Question

In: Nursing

A 62 year old, 183 lb female is admitted to the emergency room and diagnosed with...

  1. A 62 year old, 183 lb female is admitted to the emergency room and diagnosed with DVT. The ER physician orders a bolus dose of heparin at 70 units/kg, to be administered in the ER. Calculate how many mLs the nurse will draw up into a syringe for the bolus dose given that the heparin concentration in the vial is 1,000 units/mL. Show your work.

  1. A dopamine drip is ordered for a 74 kg male who was admitted to the hospital to the ICU floor.   The drip order is for 200 mg of dopamine in 250 mL of D5W to run at a rate of 5 mcg/kg/min. What is the flow rate for this IV in mL/hour? Show your work.

Solutions

Expert Solution

A 62year old,female is admitted to the emergency room and diagnosed with DVT.

Body weight :183lb

=83.082kg

When rounding off to nearest tenth,body weight =83.1kg

Heparin dose ordered is 70units/kg

Total heaprin dose per total body weight=5800units of heparin.

Available concentration of heparin us 1000unuts/ml

The nurse has to withdraw to 5.8ml of heparin injection to administer a bolus dose 5800units.

Patients body weight:74kg

Dose:5mcg/kg/min

Drug concentration:200mcg of dopamin

Conversion 200mg in to mcg

That is 200000mcg of dopamin

Drug volume is 250ml

Calculating flow rate (ml/hr):

Dose× body weight × total volume × time in min

​​​​-----------------------------------------------------------

Amount of drug

=27.75ml/hr

Rounding off to nearest whole number,that is 28

Flow rate(ml/hr)=28ml/hr


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