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
Convert the dosage to mcg per hour:
55 mcg/min × 60 min = 3300 mcg/hr
Determine the concentration of nitroglycerin available:
The concentration is 25 mg per 250 mL, which converts to 100 mcg/mL.
Calculate the flow rate in mL per hour using the dosage and concentration:
Flowrate(mL/hr)=(Dose(mcg/hr)/Concentration(mcg/mL))
(3300mcg/hr100mcg/mL)=33mL/hr
Correct Answer is C
Explanation
Let's calculate the dosage using the provided information.
Information from the label:
Bumetanide concentration: 0.25 mg/mL
Available volume: 10 mL vial
Order: Bumex (bumetanide) 1 mg IV daily
Calculation:
Determine the desired dose: 1 mg
Use the formula:
Desired dose (mg) / Available concentration (mg/mL) = Volume to administer (mL)
Substitute the values:
1 mg / 0.25 mg/mL = Volume to administer (mL)
Calculate:
Volume to administer = 4 mL
Therefore, the correct answer is C. 4 mL
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