Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)
The Correct Answer is ["0.25"]
Dopamine infusion calculation based on weight and concentration.
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
- Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)
Calculations:
- mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
- mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
- mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr
Answers:
- mcg/min = 150 mcg/min
- mcg/hr = 9000 mcg/hr
- mL/hr = 0.25 mL/hr
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22"]
Explanation
Dobutamine infusion calculation:
- Client weight: 220 pounds
- Dobutamine dose ordered: 5.5 mcg/kg/min
- Dobutamine concentration: 750 mg in 500 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
- Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
- Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
- Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
- mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
- mcg/min: 550 mcg/min
- mcg/hr: 33000 mcg/hr
- mL/hr: 22 mL/hr
Correct Answer is C
Explanation
A. Cold intolerance: Incorrect. Cold intolerance is associated with hypothyroidism, not hyperthyroidism.
B. Fatigue and lethargy: Symptoms typically seen in hypothyroidism.
C. Tremors and nervousness Correct Answer. Hyperthyroidism often presents with symptoms such as tremors (especially in the hands) and nervousness due to increased sympathetic activity. Increased metabolism and sympathetic nervous system activity lead to these symptoms.
D. Weight gain: Typically seen in hypothyroidism due to slowed metabolism.
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