Rn Hesi Dosage Calculations

Rn Hesi Dosage Calculations ( 32 Questions)

The healthcare provider prescribes dopamine 2 mcg/kg/min intravenously (IV) for a client who weighs 132 pounds. The IV bag contains dopamine 45 mg in dextrose 5% in water (D5W) 500 mL. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numerical value only. If rounding is required, round to the nearest whole number.)



Correct Answer: ["80 mL\/h"]

First, we need to convert the patient’s weight from pounds to kilograms, since the dose is in mcg/kg/min. To do this, we use the metric equivalent that 1 kg = 2.2 lbs. So, we divide 132 by 2.2 and get 60 kg.

Next, we need to calculate the dose of dopamine in mcg/min for this patient. To do this, we multiply the ordered dose (2 mcg/kg/min) by the patient’s weight (60 kg). So, we get 2 x 60 = 120 mcg/min.

Then, we need to convert the dose of dopamine from mcg/min to mg/hour, since the IV bag contains dopamine in mg. To do this, we use the fact that 1 mg = 1000 mcg and 1 hour = 60 minutes. So, we divide 120 by 1000 and multiply by 60. So, we get 120 / 1000 x 60 = 7.2 mg/hour.

Finally, we need to calculate the infusion rate in mL/hour for this IV bag. To do this, we use the ratio of dopamine in mg to D5W in mL, which is 45 mg / 500 mL. So, we set up a proportion as follows:

45/500=7.2/x

To solve for x, we cross-multiply and get 45 x = 3600. Then, we divide both sides by 45 and get x = 80. So, the infusion rate is 80 mL/hour.

Therefore, the nurse should program the infusion pump to deliver 80 mL/hour. (If rounding is required, round to the nearest whole number.)




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