A patient who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled, “Dopamine 400 mg in 5% Dextrose injection 250 mL.” How many mL/hour should the nurse program the infusion pump to deliver?
(Enter numeric value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["10.2"]
To determine the infusion rate in mL/hour for the dopamine solution:
-
Calculate the total dose per minute:
3 mcg/kg/min×91 kg=273 mcg/min3mcg/kg/min×91kg=273mcg/min. -
Convert mcg/min to mcg/hour:
273 mcg/min×60 min/hour=16,380 mcg/hour273mcg/min×60min/hour=16,380mcg/hour. -
Convert mcg to mg:
16,380 mcg÷1,000=16.38 mg/hour16,380mcg÷1,000=16.38mg/hour. -
Determine the concentration of the solution:
400 mg÷250 mL=1.6 mg/mL400mg÷250mL=1.6mg/mL. -
Calculate the mL/hour required:
16.38 mg/hour÷1.6 mg/mL=10.2375 mL/hour16.38mg/hour÷1.6mg/mL=10.2375mL/hour.
Rounded to the nearest tenth:
10.2 mL/hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8.3"]
Explanation
The correct answer is 8.3 hours. To find the answer, we can use the following formula:
(hours) = (mL of IV) / (mL/hour)
Substituting the given values, we get:
(hours) = (500) / (60)
Simplifying, we get:
(hours) = 8.333
(rounded hours) = 8.3
Therefore, the IV should infuse for 8.3 hours.
Correct Answer is ["240"]
Explanation
To find the answer, we can use the following steps:
- Calculate the amount of water needed to dilute the formula to 75% by subtracting the volume of the prescribed solution from the volume of the full strength formula
- Subtract the amount of water from the volume of the can to get the amount of enteral nutrition formula
- Round the result to the nearest whole number
Using these steps, we get:
- (water in mL) = (320) - (240) = 80 mL
- (enteral nutrition formula in mL) = (240) - (80) = 160 mL
- (rounded enteral nutrition formula in mL) = 160 mL
Therefore, the nurse should use 160 mL of enteral nutrition formula from the can to prepare the solution.
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