A patient with deep vein thrombosis has heparin ordered. Heparin 25,000 units in 250 mL D5W infuses at a rate of 12 mL/hr from 9:00 a.m. to 11:00 a.m. and 10 mL/hr from 11:00 a.m. to 2:00 p.m.
What is the total amount of heparin, in units, that the patient received from 9:00 a.m. to 2:00 p.m.?
5400 units
6800 units
7200 units
8900 units
8900 units
The Correct Answer is A
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.
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Related Questions
Correct Answer is D
Explanation
The toddler is ordered to receive 25 mg/kg of Principen IV over 30 minutes. The toddler weighs 22 lb, which is equivalent to 10 kg. To calculate the total amount of Principen the toddler should receive, multiply the weight by the dosage:
10 kg x 25 mg/kg = 250 mg
The Principen dose arrives from the pharmacy prepared in 50 mL of IV solution, which means there is 250 mg of Principen in 50 mL of solution. To calculate how many milliliters per hour the nurse should administer, we can use the following formula:
50 mL / 0.5 hour = X mL per hour X = 100 mL per hour
Therefore, the nurse should administer 100 mL of Principen per hour to the toddler.
Correct Answer is C
Explanation
The patient is ordered to receive 0.15 mg/kg of Zofran over 15 minutes. The patient weighs 176 lb, which is equivalent to 80 kg. To calculate the total amount of Zofran the patient should receive, multiply the weight by the dosage:
80 kg x 0.15 mg/kg = 12 mg
The Zofran arrives from the pharmacy mixed in 50 mL of normal saline, which means there is 12 mg of Zofran in 50 mL of solution. To calculate how many milliliters per hour the nurse should set the IV pump, we can use the following formula:
50 mL / 0.25 hour = X mL per hour X = 200 mL per hour
Therefore, the nurse should set the IV pump to deliver 200 mL of Zofran per hour to the patient.
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