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A nurse is preparing to administer 0/9% sodium chloride (0.9% NaCl) 20ml/kg IV tp infuse over 6 hr to a school-age child who weighs 55 lbs. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A.

8 mL/hr

B.

8.3 mL/hr

C.

83.3 mL/hr

D.

83 mL/hr

Answer and Explanation

The Correct Answer is D

Ordered dose of 0.9% Sodium Chloride: 20 mL/kg

Child's weight: 55 lbs

Infusion time: 6 hours

 

Step 1: Convert child's weight from pounds to kilograms:

1 pound (lb) = 0.453592 kilograms (kg)

Child's weight in kg = 55 lbs x 0.453592 kg/lb = 24.94756 kg

 

Step 2: Calculate the total volume of 0.9% Sodium Chloride:

Total volume (mL) = Ordered dose (mL/kg) x Child's weight (kg)

Total volume (mL) = 20 mL/kg x 24.94756 kg

Total volume (mL) = 498.9512 mL

 

Step 3: Calculate the infusion rate in mL/hr:

Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)

Infusion rate (mL/hr) = 498.9512 mL / 6 hr

Infusion rate (mL/hr) = 83.15853333 mL/hr

 

Step 4: Round to the nearest whole number:

Infusion rate (mL/hr) ≈ 83 mL/hr


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Related Questions

Correct Answer is B

Explanation

Given:

Ordered dose of amoxicillin: 30 mg/kg/day divided every 12 hours

Toddler's weight: 33 lbs

Concentration of amoxicillin suspension: 200 mg/5 mL

Step 1: Convert the toddler's weight from pounds to kilograms:

1 pound (lb) = 0.453592 kilograms (kg)

Weight in kg = 33 lbs x 0.453592 kg/lb = 14.968 kg

Step 2: Calculate the total daily dose of amoxicillin:

Total daily dose (mg) = Ordered dose (mg/kg/day) x Weight (kg)

Total daily dose (mg) = 30 mg/kg/day x 14.968 kg

Total daily dose (mg) = 449.04 mg/day

Step 3: Calculate the dose per administration:

Since the medication is given every 12 hours, there are 2 administrations per day.

Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day

Dose per administration (mg) = 449.04 mg/day / 2 administrations/day

Dose per administration (mg) = 224.52 mg

Step 4: Calculate the volume to be administered:

Volume (mL) = Dose per administration (mg) / Concentration (mg/mL)

Volume (mL) = 224.52 mg / (200 mg/5 mL)

Volume (mL) = 224.52 mg x (5 mL / 200 mg)

Volume (mL) = 5.613 mL

Step 5: Round to the nearest tenth:

Volume (mL) ≈ 5.6 mL

Correct Answer is A

Explanation

Given:

Volume of fluid: 1000 mL

Infusion time: 8 hours

Drop factor: 15 gtt/mL

Formula:

Flow rate (gtt/min) = (Volume (mL) / Time (hr)) x Drop factor (gtt/mL) / 60 min/hr

Step 1: Calculate the infusion rate in mL/hr:

Infusion rate (mL/hr) = Volume (mL) / Time (hr)

Infusion rate (mL/hr) = 1000 mL / 8 hr

Infusion rate (mL/hr) = 125 mL/hr

Step 2: Calculate the flow rate in gtt/min:

Flow rate (gtt/min) = (Infusion rate (mL/hr) x Drop factor (gtt/mL)) / 60 min/hr

Flow rate (gtt/min) = (125 mL/hr x 15 gtt/mL) / 60 min/hr

Flow rate (gtt/min) = 1875 gtt/hr / 60 min/hr

Flow rate (gtt/min) = 31.25 gtt/min

Step 3: Round to the nearest whole number:

Flow rate (gtt/min) ≈ 31 gtt/min

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