Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)
The Correct Answer is ["16"]
Step 1: Determine client’s dose in mcg/min
10 mcg/kg/min×85.3 kg=853 mcg/min
Step 2: Convert mcg/min to mg/hr
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853 mcg/min=0.853 mg/min
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Per hour:
0.853 mg/min×60 min/hr=51.18 mg/hr
Step 3: Determine concentration of dopamine solution
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800 mg in 250 mL → 800 mg250 mL=3.2 mg/mL
Step 4: Calculate infusion rate in mL/hr
51.18 mg/hr3.2 mg/mL=15.99 mL/hr
Step 5: Round to nearest whole number
≈16 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.4"]
Explanation
Rationale:
To calculate the dosage of Nitroprusside in mcg/min, first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. Therefore, 176 lbs is approximately 80 kg. Next, multiply the client's weight in kg by the dosage rate: 0.5 mcg/kg/min. So, 80 kg * 0.5 mcg/kg/min equals 40 mcg/min. To find mcg/hr, multiply the mcg/min dosage by 60, the number of minutes in an hour, which gives us 2400 mcg/hr. Finally, to calculate mL/hr, use the concentration of the drug: 500 mg in 500 mL. Since 1 mg equals 1000 mcg, 500 mg is 500,000 mcg. Divide the hourly dosage in mcg by the total number of mcg in the available fluid to find the mL/hr. Thus, 2400 mcg/hr divided by (500,000 mcg / 500 mL) results in 2.4 mL/hr. Rounded to the nearest tenth, the final dosages are 40 mcg/min, 2400 mcg/hr, and 2.4 mL/hr.
Correct Answer is C
Explanation
A. A low-sodium diet is not appropriate for Addison's disease; instead, adequate sodium intake is necessary.
B. Hyperglycemia is not typically associated with Addison's disease; hypoglycemia is more common.
C. Teaching the parents about cortisol replacement therapy is crucial because children with Addison's disease require lifelong cortisol replacement to manage their condition.
D. Monitoring for fluid volume excess is not typically a concern in Addison's disease; fluid volume deficit is more common.
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