RNSAINT41

Here is an example question. A type 2 diabetic is prescribed lantus 0.2units/kg qd and the patient weighs 197 pounds how many units of insulin should the patient receive? The answer I come up with is 17.9 units using DA but is this amount rounded up to 18 units or down to 17 units?

Thanks I was confused on that being the answer. I assumed since the volume was greater than 1 ml that it should have been rounded to the tenths position even though it is a pediatric patient

How can you measure 1.45 ml with a 3 ml syringe? It has 0.1 ml markings not 0.01ml markings!

I read that some facilities round lovenox to nearest 10mg? is this common everywhere

I'm practicing some dosage calculation questions for my class this question has me confused. Order:Ampicillin 100mg/kg/day IM divided in 2 doses. Weight:3.778kg. Dose on hand:Ampicillin 250mg/3ml. How many ml of ampicillin does the nurse administer for each dose? I answered 2.3ml per each dose but the correct answer is 2.27 ml per each dose. I thought that if the volume was greater than 1 ml the dose can be rounded to the tenths position? I'm sure if they rounded this way because the patient is a pediatric patient. Also it would seem difficult to draw up 2.27ml of medication in one syringe. I just want to know how other people would answer this particular question.

When calculating an IV fluid bolus for a pediatric patient how do you round the volume? Say a 12 pound pediatric patient is ordered a NS fluid bolus 20ml/kg I use dimensional analysis and get 109.090 ml as my answer but would it be rounded to 109 ml or 109.1ml? thanks

I have some weight based dosage calculation questions. 1. 5 year old patient weighs 14 lbs doctor orders Tylenol 15mg/kg available 160mg/5ml how many mls do you administer? First I convert 14lbs to 6.4 kg (round to nearest tenth kg) multiply times 15 equals 96mg divided by 160mg times 5 mls equals 3 mls which is the answer. 2. Doctor orders amoxicillin 100 mg TID for 6 year old patient that weighs 32lbs recommened dose is 5mg/kg-12mg/kg per day is this a safe dose ordered? first convert patient weight to kg and round to nearest tenth kg 14.5kg. Multiply 14.5 kg times 5mg equals 72.5mg Multiply 14.5kg times 12mg equals 174mg this is a safe dose. In my book it says the weight must first be converted and rounded to nearest tenth kg before proceeding with math problem.

So for pediatric patient if an oral liquid medication called for 4.68 ml I would round to nearest tenth but I've seen books put the answer 4.6ml why is that

The way we were taught you would administer 2.3ml

We were taught less than 1ml round to nearest hundredth, greater than 1ml round nearest tenth.

Ok that's I just find it odd there isn't just a standard way it should be done everywhere

Although I do not use deminsional analysis so maybe that's why we are taught to round kg to nearest tenth on all problems before proceeding

I was told to round kg to nearest tenth for all weights regardless of age to nearest 10th kg before before proceeding with weight based dose calculation is that correct?

Yes I'm new nursing student and I'm in dosage calculation class. I'm working through some pediatric math involving weight based problems in some text it shows to round KG to nearest tenth and others to nearest hundredth I'm curious which is correct? Also for some pediatric oral liquid medication in some text the final answer is rounded to nearest tenth of an ML and and other text rounded to nearest hundredth of an ML which is correct?