The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 ml of fluid. Solve for ml/hr.
The Correct Answer is ["3"]
Lidocaine infusion calculation:
- Lidocaine dose ordered: 2 mg/min
- Lidocaine concentration: 2 gm in 500 mL
- Conversion factor: 1 mg = 1000 mcg
Calculations:
- Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
- Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
- Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr
Answer:
- mL/hr: 3 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.
B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.
C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.
D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.
Correct Answer is C
Explanation
A. Coma: Possible in severe cases but not universally anticipated.
B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.
C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.
D. Fruity smelling breath: Not typically associated with thyroid storm.
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