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Professional Development

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Submitted By ROSYCHICK
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Introduction to Personal and Professional Development

The aim of this assignment is to select one development need and how this need will influence my Nursing practice.
From my placement the one development need I need to improve on is my Numeracy skills, the specific area that I needed help was with converting measurements.
It was identified more when during my shifts in placement I had been asked how to covert the dosages in mls. Which I found quite challenging. This developing need will enhance nursing practice practicing individually.This skill will enable me to let other professionals know what I am doing. Also learning and building up on my knowledge about drugs will enable me to know what they are used for. If this development need does not expand then this skill would be lacking. I would not know how much the patient would require and can lead to incorrect dosages. The first resource I looked at was Dosage Calculations example a patient is prescribed 75mcg of levethyroxin and is available in 25mcg. The answer to do this would be how many how many 25s are in 75 which is 3 tablets.
(LAPHAM. R. AGAR.H (2007 p47)
A patient is prescribed 2g of flucloxacillin and the drug is available in 500mg capsules. The first step is to convert everything to the same units.
To convert grams to milligrams by 1000=2g= 2x1000mg=2000mg.
The second step involves how many 500s are in 2000 so 2000 divided by 500= 4 capsules
(LAPHAM . R. AGAR. H (2007 p47) Also looked at Ibuprofen an example was 3 year old child weighing 13.5 kg has been presrcibed Ibuprofen and is available as a suspension in 100mg in 5ml. To do this I would to need multiply by the weight 5 x 13.5 = 67.5
I would need to times 67.5 x 5=3.375ml therefore I would need to give 3.4 ml.
(LLEWELLYN. S. et al GREER. A. (1997 pp74)
The other area I found a bit difficult was convertion to lbs as this skill will be very important for neonates. So 1 kg: 2.2 lbs =2kg x lbs so 2.2 x 2.2= 4.4 lbs.
(OSIS. M. (1991 pp42 )

I also looked at dosage problems for medications in the same units but having a different units of measurement.
If somebody needed 4 grams of Gontrisin and the dose comes in 500 mg of tablets to do this I would convert 4g to mg x 1000= 4000 and divided by 500 then would need to divide 40 divide by 5 which the answer would be 8.
(BOYER .M. (2002 pp 137)
Also looked at a patient needs 1.2 g of Equanil the tablets containing 600mg. The another example was 1.2 g to mg would times by 1000 and would give me 1200mg then divide it by 600 which would give me 2 tablets.
(BOYER.M. (2002 pp 137) I looked an journal of Pediatric Nursing and example I looked at was a child prescribed 100mg fluconzole which is supplied as capsules each containing 50 mg. To work this out 100 divided by 50 = 2.
(HUTTON.M. (2005 pp5)
I also looked at straightforward prescriptions such as recommended dose for 1-5 yrs is 2.5 mg. 2mg in 5ml is the same units as 2.5mg will be just over 5 ml. The method for this would be 2.5 x 5= 12.5 and then 12.5 divided by 2 would give me 6.25 ml.
(HUTTON.M. (2005) pp 10) During my placement I realised paracetomal was used quite commonly. Also learnt that dose is 15 mg per every kg.
50mg ,50mg, 50 mg, 50mg=200mg. If I needed 300 mg then we would need 6 mls or if I needed 350 mg then I would need 7 mls. If I needed 220 mg I would need 4.4 mls.
I also looked at Total daily dose Calculations. An example I looked at was antibiotic prescription and it recommended that the child is prescribed 20 mg per day then I would need to divide by 8 hours. The child weighed 9 kg then 20 x 9= 180 mg. 8 hourly in 24 hrs is 3. Each single dose is 180 mg total daily dose would be 180 divide by 3 = 60 mg.
(DOPSON. A. (2006 pp211)
Overall doing my assignment has improved my drug calculations skills moreover on the specific area on converting dosages and as encouraged to know what methods I need to work the dosages out.

Referance List
BOYER, M. (2002) Maths or Nurses 5th ed. Philadelphia: Lippincott Williams
DOPSON.A. (2006) Confidence and competence in pediatric drug calculations- Nurse Prescribing-Vol 6 No 5-p 211
HUTTON, M. (2005)-Pediatric Nursing Calculation skill-
LAPHAM, R et al AGAR. H (2008) Drug Calculations for Nurses 2nd ed. London :Edward Arnold
OSIS.M. (1991) Dosage Calculations IN SI UNITS 3rd ed. Canada: Alison Harrison

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