A physician orders magnesium sulfate, 6 grams loading dose to be administered over 30 minutes. There are 40 grams of magnesium sulfate in the IV bag. What is the rate per hour to administer the loading dose? (Volume of the IV bag is 1000mL)
75 mL/hr
150 mL/hr
300 mL/hr
450 mL/hr
None
None
The Correct Answer is C
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.
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Related Questions
Correct Answer is D
Explanation
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.

Correct Answer is C
Explanation
A. 5ML: One tablespoon is equivalent to 15 milliliters, so 5 milliliters is too little for the prescribed dose.
B. 10ML: This amount is also insufficient, as it does not match the standard conversion of one tablespoon to milliliters.
C. 15ML: This is the correct conversion, as one tablespoon is equal to 15 milliliters.
D. 30ML: This amount is double the correct dose, which could lead to overmedication and potential side effects.
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