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The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer?

NOTE

  • DO NOT write the unit/s of measurement
  • DO NOT round your answer
Answer and Explanation

The Correct Answer is ["21.6"]

  Convert pounds to kilograms:

  • 198 lbs / 2.2 lbs/kg = 90 kg

  Calculate the medication dose in mcg/min:

  • 90 kg  4 mcg/kg/min = 360 mcg/min

  Convert mcg/min to mg/hr:

  • 360 mcg/min  60 min/hr = 21600 mcg/hr
  • 21600 mcg/hr / 1000 mcg/mg = 21.6 mg/hr

  Determine the medication concentration:

  • 250 mg / 250 mL = 1 mg/mL

  Calculate the infusion rate in mL/hr:

  • 21.6 mg/hr / 1 mg/mL = 21.6 mL/hr


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Correct Answer is C

Explanation

A. Physiologic indicators can be helpful in pain assessment, but they are not directly linked to pain intensity scales, which are focused on subjective reports.
B. Pain intensity scales still involve a subjective component, as they rely on the patient’s report of their pain, even if the scale itself is structured.
C. A specific pain intensity scale provides consistency in how pain is assessed, allowing for more reliable tracking and management of pain across different shifts and caregivers.
D. While pain scales include subjective reports, they do not focus solely on objective data. The goal is to measure the patient's perception of pain.

Correct Answer is C

Explanation

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C. NSAIDs and opioids are correct as NSAIDs reduce inflammation and opioids provide stronger analgesia when needed for severe pain.
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