A nurse needs to infuse esmolol to a client weighing 65 kg. The dose on hand is 2,500 mg esmolol in 250 mL of fluid. The client requires a dose of 200 mcg/kg/min. Which rate should the nurse calculate to infuse this medication?
Round to the nearest whole number.
5 mL/hr
6 mL/hr
13 mL/hr
78 mL/hr
The Correct Answer is D
First, we need to calculate the total dose of esmolol required per minute: Total dose = Weight x Dose x 60 minutes
Total dose = 65 kg x 200 mcg/kg/min x 60 minutes Total dose = 780,000 mcg/min
Next, we need to convert the dose to milligrams (mg):
780,000 mcg/min = 780 mg/min
The concentration of the esmolol solution is 2,500 mg in 250 mL or 10 mg/mL. To deliver 780 mg/min at a concentration of 10 mg/mL, we need to infuse: Infusion rate = Total dose / Concentration
Infusion rate = 780 mg/min / 10 mg/mL Infusion rate = 78 mL/min
Rounding to the nearest whole number, the answer is D. 78 mL/hr.
Therefore, the nurse should calculate an infusion rate of 78 mL/hr to deliver the required dose of esmolol to the patient.
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Related Questions
Correct Answer is B
Explanation
To calculate the dose of digoxin in micrograms (mcg) that the child should receive, we need to first convert the weight of the child from pounds to kilograms:.
30 lb / 2.205 = 13.61 kg.
Next, we can calculate the dose of digoxin in mcg:. Dose (in mcg) = Weight (in kg) x Dose (in mcg/kg). Dose (in mcg) = 13.61 kg x 10 mcg/kg.
Dose (in mcg) = 136.1 mcg.
Now we need to calculate the volume of digoxin solution to administer. Since the concentration of the digoxin solution is 1 mg/mL, we can use proportion to calculate the volume:.
1 mg is to 1 mL as 136.1 mcg is to X mL. 1/1 = 136.1/X.
Cross-multiplying, we get:. 1X = 136.1 x 1.
X = 136.1 mL.
Therefore, the nurse should administer 0.1361 mL (136.1 mcg) of digoxin to the child.
Correct Answer is B
Explanation
We can use the following formula to calculate the infusion time:
Infusion time (in hours) = Remaining volume (in mL) / Infusion rate (in mL/hr)
First, let's convert the current time to minutes since we will be calculating the infusion time in minutes as well:
19:30 = 19 hours x 60 minutes/hour + 30 minutes = 1170 minutes Now we can substitute the given values into the formula:
Infusion time (in hours) = 376 mL / 40 mL/hr Infusion time (in hours) = 9.4 hours
To convert this to hours and minutes, we can separate the integer and decimal parts of the answer:
9 hours (integer part) and 0.4 hours x 60 minutes/hour = 24 minutes (decimal part)
Therefore, the infusion time is 9 hours and 24 minutes, and the infusion will finish at approximately 04:54 (19:30 + 9 hours and 24 minutes).
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