A client is to receive furosemide 60 mg IV every 12 hours. The medication is available in a concentration of 10 mg/mL, and based on the manufacturer's recommendations, the nurse plans to administer the dosage over 20 minutes. The nurse should set the infusion pump to deliver how many mL/hour? (Enter numeric value only.)
The Correct Answer is ["18"]
Here's how to calculate the infusion rate (mL/hour) for the nurse to administer furosemide 60 mg IV every 12 hours:
1. Furosemide dose per administration:
Dose = 60 mg (given)
2. Dosage frequency (conversion from hours to minutes):
Frequency (minutes) = 12 hours/dose * 60 minutes/hour
Frequency (minutes) = 720 minutes/dose
3. Medication concentration:
Concentration = 10 mg/mL (given)
4. Infusion duration:
Duration = 20 minutes (given)
5. We need to find the total volume (mL) of the medication to be delivered and then convert that volume to a rate per hour (mL/hour).
Steps:
a. Calculate the volume to be infused (mL):
Volume (mL) = Dose (mg) / Concentration (mg/mL)
Volume (mL) = 60 mg / 10 mg/mL
Volume (mL) = 6 mL
b. Convert infusion duration from minutes to hours:
Infusion time (hours) = Infusion time (minutes) / 60 minutes/hour
Infusion time (hours) = 20 minutes / 60 minutes/hour
Infusion time (hours) = 1/3 hour
c. Calculate the infusion rate (mL/hour):
Infusion rate (mL/hour) = Volume (mL) / Infusion time (hours)
Infusion rate (mL/hour) = 6 mL / (1/3 hour)
Infusion rate (mL/hour) = 18 mL/hour
Therefore, the nurse should set the infusion pump to deliver approximately 18 mL/hour.
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Related Questions
Correct Answer is ["1.3"]
Explanation
Here's how to calculate the volume (mL) of filgrastim the nurse should administer:
Client weight conversion:
Client weight: 176 pounds
Since medication dosage is based on weight per kilogram (kg), we need to convert the weight to kg for accurate calculation.
Conversion factor: 1 kg = 2.205 lbs
Client weight (kg) = 176 pounds / 2.205 lbs/kg
Client weight (kg) = 80 kg (round to nearest whole number)
Filgrastim dose per kg:
Dose per kg = 5 mcg/kg (given)
Filgrastim concentration:
The medication vial is labeled 300 mcg/mL. This indicates there are 300 mcg of filgrastim in every 1 mL of solution.
We need to find the volume (mL) containing the prescribed dose (based on weight) of filgrastim (5 mcg/kg) considering the concentration (300 mcg/mL) in the vial.
Total filgrastim dose (mcg): Dose (mcg/kg) x Client weight (kg)
Total filgrastim dose (mcg): 5 mcg/kg * 80 kg
Total filgrastim dose (mcg): 400 mcg
Volume to administer (mL): Total dose (mcg) / Concentration (mcg/mL)
Volume to administer (mL): 400 mcg / 300 mcg/mL
Volume to administer (mL) = 1.33 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 1.3 mL of filgrastim subcutaneously.
Correct Answer is ["1.5"]
Explanation
First, we need to convert the prescribed dose from mg to mcg because the available medication is labeled in mcg.
1 mg is equal to 1,000 mcg. So, 0.075 mg is equal to 75 mcg.
Given:
The prescription is for 75 mcg of levothyroxine.
The available medication is 50 mcg/tablet.
We can set up the proportion as follows:
75mcg/ xtablet = 50mcg/1tablet
Solving for x gives us the number of tablets that the nurse should administer.
Cross-multiplying and solving for x:
X = 75mcg×1tablet/50mcg
After performing the calculation, we find that x equals 1.5 tablets.
So, the nurse should administer 1.5 tablets of the medication. This is rounded to the nearest tenth as per the instructions.
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