Clinical Nursing Calculations, Third Edition (2024) by Susan Sienkiewicz and Sandra Megerdichian is a core textbook designed for undergraduate nursing students to master safe medication dosage calculations. Published by
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Clinical Nursing Calculations, Third Edition (2024) by Susan Sienkiewicz and Sandra Megerdichian is a core textbook designed for undergraduate nursing students to master safe medication dosage calculations. Published by Jones & Bartlett Learning, this edition integrates professional guidelines from The Joint Commission and the Institute for Safe Medication Practices (ISMP). [1, 2, 3]
The CASE Approach
The text structures clinical math around a unique, proprietary CASE framework to eliminate calculation errors: [1, 2, 3, 4]
- C (Convert): Convert quantities to identical units of measurement.
- A (Approximate): Mentally estimate the expected administration volume.
- S (Solve): Perform the calculation using a preferred mathematical format.
- E (Evaluate): Compare the calculated results against the initial approximation. [1, 2]
Textbook Structural Breakdown
The material is divided into four developmental blocks containing 15 chapters: [1, 2]
Section [1, 2, 3, 4, 5, 6, 7, 8]
Core Chapters Covered
Key Curricular Themes
I: Mathematics Overview
Ch. 1: Basic Math
Ch. 2: Systems of Measurement
Fractions, decimals, ratios, metric system conversions.
II: Principles of Administration
Ch. 3: Equipment
Ch. 4: Med Orders
Ch. 5: Labels
Ch. 6: Safe Administration
Reading labels, syringe selections, eMAR/EHR formats.
III: Dosage & IV Calculations
Ch. 7: Dosage Fundamentals
Ch. 8: Enteral
Ch. 9: Parenteral
Ch. 10: Infusion Therapy
Side-by-side methods: Ratio-Proportion, Formula, and Dimensional Analysis.
IV: Advanced Calculations
Ch. 11: Solutions
Ch. 12: Special Populations
Ch. 13: Nutrition
Ch. 14: High-Alert Medications
Ch. 15: Critical Care
Weight-based pediatric dosing, insulin pens, heparin protocols, and IV titrations.
Core Calculation Methodology
For every clinical problem, the text demonstrates three parallel methods side-by-side: [1, 3]
- Ratio and Proportion: Setting up cross-multiplication pairs (\(Have : Quantity :: Desired : X\)).
- Formula Method: Utilising the baseline standard structure (\(\frac{\text{Desired}}{\text{Have}} \times \text{Quantity}\)).
- Dimensional Analysis: Eliminating calculation factors sequentially through fraction cancellation lines. [1, 2, 3, 4]
Purchase & Digital Access Identifiers
- Print ISBN-13: 978-1284287998
- Digital eTextbook ISBN: 978-1284301120
- Platform Inclusions: New copies include Navigate Advantage Access for clinical videos, interactive eBooks, and Next-Generation NCLEX (NGN) review questions.
- Digital Options: Digital versions are available for rent or purchase via platforms like VitalSource. [1, 2, 3]