A continuous infusion of heparin 10 unit/kg/hour is prescribed for a client with deep vein thrombosis (DVT) who weighs 165 pounds. The IV bag is labeled Heparin Sodium 25,000 Units in 5% Dextrose Injection 500 mL The nurse should program the Infusion pump to deliver how many mL/hour? (Enter numeric value only.)
The Correct Answer is ["15"]
Given:
Ordered infusion rate: 10 units/kg/hour
Patient weight: 165 pounds
Concentration of Heparin: 25,000 units in 500 mL (50 units/mL)
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 165 lbs x 0.453592 kg/lb = 74.8 kg
Step 2: Calculate the total dose of Heparin in units/hour:
Total dose (units/hour) = Ordered dose (units/kg/hour) x Patient weight (kg)
Total dose (units/hour) = 10 units/kg/hour x 74.8 kg
Total dose (units/hour) = 748 units/hour
Step 3: Calculate the infusion rate in mL/hour:
Infusion rate (mL/hour) = Total dose (units/hour) / Concentration (units/mL)
Infusion rate (mL/hour) = 748 units/hour / 50 units/mL
Infusion rate (mL/hour) = 14.96 mL/hour
Step 4: Round to the nearest whole number:
Infusion rate (mL/hour) ≈ 15 mL/hour
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["9"]
Explanation
Given:
Ordered dose of insulin: 0.1 units/kg
Patient weight: 200 pounds
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 200 lbs x 0.453592 kg/lb = 90.718 kg
Step 2: Calculate the total dose of insulin:
Total dose (units) = Ordered dose (units/kg) x Patient weight (kg)
Total dose (units) = 0.1 units/kg x 90.718 kg
Total dose (units) = 9.0718 units
Step 3: Round to the nearest whole number:
Total dose (units) ≈ 9 units
Correct Answer is ["1.5"]
Explanation
Given:
Ordered dose of Ketorolac: 45 mg IM every 6 hours
Concentration of Ketorolac: 30 mg/mL
Step 1: Set up the proportion:
Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)
Step 2: Substitute the values:
45 mg / Volume = 30 mg/mL
Step 3: Solve for the unknown volume:
Volume = 45 mg / (30 mg/mL)
Volume = 45 mg x (1 mL / 30 mg)
Volume = 1.5 mL
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