Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson.
These copyright resources are
provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 1
Maths and Clinical Calculations Workbook
By Ann Wilson
Contents Page Introduction 3 Section 1: Decimals, Fractions & Percentages 4 Section 2: The SI Units Weight & Volume 12 Section 3: Drug Doses & Clinical Calculations 16 Section 4: Body Mass Index 28 References & Bibliography 30 Answer Sheet 31 Answers 36
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 2
2010 Ann Wilson (text) and Reflect Press (design, layout, typography and editorial)
This free eBook is for the use of anyone anywhere at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the license granted by the author and publisher. Permission is granted by Reflect Press for copying, storage and transmission for educational purposes only, within academic institutions or by individual students. However, copyright in the design, layout and typography of this particular edition of the Work rests with Reflect Press Ltd. The Work in this edition may not be reproduced, stored in a retrieval system, copied or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise for commercial purposes without written permission from Reflect Press Ltd [Permissions, Reflect Press Ltd, 11 Attwyll Avenue, Exeter, Devon, EX2 5HN].
The right of Ann Wilson to be identified as author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988.
This edition published by Reflect Press Ltd, 11 Attwyll Avenue, Exeter, Devon EX2 5HN 01392 204400
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 3
INTRODUCTION
This workbook has been designed to help you to practise the maths that is relevant to administering drugs in the normal course of a drug round. It is not designed to be difficult but it will make you think. The list of decimals, fractions and percents given on page two is something you must learn. Most nurses will have covered this at school. An Answer Sheet and the Answers have been provided. Print out and fill in your answers on the Answer Sheet and then mark your work using the Answers provided. You are strongly recommended to work through all the exercises before checking your performance.
Using calculators
Working through the following exercises without using a calculator will help you to develop arithmetical knowledge and skill. The NMC caution nurses about the place of calculators when making drug calculations:
The use of calculators to determine the volume or quantity of medication should not act as a substitute for arithmetical knowledge and skill. (NMC (2007) Standards for Medicines Management, p. 24)
If you use a calculator you will not benefit from the learning and practise provided here.
Seek advice and support
If you have any problems with any of the maths in this workbook you need to seek help. Your university may have a Maths Support Centre where you can receive individual help. Alternatively, speak to your tutor about getting help with your maths skills.
Reflect Press Ltd publishes Numeracy, Clinical Calculations and Basic Statistics by Neil Davison, which also provides guidance, examples and practice exercises to help you to develop your maths and clinical calculation skills. This book is available as a print copy from Amazon or as an ebook from the Reflect Press Success website (www.reflectpress-success.co.uk).
Author affiliation
Ann Wilson is Senior Lecturer in the Faculty of Health and Life Science at the University of Coventry. Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 4
SECTION 1 Decimals, Fractions and Percentages
Decimal Fraction Percent 0.1 10%
0.2 or 20%
0.25 25 or 1 25% 100 4
0.3 3 30% 10
0.4 4 or 2 40% 10 5
0.5 5 or 1 50% 10 2
0.6 6 or 3 60% 10 5
0.7 7 70% 10
0.75 75 or 3 75% 100 4
0.8 8 or 4 80% 10 5
0.9 9 90% 10
1.0 10 or 1 100% 10
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1) Convert the following fractions to decimals
a) 2 5
b) 2 50
c) 1 7
d) 1 12
e) 2 9
f) 3 8
g) 3 12
h) 3 20
i) 4 7
j) 4 15
k) 6 22
l) 7 15
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2) Express the following decimals as fractions
a) 0.25
b) 0.6
c) 1.5
d) 0.4
e) 2.8
3) Make the following calculations
a) What is 1/5 of 10?
b) What is 1/3 of 12?
c) What is 0.5 of 20?
d) What is 0.25 of 16?
e) What is 1% of 100?
f) What is 2% of 400?
4) Write these percentages as a fraction and as a decimal
a) 50%
b) 25%
c) 75%
d) 10%
e) 5%
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5) a) What is 50% of:
i) 4
ii) 60
iii) 90
iv) 50 Kg
b) What is 25% of:
i) 8 Kg
ii) 15 Kg
iii) 20
c) What is 75% of:
i) 100
ii) 40 Kg
iii) 50p
d) What is 10% of:
i) 8
ii) 14
iii) 40p
iv) 17 Kg
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To multiply (X) a number by: 10 - move decimal place once to the RIGHT 0.24 =2.4 100 - move decimal place two places to the right 0.24 =24 1000 - move decimal place three places to the right 0.24 =240
6) 0.86 x 10 = 0.86 x 100 = 0.86 x 1000 =
7) 0.37 x 10 = 0.37 x 100 = 0.37 x 1000 =
8) 0.59 x 10 = 0.59 x 100 = 0.59 x 1000 =
9) 0.91 x 10 = 0.91 x 100 = 0.91 x 1000 =
10) 0.15 x 10 = 0.15 x 100 = 0.15 x 1000 =
11) 0.23 x 10 = 0.23 x 100 = 0.23 x 1000 =
12) 0.052 x 10 = 0.052 x 100 = 0.052 x 1000 =
13) 0.069 x 10 = 0.069 x 100 = 0.069 x 1000 =
14) 0.085 x 10 = 0.085 x 100 = 0.085 x 1000 =
15) 0.009 x 10 = 0.009 x 100 = 0.009 x 1000 =
16) 0.005 x 10 = 0.005 x 100 = 0.005 x 1000 =
17) 0.001 x 10 = 0.001 x 100 = 0.001 x 1000 =
18) 4.2 x 10 = 4.2 x 100 = 4.2 x 1000 =
19) 5.6 x 10 = 5.6 x 100 = 5.6 x 1000 =
20) 2.5 x 10 = 2.5 x 100 = 2.5 x 1000 =
21) 6.25 x 10 = 6.25 x 100 = 6.25 x 1000 =
22) 4.33 x 10 = 4.33 x 100 = 4.33 x 1000 =
23) 9.75 x 10 = 9.75 x 100 = 9.75 x 1000 =
24) 35 x 10 = 35 x 100 = 35 x 1000 = Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 9
25) 46 x 10 = 46 x 100 = 46 x 1000 =
26) 77 x 10 = 77 x 100 = 77 x 1000 =
27) 550 x 10 = 550 x 100 = 550 x 1000 =
28) 725 x 10 = 725 x 100 = 725 x 1000 =
29) 375 x 10 = 375 x 100 = 375 x 1000 =
30) 0.027 x 10 = 0.027 x 100 = 0.027 x 1000 =
31) 0.0515 x 10 = 0.0515 x 100 = 0.0515 x 1000 =
32) 0.5 x 10 = 0.5 x 100 = 0.5 x 1000 =
33) 0.25 x 10 = 0.25 x 100 = 0.25 x 1000 =
34) 0.75 x 10 = 0.75 x 100 = 0.75 x 1000 =
35) 0.625 x 10 = 0.625 x 100 = 0.625 x 1000 =
To divide () a number by: 10 - move decimal place once to the LEFT 2.4 =0.24 100 - move decimal place twice to the left 2.4 =0.024 1000 - move decimal place three times to left 2.4 =0.0024
36) 99.2 10 = 99.2 100 = 99.2 1000 =
37) 8.64 10 = 8.64 100 = 8.64 1000 =
38) 3.5 10 = 3.5 100 = 3.5 1000 =
39) 105 10 = 105 100 = 105 1000 =
40) 95 10 = 95 100 = 95 1000 =
41) 4 10 = 4 100 = 4 1000 =
42) 2 10 = 2 100 = 2 1000 = Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 10
43) 5.2 10 = 5.2 100 = 5.2 1000 =
44) 6.8 10 = 6.8 100 = 6.8 1000 =
45) 3.78 10 = 3.78 100 = 3.78 1000 =
46) 0.984 10 = 0.984 100 = 0.984 1000 =
47) 67.2 10 = 67.2 100 = 67.2 1000 =
48) 8.94 10 = 8.94 100 = 8.94 1000 =
49) 0.707 10 = 0.707 100 = 0.707 1000 =
50) 916 10 = 916 100 = 916 1000 =
51) 175 10 = 175 100 = 175 1000 =
52) 0.78 10 = 0.78 100 = 0.78 1000 =
53) 1.82 10 = 1.82 100 = 1.82 1000 =
54) 0.35 10 = 0.35 100 = 0.35 1000 =
55) 3.78 10 = 3.78 100 = 3.78 1000 =
56) 0.025 10 = 0.025 100 = 0.025 1000 =
57) 15 10 = 15 100 = 15 1000 =
58) 236 10 = 236 100 = 236 1000 =
59) 4.5 10 = 4.5 100 = 4.5 1000 =
60) 9.84 10 = 9.84 100 = 9.84 1000 =
61) 7.33 10 = 7.33 100 = 7.33 1000 =
62) 72.6 10 = 72.6 100 = 72.6 1000 =
63) 10 10 = 10 100 = 10 1000 =
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64) 250 10 = 250 100 = 250 1000 =
65) 1000 10 = 1000 100 = 1000 1000 =
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SECTION 2 The SI Units Weight and Volume
1gm (gram) =1000 mgs (milligrams) To change gms to mgs multiply (x) by 1000 2.4 gms =2400 mgs
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1 mg =1 000 mcgs (micrograms) To change mgs to mcgs multiply (x) by 1000 2.4 mgs x 1000 =2 400 mcgs
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1L (litre) =1000 mls (millilitres) To change litres to millilitres multiply (x) by 1000 2.4 L =2400 mls
3) Change the following into mls
a) 2 L 4 L 6 L 1 L 8 L
b) 2.5 L 4.5 L 6.5 L 1.5 L 8.5 L
c) 1.2 L 1.4 L 2.6 L 2.8 L 3.5 L
d) 1.24 L 2.56 L 1.85 L 3.39 L
e) 0.2 L 0.4 L 0.6 L 0.8 L 0.3 L 0.7 L 0.5 L 0.9 L
f) 0.525 L 0.75 L 0.25 L 0.625 L
1000 mls (millilitres) =1 L (litre) To change mls into litres divide () by 1000 2400 ml =2.4 L
4) Change the following mls into Ls
a) 4 000 ml 5 000 ml 6 000 ml 2 000 ml 8 000 ml 7 000 ml
b) 11 000 ml 15 000 ml 18 000 ml 20 000 ml 30 000 ml
10 000 ml
c) 2 700 ml 3 500 ml 6 500 ml 1 500 ml 4 800 ml 5 200 ml
d) 6 250 ml 7 250 ml 8 550 ml 1 750 ml 2 560 ml 3 980 ml
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Quick Revision
5) What is: a) 1 gm in mgs? b) 5 gm in mgs? c) 8 gm in mgs?
6) What is: a) 1.5 gms in mgs? b) 1.25 gms in mgs? c) 2.75 gms in mgs? d) 3.5 gms in mgs?
7) What is: a) 1 mg in mcgs? b) 5 mgs in mcgs? c) 8 mgs in mcgs?
8) What is: a) 1.5 mgs in mcgs? b) 1.25 mgs in mcgs? c) 1.625 mgs in mcgs?
9) What is: a) 1 000 mls in litres? b) 1 500 mls in litres? c) 2 750 mls in litres? d) 1 250 mls in litres?
10) How many mls in: a) 1 litre? b) 1.5 litre? c) 1.75 litre? d) 2 litre? e) 2.25 litre?
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SECTION 3 Drug Doses and Clinical Calculations
Dealing with tablets
1) You have a 500 mg tablet. How many do you give for a: a) 1 gm dose? b) 1.5 gm dose? c) 500 mg dose? d) 2 gm dose? e) 5 gm dose?
2) You have a 250 mg tablet. How many do you give for a: a) 250 mg dose? b) 500 mg dose? c) 1 gm dose? d) 750 mg dose? e) 125 mg dose?
3) You have a 20 mg tablet. How many do you give for a: a) 10 mg dose? b) 40 mg dose? c) 80 mg dose? d) 100 mg dose?
4) You have a 50 mg tablet. How many do you give for a: a) 100 mg dose? b) 200 mg dose? c) 150 mg dose? d) 50 mg dose? e) 25 mg dose?
5) You have a 2 mg tablet. How many do you give for a: a) 4 mg dose? b) 8 mg dose? c) 1 mg dose? d) 6 mg dose? e) 3 mg dose?
6) You have a 10 mg tablet. How many do you give for a: a) 20 mg dose? b) 10 mg dose? c) 5 mg dose? d) 15 mg dose?
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7) You have a 5 mg tablet. How many do you give for a: a) 5 mg dose? b) 10 mg dose? c) 20 mg dose? d) 2.5 mg dose? e) 7.5 mg dose? f) 15 mg dose?
8) You have a 1 mg tablet. How many do you give for a: a) 2 mg dose? b) 1 mg dose? c) 0.5 mg dose? d) 1.5 mg dose?
9) You have a 3 mg tablet. How many do you give for a: a) 6 mg dose? b) 3 mg dose? c) 9 mg dose? d) 12 mg dose? e) 4.5 mg dose?
10) You have a 100 mg tablet. How many do you give for a: a) 100 mg dose? b) 50 mg dose? c) 200 mg dose? d) 150 mg dose?
11) You have a 200 mcg tablet. How many do you give for a: a) 200 mcg dose? b) 400 mcg dose? c) 0.4 mg dose?
12) You have a 125 mg tablet. How many do you give for a: a) 250 mg dose? b) 125 mg dose? c) 375 mg dose? d) 500 mg dose?
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Medicines
To work out the correct dose for medicines you can use a formula called WIG.
What you Want X what (the medicine) is In =the answer What you have Got
For example: Blahblah medicine comes in 25 mgs per 2 mls. How many mls for a 50 mg dose?
what you Want - 50 what you have Got - 25 X what it is In - 2
50 25 X 2 = 2 x 2 = 4 mls
Medicines are usually easy to work out and you may not need to use the formula. Try these exercises without using the WIG formula.
13) You have medicine 5 mg in 5 mls. How many mls for a: a) 10 mg dose? b) 5 mg dose? c) 20 mg dose? d) 15 mg dose? e) 7.5 mg dose? How many mgs in: f) 10 mls? g) 5 mls? h) 15 mls? i) 20 mls? j) 12.5 mls?
14) You have medicine 10 mg in 5 mls. How many mls for a: a) 10 mg dose? b) 20 mg dose? c) 40 mg dose? d) 15 mg dose? How many mgs in: e) 5 mls? f) 10 mls? g) 15 mls? h) 20 mls? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 19
15) You have medicine 20 mg in 10 mls. How many mls for a: a) 5 mg dose? b) 10 mg dose? c) 20 mg dose? d) 15 mg dose? How many mgs in: e) 5 mls? f) 15 mls? g) 10 mls? h) 20 mls? i) 12.5 mls?
16) You have medicine 2 mg in 5 mls. How many mls for a: a) 4 mg dose? b) 6 mg dose? c) 2 mg dose? d) 8 mg dose? How many mgs in: e) 15 mls? f) 10 mls? g) 20 mls? h) 5 mls?
A drug round (use the WIG formula)
17) You have Temazepam 10 mg tablets on your trolley. a) Patient A is prescribed 10 mgs. What do you give? b) Patient B is prescribed 30 mgs. What do you give? c) Patient C is prescribed 20 mgs. What do you give?
18) You have Prochlorperazine 5 mg tablets on your trolley. a) Patient A is prescribed 2.5 mg. What do you give? b) Patient B is prescribed 5 mg. What do you give? c) Patient C is prescribed 10 mg. What do you give? d) Patient D is prescribed 7.5 mg. What do you give?
19) You have prednisolone 1 mg and 5 mg tablets on your trolley. a) Mrs A is prescribed 2 mg. What do you give? b) Mr B is prescribed 10 mg. What do you give? c) Mrs C is prescribed 7.5 mg. What do you give? d) Mrs D is prescribed 4 mg. What do you give? e) Mr E is prescribed 20 mg. What do you give? f) Miss F is prescribed 12 mg. What do you give? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 20
g) Mrs G is prescribed 8 mg. What do you give? h) Mr H is prescribed 30 mg. What do you give?
20) You have intervol 3 mg tablets on your trolley. a) Mr A is prescribed 12 mg. What do you give? b) Mrs B is prescribed 6 mg. What do you give? c) Miss C is prescribed 3 mg. What do you give? d) Miss D is prescribed 9 mg. What do you give?
21) You have metoprolol 50 mg tablets on your trolley. a) Mrs A is prescribed 50 mg. What do you give? b) Mr B is prescribed 100 mg. What do you give?
22) You have phenytoin 100 mg and 50 mg tablets on your trolley. a) Miss A is prescribed 300 mg. What do you give? b) Mr B is prescribed 150 mg. What do you give? c) Mr C is prescribed 100 mg. What do you give? d) Mr D is prescribed 50 mg. What do you give? e) Mrs E is prescribed 200 mg. What do you give? f) Mr F is prescribed 250 mg. What do you give?
23) You have atenolol 25 mg and 50 mg and 100 mg tablets on your trolley. a) Mrs Z is prescribed 50 mg. What do you give? b) Mr Y is prescribed 150 mg. What do you give? c) Miss X is prescribed 125 mg. What do you give? d) Miss W is prescribed 25 mg. What do you give? e) Mr V is prescribed 75 mg. What do you give? f) Mrs U is prescribed 200 mg. What do you give?
24) You have glicazide 40 mg on your trolley. a) Miss Z is prescribed 80 mg. What do you give? b) Mrs Y is prescribed 40 mg. What do you give? c) Mr X is prescribed 120 mg. What do you give?
25) You have aspirin 75 mg and 150 mg tablets on your trolley. a) Mr Z is prescribed 300 mg. What do you give? b) Mr Y is prescribed 150 mg. What do you give? c) Mrs X is prescribed 75 mg. What do you give? d) Miss V is prescribed 225 mg. What do you give?
26) You have carbamazepine 200 mg tablets on your trolley. a) Mr J ay is prescribed 100 mg. What do you give? b) Miss Ess is prescribed 200 mg. What do you give?
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27) You have flucloxacillin 250 mg and 500 mg tablets on your trolley. a) Mr Why is prescribed 500 mg. What do you give? b) Miss Tee is prescribed 250 mg. What do you give? c) Mr Em is prescribed 750 mg. What do you give? d) Mrs Dee is prescribed 1 gm. What do you give? e) Mr Kay is prescribed 2 gm. What do you give? f) Ms Ell is prescribed 1.5 gm. What do you give?
28) You have paracetamol 500 mg tablets on your trolley. a) Mr Zed is prescribed 1 gm. What do you give? b) Miss Bee is prescribed 500 mg. What do you give?
29) You have ranitidine 150 mg tablets on your trolley. a) Mrs Dee is prescribed 150 mg. What do you give? b) Mr Eff is prescribed 300 mg. What do you give?
30) You have augmentin 375 mg tablets on your trolley. a) Mr J ay is prescribed 750 mg. What do you give? b) Mrs Kay is prescribed 1.5 gm. What do you give? c) Ms Ell is prescribed 375 mg. What do you give?
31) You have warfarin 1 mg and 3 mg and 5 mg tablets on your trolley. a) Mrs Emm is prescribed 0.5 mg. What do you give? b) Mrs Que is prescribed 2 mg. What do you give? c) Mr Vee is prescribed 4 mg. What do you give? d) Miss Bee is prescribed 6 mg. What do you give? e) Mr Enn is prescribed 8 mg. What do you give? f) Mr Ess is prescribed 10 mg. What do you give? g) Mrs Ex is prescribed 7.5 mg. What do you give? h) Ms Pee is prescribed 3 mg. What do you give? i) Mrs Zed is prescribed 9 mg. What do you give? j) Mr Why is prescribed 4.5 mg. What do you give?
32) You have thyroxine 50 mcg and 100 mcg tablets on your trolley. a) Mr Eff is prescribed 100 mcg. What do you give? b) Mrs Dee is prescribed 150 mcgs. What do you give? c) Miss Kay is prescribed 200 mcgs. What do you give? d) Miss Bee is prescribed 25 mcgs. What do you give? e) Mr Ell is prescribed 125 mcgs. What do you give?
33) You have digoxin 62.5 mcgs and 125 mcgs and 250 mcgs tablets on your trolley. a) Mr Enn is prescribed 125 mcgs. What do you give? b) Mrs Ess is prescribed 375 mcgs. What do you give? c) Mrs Vee is prescribed 250 mcgs. What do you give? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 22
d) Mr Ex is prescribed 0.5mgs. What do you give? e) Mr Why is prescribed 0.25mgs. What do you give? f) Mrs Que is prescribed 0.125 mgs. What do you give? g) Miss J ay is prescribed 62.5mcgs. What do you give?
34) You have maxolon syrup 5 mg in 5 mls on your trolley. a) Ms Emm is prescribed 10 mg. How much do you give? b) Miss Bee is prescribed 7.5 mg. How much do you give? c) Mrs Ex is prescribed 5 mg. How much do you give? d) Baby Bee is prescribed 1 mg. How much do you give? e) Baby Kay is prescribed 3 mg. How much do you give?
35) You have metronidazole syrup 200 mg in 5 mls on your trolley. a) Mr Eff is prescribed 400 mg. How much do you give? b) Mrs J ay is prescribed 200 mg. How much do you give? c) Ms Ess is prescribed 100 mg. How much do you give? d) Mr Bee is prescribed 300 mg. How much do you give? e) Mrs Tee is prescribed 600 mg. How much do you give? f) Baby Ex is prescribed 40 mg. How much do you give? g) Baby Why is prescribed 80 mg. How much do you give? h) Baby Zed is prescribed 120 mg. How much do you give?
36) You have dihydrocodeine syrup 10 mgs in 5 mls on your trolley. a) Mrs Eff is prescribed 30 mgs. How much do you give? b) Mr Pee is prescribed 60 mgs. How much do you give? c) Ms Enn is prescribed 20 mgs. How much do you give? d) Mr Dee is prescribed 15 mgs. How much do you give?
37) You have cephalexin syrup 125 mgs in 5 mls and 250 mgs in 5 mls on your trolley. a) Mr J ay is prescribed 500 mgs. How much do you give? b) Mrs Emm is prescribed 250 mgs. How much do you give? c) Ms Vee is prescribed 125 mgs. How much do you give? d) Baby Ex is prescribed 62.5 mgs. How much do you give? e) Mr Que is prescribed 1 gm. How much do you give? f) Mrs J ay is prescribed 375 mgs. How much do you give? g) Mr Zed is prescribed 750 mgs. How much do you give? h) Mr Tee is prescribed 1.5 gms. How much do you give?
38) You have diazepam syrup 2 mg in 5 mls on your trolley. a) Mr Dee is prescribed 10 mg. How much do you give? b) Ms Eff is prescribed 4 mg. How many mls do you give? c) Mrs J ay is prescribed 6 mgs. How many mls do you give? d) Mr Kay is prescribed 5 mgs. How many mls do you give? e) Miss Ell is prescribed 3 mgs. How many mls do you give? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 23
39) You have immodium syrup 1 mg in 5 mls on your trolley. a) Mr Emm is prescribed 2 mg. How many mls do you give? b) Ms Enn is prescribed 1 mg. How many mls do you give? c) Ms Pee is prescribed 1.5 mgs. How many mls do you give? d) Mr Que is prescribed 3 mgs. How many mls do you give?
40) You have ranitidine syrup 150 mgs in 10 mls on your trolley. a) Mrs Ess is prescribed 300 mgs. How many mls do you give? b) Mr Tee is prescribed 150 mgs. How many mls do you give? c) Mst Vee is prescribed 75 mgs. How many mls do you give?
41) You have fluconazole syrup 100 mgs in 10 mls on your trolley. a) Mr Ex is prescribed 200 mgs. How many mls do you give? b) Mrs Why is prescribed 300 mgs. How many mls do you give? c) Ms Zed is prescribed 400 mgs. How many mls do you give? d) Mst Bee is prescribed 100 mgs. How many mls do you give? e) Mrs Dee is prescribed 150 mg. How many mls do you give? f) Miss Eff is prescribed 250 mgs. How many mls do you give? g) Ms Eye is prescribed 350 mgs. How many mls do you give?
42) You have chlorpromazine syrup 25 mgs in 5 mls in your trolley. a) Mr J ay is prescribed 50 mgs. How many mls do you give? b) Mr Kay is prescribed 100 mgs. How many mls do you give? c) Mrs Ell is prescribed 150 mgs. How many mls do you give? d) Miss Emm is prescribed 75 mgs. How many mls do you give? e) Ms Enn is prescribed 125 mgs. How many mls do you give?
43) You have paracetamol syrup 120 mgs in 5 mls in your trolley. a) Mr Pee is prescribed 240 mgs. How many mls do you give? b) Miss Que is prescribed 360 mgs. How many mls do you give? c) Ms Ess is prescribed 480 mgs. How many mls do you give? d) Mst Tee is prescribed 60 mgs. How many mls do you give? e) Miss Ex is prescribed 180 mgs. How many mls do you give? f) Mr Why is prescribed 300 mgs. How many mls do you give? g) Mrs Zed is prescribed 420 mgs. How many mls do you give. h) Baby Bee is prescribed 20 mgs. How many mls do you give?
Giving injections (Use WIG if you need to).
44) Maxolon comes in a 2 ml ampoule. Each ampoule contains 10 mgs of maxolon. a) A patient is prescribed maxolon 10 mgs IM (intramuscularly). How many mls do you give? b) A patient is prescribed maxolon 5 mgs IM. How many mls do you give? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 24
45) Cyclizine comes in a 1 ml ampoule. Each ampoule contains 50 mgs of cyclizine. a) A patient is prescribed 25 mgs of cyclizine IM. How many mls do you give? b) A patient is prescribed cyclizine 50 mgs. How many mls do you give?
46) Prochlorperazine comes in a 1 ml ampoule. Each ampoule contains 12.5 mgs. a) A patient is prescribed 12.5 mgs IM. How many mls do you give?
47) Ondansetron comes in a 2 ml ampoule and a 4 ml ampoule. The 2 ml ampoule contains 4 mgs of ondansetron. The 4 ml ampoule contains 8 mgs of ondansetron. a) A patient is prescribed 2 mgs of ondansetron IM. How many mls do you give? b) A patient is prescribed 4 mgs of ondansetron IM. How many mls do you give? c) A patient is prescribed 6 mgs of ondansetron IM. How many mls do you give? d) A patient is prescribed 8 mgs of ondansetron IM. How many mls do you give?
48) Chlorpromazine comes in a 1 ml ampoule. Each ampoule contains 25 mgs of chlorpromazine. a) A patient is prescribed chlorpromazine 25 mgs IM. How many mls do you give? b) A patient is prescribed chlorpromazine 50 mgs IM. How many mls do you give? c) A patient is prescribed chlorpromazine 12.5 mgs IM. How many mls do you give?
49) Droperidol injection comes in a 2 ml ampoule. Each ampoule contains 10 mgs of droperidol. a) A patient is prescribed droperidol 5 mgs IM. How many mls do you give? b) A patient is prescribed droperidol 10 mgs IM. How many mls do you give? c) A patient is prescribed droperidol 15 mgs IM. How many mls do you give? d) A patient is prescribed droperidol 2.5 mgs IM. How many mls do you give? e) A patient is prescribed droperidol 1 mg IM. How many mls do you give? f) A patient is prescribed droperidol 2 mgs IM. How many mls do you give? g) A patient is prescribed droperidol 4 mgs IM. How many mls do you give?
50) Haloperidol injection comes in a 1ml ampoule. Each ampoule contains haloperidol 5 mgs. a) A patient is prescribed haloperidol 5 mgs IM. How many mls do you give? b) A patient is prescribed haloperidol 10 mgs IM. How many mls do you give? c) A patient is prescribed haloperidol 2 mgs IM. How many mls do you give? d) A patient is prescribed haloperidol 4 mgs IM. How many mls do you give? e) A patient is prescribed haloperidol 20 mgs IM. How many mls do you give? f) A patient is prescribed haloperidol 15 mgs IM. How many mls do you give?
51) Heparin comes in a small ampoule of 0.2 mls to be given subcutaneously. Each ampoule contains 25 000 units of heparin. a) Mr Ay is prescribed 25 000 units of heparin subcut. What volume do you give? b) Miss Bee is prescribed 12 500 units of heparin subcut. What volume do you give? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 25
(Please note - heparin 25 000 units also comes in a one ml ampoule. This should not be given subcutaneously as it is for IV infusion use only. It is too large a volume to inject under the skin.)
Giving intravenous fluid
You can use an IVAC pump to give these fluids. An IVAC pump delivers fluid at a rate of mls per hour (ml/hr).
A givings set will give the fluid at 20 drops per ml. That means every 1 ml takes 20 drips of the givings set. So you would multiply (X) your ml/hr by 20 and then divide that by 60 to give your drops per minute (min) (because there are sixty minutes in an hour and you will only count the drips for one minute).
For example Mr Exe is prescribed normal saline 1L in 8 hrs. This would be 1000 divided by 8 =125 mls/hr
You would set the IVAC pump at a rate of 125 ml/hr To use a givings set at 20 drops/ml:
125 X 20 = 41.666 drops per minute 60
(In practice you would count to the nearest whole number which is 42 drops a minute)
(givings sets can deliver at other rates like, for example, 15 drops/ml)
52) You have a 1 litre (L) bag of dextro-saline. The givings set delivers at 20 drops/ml
a) Mr Aye is prescribed 1L in 5 hrs. i) At what rate do you set the pump? ii) How many drops per minute would this be?
b) Mrs Bee is prescribed 1L in 10 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
c) Miss See is prescribed 1L in 24 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
d) Ms Dee is prescribed 1L in 12 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 26
e) Mr Eff is prescribed 1L in 4 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
f) Mrs Gee is prescribed 1L in 8 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
53) You have a 500 ml bag of 5% dextrose. The givings set delivers at 15 drops/ml
a) Mr Aitch is prescribed 500 mls over 5 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
b) Mrs Eye is prescribed 500 mls over 4 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
c) Miss J ay is prescribed 500 mls over 10 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
d) Ms Kay is prescribed 500 mls over 2 hrs. i) At what rate do you set the pump? ii) How many drops/min would this be?
54) The IV assessed nurse has 500 mgs of erythromycin which has been put into a 250 ml bag of normal saline. The givings set delivers at 20 drops/ml
a) Mr Ell is to have the drug over 2 hrs. i) What rate do you set the pump? ii) How many drops/min would this be?
b) Mrs Emm is to have the drug over one hour. i) What rate do you set the pump? ii) How many drops/min would this be?
55) The IV assessed nurse has metronidazole 500 mgs in 100 mls of solution. The givings set delivers at 20 drops/ml. This will be given over one hour.
a) At what rate would you set the pump? b) How many drops/min will this be? Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 27
56) The IV assessed nurse has ciprofloxacin 200 mgs in 100 mls of solution.The givings set delivers at 15 drops/ml. This will be given over one hour.
a) At what rate would you set the pump? b) How many drops/min will this be?
57) The IV assessed nurse has ciprofloxacin 400 mgs in 200 mls of solution. The givings set delivers at 15 drops/ml. This will be given over one hour.
a) At what rate would you set the pump? b) How many drops/min will this be?
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 28
SECTION 4 Body Mass Index
Body mass index (BMI) is a measurement commonly used in practice. It cannot be measured directly but needs to be calculated. You need to know how work out the BMI of your patients.
You must know the patients weight in KILOGRAMS and height in METRES. BMI is worked out by taking the patients weight and dividing it by their height which has been squared. Squared means that you multiply a number by itself. A small 2 symbolises this. Thus:
1 2 =1 x 1 =1 2 2 =2 x 2 =4 3 2 =3 x 3 =9
You need to look at your patients BMI to be able to offer them appropriate health advice, for example about losing or gaining weight/adjusting eating habits. Use the following examples for practise.
For an adult BMI >20 is underweight/malnourished BMI 20-25 is normal BMI 25-30 is overweight BMI 30-40 is obese BMI<40 is morbidly obese
Please note BMI does not assess body fat, so should not be used for children, pregnant women, athletes, body builders. Use with caution on older patients who may have lost height/muscle mass.
Example Sue weighs 50 kgs and is 1.5 m tall
50 1.5 2 = 50 2.25 = 22.22
Round this to the nearest whole number so:
Sues BMI is 22
What do you think of this? Sues BMI is within the normal limits, so she should be reassured.
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 29
58) Do the following examples
Weight Height BMI Your comment Dave 80 kg 1.8 m Pashmi 80 kg 1.6 m Greta 54 kg 1.5 m J oseph 70 kg 1.7 m Wendy 48 kg 1.55 m Peta 68 kg 1.55 m
Now work out your own BMI and give yourself some appropriate advice! Try it on your friends or family members.
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes. 30
REFERENCES AND BIBLIOGRAPHY
British Medical Association & Royal Pharmaceutical Society of Great Britain (Sept 1999) British National Formulary. London: BMJ Books
Davison, N. (2008) Numeracy, clinical calculations and basic statistics: a textbook for healthcare students. Exeter: Reflect Press
Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
31 Answer Sheet
Qu 1 Section 1 Qu 11 a Qu 12 b Qu 13 c Qu 14 d Qu 15 e Qu 16 f Qu 17 g Qu 18 h Qu 19 i Qu 20 j Qu 21 k Qu 22 l Qu 23 Qu 2 Qu 24 a Qu 25 b Qu 26 c Qu 27 d Qu 28 e Qu 29 Qu 3 Qu 30 a Qu 31 b Qu 32 c Qu 33 d Qu 34 e Qu 35 f Qu 4 Qu 36 a Qu 37 b Qu 38 c Qu 39 d Qu 40 e Qu 41 Qu 5a Qu 42 i Qu 43 ii Qu 44 iii Qu 45 iv Qu 46 Qu 5b Qu 47 i Qu 48 ii Qu 49 iii Qu 50 Qu 5c Qu 51 i Qu 52 ii Qu 53 iii Qu 54 Qu 5d Qu 55 i Qu 56 ii Qu 57 iii Qu 58 iv Qu 59 Qu 60 Qu 6 Qu 61 Qu 7 Qu 62 Qu 8 Qu 63 Qu 9 Qu 64 Qu 10 Qu 65 Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
32
Qu 1 Section 2 Qu 7 a
a b
b c
c d
Qu 8 e
a f b g
c h
Qu 9 Qu 2 a a
b b
c c
d d
Qu 10 e
a f b g
c h
d Qu 3 e a Qu 1 Section 3 Tablets b
a c
b d c e
d f e Qu 4 Qu 2 a a b b c c d d Quick Revision e Qu 5 Qu 3 a a b b c c Qu 6 d a Qu 4 b a c b d c d e Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
33 Qu 5 f a g b h c Qu 15 d a e b Qu 6 c a d b e c f d g Qu 7 h a i b Qu 16 c a d b e c f d Qu 8 e a f b g c h d Qu 17 A drug round Qu 9 a a b b c c Qu 18 d a e b Qu 10 c a d b Qu 19 c a d b Qu 11 c a d b e c f Qu 12 g a h b Qu 20 c a d b Qu 13 Medicines c a d b Qu 21 c a d b e Qu 22 f a g b h c i d j e Qu 14 f a Qu 23 b a c b d c e d e f Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
34
Qu 24 Qu 35 a a b b c c Qu 25 d a e b f c g d h Qu 26 Qu 36 a a b b Qu 27 c a d b Qu 37 c a d b e c f d Qu 28 e a f b g Qu 29 h a Qu 38 b a Qu 30 b a c b d c e Qu 31 Qu 39 a a b b c c d d e Qu 40 f a g b h c i Qu 41 j a Qu 32 b a c b d c e d f e g Qu 33 Qu 42 a a b b c c d d e e f Qu 43 g a Qu 34 b a c b d c e d f e g h Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
35
Qu 44 Injections ii a Qu 53d b i Qu 45 ii a Qu 54a b i Qu 46 ii a Qu 54b Qu 47 i a ii b Qu 55 c a d b Qu 48 Qu 56 a a b b c Qu 57 Qu 49 a a b b Qu 58 Section 4 - BMI c d e f g Qu 50 a b c d e f Qu 51 a b Qu 52a Intravenous i ii Qu 52b i ii Qu 52c i ii Qu 52d i ii Qu 52e i ii Qu 52f i ii Qu 53 a i ii Qu 53b i ii Qu 53c i Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
36 Answers
Qu 1 Section 1 Qu 11 2.3, 23, 230 a 0.4 Qu 12 0.52, 5.2, 52 b 0.04 Qu 13 0.69, 6.9, 69 c 0.14 Qu 14 0.85, 8.5, 85 d 0.08 Qu 15 0.09, 0.9, 9 e 0.22 Qu 16 0.05, 0.5, 5 f 0.37 Qu 17 0.01, 0.1, 1 g 0.25 Qu 18 42, 420, 4 200 h 0.1 Qu 19 56, 560, 5 600 i 0.57 Qu 20 25, 250, 2 500 j 0.2 Qu 21 62.5, 625, 6 250 k 0.2 Qu 22 43.3, 433, 4 330 l 0.4 Qu 23 97.5, 975, 9 750 Qu 2 Qu 24 350, 3 500, 35 000 a 1/4 Qu 25 460, 4 600, 46 000 b 2/3 Qu 26 770, 7 700, 77 000 c 1 and 1/2 Qu 27 5 500, 55 000, 550 000 d 1/5 Qu 28 7 250, 72 500, 725 000 e 2 and 4/5 Qu 29 3 750, 37 500, 375 000 Qu 3 Qu 30 0.27, 2.7, 27 a 2 Qu 31 0.515, 5.15, 51.5 b 4 Qu 32 5, 50, 500 c 10 Qu 33 2.5, 25, 250 d 1 Qu 34 7.5, 75, 750 e 2 Qu 35 6.25, 62.5, 625 f 8 Qu 4 Qu 36 9.92, 0.992, 0.0992 a and 0.5 Qu 37 0.864, 0.0864, 0.00864 b and 0.25 Qu 38 0.35, 0.035, 0.0035 c and 0.75 Qu 39 10.5, 0.105, 0.0105 d 1/10 and 0.10 Qu 40 9.5, 0.95, 0.095 e 1/20 and 0.05 Qu 41 0.4, 0.04, 0.004 Qu 5a Qu 42 0.2, 0.02, 0.002 i 2 Qu 43 0.52, 0.052, 0.0052 ii 30 Qu 44 0.68, 0.068, 0.0068 iii 45 Qu 45 0.378, 0.0378, 0.00378 iv 25 Kg Qu 46 0.0984, 0.00984, 0.000984 Qu 5b Qu 47 6.72, 0.672, 0.0672 i 2 Kg Qu 48 0.894, 0.0894, 0.00894 ii 3.75 Kg Qu 49 0.0707, 0.00707, 0.000707 iii 5 Qu 50 91.6, 9.16, 0.916 Qu 5c Qu 51 17.5, 1.75, 0.175 i 75 Qu 52 0.078, 0.078, 0.0078 ii 30 Kg Qu 53 0.182, 0.0182, 0.00182 iii 37.5p Qu 54 0.035, 0.0035, 0.00035 Qu 5d Qu 55 0.378, 0.0378, 0.00378 i 80p Qu 56 0.0025, 0.00025, 0.000025 ii 1.40p Qu 57 1.5, 0.15, 0.015 iii 4p Qu 58 23.6, 2.36, 0.236 iv 1.7 Kg Qu 59 0.45, 0.045, 0.0045 Qu 60 0.984, 0.0984, 0.00984 Qu 6 8.6, 86, 860 Qu 61 0.733, 0.0733, 0.00733 Qu 7 3.7, 37, 370 Qu 62 7.26, 0.726, 0.0726 Qu 8 5.9, 59, 590 Qu 63 1, 0.1, 0.01 Qu 9 9.1, 91, 910 Qu 64 25, 2.5, 0.25 Qu 10 1.5, 15, 150 Qu 65 100, 10, 1 Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
37
Qu 1 Section 2 Qu 7 a 2 000 mg, 5 000 mg, 8 000 mg, 12 000 mg, 20 000 mg, 7 000 mg, 3 000 mg, 11 000 mg, 25 000 mg, 100 000 mg a 1 000 mcg b 2 200 mg, 4 500 mg, 7 400 mg, 5 800 mg, 12 500 mg, 32 500 mg, 67 500 mg b 5 000 mcg c 750 mg, 525 mg, 675 mg, 450 mg, 560 mg, 340 mg c 8 000 mcg d 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg Qu 8 e 45 mg, 75 mg, 85 mg, 69 mg, 32 mg, 98 mg a 1 500 mcg f 6 mg, 7 mg, 8 mg, 9 mg, 4 mg, 2 mg b 1 250 mcg g 755 mg, 625 mg, 525 mg, 336 mg, 825 mg, 750 mg c 1 625 mcg h 2 480 mg, 3 650 mg, 4 720 mg, 5 750 mg, 6 350 mg, 8 120 mg Qu 9 Qu 2 a 1 L a 195 mcg, 625 mcg, 125 mcg, 375 mcg, 725 mcg, 975 mcg b 1.5 L b 600 mcg, 500 mcg, 200 mcg, 800 mcg, 300 mcg, 700 mcg c 2.75 L c 750 mcg, 250 mcg, 120 mcg, 850 mcg, 970 mcg, 450 mcg d 1.25 L d 75 mcg, 62 mcg, 25 mcg, 98 mcg, 15 mcg, 84 mcg Qu 10 e 80 mcg, 20 mcg, 40 mcg, 60 mcg, 50 mcg, 30 mcg a 1 000 ml f 1 mcg, 7 mcg, 9 mcg, 8 mcg, 3 mcg, 6 mcg b 1 500 ml g 625 mcg, 725 mcg, 825 mcg, 355 mcg, 275 mcg, 125 mcg c 1 750 ml h 92 mcg, 68 mcg, 73 mcg, 59 mcg, 37 mcg, 24 mcg d 2 000 ml Qu 3 e 2 250 ml a 2 000 ml, 4 000 ml, 6 000 ml, 1 000 ml, 8 000 ml Qu 1 Section 3 Tablets b 2 500 ml, 4 500 ml, 6 500 ml, 1 500 ml, 8 500 ml a 2 tablets c 1 200 ml, 1 400 ml, 2 600 ml, 2 800 ml, 3 500 ml b 3 tablets d 1 240 ml, 2 560 ml, 1 850 ml, 3 390 ml c 1 tablet e 200 ml, 400 ml, 600 ml, 800 ml, 300 ml, 700 ml, 500 ml, 900 ml d 4 tablets f 525 ml, 750 ml, 250 ml, 625 ml e 10 tablets Qu 4 Qu 2 a 4L, 5L, 6L, 2L, 8L, 7L a 1 tab b 11L, 15L, 18L, 20L, 30L, 10L b 2 tabs c 2.7L, 3.5L, 6.5L, 1.5L, 4.8L, 5.2L c 4 tabs d 6.25L, 7.25L, 8.55L, 17.5L, 25.6L, 39.8L d 3 tabs Quick Revision e tab Qu 5 Qu 3 a 1 000 mg a tab b 5 000 mg b 2 tabs c 8 000 mg c 4 tabs Qu 6 d 5 tabs a 1 500 mg Qu 4 b 1 250 mg a 2 tabs c 2 750 mg b 4 tabs d 3 500 mg c 3 tabs d 1 tab e tab Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
38 Qu 5 f 5 mg a 2 tabs g 7.5 mg b 4 tabs h 10 mg c tab Qu 15 d 3 tabs a 2.5 ml e 1 tab b 5 ml Qu 6 c 10 ml a 2 tabs d 7.5 ml b 1 tab e 10 mg c tab f 30 mg d 1 tab g 20 mg Qu 7 h 40 mg a 1 tab i 25 mg b 2 tabs Qu 16 c 4 tabs a 10 ml d tab b 15 ml e 1 tab c 5 ml f 3 tabs d 20 ml Qu 8 e 6 mg a 2 tabs f 4 mg b 1 tab g 8 mg c tab h 2 mg d 1 tab Qu 17 A drug round Qu 9 a 1 tab a 2 tabs b 3 tabs b 1 tab c 2 tabs c 3 tabs Qu 18 d 4 tabs a tab e 1 tab b 1 tab Qu 10 c 2 tabs a 1 tab d 1 tab b tab Qu 19 c 2 tabs a 2 x 1 mg tab d 1 tabs b 2 x 5 mg tab Qu 11 c 1 5 mg tab a 1 tab d 4 x 1 mg tab b 2 tabs e 4 x 5 mg tab c 2 tabs f 2 x 5 mg tab and 2 x 1 mg tab Qu 12 g 1 x 5 mg tab and 3 x 1 mg tab a 2 tabs h 6 x 5 mg tab b 1 tab Qu 20 c 3 tabs a 4 tabs d 4 tabs b 2 tabs Qu 13 Medicines c 1 tab a 10 ml d 3 tabs b 5 ml Qu 21 c 20 ml a 1 tab d 15 ml b 2 tabs e 7.5 ml Qu 22 f 10 mg a 3 x 100 mg tabs g 5 mg b 1 x 100 mg and 1 x 50 mg tab h 15 mg c 1 x 100 mg tab i 20 mg d 1 x 50 mg tab j 12.5 mg e 2 x 100 mg tab Qu 14 f 2 x 100 mg and 1 x 50 mg tab a 5 ml Qu 23 b 10 ml a 1 x 50 mg tab c 20 ml b 1 x 50 mg and 1 x 100 mg tab d 7.5 ml c 1 x 100 mg and 1 x 25 mg tab e 10 mg d 1 x 25 mg tab e 1 x 50 mg and 1 x 25 mg tab f 2 x 100 mg tab Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
39
Qu 24 Qu 35 a 2 x 40 mg tab a 10 ml b 1 x 40 mg tab b 5 ml c 3 x 40 mg tab c 2.5 ml Qu 25 d 7.5 ml a 2 x 150 mg tab e 15 ml b 1 x 150 mg tab f 0.5 ml c 1 x 75 mg tab g 1 ml d 1 x 150 mg and 1 x 75 mg tab h 3 ml Qu 26 Qu 36 a x 200 mg tab a 15 ml b 1 x 200 mg tab b 30 ml Qu 27 c 10 ml a 1 x 500 mg tab d 7.5 ml b 1 x 250 mg tab Qu 37 c 1 x 500 mg and 1 x 250 mg tab a 10 ml of 250 mg in 5 ml d 2 x 500 mg tab b 5 ml of 250 mg in 5 ml e 4 x 500 mg tab c 5 ml of 125 mg in 5 ml f 3 x 500 mg tab d 2.5 ml of 125 mg in 5 ml Qu 28 e 20 ml of 250 mg in 5 ml a 2 x 500 mg tab f 7.5 ml of 250 mg in 5 ml b 1 x 500 mg tab g 15 ml of 250 mg in 5 ml Qu 29 h 30 ml of 250 mg in 5 ml a 1 x 150 mg tab Qu 38 b 2 x 150 mg tab a 25 ml Qu 30 b 10 ml a 2 x 375 mg tab c 15 ml b 4 x 375 mg tab d 12.5 ml c 1 x 375 mg tab e 7.5 ml Qu 31 Qu 39 a 1 mg tab a 10 ml b 2 x 1 mg tab b 5 ml c 1 x 1 mg tab and 1 x 3 mg tab c 7.5 ml d 2 x 3 mg tab d 15 ml e 1 x 3 mg tab and 1 x 5 mg tab Qu 40 f 2 x 5 mg tab a 20 ml g 2 x 3 mg tab b 10 ml h 1 x 3 mg tab c 5 ml i 3 x 3 mg tab Qu 41 j 1 x 3 mg tab a 20 ml Qu 32 b 30 ml a 1 x 100 mcg tab c 40 ml b 1 x 50 mcg and 1 x 100 mcg tab d 10 ml c 2 x 100 mcg tab e 15 ml d x 50 mcg tab f 25 ml e 1 x 100 mcg tab and 50 mcg tab g 35 ml Qu 33 Qu 42 a 1 x 125 mcg tab a 10 ml b 1 x 250 mcg and 1 x 125 mcg tab b 20 ml c 1 x 250 mcg tab c 30 ml d 2 x 250 mcg tab d 15 ml e 1 x 250 mcg tab e 25 ml f 1 x 125 mcg tab Qu 43 g 1 x 62.5 mcg tab a 10 ml Qu 34 b 15 ml a 10 ml c 20 ml b 7.5 ml d 2.5 ml c 5 ml e 7.5 ml d 1 ml f 12.5 ml e 3 ml g 17.5 ml h 0.1 ml Maths and Clinical Calculations Workbook provided free by Reflect Press Ltd. 2010 Ann Wilson. These copyright resources are provided free to Nursing students for use in their studies. They may be copied and circulated for academic purposes but may not be reproduced for commercial purposes.
40
Qu 44 Injections ii 12 dpm a 2 ml Qu 53d b 1 ml i 250 ml/hr Qu 45 ii 62 dpm a 0.5 ml Qu 54a b 1 ml i 125 ml/hr Qu 46 ii 42 dpm a 1 ml Qu 54b Qu 47 i 250 ml/hr a 1 ml ii 84 dpm b 2 ml Qu 55 c 3 ml a 100 ml/hr d 4 ml b 33 dpm Qu 48 Qu 56 a 1 ml a 100 ml/hr b 2 ml b 25 dpm c 0.5 ml Qu 57 Qu 49 a 200 ml/hr a 1 ml b 50 dpm b 2 ml Qu 58 Section 4 - BMI c 3 ml Dave =24.69 d 0.5 ml Pashmi =31.25 e 0.2 ml Greta =24 f 0.4 ml J oseph =24.22 g 0.8 ml Wendy =20 Qu 50 Peta =28.3 a 1 ml b 2 ml c 0.4 ml d 0.8 ml e 4 ml f 3 ml Qu 51 a 0.2 ml b 0.1 ml Qu 52a Intravenous i 200 ml/hr ii 67 dpm Qu 52b i 100 ml/hr ii 33 dpm Qu 52c i 42 ml/hr ii 14 dpm Qu 52d i 83 ml/hr ii 28 dpm Qu 52e i 250 ml/hr ii 84 dpm Qu 52f i 125 ml/hr ii 42 dpm Qu 53 a i 100 ml/hr ii 25 dpm Qu 53b i 125 ml/hr ii 31 dpm Qu 53c i 50 ml/hr