A physician orders Dobutamine 10 mcg/kg/min for a patient. The patient is 110 lb.
How many milligrams per hour should the patient receive?
0.5 mg/hr
30 mg/hr
60 mg/hr
145 mg/hr
The Correct Answer is B
To calculate the dose of dobutamine in mg/hr, we need to convert the patient's weight from pounds (lb) to kilograms (kg) and then use the ordered dose of 10 mcg/kg/min.
1 lb = 0.453592 kg (rounded to 6 decimal places) Patient's weight in kg = 110 lb x 0.453592 kg/lb
Patient's weight in kg = 49.89512 kg (rounded to 5 decimal places)
Now we can calculate the dose of dobutamine in mg/hr using the following formula:
Dose (in mg/hr) = Weight (in kg) x Dose (in mcg/kg/min) x 60 (to convert minutes to hours) / 1000 (to convert mcg to mg)
Dose (in mg/hr) = 49.89512 kg x 10 mcg/kg/min x 60 / 1000
Dose (in mg/hr) = 29.937072 mg/hr (rounded to 3 decimal places)
Therefore, the patient should receive a dose of approximately 29.9 mg/hr of dobutamine.

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Related Questions
Correct Answer is C
Explanation
To calculate the rate per hour, divide the amount of magnesium sulfate to be administered by the concentration of magnesium sulfate in the IV bag:
6 grams ÷ 40 grams = 0.15
Then, multiply the result by the volume of the IV bag, which is usually 1000 mL: 0.15 x 1000 mL = 150 mL
This is the amount of fluid that contains 6 grams of magnesium sulfate. To administer this amount over 30 minutes, multiply by 2 to get the rate per hour:
150 mL x 2 = 300 mL/hr.
Correct Answer is D
Explanation
The toddler is ordered to receive 25 mg/kg of Principen IV over 30 minutes. The toddler weighs 22 lb, which is equivalent to 10 kg. To calculate the total amount of Principen the toddler should receive, multiply the weight by the dosage:
10 kg x 25 mg/kg = 250 mg
The Principen dose arrives from the pharmacy prepared in 50 mL of IV solution, which means there is 250 mg of Principen in 50 mL of solution. To calculate how many milliliters per hour the nurse should administer, we can use the following formula:
50 mL / 0.5 hour = X mL per hour X = 100 mL per hour
Therefore, the nurse should administer 100 mL of Principen per hour to the toddler.
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