A nurse needs to infuse esmolol to a client weighing 65 kg. The dose on hand is 2,500 mg esmolol in 250 mL of fluid. The client requires a dose of 200 mcg/kg/min. Which rate should the nurse calculate to infuse this medication?
Round to the nearest whole number.
5 mL/hr
6 mL/hr
13 mL/hr
78 mL/hr
The Correct Answer is D
First, we need to calculate the total dose of esmolol required per minute: Total dose = Weight x Dose x 60 minutes
Total dose = 65 kg x 200 mcg/kg/min x 60 minutes Total dose = 780,000 mcg/min
Next, we need to convert the dose to milligrams (mg):
780,000 mcg/min = 780 mg/min
The concentration of the esmolol solution is 2,500 mg in 250 mL or 10 mg/mL. To deliver 780 mg/min at a concentration of 10 mg/mL, we need to infuse: Infusion rate = Total dose / Concentration
Infusion rate = 780 mg/min / 10 mg/mL Infusion rate = 78 mL/min
Rounding to the nearest whole number, the answer is D. 78 mL/hr.
Therefore, the nurse should calculate an infusion rate of 78 mL/hr to deliver the required dose of esmolol to the patient.
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Related Questions
Correct Answer is A
Explanation
According to the web, intradermal injections are administered into the dermis just below the epidermis at a 5 to 15 degree angle12 This angle allows for smooth piercing of the skin and induction of the medication into the dermis.
Option B (20 to 35 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option C (45 to 70 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option D (90 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the muscle layer instead of the dermis.
Correct Answer is B
Explanation
To calculate the answer, we can use the following formula:.
(mg of drug required / total mg in vial) x total volume in vial = mL to administer. First, let's convert the dose from mg to g:.
80 mg = 0.08 g.
Next, let's plug in the values:. (0.08 g / 1 g) x 8 mL = 0.64 mL.
Therefore, the nurse should administer 0.64 mL of Solu-Medrol.
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