A primary healthcare provider prescribes 1.5 L of normal saline (NS) to be given over 24 hours for continuous intravenous (IV) infusion to a client who has diarrhea.
What should be the rate of infusion that is required to be set in the infusion pump?
41.7 mL/hr
83.3 mL/hr
20.8 mL/hr
62.5 mL/hr
The Correct Answer is D
To calculate the rate of infusion, we need to divide the total volume to be infused (1.5 L) by the total time of infusion (24 hours)
1.5 L = 1500 mL (since 1 L = 1000 mL)
Dividing 1500 mL by 24 hours gives us the rate of 62.5 mL/hr.
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Correct Answer is C
Explanation
To find the milliliters per hour, you need to calculate the following:
- The patient's weight in kilograms
- The dose of Principen in milligrams
- The infusion rate in milliliters per hour using the formula: Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
First, convert the patient's weight from pounds to kilograms by dividing by 2.2:
22 lb / 2.2 = 10 kg
Next, multiply the patient's weight by the dose of Principen per kilogram to get the total dose in milligrams:
10 kg x 25 mg/kg = 250 mg
Then, use the formula for infusion rate to find how many milliliters per hour the IV pump should deliver:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the medication is prepared in 50 mL of solution and the infusion time is 30 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 30 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 100 mL/h
Therefore, the nurse should administer **100 mL/h** to infuse Principen 250 mg over 30 minutes.
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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