Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

1.

Patient: Drug: Order:

13 month old child, 11 kg, with Blood Glucose of 35 Dextrose 25%, 2.5g in 10ml (2.5g/10ml) 2 ml/kg IV*

What is our desired dose?

2.

Patient: Drug: Order:

180lb adult in V-Fib Lidocaine, 100mg/5ml 1 mg/kg IV/IO (max dose 100mg)

What is our desired dose? What volume will we administer?

3.

Patient: Drug: Order:

100kg head injured adult, in need of drug assisted intubation Etomidate, 40mg/20ml 0.6 mg/kg rapid IV/IO

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

4.

Patient: Drug: Order:

80kg adult with Pulmonary Edema Lasix, 100mg/10ml 1 mg/kg IV (100mg maximum total dose)

What is our desired dose? What volume will we administer?

5.

Patient: Drug: Order:

same patient as in question 4 Lasix, 40mg/10ml 1 mg/kg IV (100mg maximum total dose)

What is our desired dose? What volume will we administer?

6.

Patient: Drug: Order:

100kg adult in seizures Versed, 10mg/2ml 2mg slow IV

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

7.

Patient: Drug: Order:

120kg adult with suspected Acute Myocardial Infarction (AMI) Morphine Sulfate, 10mg/1ml 2 mg IV

What is our desired dose? What volume will we administer?

8.

Patient: Drug: Order:

15kg child, trauma victim with inadequate perfusion Normal Saline, 1000ml 20ml/kg IV fluid bolus*

What volume will we administer?

9.

Patient: Drug: Order:

90kg adult in unstable bradycardia Atropine, 1.0mg/10ml 0.5 mg rapid IV/IO

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

10.

Patient: Drug: Order:

200lb adult in seizures Versed, 10mg/2ml Versed IM < 70 kg = 5mg IM 70 kg = 10mg IM

What is our desired dose? What volume will we administer?

11.

Patient: Drug: Order:

200lb adult in V. Fib Lidocaine, 100mg/5ml 2mg/kg ET (max dose 50mg)

What is our desired dose? What volume will we administer?

12.

Patient: Drug: Order:

100kg adult with suspected AMI Aspirin (ASA), 81mg tablets 324mg chewed and swallowed

How many tablets will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

13.

Patient: Drug: Order:

25kg child with allergic reaction Benedryl, 50mg/1ml 1mg/kg IM or slow IV*

What is our desired dose? What volume will we administer?

14.

Patient: Drug: Order:

same patient from question 13 Epinephrine 1:1000, 1mg/1ml Epinephrine 1:1,000* 10kg = 0.1mg IM 11-20kg = 0.2mg IM > 20kg = 0.3mg IM

What is our desired dose? What volume will we administer?

15.

Patient: Drug: Order:

same patient from question 13 Albuterol, 2.5mg/3ml 2.5mg NEB*

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

16.

Patient: Drug: Order:

80kg adult with stable Supraventricular Tachycardia Adenosine, 6mg/2ml 6 mg rapid IV

What is our desired dose? What volume will we administer?

17.

Patient: Drug: Order:

same patient as in question 16 Adenosine, 6mg/2ml 12 mg rapid IV

What is our desired dose? What volume will we administer?

18.

Patient: Drug: Order:

135kg adult in V. Fib Epinephrine 1:10,000, 1mg/10ml 1 mg IV/IO

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

19.

Patient: Drug: Order:

same patient as in question 18 Epinephrine 1:1000, 1mg/1ml (or 30mg/30ml) 2 mg ET

What is our desired dose? What volume will we administer?

20.

Patient: Drug: Order: IV Set:

(200lb) 91kg adult in cardiogenic shock Dopamine, 800mg/500ml (concentration of 1600mcg/1ml) 5mcg/kg/min IV to start, titrated to systolic BP > 90 1 ml = 60 mcgtts (microdrops)

How many mcgtts/min should we start infusing? Mgtts Min = Volume on hand x drip factor x desired dose dose on hand

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

21.

Patient: Drug: Order:

100kg adult in stable V-Tach Lidocaine, 100mg/5ml 1 mg/kg IV/IO (max dose 100mg)

What is our desired dose? What volume will we administer?

22.

Patient: Drug: Order:

same patient as in question 21 Lidocaine, 100mg/5ml 0.5 mg/kg IV/IO (max dose 50mg)

What is our desired dose? What volume will we administer?

23.

Patient: Drug: Order:

200lb adult, cyclic antidepressant overdose with hypoperfusion and wide QRS complexes Sodium Bicarbonate 8.4%, 50mEq/50ml 1 mEq/kg IV

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

24.

You have received an order to give 750ml of 0.9% Normal Saline over 5 hours, using macrodrip tubing (10 gtt/ml). What drip rate do you need to administer it at? ** Gtt/min = (volume x drip factor)/time

25.

Patient: Drug: Order:

4 kg infant, in V. Fib Epi 1:10,000, 1mg/10ml 0.01 mg/kg IV/IO

What is our desired dose? What volume will we administer?

26.

You have received an order for 250mg IV bolus of a medication. The medication is packaged as 2g/10ml. ** What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

27.

Patient: Drug: Order:

255lb adult, organophosphate poisoning Atropine, 1.0mg/10ml 2mg rapid IV/IO

What is our desired dose? What volume will we administer?

28.

Patient: Drug: Order:

33lb (15kg) child, suspected epiglottitis Epinephrine 1:1000, 1mg/1ml 3mg via nebulizer mask*

What is our desired dose? What volume will we administer?

29.

Patient: Drug: Order:

230lb adult, pulmonary edema Lasix, 100mg/10ml 1mg/kg IV (100mg maximum total dose)

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

30.

Patient: Drug: Order:

20kg child, in seizures Versed, 10mg/2ml 0.05 mg/kg slow IV/IO*

What is our desired dose? What volume will we administer?

31.

You have received an order for 1mg/kg IV bolus of a medication. The medication is packaged as 100mg/10ml. The patient weighs 270 lbs. ** What is our desired dose? What volume will we administer?

32.

Patient: Drug: Order:

190lb adult, in need of drug assisted intubation Versed, 10mg/2ml 5mg IV/IO/IN

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.

Drug Dosage and Volume Calculation Examples

(All examples based on 2009 Region VIII SOPs unless otherwise noted)

33.

Patient: Drug: Order:

66lb (30kg) child, in unstable narrow complex tachycardia Adenosine, 6mg/2ml 0.1mg/kg rapid IV, maximum initial dose not to exceed 6mg*

What is our desired dose? What volume will we administer?

34.

Patient: Drug: Order:

280lb adult in V. Fib Lidocaine, 100mg/5ml 1mg/kg IV/IO (max dose 100mg)

What is our desired dose? What volume will we administer?

35.

Patient: Drug: Order:

40kg child, spinal injury with bradycardia and hypoperfusion Atropine, 1.0mg/10ml 0.02mg/kg rapid IV/IO (min dose of 0.1mg)*

What is our desired dose? What volume will we administer?

* **

These exercises are based on the 2006 Region VIII SOPs. These exercises are not based on any particular SOP, but rather are simple applications of math to drug calculations.