A nurse started a continuous IV infusion of 1 L of normal saline (NS) at 06:57, and the infusion is completed at 15:45. What is the flow rate of infusion in this situation?
114 mL/hr
124 mL/hr
125 mL/hr
130 mL/hr
The Correct Answer is A
The infusion was started at 06:57 and completed at 15:45, which is a total time of: 15 hours and 45 minutes - 6 hours and 57 minutes = 8 hours and 48 minutes
To calculate the flow rate, we need to know the total amount of fluid infused and divide it by the total time of infusion:
1 L = 1000 mL
Total time of infusion = 8 hours and 48 minutes = 528 minutes Flow rate = Total amount of fluid infused / Total time of infusion Flow rate = 1000 mL / 528 minutes
Flow rate = 1.89394 mL/min
To convert mL/min to mL/hr, we multiply by 60:
Flow rate = 1.89394 mL/min x 60 min/hr Flow rate = 113.6364 mL/hr
Therefore, the flow rate of infusion in this situation is approximately 114 mL/hr, which corresponds to option A.
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Related Questions
Correct Answer is B
Explanation
To calculate the flow rate in mL/hr for a continuous infusion, we need to divide the total volume to be infused by the total time of infusion, and then convert the units as necessary.
In this case, the total volume is 2.5 L, which is equivalent to 2500 mL (1 L = 1000 mL), and the total time is 15 hours.
Flow rate = Total volume to be infused / Total time of infusion Flow rate = 2500 mL / 15 hours
Flow rate = 166.67 mL/hr
Therefore, the flow rate for continuous infusion of 0.9% sodium chloride solution in this case is 166.67 mL/hr.
Correct Answer is D
Explanation
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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