A doctor orders nine units /kg/hr for a Heparin infusion. The patient weighs 76 kg. You're supplied with a Heparin bag that reads 50 untis/mL. How many mL/hr will you administer? |Round your answer to the nearest tenths)
13 mL/hr
13.66 mL/hr
13.6 mL/hr
13.7 mL/hr
The Correct Answer is D
Given:
Ordered dose of Heparin: 9 units/kg/hr
Patient weight: 76 kg
Concentration of Heparin: 50 units/mL
Step 1: Calculate the total dose of Heparin:
Total dose (units/hr) = Ordered dose (units/kg/hr) x Patient weight (kg)
Total dose (units/hr) = 9 units/kg/hr x 76 kg
Total dose (units/hr) = 684 units/hr
Step 2: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (units/hr) / Concentration (units/mL)
Infusion rate (mL/hr) = 684 units/hr / 50 units/mL
Infusion rate (mL/hr) = 13.68 mL/hr
Step 3: Round to the nearest tenth:
Infusion rate (mL/hr) ≈ 13.7 mL/hr
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Volume of fluid: 30 mL
Infusion time: 20 minutes
Step 1: Convert infusion time to hours:
Infusion time (hr) = 20 min / 60 min/hr
Infusion time (hr) = 0.33 hr
Step 2: Calculate the infusion rate in mL/hr:
Flow rate (mL/hr) = Volume (mL) / Infusion time (hr)
Flow rate (mL/hr) = 30 mL / 0.33 hr
Flow rate (mL/hr) = 90.90909091 mL/hr
Step 3: Round to the nearest whole number:
Flow rate (mL/hr) ≈ 90 mL/hr
Correct Answer is C
Explanation
A) Simvastatin:
Simvastatin is a medication used to lower cholesterol levels by inhibiting HMG-CoA reductase, an enzyme involved in the production of cholesterol in the liver. It is not an angiotensin-converting enzyme (ACE) inhibitor. Therefore, it does not have a direct effect on blood pressure or the renin-angiotensin system.
B) Losartan:
Losartan is an angiotensin II receptor blocker (ARB), not an ACE inhibitor. Like ACE inhibitors, ARBs are used to treat conditions like hypertension and heart failure, but they work differently by blocking the receptors that angiotensin II binds to, rather than inhibiting the enzyme that converts angiotensin I to angiotensin II.
C) Quinapril:
Quinapril is an ACE inhibitor. ACE inhibitors block the enzyme angiotensin-converting enzyme, which converts angiotensin I into angiotensin II, a potent vasoconstrictor. By inhibiting this conversion, ACE inhibitors like quinapril help lower blood pressure, reduce strain on the heart, and treat conditions like hypertension and heart failure.
D) Metoprolol:
Metoprolol is a beta-blocker, not an ACE inhibitor. It works by blocking beta-adrenergic receptors in the heart, which helps to lower heart rate and blood pressure. It is often used in the management of hypertension, heart failure, and to prevent heart attacks, but it does not affect the renin-angiotensin system like ACE inhibitors.
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