Chapter 24

Calculate the dosages as indicated. Use the labels where provided. Client is receiving Isuprel at \(30 \mathrm{~mL} / \mathrm{hr}\). The solution available is \(2 \mathrm{mg}\) of Isuprel in \(250 \mathrm{~mL}\) D5W. Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{hr}\) c. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Client is receiving epinephrine at \(40 \mathrm{~mL} / \mathrm{hr}\). The solution available is \(4 \mathrm{mg}\) of epinephrine in \(500 \mathrm{~mL}\) D5W. Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{hr}\) c. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Infuse Nipride at \(30 \mathrm{~mL} / \mathrm{hr}\). The solution available is \(50 \mathrm{mg}\) sodium nitroprusside in D5W \(250 \mathrm{~mL}\). Available: Calculate the following: a. \(\mathrm{mcg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{min}\) c. Number of milliliters you will add to the IV for this dosage

Calculate the dosages as indicated. Use the labels where provided. Order: \(100 \mathrm{mg}\) Aramine in \(250 \mathrm{~mL}\) D5W to infuse at \(25 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mcg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: \(100 \mathrm{mg}\) Aramine in \(250 \mathrm{~mL}\) D5W to infuse at \(25 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mcg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. A client is receiving Pronestyl at \(30 \mathrm{~mL} / \mathrm{hr}\). The solution available is \(2 \mathrm{~g}\) Pronestyl in \(250 \mathrm{~mL}\) D5W. Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Pitocin (oxytocin) drip at 45 microgtt/min. The solution available is 20 units of Pitocin in \(1,000 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\). Calculate the following: a. units/min b. units/hr

Calculate the dosages as indicated. Use the labels where provided. Order: 30 units Pitocin (oxytocin) in \(1,000 \mathrm{~mL}\) D5W at \(40 \mathrm{~mL} / \mathrm{hr}\). How many units of Pitocin is the client receiving per hour? _______ units/hr

Calculate the dosages as indicated. Use the labels where provided. 30 units of Pitocin is added to \(500 \mathrm{~mL}\) D5RL for an induction. The client is receiving \(45 \mathrm{~mL} / \mathrm{hr}\). How many units of Pitocin is the client receiving per hour? _______ units/hr

Calculate the dosages as indicated. Use the labels where provided. A client is receiving bretylium at 45 microgtt/min. The solution available is \(2 \mathrm{~g}\) bretylium in \(500 \mathrm{~mL}\) D5W. Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. A client is receiving nitroglycerin \(50 \mathrm{mg}\) in \(250 \mathrm{~mL}\) D5W. The order is to infuse \(500 \mathrm{mcg} / \mathrm{min}\) What flow rate in \(\mathrm{mL} / \mathrm{hr}\) would be needed to deliver this amount?

Calculate the dosages as indicated. Use the labels where provided. Dopamine has been ordered to maintain a client's blood pressure; \(400 \mathrm{mg}\) dopamine has been placed in \(500 \mathrm{~mL}\) D5W to infuse at \(35 \mathrm{~mL} / \mathrm{hr}\). How many milligrams are being administered per hour?

Calculate the dosages as indicated. Use the labels where provided. A client is receiving Isuprel \(2 \mathrm{mg}\) in \(250 \mathrm{~mL}\) D5W. The order is to infuse at \(20 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{hr}\) c. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: \(1 \mathrm{~g}\) of aminophylline in \(1,000 \mathrm{~mL}\) D5W to infuse over \(10 \mathrm{hr}\). Calculate the dosage in \(\mathrm{mg} / \mathrm{hr}\) the client will receive.

Order: \(1 \mathrm{~g}\) of aminophylline in \(1,000 \mathrm{~mL}\) D5W to infuse over \(10 \mathrm{hr}\). Calculate the dosage in \(\mathrm{mg} / \mathrm{hr}\) the client will receive.A client is receiving lidocaine \(2 \mathrm{~g}\) in \(250 \mathrm{~mL}\) D5W. The solution is infusing at \(22 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Epinephrine \(4 \mathrm{mg}\) in \(250 \mathrm{~mL}\) D5W at \(8 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: \(\mathrm{mcg} / \mathrm{hr}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Esmolol \(2.5 \mathrm{~g}\) in \(250 \mathrm{~mL} 0.9 \% \mathrm{NS}\) at \(30 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Dobutamine \(500 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W to infuse at \(30 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mcg} / \mathrm{hr}\) b. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. Order: \(2 \mathrm{~g} / \mathrm{hr}\) of \(50 \%\) magnesium sulfate. The solution available is \(25 \mathrm{~g}\) of \(50 \%\) magnesium sulfate in \(300 \mathrm{~mL}\) D5W. What flow rate in \(\mathrm{mL} / \mathrm{hr}\) would be needed to administer the required dose?

Calculate the dosages as indicated. Use the labels where provided. Order: Dopamine \(400 \mathrm{mg}\) in \(500 \mathrm{~mL} 0.9 \% \mathrm{NS}\) to infuse at \(200 \mathrm{mcg} / \mathrm{min} .\) A volumetric pump is being used. Calculate the rate in \(\mathrm{mL} / \mathrm{hr}\).

Calculate the dosages as indicated. Use the labels where provided. Order: Magnesium sulfate \(3 \mathrm{~g} / \mathrm{hr}\). Available: \(25 \mathrm{~g}\) of \(50 \%\) magnesium sulfate in \(300 \mathrm{~mL}\) D5W. What rate in \(\mathrm{mL} / \mathrm{hr}\) would be needed to administer the required dose?

Calculate the dosages as indicated. Use the labels where provided. Order: Nipride \(50 \mathrm{mg}\) in \(250 \mathrm{~mL}\) D5W to infuse at \(2 \mathrm{mcg} / \mathrm{kg} / \mathrm{min} .\) Client's weight is \(120 \mathrm{lb}\) Calculate the dosage per minute.

Calculate the dosages as indicated. Use the labels where provided. Order: Dobutrex \(250 \mathrm{mg}\) in \(500 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\) at \(3 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\). The client weighs \(80 \mathrm{~kg}\). What dosage in \(\mathrm{mcg} / \mathrm{min}\) should the client receive?

Calculate the dosages as indicated. Use the labels where provided. Order: Infuse \(500 \mathrm{~mL}\) D5W with \(800 \mathrm{mg}\) theophylline at \(0.7 \mathrm{mg} / \mathrm{kg} / \mathrm{hr}\). The client weighs \(73.5 \mathrm{~kg}\). How many milligrams should this client receive per hour?

Calculate the dosages as indicated. Use the labels where provided. Order: Infuse \(1 \mathrm{~g}\) of aminophylline in \(1,000 \mathrm{~mL}\) of \(\mathrm{D} 5 \mathrm{~W}\) at \(0.7 \mathrm{mg} / \mathrm{kg} / \mathrm{hr}\). The client weighs \(110 \mathrm{lb}\). a. Calculate the dosage in \(\mathrm{mg} / \mathrm{hr}\). b. Calculate the dosage in \(\mathrm{mg} / \mathrm{min}\). c. Reference states no more than \(20 \mathrm{mg} / \mathrm{min} .\) Is the order safe?

Calculate the dosages as indicated. Use the labels where provided. Norepinephrine (Levophed) 2 to \(6 \mathrm{mcg} / \mathrm{min}\) has been ordered to maintain a client's systolic blood pressure at \(100 \mathrm{~mm} \mathrm{Hg}\). The solution concentration is \(2 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W. Determine the flow rate setting for a volumetric pump.

Calculate the dosages as indicated. Use the labels where provided. Aminophylline \(0.25 \mathrm{~g}\) is added to \(250 \mathrm{~mL}\) D5W. The order is to infuse over \(6 \mathrm{hr}\). Calculate the dosage in \(\mathrm{mg} / \mathrm{hr}\) the client will receive.

Calculate the dosages as indicated. Use the labels where provided. A client is receiving lidocaine \(1 \mathrm{~g}\) in \(500 \mathrm{~mL}\) D5W at a rate of \(20 \mathrm{~mL} / \mathrm{hr}\). Calculate the following: a. \(\mathrm{mg} / \mathrm{hr}\) b. \(\mathrm{mg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. A client is receiving Septra \(300 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W (based on trimethoprim) at a rate of \(15 \mathrm{gtt} / \mathrm{min}\) ( 15 microgtt/min). The tubing is microdrop ( \(60 \mathrm{gtt} / \mathrm{mL}\) ). Calculate the following: a. \(\mathrm{mg} / \mathrm{min}\) b. \(\mathrm{mg} / \mathrm{hr}\)

Calculate the dosages as indicated. Use the labels where provided. Esmolol \(1.5 \mathrm{~g}\) in \(250 \mathrm{~mL}\) D5W has been ordered at a rate of \(100 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\) for a client weighing \(102.4 \mathrm{~kg} .\) Determine the following: a. dosage in \(\mathrm{mcg} / \mathrm{min}\) b. rate in \(\mathrm{mL} / \mathrm{hr}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Dopamine \(400 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W to infuse at \(20 \mathrm{~mL} / \mathrm{hr}\). Determine the following: a. \(\mathrm{mg} / \mathrm{min}\) b. \(\mathrm{mcg} / \mathrm{min}\)

Calculate the dosages as indicated. Use the labels where provided. A client has an order for inamrinone (previously called amrinone) \(250 \mathrm{mg}\) in \(250 \mathrm{~mL}\) \(0.9 \% \mathrm{NS}\) at \(3 \mathrm{mcg} / \mathrm{kg} / \mathrm{min} .\) Client's weight is \(59.1 \mathrm{~kg} .\) Determine the flow rate in \(\mathrm{mL} / \mathrm{hr}\).

Calculate the dosages as indicated. Use the labels where provided. Inocor \(250 \mathrm{mg}\) in \(250 \mathrm{~mL}\) of \(0.9 \%\) NS to infuse at a rate of \(5 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\) is ordered for a client weighing 165 lb. Calculate the following: a. \(\mathrm{mcg} / \mathrm{min}\) b. \(\mathrm{mcg} / \mathrm{hr}\) c. \(\mathrm{mL} / \mathrm{hr}\)

Calculate the dosages as indicated. Use the labels where provided. Order: \(2 \mathrm{~g}\) Pronestyl in \(500 \mathrm{~mL}\) D5W to infuse at \(2 \mathrm{mg} / \mathrm{min}\). Determine the rate in \(\mathrm{mL} / \mathrm{hr}\).

Calculate the dosages as indicated. Use the labels where provided. Dopamine is ordered at a rate of \(3 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\) for a client weighing \(95.9 \mathrm{~kg}\). The solution strength is \(400 \mathrm{mg}\) dopamine in \(250 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\). Determine the flow rate for IV pump. Pump capable of delivering in tenths of a mL.

Calculate the dosages as indicated. Use the labels where provided. Infuse Dobutamine \(250 \mathrm{mg}\) in \(500 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\) at \(5 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\). The client weighs 143 lb. Concentration of solution is \(500 \mathrm{mcg}\) per mL. How many meg of dobutamine will be infused per minute? ______ Per hour? _______

Calculate the dosages as indicated. Use the labels where provided. A medication has been ordered at \(3 \mathrm{mcg} / \mathrm{min}\). The solution strength is \(1 \mathrm{mg}\) of the medication in \(250 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\). Determine the IV flow rate.

Calculate the dosages as indicated. Use the labels where provided. A medication has been ordered at 2 to \(4 \mathrm{mcg} / \mathrm{min}\) to maintain a client's systolic \(\mathrm{BP}\) greater than \(100 \mathrm{~mm} \mathrm{Hg}\). The medication being titrated has \(8 \mathrm{mg}\) of medication in \(250 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\). Determine the IV rate for 2 to \(4 \mathrm{mcg}\) range. Then assume that after several changes in \(\mathrm{mL} / \mathrm{hr}\) have been made, the BP has stabilized at a rate of \(5 \mathrm{~mL} / \mathrm{hr}\). How many \(\mathrm{mcg} / \mathrm{min}\) is the client receiving at this rate? Determine the flow rate for an IV pump capable of delivering in tenths of a mL. ___________Flow rate for \(2-4\) mcg range ____________\(\mathrm{mcg}\) per/min at \(5 \mathrm{~mL} / \mathrm{hr}\)

Calculate the dosages as indicated. Use the labels where provided. Order: Nitroglycerin to titrate at \(40 \mathrm{mcg} / \mathrm{min}\) for chest pain to a maximum of 100 \(\mathrm{mcg} / \mathrm{min} .\) The solution contains \(40 \mathrm{mg}\) of nitroglycerin in \(250 \mathrm{~mL}\) D5W. Develop a titration table from minimum to maximum dose in \(20 \mathrm{mcg} / \mathrm{min}\) increments. Assume the pump can deliver in tenths.

Calculate the dosages as indicated. Use the labels where provided. Order: Levophed \(4 \mathrm{mcg} / \mathrm{min}\) to maintain BP systolic greater than \(100 \mathrm{~mm} \mathrm{Hg}\). to a maximum of \(12 \mathrm{mcg} / \mathrm{min}\). Available solution: Levophed \(4 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W. Develop a titration table in \(2 \mathrm{mcg} / \mathrm{min}\) increments.