A healthcare provider orders nitroprusside (100 mcg/1 mL) 3 mcg/kg/minute for a patient weighing 154 lb.
What rate (mL/hr) should the nurse program into the IV pump?
1.26 mL/hr
126 mL/hr
1260 mL/hr
12.6 mL/hr
The Correct Answer is D
To answer this question, we need to calculate the infusion rate in mL per hour by using the following formula²:
Infusion rate (mL/h) = Dose (mcg/kg/min) × Weight (kg) × 60 min/h × Volume (mL) / Concentration (mcg/mL)
In this case, the infusion rate is:
Infusion rate (mL/h) = 3 mcg/kg/min × 70 kg × 60 min/h × 250 mL / 2500 mg
We need to convert lb to kg by dividing by 2.2
Infusion rate (mL/h) = 3 mcg/kg/min × (154 lb / 2.2 kg/lb) × 60 min/h × 250 mL / 2500 mg
We need to convert mg to mcg by multiplying by 1000:
Infusion rte (mL/h) = 3 mcg/kg/min × (154 lb / 2.2 kg/lb) × 60 min/h × 250 mL / (2500 mg × 1000 mcg/mg)
We can simplify the equation by canceling out some units and numbers:
Infusion rate (mL/h) = 3 × 154 × 250 / (2.2 × 2500 × 1000)
We can use a calculator to get the final answer:
Infusion rate (mL/h) = 12.6363636363636 mL/h
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
To answer this question, we need to calculate the infusion rate in mL per hour by using the following formula²:
Infusion rate (mL/h) = Dose (mcg/kg/min) × Weight (kg) × 60 min/h × Volume (mL) / Concentration (mcg/mL)
In this case, the infusion rate is:
Infusion rate (mL/h) = 3 mcg/kg/min × 70 kg × 60 min/h × 250 mL / 2500 mg
We need to convert lb to kg by dividing by 2.2
Infusion rate (mL/h) = 3 mcg/kg/min × (154 lb / 2.2 kg/lb) × 60 min/h × 250 mL / 2500 mg
We need to convert mg to mcg by multiplying by 1000:
Infusion rte (mL/h) = 3 mcg/kg/min × (154 lb / 2.2 kg/lb) × 60 min/h × 250 mL / (2500 mg × 1000 mcg/mg)
We can simplify the equation by canceling out some units and numbers:
Infusion rate (mL/h) = 3 × 154 × 250 / (2.2 × 2500 × 1000)
We can use a calculator to get the final answer:
Infusion rate (mL/h) = 12.6363636363636 mL/h
Correct Answer is C
Explanation
The nurse should add 250 mL of water to the formula to dilute it to half strength.
This answer is correct because it is based on a simple ratio and proportion calculation. The nurse can set up a proportion as follows:
250 mL / 1 = x mL / 0.5
Cross-multiplying and solving for x gives:
x = 500 mL
Therefore, the nurse should add 250 mL of water to the formula to make a total volume of 500 mL, which is half the concentration of the original formula.
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