Question

In: Nursing

1) Order: 5 mcg/kg/min for a pt that weighs 194 lbs. You have 400 mg in...

1) Order: 5 mcg/kg/min for a pt that weighs 194 lbs. You have 400 mg in a 250 mL of NS
What is the flow rate? _____________
What is the drop rate if the tubing is rated at 60 gtt/mL? ______________

Expert Solution

Ordered dose = 5 mcg/Kg/min

Pt weight= 194 lbs

Convert pt weight from kg into the pound

1 kg = 2.2 lbs

194 lbs = 194/2.2 = 88.1 kg

Calculate pt dosage

Dose = 5 mcg/Kg/ min

Dose as per pt weight

= 88 × 5 = 440 mcg/ min

For an hour , the dose

= 440 × 60 = 26400 mcg/ hr

Convert the dosage mcg into mg

1 mg = 1000 mcg

1000mcg = 1 mg

26400 mcg = 26400/ 1000 = 26.4 mg/ hr

Calculate the flow rate

Flow rate ( ml/hr) = Ordered dose per hour/ Dose on hand × Volume

= 26.4 mg/ hr/ 400 mg X 250 ml

= 0.066 X 250

= 16.5 ml/ hr

Flow rate = 16.5 ml/ hr

Calculate drop rate

Total infusion time = Total volume/ Flow rate

= 400/ 16.5 = 24.24

Total infusion time = 24 ( rounded off)

Drop rate = Total volume of infusion × drop factor/ Total time of infusion in minutes

Total volume of infusion = 400

Drop factor = 60 gtt/ min

Total time of infusion = 24 × 60 ( to convert into min)

Drop factor = 400 × 60 / 24× 60

Drop factor = 16.6 drops/ min

Nightingale answered 1 year ago

6. A patient weighs 125.4 lbs. and has an order for Amoxicillin 50 mg/kg/day PO to...

6. A patient weighs 125.4 lbs. and has an order for Amoxicillin 50 mg/kg/day PO to be given in equally divided doses q 8 hr. How many mg will be given per dose? _________mg/dose. How many mL per dose? ______mL/dose. 7. Diltiazem 0.35 mg/kg IV now is ordered for a patient weighing 176 lbs. How many mL will be administered? ______mL 8. Gemcitabine 475 mg IV now is ordered. Following the directions on the medication label, the patient will receive...

Doctor orders a Lidocaine infusion to be started at 30 mcg/kg/min. The patient weights 298 lbs....

Doctor orders a Lidocaine infusion to be started at 30 mcg/kg/min. The patient weights 298 lbs. You are supplied with a bag of Lidocaine that reads 4 mg/mL. You will administer _____ ml/hr. Round to a whole number.

John weighs 14 lbs. Order reads: Phenobarbital 35 mg PO bid. Recommended dosage guideline: 4-6 mg/kg/dose...

John weighs 14 lbs. Order reads: Phenobarbital 35 mg PO bid. Recommended dosage guideline: 4-6 mg/kg/dose PO BID. Supplied: 4 mg/ml. Step 1: Weight in kg: _______________ Step 2: Safe dosage range: ________________ Step 3: Maximum safe dose for 24 hours: ________________ Step 4: Amount ordered for 24 hours: ________________ Step 5: Is the ordered dose safe? ________________ Step 6: How many mg/kg/day is the patient receiving: ________________ Step 7: Calculate amount to...

1. The pediatrician order is Phenobarbital 2mg/kg of the body weight: the patient weighs 50 lbs....

1. The pediatrician order is Phenobarbital 2mg/kg of the body weight: the patient weighs 50 lbs. What is the dose of Phenobarbital should the nurse give to the patient? 2. Mr. jerdran is now receiving 2500 ml of intravenous fluid every 24 hours. How many milliliters of intravenous fluid should the nurse plan to give every 8 hours? 3. The patient is on continuous heparin therapy for thrombophlebitis. The IV contains 15,000 units of heparin in 500 cc of D5W...

Sodium nitroprusside is ordered at 0.3 mcg/kg/min for a 220-lb patient. A vial containing 50 mg...

Sodium nitroprusside is ordered at 0.3 mcg/kg/min for a 220-lb patient. A vial containing 50 mg of sodium nitroprusside in 2 mL is diluted to 250 mL with NSI and ordered to run at 14 mL/h. Is this run rate correct? If not, what should be the correct infusion rate? The correct answer is no, and 9 mL/h. Please show how this problem is solved.

A hypertensive patient weighs 165 lbs. The physician prescribed 3mcg/kg/minute, IV. To administer, 50 mg of...

A hypertensive patient weighs 165 lbs. The physician prescribed 3mcg/kg/minute, IV. To administer, 50 mg of Nipride has to be added to a 250mL solution of D5W. The solution would contain a concentration of Nipride, how many mcg/mL? Using an infusion pump, the nurse would set the flow rate at how many mLs/hr?

20. order: dopamine 5 mcg/kg/min via infusion. nurse recieves 250 mL of normal saline. patient weight...

20. order: dopamine 5 mcg/kg/min via infusion. nurse recieves 250 mL of normal saline. patient weight 175lbs what is the flow rate mL/h? round to nearest whole 25. order: 250 mg IV in 500 mL D5W to infuse at 26 mcg/min. what is the flow rate mL/h? 29. order: pantoprazole 40mg IV to be given over 2 min. pantopraze has concentrtation of 4mg/mL. a. what is total volume to be ibfused in mL? b. calculate the number of mL to...

A hypertensive patient weighs 165 pounds. Physician prescribed Nipride 3 mcg/kg/minute, IV. To administer, 50 mg...

A hypertensive patient weighs 165 pounds. Physician prescribed Nipride 3 mcg/kg/minute, IV. To administer, 50 mg of Nipride has to be added to 250mL solution of D5W. The solution would contain a concentration of Nipride, how many mcg/mL? Using an infusion pump, the nurse would set the flow rate at how many mL/hr? correction: prescribed is 25mcg/kg

1. A patient with an allergy to heparin has orders for argatroban at 2 mcg/kg/min. The...

1. A patient with an allergy to heparin has orders for argatroban at 2 mcg/kg/min. The patient's weight is 125 kg. The argatroban is available in a 125mg/125mL concentration. How many milliliters per hour should the argatroban infuse? Round your answer to nearest tenth. a) 0.15 ml/hr b) 150 ml/hr c) 15ml/hr d) 15.3 ml/hr

Order: 15mcg/kg/min Weight: 348 lbs Supply: 800mg in 500ml Rate ml/hr?