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
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Related Questions
Correct Answer is C
Explanation
To answer this question, the nurse needs to perform the following steps:
1) Convert the patient's weight from pounds and ounces to kilograms, using the conversion factor of 1 pound = 0.45359237 kilograms¹². To do this, first convert the ounces to a fraction of a pound by dividing by 16, then add this fraction to the pounds, and then multiply by the conversion factor. For example:
7 lb, 11.2 oz = 7 + (11.2 / 16) lb
= 7.7 lb
= 7.7 × 0.45359237 kg
= 3.492 kg
2) Calculate the dose of Garamycin in milligrams, using the prescribed dose of 4 mg/kg and the patient's weight in kilograms. To do this, simply multiply the dose per kilogram by the weight in kilograms. For example:
4 mg/kg × 3.492 kg = 13.968 mg
3) Calculate the volume of Garamycin in milliliters, using the reconstituted dosage of 20 mg/10 mL and the dose in milligrams. To do this, use a proportion to find the unknown volume that corresponds to the known dose. For example:
20 mg / 10 mL = 13.968 mg / x mL Cross-multiply and solve for x: 20x = 139.68
x = 6.984 mL
x =7 mL
Correct Answer is B
Explanation
The correct angle for giving an intradermal injection is **10 to 15 degrees**. This angle allows the needle to enter the dermis, which is the layer of skin just below the epidermis. The needle should be inserted almost flat against the patient's skin, with the bevel side up. A small blister or bleb should form under the skin after injecting the medication.
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