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A nurse is preparing to administer nitroglycerine 15 mcg/min by continuous IV infusion. Available is nitroglycerin 25 mg in 250 mL of dextrose 5% in water (D5W). 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.

9

B.

19

C.

0.9

D.

90

Answer and Explanation

The Correct Answer is A

Convert the dosage to mcg per hour:

15 mcg/min×60 min/hr=900 mcg/hr15

 

Convert the available nitroglycerin concentration to mcg/mL:

25 mg=25,000 mcg

The concentration is(25,000 mcg/250 mL)=100 mcg

Calculate the flow rate in mL per hour using the dosage and concentration:

Flow rate (mL/hr)=(900 mcg/hr100 mcg/mL)=9 mL/hr


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Related Questions

Correct Answer is B

Explanation

Given:

Ordered volume of Isomil: 12 oz

Step 1: Determine the volume of Isomil needed for 1/4 strength:

Volume of Isomil for 1/4 strength = Original volume x (1/4)

Volume of Isomil for 1/4 strength = 12 oz x (1/4)

Volume of Isomil for 1/4 strength = 3 oz

Step 2: Calculate the volume of solvent (water) needed:

Solvent volume = Original volume - Volume of Isomil for 1/4 strength

Solvent volume = 12 oz - 3 oz

Solvent volume = 9 oz

Step 3: Convert ounces to milliliters:

1 oz = 29.5735 mL

Solvent volume (mL) = 9 oz x 29.5735 mL/oz

Solvent volume (mL) = 266.1615 mL

Step 4: Round to the nearest whole number:

Solvent volume (mL) ≈ 270 mL

Correct Answer is A

Explanation

Given:

Volume of fluid: 1 liter = 1000 mL

Infusion time: 6 hours

Drop factor: 10 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 / 6 hr

Infusion rate (mL/hr) = 166.67 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) = (166.67 mL/hr x 10 gtt/mL) / 60 min/hr

Flow rate (gtt/min) = 1666.7 gtt/hr / 60 min/hr

Flow rate (gtt/min) = 27.78 gtt/min

Step 3: Round to the nearest whole number:

Flow rate (gtt/min) ≈ 28 gtt/min

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