WEIGHT BASED DOSAGE CALCULATION (MG/KG/DOSE)

That nursing prof
16 Sept 202007:25
EducationalLearning
32 Likes 10 Comments

TLDRIn this informative video, the nursing professor expertly guides viewers through weight-based medication calculation scenarios. The video covers the conversion of dosages from milligrams per kilogram to appropriate amounts for patients of varying weights and frequencies of administration. By using practical examples and step-by-step explanations, the professor ensures that viewers gain a clear understanding of how to accurately calculate medication doses for adult and pediatric patients, enhancing their nursing skills.

Takeaways
  • πŸ“ The video focuses on weight-based medication calculations for nursing professionals.
  • πŸ’Š For medication B, the prescription is 1mg/kg/dose, given every 12 hours.
  • πŸ”„ The first example involves a 95-pound adult; calculations lead to a 43.2mg dose.
  • πŸ“ˆ A second scenario presents a patient weighing 185 pounds, resulting in an 84.1mg dose.
  • πŸ§’ The third example discusses administering medication C to a 28-pound child, with a 5.3ml dose.
  • πŸ’‰ Medication C is presented in a concentration of 120mg/5ml.
  • πŸ•’ A different calculation is shown for medication M, given at 15mg/kg/day, divided into equal doses every 12 hours.
  • πŸ€” The video emphasizes the importance of converting weight from pounds to kilograms for accurate dosage calculations.
  • πŸŽ“ The examples provided are practice scenarios to help nursing professionals understand and apply weight-based medication calculations.
  • πŸ“ The video concludes with an encouragement for viewers to like, subscribe, and engage with the content for further questions or comments.
Q & A
  • What is the main focus of the video?

    -The main focus of the video is on weight-based medication calculations for nursing professionals.

  • How is the dosage of medication B calculated for a 95-pound adult patient?

    -The dosage of medication B is calculated by using the formula: (1 mg/kg/dose) * (patient's weight in kg). The patient's weight must first be converted from pounds to kilograms by dividing by 2.2. For a 95-pound patient, the calculation would be (1 mg/kg) * (95 lb / 2.2 lb/kg), resulting in approximately 43.2 mg per dose.

  • What is the formula for converting pounds to kilograms?

    -The formula for converting pounds to kilograms is 1 kilogram = 2.2 pounds, or lb/kg = 2.2.

  • How much medication A should be given to a patient weighing 185 pounds?

    -For a patient weighing 185 pounds, the dosage of medication A is calculated as follows: (1 mg/kg/dose) * (185 lb / 2.2 lb/kg), which equals 84.1 mg per dose.

  • How many milliliters of medication C should be administered to a 28-pound child?

    -For a 28-pound child, the nurse should administer a dosage of medication C based on the formula: (10 mg/kg/dose) * (child's weight in kg) / (120 mg/5 ml). After converting the child's weight from pounds to kilograms and performing the calculation, the nurse should administer approximately 5.3 ml per dose.

  • What is the difference between the dosage calculation for medication M compared to the previous medications?

    -The dosage calculation for medication M is different because it specifies milligrams per kilogram per day, rather than per dose. The nurse must first calculate the total daily dosage and then divide it by the number of doses given per day (which is 2 in this case, every 12 hours) to find the dosage per dose.

  • How many doses are given per day for medication M?

    -For medication M, which is administered every 12 hours, there are 2 doses given per day.

  • What is the final dosage per dose for medication M?

    -The final dosage per dose for medication M is 675 milligrams, after calculating the total daily dosage and dividing it by 2 (the number of doses per day).

  • Why is it important to include the unit of measurement in the numerator or denominator when setting up the calculation?

    -Including the unit of measurement in the numerator or denominator is important because it helps to ensure the correct conversion and canceling out of units, leading to the correct answer in the desired unit, such as milligrams per dose.

  • How does the nurse determine the dosage for a child when the medication's concentration is given in a different unit?

    -The nurse determines the dosage for a child by first identifying the required dosage per kilogram and then converting the child's weight into kilograms. They also need to convert the medication's concentration to the same unit as the dosage requirement, before performing the calculation.

  • What should a nurse do if the script does not specify whether to round the dosage?

    -If the script does not specify whether to round the dosage, the nurse should follow the institution's policies or consult with a pharmacist or physician for guidance on rounding practices.

Outlines
00:00
πŸ“š Medication Dosage Calculation for Adults

This paragraph focuses on calculating medication dosages based on weight for adult patients. The nursing professor introduces a practice scenario where a nurse prepares medication B for an adult patient with a prescription of 1 milligram per kilogram every 12 hours. The patient weighs 95 pounds, and the calculation involves converting the weight from pounds to kilograms using the conversion factor of 2.2 pounds per kilogram. The goal is to find out the number of milligrams to administer per dose. The calculation is demonstrated step by step, leading to a final answer of 43.2 milligrams per dose, depending on whether rounding is required. Another example involves a patient weighing 185 pounds and receiving medication A, resulting in an 84.1 milligram dose. The third example concerns a child with medication C, weighing 28 pounds, and the calculation results in a 5.3 ml dose. The paragraph concludes with a different scenario involving medication M, where the dosage is based on milligrams per kilogram per day, and the challenge is to determine the dosage per dose rather than per day.

05:00
πŸ“ Dosage Calculation for Weight-Based Medication in Children

The second paragraph delves into the specifics of calculating medication dosages for children, using a different approach from the previous adult-focused examples. It presents a scenario where a nurse administers medication M to a patient weighing 198 pounds, with a prescription of 15 milligrams per kilogram per day. The calculation starts by converting the patient's weight to kilograms and then determining the total daily dosage. The challenge here is to find out how much medication should be given per dose, considering the medication is divided every 12 hours. The calculation involves dividing the total daily dosage by the number of doses given in a day (two doses), resulting in a 675-milligram dose per administration. This paragraph emphasizes the importance of understanding the difference between calculating dosages per day versus per dose, which is crucial for accurate medication administration.

Mindmap
Keywords
πŸ’‘Weight-based calculations
Weight-based calculations are a method used in nursing to determine the appropriate dosage of medication based on a patient's weight. In the video, this concept is central as the nurse must calculate dosages for different patients based on their weight in kilograms. For instance, the prescription might state '1 milligram per kilogram', and the nurse would use the patient's weight to calculate the total milligrams of medication to be administered.
πŸ’‘Medication administration
Medication administration refers to the process by which nurses give medication to patients as prescribed by a healthcare provider. This process must be done accurately to ensure patient safety and effectiveness of the treatment. In the video, the nurse is preparing to administer medication to several patients, and the calculations are crucial to ensure the correct dosage is given.
πŸ’‘Prescription
A prescription is a set of instructions from a healthcare provider that directs a nurse or pharmacist to prepare and administer a specific medication in a certain dosage. In the context of the video, prescriptions are provided for different medications, detailing the dosage per kilogram of patient weight and the frequency of administration.
πŸ’‘Conversion factor
A conversion factor is a value that is used to convert a quantity from one unit of measurement to another. In the video, conversion factors are essential as the nurse must convert the patient's weight from pounds to kilograms to apply the weight-based dosage calculations correctly.
πŸ’‘Numerator
In mathematics and particularly in the context of fractions or equations, the numerator is the number that is placed above the fraction line or before the division symbol. In the video, the numerator is where the desired unit of measurement, such as milligrams, is placed in the calculation equation to indicate what needs to be solved for.
πŸ’‘Denominator
The denominator in a mathematical fraction or equation is the number that appears below the fraction line or after the division symbol. It represents the division component of the fraction. In the context of the video, the denominator is used in the dosage calculation formula to indicate the unit of weight that the dosage is based on, such as kilograms.
πŸ’‘Pounds to kilograms
Converting pounds to kilograms is the process of changing a weight measurement from the imperial system (pounds) to the metric system (kilograms). This is a necessary step in the video when calculating medication dosages, as the prescriptions are based on the patient's weight in kilograms, but the weight is given in pounds.
πŸ’‘Dosage
Dosage refers to the amount of a medication that is taken or administered at one time. It is a critical aspect of medication management and must be carefully calculated to ensure therapeutic effects and avoid adverse effects. In the video, the nurse calculates the dosage for different medications based on the patient's weight and the prescribed dosage rate.
πŸ’‘Mathematics in nursing
Mathematics in nursing involves the application of mathematical concepts and calculations to healthcare practices, particularly in drug dosage calculations and monitoring treatment effectiveness. It is an essential skill for nurses to ensure accurate and safe patient care. In the video, the nurse uses mathematical calculations to determine the correct dosages of medications based on weight.
πŸ’‘Pediatric dosage
Pediatric dosage refers to the calculation and administration of medication in children, which often requires different dosages than adults due to differences in body weight and metabolism. It is crucial to adjust dosages appropriately to ensure safety and effectiveness in pediatric patients. In the video, the nurse calculates a pediatric dosage for medication C, taking into account the child's weight and the concentration of the medication.
Highlights

The video focuses on weight-based medication calculations, providing a comprehensive guide for nursing professionals.

The first example involves administering medication B to an adult patient, with a prescription of 1mg per kg every 12 hours.

The patient weighs 95 pounds, and the nurse must convert this weight to kilograms for accurate dosage calculation.

The calculation for the first example results in a dosage of 43.2 milligrams per dose for the patient.

The second example presents a scenario where a patient weighing 185 pounds should receive medication A according to a prescription of 1mg per kg per dose.

By converting the patient's weight to kilograms and applying the prescription, the nurse calculates an 84.1 milligrams per dose.

The third example involves a child weighing 28 pounds and medication C, with a dosage of 10mg per kg per dose.

The medication C is available in a concentration of 120 milligrams per 5ml, and the nurse must determine the correct ml amount for the child's dosage.

For the child's dosage, the calculation yields 5.3 ml per dose, showcasing the importance of accurate measurement for pediatric patients.

The fourth example introduces a different calculation, with medication M prescribed at 15mg per kg per day, divided equally every 12 hours.

The nurse must calculate the dosage for a patient weighing 198 pounds, converting pounds to kilograms and determining the daily dosage before calculating per dose amount.

The final calculation for medication M results in a per dose dosage of 6.75 milligrams, highlighting the complexity of medication administration based on weight and frequency.

The video emphasizes the importance of precise medication calculations to ensure patient safety and effective treatment.

The nursing professor provides clear and detailed explanations, making the complex process of weight-based calculations accessible to viewers.

The video serves as a valuable educational resource for nursing students and professionals, enhancing their understanding and application of medication dosage calculations.

The practical examples covered in the video demonstrate the application of theoretical knowledge in real-world nursing situations.

The video concludes with an invitation for viewers to like, subscribe, and engage with the content for further questions or discussions.

Transcripts
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