The health-care provider prescribes propofol (Diprivan) at 8 mcg/kg/minute for a client during conscious sedation. The drug is dispensed as a secondary infusion labeled, 0.9% normal saline 50 ml with propofol 100 mg/50 ml The client's weight is 198 pounds. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["22"]
Calculating the Propofol Infusion Rate
Step 1: Convert weight to kilograms:
198 lbs x (1 kg / 2.20462 lbs) ≈ 90 kg
Step 2: Calculate the desired dose rate in mcg/minute:
8 mcg/kg/minute x 90 kg = 720 mcg/minute
Step 3: Calculate the concentration of propofol in the IV solution:
100 mg/50 mL = 2 mg/mL
Step 4: Calculate the infusion rate in mL/hour:
First, convert mcg to mg:
720 mcg x (1 mg / 1000 mcg) = 0.72 mg/minute
Then, set up a proportion:
x mL/hour / 0.72 mg/minute = 60 minutes/hour / 2 mg/mL
Cross-multiply and solve for x:
x mL/hour = 0.72 mg/minute x 60 minutes/hour / 2 mg/mL
x mL/hour ≈ 21.6 mL/hour
Therefore, the nurse should program the infusion pump to deliver approximately 22 mL/hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["499"]
Explanation
Calculating the Lactated Ringer's Infusion Rate
Step 1: Convert pounds to kilograms:
110 pounds x (1 kg / 2.20462 pounds) ≈ 49.9 kg
Step 2: Calculate the total fluid requirement for 24 hours using the Parkland formula:
Total Fluid (mL) = 4 mL/kg/%TBSA x Body Weight (kg) x %TBSA
Total Fluid = 4 mL/kg/%TBSA x 49.9 kg x 40%
Total Fluid = 7984 mL
Step 3: Calculate the fluid volume for the first 8 hours:
First 8 Hours Fluid = Total Fluid / 2
First 8 Hours Fluid = 7984 mL / 2
First 8 Hours Fluid = 3992 mL
Step 4: Calculate the infusion rate for the first 8 hours:
Infusion Rate (mL/hour) = First 8 Hours Fluid / 8 hours
Infusion Rate = 3992 mL / 8 hours
Infusion Rate ≈ 499 mL/hour
Therefore, the nurse should set the infusion pump to deliver approximately 499 mL/hour during the first 8 hours.
Correct Answer is ["1.5"]
Explanation
Calculating the Alprazolam Dose
Problem: Administer 0.75 mg of alprazolam PO. The available concentration is 0.5 mg/tablet.
Steps:
Set up a proportion:
We want to find the number of tablets needed.
We know the desired dose (0.75 mg) and the concentration of the medication (0.5 mg/tablet).
Proportion:
x tablets / 0.75 mg = 1 tablet / 0.5 mg
Cross-multiply:
0.5x = 0.75
Solve for x:
x = 0.75 / 0.5
x = 1.5
Answer: The nurse should administer 1.5 tablets of alprazolam per dose.
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