A continuous heparin infusion is to begin at 15 units/kg/hr for a client weighing 82 kg. Available: 25,000 units of heparin in 250 mL D5W. Calculate the mL/hr. (the pump is capable of delivering in tenths of an mL).
12.3 mL/hr
123 mL/hr
125 mL/hr
12 mL/hr
The Correct Answer is A
Given:
Ordered dose of Heparin: 15 units/kg/hr
Patient weight: 82 kg
Total Heparin in solution: 25,000 units
Volume of solution: 250 mL
Step 1: Calculate the total dose of Heparin in units/hr:
Total dose (units/hr) = Ordered dose (units/kg/hr) x Patient weight (kg)
Total dose (units/hr) = 15 units/kg/hr x 82 kg
Total dose (units/hr) = 1230 units/hr
Step 2: Calculate the concentration of Heparin in the solution:
Concentration (units/mL) = Total Heparin (units) / Volume of solution (mL)
Concentration (units/mL) = 25,000 units / 250 mL
Concentration (units/mL) = 100 units/mL
Step 3: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (units/hr) / Concentration (units/mL)
Infusion rate (mL/hr) = 1230 units/hr / 100 units/mL
Infusion rate (mL/hr) = 12.3 mL/hr
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Related Questions
Correct Answer is D
Explanation
Convert ounces to millilitres (1 oz = 29.5735 mL):
6oz×29.5735mL/oz=177.441mL6
Calculate the frequency of doses per day:
The patient receives a dose every 4 hours, so in 24 hours, the number of doses is:
24hours/4hours/dose=6doses
Calculate the total volume for all doses:
177.441mL/dose×6doses=1064.646mL
Rounding to the nearest whole number=1080 mL
Correct Answer is C
Explanation
Given:
Ordered dose of acetaminophen: 10 mg/kg
Child's weight: 22 lb
Concentration of acetaminophen liquid: 160 mg/5 mL
Step 1: Convert child's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Child's weight in kg = 22 lbs x 0.453592 kg/lb = 9.976824 kg
Step 2: Calculate the total dose of acetaminophen:
Total dose (mg) = Ordered dose (mg/kg) x Child's weight (kg)
Total dose (mg) = 10 mg/kg x 9.976824 kg
Total dose (mg) = 99.76824 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 99.76824 mg / 160 mg/5 mL
Volume (mL) = 99.76824 mg x (5 mL / 160 mg)
Volume (mL) = 3.1177575 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 3.1 mL
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