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Calculate with Confidence - E-Book

Calculate with Confidence - E-Book

Deborah C. Gray Morris

(2014)

Additional Information

Book Details

Abstract

This popular text covers the ratio and proportion, formula, and dimensional analysis methods offering a step-by-step approach to the calculation and administration of drug dosages. With over 2,000 practice problems, Gray Morris focuses on enhancing the learning experience of nursing students at all curricular levels by making content clinically applicable. Calculate with Confidence, 6th Edition addresses the increasing responsibility of the nurse in medication administration, prioritizes client safety, and reflects the current scope of practice.

  • Tips for Clinical Practice boxes call attention to information critical to math calculation and patient safety.
  • Safety Alert boxes highlight issues that may lead to mediation errors and empower you to identify actions that must be taken to avoid calculation errors
  • Chapter review problems test all major topics presented in the chapter.
  • Separate basic math review test allows you to assess and evaluate your understanding of basic math material covered in Unit 1, directing you to review chapters if you miss any of these test questions.
  • Pre-test basic math review tests help you assess your basic math skills and identify areas of strength and weakness in competency of basic math.
  • Comprehensive unit on basic math review offers complete coverage of basic math: roman numerals, fractions, decimals, ratio and proportion, and percentages.
  • NEW! Integration of QSEN information related to patient safety in the Medication Administration chapter and throughout text.
  • NEW! NCLEX-style questions on Evolve help prepare you for the NCLEX-RN Examination.
  • NEW! Content additions and updates includes word problems involving dosages, Critical Thinking Scenarios, a discussion of the concepts regarding safety issues with medication administration, plus significant updates in the insulin, critical care and IV chapters.
  • NEW! Reorganization of Answer Key features answers and the work to practice problems at the end of each chapter rather than in the back of the book.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Calculate with Confidence iii
Copyright Page iv
Table of Contents xiii
Dedication v
Reviewers vi
Preface to the Instructor vii
Acknowledgments xi
Unit One: Math Review 1
Pre-Test 2
Chapter 1. Roman Numerals 6
Chapter 2. Fractions 11
Types of Fractions 12
Converting Fractions 13
Comparing Fractions 13
Reducing Fractions 15
Adding Fractions 16
Subtracting Fractions 17
Multiplying Fractions 19
Dividing Fractions 20
Chapter 3. Decimals 28
Reading and Writing Decimals 29
Comparing the Value of Decimals 31
Adding and Subtracting Decimals 32
Multiplying Decimals 34
Dividing Decimals 35
Rounding Off Decimals 37
Changing Fractions to Decimals 38
Changing Decimals to Fractions 39
Chapter 4. Ratio and Proportion 44
Ratios 44
Proportions 45
Solving for x in Ratio and Proportion 46
Applying Ratio and Proportion to Dosage Calculation 48
Chapter 5. Percentages 55
Percentage Measures 56
Converting Percentages to Fractions, Decimals, and Ratios 57
Converting Fractions, Decimals, and Ratios to Percentages 59
Comparing Percents and Ratios 61
Determining the Percent of a Quantity 61
Determinig What Percent One Number Is of Another 62
Calculating the Percent of Change 63
Post-Test 68
Unit Two: Systems of Measurement 73
Chapter 6. Metric System 74
Particulars of the Metric System 74
Rules of the Metric System 77
Units of Measure 78
Conversion Between Metric Units 80
Chapter 7. Apothecary and Household Systems 85
Apothecary System 85
Household System 86
Chapter 8. Converting Within and Between Systems 92
Equivalents Among Metric and Household Systems 92
Converting 92
Methods of Converting 93
Converting Within the Same System 96
Converting Between Systems 98
Calculating Intake and Output 100
Chapter 9. Additional Conversions Useful in the Health Care Setting 110
Converting Between Celsius and Fahrenheit 110
Formulas for Converting Between Fahrenheit and Celsius Scales 111
Metric Measures Relating to Length 113
Conversions Relating to Weight 114
Military Time 116
Calculating Completion Times 118
Unit Three: Methods of Administration and Calculation 123
Chapter 10. Medication Administration 124
Medication Errors 124
Critical Thinking and Medication Administration 127
Factors That Influence Drug Dosages and Action 128
Special Considerations for the Elderly 128
The Six Rights of Medication Administration 130
Medication Reconciliation 135
Teaching the Client 136
Home Care Considerations 137
Routes of Medication Administration 138
Equipment Used for Medication Administration 139
Equipment for Administering Oral Medications to a Child 141
Chapter 11. Understanding and Interpreting Medication Orders 147
Verbal Orders 147
Transcription of Medication Orders 149
Writing a Medication Order 150
Components of a Medication Order 151
Interpreting a Medication Order 154
Chapter 12. Medication Administration Records and Medication Distribution Systems 165
Medication Orders 165
Medication Administration Record 166
Essential Components on a Medication Record 168
Documentation of Medications Administered 170
Explanation of Medication Administration Records 170
Use of Computers in Medication Administration 170
Medication Distribution Systems 171
Advantages and Disadvantages of Technology 174
Scheduling Medication Times 175
Military Time 175
Chapter 13. Reading Medication Labels 180
Reading Medication Labels 180
Chapter 14. Dosage Calculation Using the Ratio and Proportion Method 217
Use of Ratio and Proportion in Dosage Calculation 217
Chapter 15. Dosage Calculation Using the Formula Method 246
Formula for Calculating Dosages 246
Steps for Use of the Formula 247
Chapter 16. Dosage Calculation Using the Dimensional Analysis Method 267
Understanding the Basics of Dimensional Analysis 267
Dosage Calculation Usin Dimensional Analysis 270
Unit Four: Oral and Parenteral Dosage Forms and Insulin 287
Chapter 17. Oral Medications 288
Forms of Solid Medication 288
Calculating Dosages Involving Tablets and Capsules 292
Calculating Oral Liquids 309
Measuring Oral Liquids 310
Chapter 18. Parenteral Medications 349
Packaging of Parenteral Medications 349
Syringes 352
Reading Parenteral Labels 361
Medications Labeled in Percentage Strengths 366
Solutions Expressed in Ratio Strength 366
Parenteral Medications Measured in Units 367
Parenteral Medications in Milliequivalents 367
Calculating Parenteral Dosages 369
Calculating Injectable Medications According to the Syringe 370
Calculating Dosages for Medications in Units 374
Mixing Medications in the Same Syringe 376
Chapter 19. Reconstitution of Solutions 413
Basic Principles for Reconstitution 414
Reconstituting Medications with More Than One Direction for Mixing (Multiple Strength) 423
Reconstitution from Package Insert Directions and Medications with Different Reconstitution Directions Depending on Route of Administration 426
Medications with Instructions to \"See Accompanying Literature\" (Package Insert) for Reconstitution and Administration 427
Calculation of Dosages 428
Reconstitution of Noninjectable Solutions 430
Chapter 20. Insulin 465
Types of Insulin 466
Labels 466
Insulin Action Times 467
Appearance of Insulin 470
Insulin Administration 471
Insulin Orders 478
Current Recommendations for Use of the Sliding Scale Protocol 479
Preparing a Single Dose of Insulin in an Insulin Syringe 480
Measuring Two Types of Insulin in the Same Syringe 481
Unit Five: Intravenous, Heparin, and Critical Care Calculations and Pediatric Dosage Calculations 497
Chapter 21. Intravenous Solutions and Equipment 498
IV Delivery Methods 498
IV Solutions 499
Administration of IV Fluids 506
Chapter 22. Intravenous Calculations 520
IV Flow Rate Calculation 520
Calculating IV Flow Rates in gtt/min 523
IV Tubing 524
Calculating Flow Rates in Drops per Minute Using a Formula 526
Calculating IV Flow Rates When Several Solutions Are Ordered 538
Calculating Intermittent IV Infusions Piggyback 540
Determining the Amount of Medication in a Specific Amount of Solution 543
Determining Infusion Times and Volumes 545
Steps to Calculating a Problem with an Unknown with the Formula Method 545
Recalculating an IV Flow Rate 548
Calculating Total Infusion Times 553
Calculating Infusion Time When Rate in ml/hr Is Not Indicated for Large Volumes of Fluid 556
Calculating Infusion Time for Small Volumes of Fluid 557
Charting IV Therapy 558
Labeling Solution Bags 558
Administration of Medications by IV Push 559
Chapter 23. Heparin Calculations 588
Heparin Errors 588
Heparin Dosage Strengths 589
Reading Heparin Labels 590
Calculation of Subcutaneous Dosages 591
Calculation of IV Heparin Solutions 592
Calculating Heparin Dosages Based on Weight 594
Chapter 24. Critical Care Calculations 614
Calculating Rate in mL/hr 615
Calculating Critical Care Dosages per Hour or per Minute 616
Medications Ordered in Milligrams per Minute 617
Calculating Dosages Based on mcg/kg/min 618
IV Flow Rates for Titrated Medications 619
Developing a Titration Table 620
Chapter 25. Pediatric and Adult Dosage Calculation Based on Weight 642
Principles Relating to Basic Calculations 643
Calculation of Dosages Based on Body Weight 644
Converting Pounds to Kilograms 644
Converting Kilograms to Pounds 647
Converting Grams to Kilograms 649
Adult Dosages Based on Body Weight 661
Calculating Pediatric Dosages Using Body Surface Area 666
Reading the West Nomogram Chart 667
Calculating Body Surface Area Using a Formula 669
Dosage Calculation Based on Body Surface Area 671
Calculating Using the Formula 672
IV Therapy and Children 675
Calculating IV Medications by Burette 676
Determining Whether an IV Dose Is Safe for Children 679
Pediatric Oral and Parenteral Medications 680
Comprehensive Post-Test 706
References 725
Index 727