A nurse needs to infuse esmolol to a patient weighing 65 kg. The dose on hand is 2,500 mg esmolol in 250 mL of fluid. The patient requires a dose of 200 mcg/kg/min to control a hypertensive crisis. Which rate should the nurse calculate to infuse this medication? Round to the nearest whole number.
78 mL/hr
105 mL/hr
60 mL/hr
16 mL/hr
The Correct Answer is A
To calculate the infusion rate, we need to convert the patient's weight from kilograms to milligrams.
Patient's weight: 65 kg
Dose required: 200 mcg/kg/min
First, let's calculate the total dose required for the patient per minute: Dose required = 200 mcg/kg/min * 65 kg
= 13,000 mcg/min
Next, we need to convert the dose from micrograms to milligrams:
13,000 mcg/min = 13 mg/min
Now, let's determine the infusion rate. We have 2,500 mg of esmolol in 250 mL of fluid. Therefore, the concentration of esmolol in the fluid is:
Concentration = 2,500 mg / 250 mL
= 10 mg/mL
To find the infusion rate, we divide the dose required by the concentration: Infusion rate = 13 mg/min / 10 mg/mL
= 1.3 mL/mi
Since the options are in mL/hr, we need to convert the rate from mL/min to mL/hr:
1.3 mL/min * 60 min/hr = 78 mL/hr
Therefore, the correct answer is:
a. 78 mL/hr
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Related Questions
Correct Answer is B
Explanation
This is another dosage calculation problem. To solve it, we need to use the formula:
Caloric need ÷ Calories per mL 1000 = Formula per day
In this case, the caloric need is 2250 calories, and the calories per mL is 2000/1000 = 2. Plugging these values into the formula, we get:
2250 ÷ 2 × 1000 = 1125
Therefore, the client would need **1125 mL** of formula per day to meet the calorie requirements.
Correct Answer is B
Explanation
Dextrose 5% in water (D5W) is an IV fluid that contains **5 grams of dextrose** per 100 mL of water². To calculate how many grams of dextrose are in 500 mL of D5W, you can use a simple proportion:
5 g / 100 mL = x g / 500 mL
Cross-multiply and solve for x:
x = (5 g * 500 mL) / 100 mL
x = 25 g
Therefore, there are **25 grams of dextrose** in 500 mL of D5W.
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