Chapter 23

Calculate With Confidence · 42 exercises

Problem 2

Calculate the dosage of heparin you will administer, and shade the dosage on the syringe provided. Order: Heparin 16,000 units subcut stat. Available: Heparin labeled 20,000 units per mL.

5 step solution

Problem 3

Calculate the dosage of heparin you will administer, and shade the dosage on the syringe provided. Order: Heparin 2,000 units subcut daily. Available: Heparin labeled 2,500 units per mL.

4 step solution

Problem 7

Calculate the dosage of heparin you will administer, and shade the dosage on the syringe provided. Order: Heparin 50,000 units IV in D5W 500 mL. Available: 10,000 units per mL.

4 step solution

Problem 10

Calculate the dosage of heparin you will administer, and shade the dosage on the syringe provided. Order: Heparin 17,000 units subcut daily. Available: Heparin labeled 20,000 units per mL.

3 step solution

Problem 12

Calculate the dosage of heparin you will administer, and shade the dosage on the syringe provided. Order: Heparin 2,500 units subcut q12h. Available: Heparin labeled 10,000 units per mL.

4 step solution

Problem 13

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 2,000 units/hr IV. Available: 25,000 units of heparin in \(1,000 \mathrm{~mL}\) of \(0.9 \% \mathrm{NS}\) What rate in \(\mathrm{mL} / \mathrm{hr}\) will deliver 2,000 units/hr?

5 step solution

Problem 14

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 1,500 units/hr IV. Available: 25,000 units of heparin in 500 mL D5W. What rate in \(\mathrm{mL} / \mathrm{hr}\) will deliver 1,500 units/hr?

5 step solution

Problem 15

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 1,800 units/hr IV. Available: 25,000 units heparin in \(250 \mathrm{~mL}\) D5W. What rate in \(\mathrm{mL}\) per hr will deliver 1,800 units/hr?

4 step solution

Problem 16

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: 40,000 units heparin in \(1 \mathrm{~L} 0.9 \% \mathrm{NaCl}\) to infuse at \(25 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

3 step solution

Problem 17

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 25,000 units in \(250 \mathrm{~mL}\) D5W to infuse at \(11 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

4 step solution

Problem 18

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 40,000 units in \(500 \mathrm{~mL}\) D5W to infuse at \(30 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

4 step solution

Problem 19

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 20,000 units in \(500 \mathrm{~mL}\) D5W to infuse at \(12 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

4 step solution

Problem 20

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 25,000 units in \(500 \mathrm{~mL}\) D5W to infuse at \(15 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

3 step solution

Problem 21

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: \(1 \mathrm{~L}\) of \(0.9 \% \mathrm{NS}\) with 40,000 units heparin over \(24 \mathrm{hr}\). Calculate the following: a. \(\mathrm{mL} / \mathrm{hr}\) b. units/hr

3 step solution

Problem 22

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: \(1 \mathrm{~L}\) of D5W with 15,000 units heparin over \(10 \mathrm{hr}\). Calculate the following: a. \(\mathrm{mL} / \mathrm{hr}\) b. units/hr

5 step solution

Problem 23

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: 1 L D5W with 35,000 units of heparin at \(20 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

3 step solution

Problem 24

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: \(500 \mathrm{~mL}\) of \(0.9 \% \mathrm{NS}\) with 10,000 units of heparin at \(120 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

4 step solution

Problem 25

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. \(500 \mathrm{~mL}\) of D5W with 25,000 units of heparin at \(25 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

2 step solution

Problem 26

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: \(500 \mathrm{~mL}\) of D5W with 20,000 units of heparin at \(40 \mathrm{~mL} / \mathrm{hr}\). Calculate the hourly heparin dosage (units/hr).

4 step solution

Problem 27

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Infuse 1,400 units/hr of heparin IV. Available: Heparin 40,000 units in \(1,000 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\) Calculate the rate in \(\mathrm{mL} / \mathrm{hr}\).

4 step solution

Problem 28

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Heparin 40,000 units IV in \(1 \mathrm{~L} 0.9 \% \mathrm{NS}\) at 1,000 units/hr. Calculate the rate in \(\mathrm{mL} / \mathrm{hr}\).

3 step solution

Problem 29

Calculate the units as indicated by the problem. Use labels where provided to calculate dosages. Order: Administer 2,000 units heparin IV every hour. Solution available is 25,000 units of heparin in \(1 \mathrm{~L} 0.9 \% \mathrm{NS}\). Calculate the rate in \(\mathrm{mL} / \mathrm{hr}\).

4 step solution

Problem 30

Calculate the hourly dosage of heparin (units/hr). Order: 50,000 units of heparin in \(1,000 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\) to infuse at \(60 \mathrm{~mL} / \mathrm{hr}\).

4 step solution

Problem 31

Calculate the hourly dosage of heparin (units/hr). Order: 25,000 units of heparin in \(500 \mathrm{~mL}\) of \(0.45 \%\) NS to infuse at \(20 \mathrm{~mL} / \mathrm{hr}\).

4 step solution

Problem 32

Calculate the hourly dosage of heparin (units/hr). Order: 20,000 units of heparin in \(500 \mathrm{~mL}\) D5W to infuse at \(20 \mathrm{~mL} / \mathrm{hr}\).

4 step solution

Problem 33

Calculate the hourly dosage of heparin (units/hr). Order: 25,000 units of heparin in \(1 \mathrm{~L}\) of \(\mathrm{D} 5 \mathrm{~W}\) to infuse at \(56 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 34

Calculate the hourly dosage of heparin (units/hr). Order: 20,000 units of heparin in \(1,000 \mathrm{~mL}\) D5W to infuse at \(45 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 35

Calculate the hourly dosage of heparin (units/hr). Order: 30,000 units of heparin in \(500 \mathrm{~mL}\) of D5W to infuse at \(25 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 36

Calculate the hourly dosage of heparin (units/hr). Order: 20,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(40 \mathrm{~mL} / \mathrm{hr}\).

5 step solution

Problem 37

Calculate the hourly dosage of heparin (units/hr). Order: 40,000 units of heparin in \(500 \mathrm{~mL}\) \(0.45 \%\) NS to infuse at \(25 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 38

Calculate the hourly dosage of heparin (units/hr). Order: 35,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(20 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 39

Calculate the hourly dosage of heparin (units/hr). Order: 25,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(30 \mathrm{~mL} / \mathrm{hr}\).

3 step solution

Problem 40

Calculate the hourly dosage of heparin (units/hr). Order: 40,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(30 \mathrm{~mL} / \mathrm{hr}\).

5 step solution

Problem 41

Calculate the hourly dosage of heparin (units/hr). Order: 20,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(80 \mathrm{~mL} / \mathrm{hr}\).

2 step solution

Problem 42

Calculate the hourly dosage of heparin (units/hr). Order: 50,000 units of heparin in \(1 \mathrm{~L}\) of D5W to infuse at \(10 \mathrm{~mL} / \mathrm{hr}\).

4 step solution

Problem 43

Calculate the hourly dosage of heparin (units/hr). Order: 20,000 units of heparin in \(500 \mathrm{~mL}\) \(0.45 \% \mathrm{NS}\) to infuse at \(30 \mathrm{~mL} / \mathrm{hr}\).

2 step solution

Problem 44

Calculate the hourly dosage of heparin (units/hr). Order: 30,000 units of heparin in \(1 \mathrm{~L}\) of D5W at \(25 \mathrm{~mL} / \mathrm{hr}\).

2 step solution

Problem 46

Round the weight to the nearest tenth. Order: Heparin drip at 18 units/kg/hr. Available: 25,000 units of heparin sodium in \(1,000 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\). The client weighs \(80 \mathrm{~kg}\). At what rate will you set the infusion pump?

3 step solution

Problem 47

Round the weight to the nearest tenth. A client weighs \(200 \mathrm{lb}\). Order: Administer a bolus of heparin sodium IV at 80 units/kg. How many units will you administer?

4 step solution

Problem 48

Round the weight to the nearest tenth. A client weighs 210 lb. Heparin IV infusion: heparin sodium 25,000 units in \(1,000 \mathrm{~mL}\) of \(0.9 \% \mathrm{NS}\). Order is to give a bolus with heparin sodium 80 units \(/ \mathrm{kg}\), then initiate drip at 14 units/ \(\mathrm{kg} / \mathrm{hr}\). Calculate the following: a. Heparin bolus dosage b. Infusion rate for the IV (initial) c. At what rate will you set the infusion pump?

6 step solution

Problem 50

Round the weight to the nearest tenth. A client weighs 154 lb. Heparin IV infusion: heparin sodium 20,000 units in \(1,000 \mathrm{~mL}\) D5W. The hospital protocol is to give a bolus to the client with 80 units/kg and start drip at 14 units/kg/hr. Calculate the following: a. Heparin bolus dosage b. Infusion rate for the IV drip units/hr c. Infusion rate in \(\mathrm{mL} / \mathrm{hr}\)

4 step solution

Problem 51

Adjust intravenous heparin daily based on APTT results. \- APTT less than 35 sec: Rebolus with 80 units/kg and increase rate by 4 units/kg/hr. \- APTT \(35-45\) sec: Rebolus with 40 units/kg and increase rate by 2 units/kg/hr. \- APTT 46-70 sec: No change. \- APTT \(71-90\) sec: Decrease rate by 2 units/kg/hr. \- APTT greater than 90 sec: Stop heparin infusion for 1 hour and decrease rate by 3 units/ \(\mathrm{kg} / \mathrm{hr}\) A client weighs \(100 \mathrm{~kg}\). Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down based on APTT results using the above weight-based heparin protocol. The APTT is reported as 71 seconds. The pump delivers in whole \(\mathrm{mL} / \mathrm{hr}\).

3 step solution

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