Order: dobutamine 5 mcg/kg/min
Patient's weight: 152 lb
Available: dobutamine 500 mg in 250 mL D5W
What is the flow rate in ml/hr? (Round to the nearest tenths)
9 mL/hr
103.5 mL/hr
11 mu/hr
10.4 mL/hr
The Correct Answer is D
1. Convert patient weight from pounds to kilograms:
Patient weight (kg) = 152 lb x 0.453592 kg/lb = 68.94 kg
2. Calculate the desired dose in mcg/min:
Desired dose (mcg/min) = 5 mcg/kg/min x 68.94 kg = 344.7 mcg/min
3. Convert mcg/min to mg/min:
Desired dose (mg/min) = 344.7 mcg/min / 1000 mcg/mg = 0.3447 mg/min
4. Calculate the concentration of dobutamine in the solution:
Concentration (mg/mL) = 500 mg / 250 mL = 2 mg/mL
5. Calculate the flow rate in mL/min:
Flow rate (mL/min) = Desired dose (mg/min) / Concentration (mg/mL)
Flow rate (mL/min) = 0.3447 mg/min / 2 mg/mL = 0.17235 mL/min
6. Calculate the flow rate in mL/hr:
Flow rate (mL/hr) = 0.17235 mL/min x 60 min/hr = 10.341 mL/hr
7. Round to the nearest tenth:
Flow rate (mL/hr) = 10.3 mL/hr
Therefore, the correct answer is 10.4 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Given:
Ordered dose of Lithium: 300 mg
Available Lithium capsules: 150 mg/capsule
Step 1: Calculate the number of capsules required:
Number of capsules = Desired dose (mg) / Strength of each capsule (mg/capsule)
Number of capsules = 300 mg / 150 mg/capsule
Number of capsules = 2 capsules
Correct Answer is A
Explanation
A) Age, weight, and sex:
Age, weight, and sex are key factors that significantly affect an individual's physiological response to drug use. These factors influence how the body absorbs, distributes, metabolizes, and excretes medications. For example, older adults may have slower metabolism and decreased renal function, requiring dosage adjustments. Body weight can affect the distribution of drugs, with heavier individuals potentially requiring higher doses for the same therapeutic effect. Sex also plays a role, as men and women can have differences in drug absorption and metabolism due to hormonal and physiological variations.
B) Marital status and family history:
Marital status and family history do not directly affect the physiological response to medications in the way that biological factors like age, weight, and sex do. While family history may provide insights into genetic predispositions for certain diseases, it does not significantly impact the pharmacodynamics of most medications. Marital status is largely a social factor and does not influence drug metabolism or effects.
C) Diet and exercise:
Diet and exercise can influence drug absorption and metabolism to some extent, but they are not as direct or universal in their impact as factors like age, weight, and sex. For example, high-fat meals can delay the absorption of certain medications, and exercise can affect the metabolism of some drugs. However, these are secondary factors compared to biological characteristics such as age and weight that directly alter how the body processes drugs.
D) Socioeconomic status and education level:
While socioeconomic status and education level can influence medication adherence and access to healthcare, they do not directly affect the body's physiological response to drugs. These factors may affect how a patient manages their health or accesses medical care, but they do not influence the pharmacokinetics or pharmacodynamics of drugs in the body.
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