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Calculate with Confidence - E-Book

Calculate with Confidence - E-Book

Deborah C. Gray Morris

(2017)

Additional Information

Book Details

Abstract

Learn the three major methods of drug calculation! Calculate with Confidence, 7th Edition focuses on the increasing responsibility of the nurse in medication administration, prioritizes client safety with QSEN, and includes updated content that reflects the current scope of practice. 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 2,100 practice problems, this comprehensive title focuses on enhancing the learning experience of nursing students at all curricular levels by making content clinically applicable.

  • Over 2000 practice problems include pre-test and comprehensive post-test review
  • Pre-test Basic Math, Comprehensive Unit and Basic Math review tests allows you a three-part approach to evaluate your understanding of basic math material covered in Unit 1, directing you to review chapters if you miss any of these test questions.
  • UPDATED Medication Administration chapter includes medication safety, expansion of discussion on client rights, the basic six rights of medication administration, and routes of medication administration.
  • Chapter review problems and answer key tests all major topics presented in the chapter and enables you to assess understanding of chapter content.
  • 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.
  • NEW! Content additions and updates includes word problems involving dosages, Critical Thinking Scenarios, a discussion of the concepts regarding safety issues with medication administration and calculation, plus significant updates in the insulin, critical care, parenteral medication, and heparin chapters.
  • NEW! A-Z medication index references page numbers where the drug labels can be found.
  • NEW! Medication labels recently added to the market highlights new and updated information relevant to practice.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Inside Front Cover IFC
Calculate with Confidence Seventh Edition i
Copyright ii
Dedication iii
Reviewers iv
Preface to the Instructor v
INTRODUCTION v
ORGANIZATION OF CONTENT vi
NEW FEATURES TO THE SEVENTH EDITION vii
ANCILLARIES vii
Acknowledgments viii
Table of Contents ix
ONE Math Review 1
1 Roman Numerals 6
PRACTICE PROBLEMS 9
CHAPTER REVIEW 10
ANSWERS 10
Chapter 1 10
2 Fractions 11
Types of Fractions 12
Converting Fractions 13
Comparing Fractions 13
PRACTICE PROBLEMS 14
Reducing Fractions 15
PRACTICE PROBLEMS 16
Adding Fractions 16
Subtracting Fractions 17
Multiplying Fractions 19
Dividing Fractions 20
PRACTICE PROBLEMS 21
CHAPTER REVIEW 22
ANSWERS 26
Chapter 2 26
3 Decimals 28
Reading and Writing Decimals 29
PRACTICE PROBLEMS 31
Comparing the Value of Decimals 31
PRACTICE PROBLEMS 32
Adding and Subtracting Decimals 32
PRACTICE PROBLEMS 33
Multiplying Decimals 34
PRACTICE PROBLEMS 35
Dividing Decimals 35
Rounding Off Decimals 37
PRACTICE PROBLEMS 38
Changing Fractions to Decimals 39
Changing Decimals to Fractions 39
PRACTICE PROBLEMS 39
CHAPTER REVIEW 40
ANSWERS 43
Chapter 3 43
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
PRACTICE PROBLEMS 50
CHAPTER REVIEW 50
ANSWERS 53
Chapter 4 53
5 Percentages 55
Converting Percentages to Fractions, Decimals, and Ratios 56
PRACTICE PROBLEMS 58
Percentage Measures 59
PRACTICE PROBLEMS 59
Comparing Percents and Ratios 60
PRACTICE PROBLEMS 60
Determining the Percent of a Quantity 61
Determining What Percent One Number Is of Another 61
PRACTICE PROBLEMS 63
Calculating the Percent of Change 63
PRACTICE PROBLEMS 64
CHAPTER REVIEW 65
ANSWERS 68
Chapter 5 68
POST-TEST 69
ANSWERS 72
TWO Systems of Measurement 73
6 Metric System 74
Particulars of the Metric System 74
Rules of the Metric System 77
PRACTICE PROBLEMS 78
Units of Measure 78
Conversions Between Metric Units 80
PRACTICE PROBLEMS 81
CHAPTER REVIEW 81
ANSWERS 84
Chapter 6 84
7 Apothecary and Household Systems 85
Apothecary System 85
Household System 86
Other Medication Measurements Used in Dosage Calculation 88
PRACTICE PROBLEMS 89
CHAPTER REVIEW 90
ANSWERS 91
Chapter 7 91
8 Converting Within and Between Systems 92
Equivalents Among Metric and Household Systems 92
Converting 92
Methods of Converting 93
PRACTICE PROBLEMS 94
Converting Within the Same System 96
PRACTICE PROBLEMS 96
Converting Between Systems 97
Calculating Intake and Output 100
PRACTICE PROBLEMS 105
CHAPTER REVIEW 106
ANSWERS 110
Chapter 8 110
9 Additional Conversions Useful in the Health Care Setting 111
Converting Between Celsius and Fahrenheit 111
Formulas for Converting Between Fahrenheit and Celsius Scales 112
PRACTICE PROBLEMS 113
Metric Measures Relating to Length 113
PRACTICE PROBLEMS 114
Conversions Relating to Weight 115
PRACTICE PROBLEMS 116
PRACTICE PROBLEMS 117
Military Time 117
PRACTICE PROBLEMS 118
Calculating Completion Times 119
PRACTICE PROBLEMS 120
CHAPTER REVIEW 121
ANSWERS 123
Chapter 9 123
THREE Methods of Administration and Calculation 125
10 Medication Administration 126
Medication Errors 126
Critical Thinking and Medication Administration 130
Factors That Influence Medication Dosages and Action 130
Special Considerations for the Elderly 131
The Rights of Medication Administration 132
Medication Reconciliation 137
Client Education 138
Home Care Considerations 139
Routes of Medication Administration 140
Equipment Used for Medication Administration 142
Equipment for Administering Oral Medications to a Child 144
PRACTICE PROBLEMS 145
CHAPTER REVIEW 146
ANSWERS 148
Chapter 10 148
11 Understanding and Interpreting Medication Orders 149
Verbal Orders 150
Transcription of Medication Orders 151
Writing a Medication Order 152
Components of a Medication Order 153
Interpreting a Medication Order 156
PRACTICE PROBLEMS 158
CHAPTER REVIEW 159
ANSWERS 162
Chapter 11 162
12 Medication Administration Records and Medication Distribution Systems 164
Medication Orders 164
Medication Administration Record 165
Essential Components on a Medication Record 167
Documentation of Medications Administered 168
Explanation of Medication Administration Records 169
Use of Computers in Medication Administration 169
Medication Distribution Systems 170
Advantages and Disadvantages of Technology 173
Scheduling Medication Times 174
Military Time 174
PRACTICE PROBLEMS 175
CHAPTER REVIEW 176
ANSWERS 178
Chapter 12 178
13 Reading Medication Labels 179
Reading Medication Labels 179
PRACTICE PROBLEMS 198
Chapter 13 215
ANSWERS 215
14 Dosage Calculation Using the Ratio and Proportion Method 219
Use of Ratio and Proportion in Dosage Calculation 219
PRACTICE PROBLEMS 222
CHAPTER REVIEW 225
ANSWERS 243
Chapter 14 243
15 Dosage Calculation Using the Formula Method 248
Formula for Calculating Dosages 248
Using the Formula Method 249
PRACTICE PROBLEMS 253
CHAPTER REVIEW 254
ANSWERS 268
Chapter 15 268
16 Dosage Calculation Using the Dimensional Analysis Method 270
Understanding the Basics of Dimensional Analysis 270
PRACTICE PROBLEMS 272
Dosage Calculation Using Dimensional Analysis 273
PRACTICE PROBLEMS 276
ANSWERS 286
Chapter 16 286
FOUR Oral and Parenteral Dosage Forms and Insulin 291
17 Oral Medications 292
Forms of Solid Medications 292
PRACTICE PROBLEMS 304
Calculating Oral Liquids 317
Measuring Oral Liquids 318
PRACTICE PROBLEMS 323
CHAPTER REVIEW 333
ANSWERS 352
Chapter 17 352
18 Parenteral Medications 359
Parenteral Medication Packaging 359
Syringes 362
PRACTICE PROBLEMS 366
PRACTICE PROBLEMS 368
Reading Parenteral Labels 371
PRACTICE PROBLEMS 372
Medications Labeled in Percentage Strengths 376
Solutions Expressed in Ratio Strength 377
Parenteral Medications Measured in Units 377
Parenteral Medications in Milliequivalents 378
PRACTICE PROBLEMS 378
Calculating Parenteral Dosages 379
Calculating Injectable Medications According to the Syringe 380
Calculating Dosages for Medications in Units 384
Mixing Medications in the Same Syringe 386
PRACTICE PROBLEMS 387
CHAPTER REVIEW 392
ANSWERS 416
Chapter 18 416
19 Reconstitution of Solutions 427
Basic Principles for Reconstitution 428
PRACTICE PROBLEMS 431
Reconstituting Medications with More Than One Direction for Mixing (Multiple Strength) 438
PRACTICE PROBLEMS 440
Reconstitution from Package Insert Directions and Medications with Different Reconstitution Directions Depending on Route of Administration 441
Medications with Instructions to “See Accompanying Literature” (Package Insert) for Reconstitution and Administration 441
Calculation of Dosages 443
Reconstitution of Noninjectable Solutions 445
PRACTICE PROBLEMS 447
PRACTICE PROBLEMS 450
ANSWERS 473
Chapter 19 473
20 Insulin 482
Types of Insulin 483
Labels 483
Insulin Action Times 484
PRACTICE PROBLEMS 486
Appearance of Insulin 487
Insulin Administration 488
PRACTICE PROBLEMS 491
PRACTICE PROBLEMS 492
Insulin Orders 496
Current Recommendations for Use of the Sliding Scale Protocol 497
Preparing a Single Dosage of Insulin in an Insulin Syringe 497
Measuring Two Types of Insulin in the Same Syringe 498
CHAPTER REVIEW 502
ANSWERS 509
Chapter 20 509
FIVE Intravenous, Heparin, and Critical Care Calculations and Pediatric and Adult Calculations Based on Weight 513
21 Intravenous Solutions and Equipment 514
IV Delivery Methods 515
IV Solutions 515
Administration of IV Fluids 521
PRACTICE PROBLEMS 530
CHAPTER REVIEW 532
ANSWERS 534
Chapter 21 534
22 Intravenous Calculations 536
IV Flow Rate Calculation 536
PRACTICE PROBLEMS 539
Manually Regulated IVs 539
PRACTICE PROBLEMS 542
Calculating Flow Rates in Drops Per Minute Using a Formula 543
PRACTICE PROBLEMS 549
PRACTICE PROBLEMS 551
PRACTICE PROBLEMS 552
PRACTICE PROBLEMS 554
Calculating IV Flow Rates When Several Solutions Are Ordered 554
PRACTICE PROBLEMS 555
Calculating IV Flow Rates Using a Dial-Flow Controller 556
Calculating Intermittent IV Infusions Piggyback 556
PRACTICE PROBLEMS 557
Determining the Amount of Medication in a Specific Amount of Solution 560
PRACTICE PROBLEMS 562
Determining Infusion Times and Volumes 562
Steps to Calculating a Problem with an Unknown with the Formula Method 562
PRACTICE PROBLEMS 565
Recalculating an IV Flow Rate 565
PRACTICE PROBLEMS 569
Calculating Total Infusion Times 570
PRACTICE PROBLEMS 572
Calculating Infusion Time When Rate in mL/hr Is Not Indicated for Large Volumes of Fluid 572
PRACTICE PROBLEMS 574
Calculating Infusion Time for Small Volumes of Fluid 574
PRACTICE PROBLEMS 575
Charting IV Therapy 575
Labeling Solution Bags 575
Administration of Medications by IV Push 576
PRACTICE PROBLEMS 579
CHAPTER REVIEW 580
ANSWERS 587
Chapter 22 587
23 Heparin Calculations 603
Heparin Errors 603
Heparin Dosage Strengths 604
Reading Heparin Labels 605
Calculation of Subcutaneous Dosages 606
Calculation of IV Heparin Solutions 607
Calculating Heparin Dosages Based on Weight 609
PRACTICE PROBLEMS 612
CHAPTER REVIEW 614
ANSWERS 622
Chapter 23 622
24 Critical Care Calculations 629
Calculating Rate in mL/hr 630
Calculating Critical Care Dosages per Hour or per Minute 631
Medications Ordered in Milligrams per Minute 632
Calculating Dosages Based on mcg/kg/min 633
IV Flow Rates for Titrated Medications 634
Developing a Titration Table 636
PRACTICE PROBLEMS 639
CHAPTER REVIEW 641
ANSWERS 648
Chapter 24 648
25 Pediatric and Adult Dosage Calculations Based on Weight 657
Pediatric Medication Dosages 659
Principles Relating to Basic Calculations 659
Calculation of Dosages Based on Body Weight 659
Converting Pounds to Kilograms 660
PRACTICE PROBLEMS 662
Converting Kilograms to Pounds 662
PRACTICE PROBLEMS 663
Converting Grams to Kilograms 664
PRACTICE PROBLEMS 665
Adult Dosages Based on Body Weight 676
PRACTICE PROBLEMS 677
Calculating Pediatric Dosages Using Body Surface Area 681
Reading the West Nomogram Chart 683
PRACTICE PROBLEMS 683
PRACTICE PROBLEMS 684
Calculating Body Surface Area Using a Formula 684
PRACTICE PROBLEMS 686
Dosage Calculation Based on Body Surface Area 687
Calculating Using a Formula 688
PRACTICE PROBLEMS 688
IV Therapy and Children 690
Calculating IV Medications Using Volume Control Set 692
PRACTICE PROBLEMS 694
Determining Whether an IV Dose Is Safe for Children 695
PRACTICE PROBLEMS 696
Calculation of Daily Fluid Maintenance 696
PRACTICE PROBLEMS 697
Pediatric Oral and Parenteral Medications 698
ANSWERS 710
Chapter 25 710
Comprehensive Post-Test 720
ANSWERS 734
References 742
Appendix Table of Contents 743
Index 756
A 756
B 756
C 756
D 757
E 758
F 758
G 758
H 758
I 759
K 760
L 760
M 760
N 762
O 762
P 762
Q 763
R 763
S 763
T 764
U 764
V 765
W 765
X 765
Z 765
Drug Label Index 766
A 766
B 766
C 766
D 766
E 766
F 766
G 767
H 767
I 767
J 767
K 767
L 767
M 767
N 767
O 767
P 767
R 768
S 768
T 768
U 768
V 768
W 768
X 768
Z 768
Inside Back Cover IBC