Dosage calculation rn critical care proctored assessment 3.2

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Question 1: View

A nurse is preparing to administer 0.9% sodium chloride mL IV to infuse over 4 hr to a client. The drop factor of the manual IV tubing 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many git/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Calculate the Total Infusion Time in Minutes:

The infusion is to be delivered over 4 hours.

There are 60 minutes in 1 hour.

Total infusion time: 4 hours x 60 minutes/hour = 240 minutes

Calculate the Drip Rate (gtt/min):

We'll use the following formula:

Drip Rate (gtt/min) = (Total Volume (mL) x Drop Factor (gtt/mL)) / Total Infusion Time (minutes)

Plug in the Values and Calculate:

Drip Rate (gtt/min) = (100 mL x 15 gtt/mL) / 240 minutes

Drip Rate (gtt/min) = 1500 gtt / 240 minutes

Drip Rate (gtt/min) = 6.25 gtt/min

Round to the Nearest Whole Number:

6 gtt/min

Question 2: View

A nurse is preparing to administer eptifibatide 0.18 mg/kg IV bolus to a client who weighs 212 lb. Available is eptifibatide 20 mg/10 ml - How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 212 lbs / 2.205 lbs/kg

Weight in kg ≈ 96.145 kg

Calculate the Total Dose of Eptifibatide Needed:

Dose = 0.18 mg/kg x 96.145 kg

Dose ≈ 17.306 mg

Calculate the Volume of Eptifibatide to Administer:

Available concentration = 20 mg/10 mL

To simplify, we can find the concentration per 1 mL: 20 mg / 10 mL = 2 mg/mL

Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)

Volume (mL) = 17.306 mg / 2 mg/mL

Volume (mL) ≈ 8.653 mL

Round to the Nearest Tenth:

8.7 mL

Question 3: View

A nurse is preparing to administer magnesium sulfate 1g over 4hr by continuous IV infusion. Available is magnesium sulfate 1 g in 0.9% sodium chloride 100 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Identify the Total Volume and Infusion Time:

Total Volume: 100 mL

Infusion Time: 4 hours

Calculate the Infusion Rate (mL/hr):

We need to find out how many mL should be infused per hour.

We can use the following formula:

Infusion Rate (mL/hr) = Total Volume (mL) / Infusion Time (hours)

Plug in the Values and Calculate:

Infusion Rate (mL/hr) = 100 mL / 4 hours

Infusion Rate (mL/hr) = 25 mL/hr

Round to the Nearest Whole Number (if necessary):

25 mL/hr

Question 4: View

A nurse is preparing to administer dobutamine 5mcg/kg/min by continuous IV infusion to client who weigh 250 lb. Available is dobutamine 250 mg in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to nearest whole number. Use a leading zero if it applies, do not use a trailing zero.)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 250 lbs / 2.205 lbs/kg

Weight in kg ≈ 113.38 kg

Calculate the Dobutamine Dose in mcg/min:

Dose = 5 mcg/kg/min x 113.38 kg

Dose ≈ 566.9 mcg/min

Convert the Dobutamine Dose from mcg/min to mg/min:

1 mg = 1000 mcg

Dose in mg/min = 566.9 mcg/min / 1000 mcg/mg

Dose in mg/min ≈ 0.5669 mg/min

Calculate the Dobutamine Dose in mg/hr:

Dose in mg/hr = 0.5669 mg/min x 60 min/hr

Dose in mg/hr ≈ 34.014 mg/hr

Calculate the Infusion Rate in mL/hr:

Available concentration = 250 mg / 250 mL = 1 mg/mL

Infusion Rate (mL/hr) = Dose in mg/hr / Concentration (mg/mL)

Infusion Rate (mL/hr) = 34.014 mg/hr / 1 mg/mL

Infusion Rate (mL/hr) ≈ 34.014 mL/hr

Round to the Nearest Whole Number:

34 mL/hr

Question 5: View

A nurse is preparing to administer regular insulin 0 1 units/kg/hr by continuous tv infusion for a client who weighs 180 lb. Available is regular insulin 500 units in 500 mL of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mi/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 180 lbs / 2.205 lbs/kg

Weight in kg ≈ 81.63 kg

Calculate the Insulin Dose in Units/hr:

Dose = 0.1 units/kg/hr x 81.63 kg

Dose ≈ 8.163 units/hr

Calculate the Insulin Concentration in Units/mL:

Available concentration = 500 units / 500 mL

Concentration = 1 unit/mL

Calculate the Infusion Rate in mL/hr:

Infusion Rate (mL/hr) = Dose in units/hr / Concentration (units/mL)

Infusion Rate (mL/hr) = 8.163 units/hr / 1 unit/mL

Infusion Rate (mL/hr) ≈ 8.163 mL/hr

Round to the Nearest Whole Number:

8 mL/hr

Question 6: View

A nurse is preparing to administer lorazepam 0.05 mg/kg IM to a client who weighs 132 lb. Available is lorazepam solution 2mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tent. Use a leading zero if it applies. Do not use a trailing zero)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 132 lbs / 2.205 lbs/kg

Weight in kg ≈ 59.86 kg

Calculate the Total Dose of Lorazepam Needed:

Dose = 0.05 mg/kg x 59.86 kg

Dose ≈ 2.993 mg

Calculate the Volume of Lorazepam to Administer:

Available concentration = 2 mg/mL

Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)

Volume (mL) = 2.993 mg / 2 mg/mL

Volume (mL) ≈ 1.4965 mL

Round to the Nearest Tenth:

1.5 mL

Question 7: View

A nurse is preparing to administer regular insulin 0.1 unit/kg/hr by continuous IV infusion for a client who weighs 45 kg. Available is regular insulin unit/ml. in 0.9% normal saline. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Calculate the Insulin Dose in Units/hr:

Dose = 0.1 units/kg/hr x 45 kg

Dose = 4.5 units/hr

Determine the Insulin Concentration in Units/mL:

Available concentration = 1 unit/mL (given in the problem)

Calculate the Infusion Rate in mL/hr:

Infusion Rate (mL/hr) = Dose in units/hr / Concentration (units/mL)

Infusion Rate (mL/hr) = 4.5 units/hr / 1 unit/mL

Infusion Rate (mL/hr) = 4.5 mL/hr

Round to the Nearest Tenth (if necessary):

4.5 mL/hr

Question 8: View

A nurse is preparing to administer verapamil 10 mg IV bolus. Available is verapamil injection 5 mg/2 mL. How many should the nurse administer? (Round the answer to whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Identify the Desired Dose and Available Concentration:

Desired Dose: 10 mg of verapamil

Available Concentration: 5 mg/2 mL

Simplify the Available Concentration:

To make the calculation easier, find the concentration per 1 mL: 5 mg / 2 mL = 2.5 mg/mL (This means there are 2.5 mg of verapamil in every 1 mL of solution)

Set up the Calculation:

We need to find the volume (in mL) that contains the desired dose of 10 mg.

We can use the following formula:

Volume (mL) = Desired Dose (mg) / Available Concentration (mg/mL)

Plug in the Values and Calculate:

Volume (mL) = 10 mg / 2.5 mg/mL

Volume (mL) = 4 mL

Round to the Nearest Whole Number (if necessary):

4 mL

Question 9: View

A nurse is preparing to administer cyclosporine 5 mg/kg IV bolus to a client who weighs 143lb. Available is cyclosporine injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 143 lbs / 2.205 lbs/kg

Weight in kg ≈ 64.85 kg

Calculate the Total Dose of Cyclosporine Needed:

Dose = 5 mg/kg x 64.85 kg

Dose ≈ 324.25 mg

Calculate the Volume of Cyclosporine to Administer:

Available concentration = 50 mg/mL

Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)

Volume (mL) = 324.25 mg / 50 mg/mL

Volume (mL) ≈ 6.485 mL

Round to the Nearest Tenth:

6.5 mL

Question 10: View

A nurse is preparing to administer darbepoetin 0.75 mcg/kg IV bolus to a client who weighs 138 lb. Available is darbepoetin 60 mcg/0.3 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Convert the Client's Weight from Pounds to Kilograms:

1 kg = 2.205 lbs

Weight in kg = 138 lbs / 2.205 lbs/kg

Weight in kg ≈ 62.585 kg

Calculate the Total Dose of Darbepoetin Needed:

Dose = 0.75 mcg/kg x 62.585 kg

Dose ≈ 46.93875 mcg

Calculate the Volume of Darbepoetin to Administer:

Available concentration = 60 mcg/0.3 mL

To simplify, find the concentration per 1 mL: 60 mcg / 0.3 mL = 200 mcg/mL

Volume (mL) = Desired dose (mcg) / Available concentration (mcg/mL)

Volume (mL) = 46.93875 mcg / 200 mcg/mL

Volume (mL) ≈ 0.23469 mL

Round to the Nearest Tenth:

0.2 mL

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