the nurse is calculation a heparin bolus and the infusion for the patient. the order is...

the nurse is calculation a heparin bolus and the infusion for the patient. the order is to bolus the patient with 30 units/kg and then place the patient on a 10 units/kg/ht continous infusion. the bolus dose sent by the pharmacy is 5000 units the heparin drip comes in 25,000 units in 500 ml 0.9%ns. the patient weighs 165 lbs. what is the total amount the nurse will administer for the bolus? how much heparin will the nurse program the pump per hour ?

Solutions

Expert Solution

The pharmacy has provided

Bolus dose as - 5000 Units of heparin
The infusion drip has been provided as - 25000 Unit in 500 ml on 0.9% of Normal saline

The orders for heparin bolus are:

Heparin bolus dose - 30 unit / kg
Therefore, the dose for a patient weighing 165 lbs =
- First, convert pounds to Kilograms
- Conversion factor - 1kg = 2.2 pounds
- Therefore 165 lbs = 165 / 2.2 = 75 kg
so the dose for heparin for a patient weighing 75 kg = 30 * 75 = 2250 units

The total dose that the nurse will administer bolus is 2250 units of heparin

Now let us calculate the drip rate:

The drip bag available is - 25000 Unit in 500 ml on 0.9% of Normal saline

The drip rate ordered - 10 units / kg / hr

Therefore the drip rate for a 75 kg patient = 10 units / kg / hr * 75 = 750 unit /hr

The formula for heparin infusion rate =

total units ( in the IV bag) / total volume of the IV bag = units/hour / drip rate (ml/hr)

Inserting all values in the formula

25000 units / 500 ml = 750 unit/ hr / drip rate

drip rate =750 units / hr * 500 ml / 25000 units ( units get cancelled)

drip rate = 750 / hr * 500 ml / 25000 = 15 ml / hr

The drip rate for heparin continuous infusion is 15 ml / hr

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

A patient is to recieve 80 units heparin bolus before an infusion is started. The heparin...

A patient is to recieve 80 units heparin bolus before an infusion is started. The heparin is available in a concentration of 1000 units/mL, how many milliters of heparin should be adminsitered ? Show work

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h...

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h for a patient who weighs 160 lbs. Available 16000 units/400 ml 25 units/ml a) calculate flow rate un ml/hr

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h...

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h for a patient who weighs 160 lbs. Available 16000 units/400 ml 25 units/ml b) calculate the flow rare in units per hour

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h...

heparin sodium 60 units/kg IV bolus is ordered followed by heparin sodium infusion at 15 units/kg/h for a patient who weighs 160 lbs. Available 16000 units/400 ml 25 units/ml bolus in units: bolus in ml:

The patient has an order for a Heparin bolus of 7,000 units, followed by an IV drip of 12 units/kg/hr.

The patient has an order for a Heparin bolus of 7,000 units, followed by an IV drip of 12 units/kg/hr. The patient weighs 143 lbs. The nurse has a Heparin vial labeled 5,000 units/mL. (Round final answer to nearest tenth). How many mL will be administered for the initial bolus? ____ mL

order: heparin infusion at 20 units/kg/h. on hand: 25000 units heparin/500 ml D5w. The patient weighs...

order: heparin infusion at 20 units/kg/h. on hand: 25000 units heparin/500 ml D5w. The patient weighs 225 lb. The hourly dose is. units/h.?

order: heparin infusion at 20 units/kg/h. on hand:25000 units heparin/500 ml D5w. patient weighs 225...

order: heparin infusion at 20 units/kg/h. on hand: 25000 units heparin/500 ml D5w. patient weighs 225 lb. the hourly dose is ____units/hr.

A patient is ordered for Heparin 1,800 units/hr IV infusion. Heparin is available in the following...

A patient is ordered for Heparin 1,800 units/hr IV infusion. Heparin is available in the following concentration: Heparin 25,000 units mixed in 250 mL D5W. Calculate the rate in mL/hr. _______ mL/hr.

You are to give a heparin bolus of 1000 u / kg. The patient weighs 175lbs....

You are to give a heparin bolus of 1000 u / kg. The patient weighs 175lbs. The vial of heparin is 10,000u/mL. How many mLs will you administer? You have to calculate the I & O on your patient for your twelve hour shift. Your patient has had the following. NS at 100 mL/hr IV 2 cups of coffee Â½ cup of jello 1 cup of ice cream 8oz of chicken broth Voided 650 mL Chest tube drainage 120 mL

A client weighs 176 lb Heparin infusion 20,000 units in 1,000 mL 0.9% sodium chloride Bolus...

A client weighs 176 lb Heparin infusion 20,000 units in 1,000 mL 0.9% sodium chloride Bolus with heparin sodium at 80 units/kg What is the bolus dose? _________________ Initiate drip at 18 units/kg/hr Round weight to the nearest tenth as indicated What is the rate in mL/hr? ________________

Subjects