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 A
Explanation
To calculate the total amount of heparin, we need to multiply the infusion rate by the time and then by the concentration of heparin in the IV bag. From 9:00 a.m. to 11:00 a.m., the infusion rate was 12 mL/hr, so the amount of heparin infused in this period was 12 mL/hr x 2 hours x 100 units/mL = 2400 units.
From 11:00 a.m. to 2:00 p.m., the infusion rate was 10 mL/hr, so the amount of heparin infused in this period was 10 mL/hr x 3 hours x 100 units/mL = 3000 units. The total amount of heparin infused from 9:00 a.m. to 2:00 p.m. was 2400 units + 3000 units = 5400 units.
Correct Answer is A
Explanation
To determine the mL per dose of heparin, we can use the following formula:
mL per dose = (total units needed) / (concentration of heparin in units/mL). Substituting the values given in the
Question :.
mL per dose = 10,000 units / 20,000 units/mL = 0.5 mL per dose.
Therefore, the client should receive 0.5 mL per dose of heparin from the vial containing a concentration of 20,000 units/mL.
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