administered is 6 mL to be infused over 5 minutes.  
    Over how many seconds will you administer each calibration on the following syringe? 
    

7. The medication to be administered IVP is 2 mL to be given over  10 minutes.
    Over how many seconds will you administer each calibration on the syringe? 
    

8. The IVP medication to be administered is 1 mL over 1 minute.
    How many mL will you give each 15 seconds?
  

 

9. The IVP medication to be administered is 0.25 mL to be given over 2 minutes.
    Over how many seconds will you administer each calibration on the syringe?
    

10. The IVP medication to be given is 5 mL to be given over 5 minutes.
       Over how many seconds will you administer each calibration on the syringe?
     

11. For a Dexamethasone suppression test, dose ordered is 5 mg q6h X 48 hrs
       Supply: 10 mg/mL
       Drug handbook states, "Give undiluted over 1 minute."
       Give _____ mL
       Over how many seconds should the nurse administer each calibration on the syringe?

12. Order: Lasix 60 mg IV push at the rate of 2 mg/min
       Supply: 10 mg/mL
       Give _____ mL/min

13. Order: Calcium chloride 10% (5mL) over 5 minutes
       Give _____ mL/min

14. Order: Dilantin loading dose 900 mg IV at the rate of 50 mg/min
       Supply: Dilantin 100 mg/mL
       Give _____ mL
       Give _____ mL/min

15. Order Lanoxin 0.25 mg IV q AM
       Supply: Lanoxin 500 mcg/2 mL
       Give _____ mL
       To administer this dose over 5 minutes, give _____ ml/min

16. Give Drug "XYZ" 1 mg IVP over 10 min
       The literature specifies a minimum of 5 minutes for administration.
       Supply: 250 mcg/mL
       Give _____ mL
       Give _____ mL/min

17. Give 20 mL Drug "K" over 10 minutes
       Give _____ mL per 15 seconds

18. Give 100 mg Drug "L" IVP stat
       Drug "L" preparation is 20 mg/mL
       Give _____ mL
       Drug handbook states, "Give 10 mg per minute."
       Total time for this IVP medication  _____ minutes
       Give _____ mL each 15 seconds

19. Give 10 mL Drug "M" over 5 minutes
       Give _____ each 15 seconds

20. Give 2 mL Drug "N" over 2 minutes
       Give _____ mL each 15 seconds

Key

1. Give  4 mL at a rate of 4 mL/min

2. Give 1 mL at a rate of 1 mL/min

3. Give 1 mL morphine sulfate at 0.25 mL per min

mL  =	1 mL	= 0.25 mL/ min
min	4 min

4. Give 0.25 mL Droperidol at 0.06 mL/15 sec.

mL     =	0.25 mL  X	15 sec	= 0.06 mL per 15 sec
15 sec	60 sec

5. Give 8 mL Lasix over 4 min; give at a rate of 2 mL/ min

min =	1 min X	80 mg	= 4 min
	20 mg

    

mL   =	8 mL  X	20 mg  X	= 2 mL/ min
min	80 mg	1 min

6. Give each calibration on the syringe over 10 seconds.

sec            =	300 sec  X	5 min  X	6 mL	= 10 sec/ cal
calibration	5 min	6 mL	30 cal.

7. Give each calibration on the syringe over 30 seconds.

sec    =	600 sec  X	10 min	= 30 sec/ cal.
cal.	10 min	20 cal

8. Give 0.25 mL over 15 seconds

mL       =	1 mL  X	1 min  X	15 sec	= 0.25 mL over 15 sec
15 sec	1 min	60 sec

9. Give each calibration on the syringe over 5 seconds.

sec   =	120 sec  X	2 min  X	0.25 mL	= 5 sec
cal.	2 min	0.25 mL	25 cal.

10. Give each calibration on the syringe over 12 seconds

sec   =	300 sec  X	5 min  X	5 mL	= 12 sec
cal.	5 min	5 mL	5 cal.

11. Give 0.5 mL; give each calibration on the syringe over 12 seconds

sec   =	60 sec  X	1 min  X	0.5 mL	= 12 sec
cal.	1 min	0.5 mL	5 cal.

12. Give 0.2 mL per minute

mL   =	1 mL  X	2 mg	= 0.2 mL/ min
min	10 mg	1 min

13. Give 1 mL/min

mL  =	5 mL	= 1 mL/ min
min	5 min

14. Give 9 mL at a rate of 0.5 mL/min

mL  =	1 mL   X	50 mg  X	= 0.5mL/ min
min	100 mg	1 min

          15. Give 1 mL at a rate of 0.2 mL/min

mL  =	1 mL	= 0.2 mL/ min
min	5 min

16. Give 4 mL at a rate of 0.4 mL/min

mL  =	4 mL	=  0.4 mL/ min
min	10 min

17. Give 0.5 mL over 15 seconds
       

mL     =	20 mL  X	10 min  X	15 sec	=  0.5 mL over 15 sec
15 sec	10 min	600 sec

18. Give 5 mL over 10 minutes
       Give 0.1 mL each 15 sec
       

Total time

min =	1 min  X	100 mg	= 10 minutes
	10 mg

mL per 15 sec.

mL     =	1 mL  X	10 mg  X	1 min  X	15 sec	= 0.1 mL/ 15 sec
15 sec	20 mg	1 min	60 sec

19. Give 0.5 mL each 15 sec

mL     =	10 mL  X	5 min  X	15 sec	= 0.5mL/ 15 sec
15 sec	5 min	300 sec

20. Give 0.3 mL each 15 sec

mL     =	2 mL  X	2 min  X	15 sec	= 0.25 mL/ 15 sec (round up to 0.3 mL/ 15 sec)
15 sec	2 min	120 sec