A physician orders Dobutamine 10 mcg/kg/min for a patient. The patient is 110 lb.
How many milligrams per hour should the patient receive?
0.5 mg/hr
30 mg/hr
60 mg/hr
145 mg/hr
The Correct Answer is B
To calculate the dose of dobutamine in mg/hr, we need to convert the patient's weight from pounds (lb) to kilograms (kg) and then use the ordered dose of 10 mcg/kg/min.
1 lb = 0.453592 kg (rounded to 6 decimal places) Patient's weight in kg = 110 lb x 0.453592 kg/lb
Patient's weight in kg = 49.89512 kg (rounded to 5 decimal places)
Now we can calculate the dose of dobutamine in mg/hr using the following formula:
Dose (in mg/hr) = Weight (in kg) x Dose (in mcg/kg/min) x 60 (to convert minutes to hours) / 1000 (to convert mcg to mg)
Dose (in mg/hr) = 49.89512 kg x 10 mcg/kg/min x 60 / 1000
Dose (in mg/hr) = 29.937072 mg/hr (rounded to 3 decimal places)
Therefore, the patient should receive a dose of approximately 29.9 mg/hr of dobutamine.
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Related Questions
Correct Answer is B
Explanation
We can use the formula for calculating infusion time:. Infusion time = Total volume / Infusion rate.
First, we need to convert the volume of the fluid from liters to milliliters:.
0.75 L = 750 mL.
Next, we can plug in the values we have:. Infusion time = 750 mL / 120 mL/hr.
Infusion time = 6.25 hours.
Since the infusion was started at 9:00 a.m., we can add 6.25 hours to determine when the infusion will be completed:.
9:00 a.m. + 6.25 hours = 3:15 p.m..
Therefore, the infusion will be completed at 3:15 p.m.
Correct Answer is C
Explanation
We need to calculate the patient's BSA using one of the available formulas. The most widely used formula is the Du Bois formula, which is:.
BSA = 0.007184 × W^0.425 × H^0.725.
where W is weight in kg and H is height in cm.. Plugging in the patient's weight and height, we get:. BSA = 0.007184 × 94.5^0.425 × 185^0.725
BSA = 2.15 m².
Now, we can use the physician's order to find the daily dose and the total dose of Platinol for this patient. The daily dose is:.
Daily dose = 20 mg/m²/day × BSA Daily dose = 20 mg/m²/day × 2.15 m² Daily dose = 43 mg/day.
The total dose for 5 days is:.
Total dose = Daily dose × Number of days Total dose = 43 mg/day × 5 days
Total dose = 215 mg.
Therefore, the patient's dose of Platinol would be 215 mg in total, or 43 mg per day for 5 days.
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