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| Preface | p. vi |
| Acknowledgments | p. xi |
| Introduction to the Learner | p. xii |
| Using This Book | p. xiii |
| Pretest and Mathematics Review | p. 1 |
| Essential Skills Evaluation: Pretest | p. 3 |
| Essential Skills Evaluation: Pretest Answer Sheet | p. 21 |
| Mathematics Diagnostic Evaluation | p. 28 |
| Fractions and Decimals | p. 31 |
| Fractions | ... MOREp. 31 |
| Types of Fractions | p. 32 |
| Equivalent Fractions | p. 33 |
| Conversion | p. 34 |
| Comparing Fractions | p. 35 |
| Addition and Subtraction of Fractions | p. 38 |
| Multiplication of Fractions | p. 41 |
| Division of Fractions | p. 43 |
| Decimals | p. 47 |
| Decimal Fractions and Decimal Numbers | p. 47 |
| Comparing Decimals | p. 50 |
| Conversion between Fractions and Decimals | p. 51 |
| Addition and Subtraction of Decimals | p. 54 |
| Multiplying Decimals | p. 56 |
| Dividing Decimals | p. 57 |
| Rounding Decimals | p. 58 |
| Ratios, Percents, Simple Equations, and Ratio-Proportion | p. 63 |
| Ratios and Percents | p. 64 |
| Ratios | p. 64 |
| Percents | p. 64 |
| Converting Among Ratios, Percents, Fractions, and Decimals | p. 64 |
| Comparing Percents and Ratios | p. 66 |
| Solving Simple Equations for X | p. 68 |
| Ratio-Proportion: Cross-Multiplying to Solve for X | p. 72 |
| Finding the Percentage of a Quantity | p. 76 |
| Self-Evaluation | p. 80 |
| Measurement Systems, Drug Orders, and Drug Labels | p. 83 |
| Systems of Measurement | p. 85 |
| Metric System | p. 85 |
| Apothecary and Household Systems | p. 89 |
| Other Common Drug Measurements: Units and Milliequivalents | p. 91 |
| Conversions: Metric and Household Systems | p. 97 |
| Identifying Need for Unit Conversion | p. 98 |
| Converting from One Unit to Another Using the Conversion Factor Method | p. 99 |
| Converting within the Metric System | p. 100 |
| Approximate Equivalents | p. 105 |
| Converting Between Systems of Measurement Using the Conversion Factor Method | p. 105 |
| Conversions for Other Clinical Applications: Time and Temperature | p. 113 |
| Converting Between Traditional and International Time | p. 113 |
| Converting Between Celsius and Fahrenheit Temperature | p. 116 |
| Equipment Used in Dosage Measurement | p. 123 |
| Oral Administration | p. 123 |
| Medicine Cup | p. 123 |
| Calibrated Dropper | p. 124 |
| Pediatric Oral Devices | p. 125 |
| Parenteral Administration | p. 125 |
| 3 mL Syringe | p. 125 |
| Prefilled Single-Dose Syringe | p. 126 |
| Insulin Syringe | p. 127 |
| 1 mL Syringe | p. 128 |
| Safety Syringe | p. 128 |
| Intravenous Syringe | p. 129 |
| Needleless Syringe | p. 130 |
| Interpreting Drug Orders | p. 141 |
| Medical Abbreviations | p. 142 |
| The Drug Order | p. 143 |
| Medication Order and Administration Forms | p. 146 |
| Computerized Medication Administration Systems | p. 148 |
| Understanding Drug Labels | p. 157 |
| Brand and Generic Names | p. 158 |
| Dosage Strength | p. 158 |
| Form | p. 159 |
| Supply Dosage | p. 160 |
| Total Volume | p. 160 |
| Administration Route | p. 161 |
| Directions for Mixing or Reconstituting | p. 161 |
| Label Alerts | p. 162 |
| Name of the Manufacturer | p. 162 |
| Expiration Date | p. 163 |
| Lot or Control Numbers | p. 163 |
| National Drug Code (NDC) | p. 163 |
| Controlled Substance Schedule | p. 164 |
| Barcode Symbols | p. 164 |
| United States Pharmacopeia (USP) and National Formulary (NF) | p. 164 |
| Unit- or Single-Dose Labels | p. 164 |
| Combination Drugs | p. 165 |
| Supply Dosage Expressed as a Ratio or Percent | p. 165 |
| Checking Labels | p. 166 |
| Preventing Medication Errors | p. 177 |
| Prescription | p. 178 |
| Verbal Orders | p. 180 |
| Transcription | p. 180 |
| Safe Medication Administration | p. 185 |
| Right Patient | p. 185 |
| Right Drug | p. 185 |
| Right Amount | p. 188 |
| Right Route | p. 190 |
| Right Time | p. 191 |
| Right Documentation | p. 191 |
| The Nurse's Critical Role in Medication Error Prevention | p. 191 |
| Self-Evaluation | p. 199 |
| Drug Dosage Calculations | p. 205 |
| Oral Dosage of Drugs | p. 207 |
| Tablets and Capsules | p. 210 |
| Three-Step Approach to Dosage Calculations | p. 213 |
| Oral Liquids | p. 227 |
| Parenteral Dosage of Drugs | p. 255 |
| Injectable Solutions | p. 256 |
| High-Alert Parenteral Medications | p. 276 |
| Heparin | p. 277 |
| Insulin | p. 281 |
| Insulin Labels | p. 281 |
| Insulin Action Times | p. 282 |
| Premixed, Combination Insulin | p. 284 |
| Interpreting the Insulin Order | p. 285 |
| Insulin Administration | p. 285 |
| Measuring Insulin in an Insulin Syringe | p. 286 |
| Combination Insulin Dosage | p. 290 |
| Insulin Coverage-The "Sliding Scale" | p. 294 |
| Prefilled U-100 Insulin Pens | p. 295 |
| U-500 Insulin | p. 298 |
| Avoiding Insulin Dosage Errors | p. 302 |
| Reconstitution of Solutions | p. 321 |
| Solution Properties | p. 322 |
| Reconstitution of Injectable Medications in Powder Form | p. 323 |
| Types of Reconstituted Parenteral Solutions | p. 325 |
| Single-Strength Solution | p. 326 |
| Multiple-Strength Solution | p. 328 |
| Reconstituted Parenteral Solutions with Various Routes | p. 332 |
| Drugs with Injection Reconstitution Instructions for Either IM or IV | p. 332 |
| Drugs with Different IM and IV Reconstitution Instructions | p. 334 |
| Drugs with Instructions to "See Package Insert" for Dilution and Administration | p. 337 |
| Reconstitution of Noninjectable Solutions | p. 351 |
| Solution Concentration | p. 351 |
| Calculating Solutions | p. 352 |
| Topical Solutions and Irrigants | p. 352 |
| Oral and Enteral Feedings | p. 354 |
| Diluting Ready-to-Use Nutritional Liquids | p. 354 |
| Pediatric and Adult Dosages Based on Body Weight | p. 367 |
| Administering Medications to Children | p. 368 |
| Converting Pounds to Kilograms | p. 368 |
| Body Weight Method for Calculating Safe Pediatric Dosage | p. 369 |
| Single-Dosage Drugs | p. 370 |
| Single-Dosage-Range Drugs | p. 371 |
| Routine or Round-the-Clock Drugs | p. 372 |
| Daily-Dosage-Range Drugs | p. 373 |
| Daily-Dosage-Range Drugs with Maximum Daily Allowance | p. 374 |
| Underdosage | p. 375 |
| Combination Drugs | p. 376 |
| Adult Dosages Based on Body Weight | p. 378 |
| Alternative Dosage Calculation Methods: Ratio-Proportion and Dimensional Analysis | p. 399 |
| Converting Using the Ratio-Proportion Method | p. 400 |
| Using Ratio-Proportion to Calculate Dosages | p. 402 |
| Using Dimensional Analysis to Calculate Dosages | p. 406 |
| Self-Evaluation | p. 423 |
| Advanced Calculations | p. 437 |
| Intravenous Solutions, Equipment, and Calculations | p. 439 |
| IV Solutions | p. 440 |
| Solutions Components | p. 440 |
| Solution Strength | p. 440 |
| Solution Additives | p. 443 |
| Calculating Components of IV Solutions When Expressed as a Percent | p. 446 |
| IV Sites | p. 447 |
| Monitoring IVs | p. 448 |
| Primary and Secondary IVs | p. 448 |
| Blood Administration Tubing | p. 450 |
| IV Flow Rate | p. 450 |
| Electronically-Regulated IVs | p. 450 |
| Calculating Flow Rates for Infusion Pumps in mL/h | p. 456 |
| Manually-Regulated IVs | p. 458 |
| Calculating Flow Rates for Manually-Regulated IVs in gtt/min | p. 461 |
| Formula Method | p. 461 |
| Shortcut Method | p. 464 |
| Adjusting IV Flow Rate | p. 468 |
| Intermittent IV Infusions | p. 474 |
| IV Piggybacks | p. 474 |
| Saline and Heparin IV Locks for IV Push Drugs | p. 475 |
| ADD-Vantage System | p. 477 |
| Calculating IV Infusion Time and Volume | p. 480 |
| Body Surface Area and Advanced Pediatric Calculations | p. 489 |
| Body Surface Area Method | p. 490 |
| BSA Formula | p. 490 |
| BSA Nomogram | p. 491 |
| BSA Dosage Calculations | p. 494 |
| Pediatric Volume Control Sets | p. 497 |
| Intermittent IV Medication Infusion via Volume Control Set | p. 498 |
| Minimal Dilutions for IV Medications | p. 501 |
| Calculation of Daily Volume for Maintenance Fluids | p. 503 |
| Advanced Adult Intravenous Calculations | p. 513 |
| Calculating IV Dosages and Flow Rates Using Clinical Protocols | p. 514 |
| IV Heparin Protocol | p. 515 |
| IV Insulin Protocol | p. 523 |
| Insulin Overdose | p. 527 |
| Critical Care IV Calculations: Calculating Flow Rate of an IV Medication to Be Given over a Specified Time Period | p. 530 |
| IV Medication Ordered per Minute | p. 530 |
| IV Medication Ordered per Kilogram per Minute | p. 532 |
| Titrating IV Drugs | p. 532 |
| Verifying Safe IV Medication Dosage Recommended per Minute | p. 534 |
| Limiting Infusion Volumes | p. 538 |
| Self-Evaluation | p. 549 |
| Essential Skills Evaluation: Posttest Answer Sheet | p. 557 |
| Comprehensive Skills Evaluation | p. 565 |
| Answers | p. 581 |
| Essential Skills Evaluation | p. 581 |
| Mathematics Diagnostic Evaluation | p. 587 |
| Chapter 1 | p. 588 |
| Chapter 2 | p. 591 |
| Chapter 3 | p. 594 |
| Chapter 4 | p. 595 |
| Chapter 5 | p. 597 |
| Chapter 6 | p. 597 |
| Chapter 7 | p. 601 |
| Chapter 8 | p. 602 |
| Chapter 9 | p. 603 |
| Chapter 10 | p. 605 |
| Chapter 11 | p. 612 |
| Chapter 12 | p. 625 |
| Chapter 13 | p. 633 |
| Chapter 14 | p. 639 |
| Chapter 15 | p. 647 |
| Chapter 16 | p. 655 |
| Chapter 17 | p. 660 |
| Comprehensive Skills Evaluation | p. 670 |
| Study Guide | p. 677 |
| Apothecary System | p. 687 |
| Index | p. 689 |
| Drug Label Index | p. 697 |
| Table of Contents provided by Ingram. All Rights Reserved. |