A physician ordered Regian (metoclopramide) 10 mg to be mixed with 50 mL of normal saline and infused over 15 minutes. A nurse must set the IV pump to deliver the medication per mL/hr as ordered.
At what rate should the solution be administered?
100 mL/hr
200 mL/hr
50 mL/hr
300 mL/hr
The Correct Answer is B
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the total volume is 50 mL, the flow factor is 1 gt/mL, and the time is 15 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 15 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 200 mL/h
Therefore, the nurse should set the IV pump to deliver **200 mL/h** to infuse Regian 10 mg over 15 minutes.
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Related Questions
Correct Answer is B
Explanation
QD is an abbreviation for "quaque die" which means "every day" in Latin. However, QD is on the official "Do Not Use" list of the Joint Commission because it can be mistaken for QOD, which means "every other day" in Latin¹². This can lead to medication errors and patient harm. Therefore, the Joint Commission recommends writing "daily" instead of QD.
The other options are not on the official "Do Not Use" list of the Joint Commission. OS, PO, and OD are abbreviations for "oculus sinister" (left eye), "per os" (by mouth), and "oculus dexter" (right eye) respectively. They are commonly used in ophthalmology and pharmacy³. However, they should be used with caution and only when appropriate, as they can also be confused with other abbreviations or symbols.
Correct Answer is B
Explanation
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the total volume is 50 mL, the flow factor is 1 gt/mL, and the time is 15 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 15 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 200 mL/h
Therefore, the nurse should set the IV pump to deliver **200 mL/h** to infuse Regian 10 mg over 15 minutes.
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