ATI Dosage Calculations
m m m
Ammalemclient mreceivesmamprescriptionmformondansetronmhydrochloridem(Zofran)m4m mgmIV mtompreve
nt mpostoperativemnauseamaftermanminguinalmherniamrepair.m Themmedicationmismavailablem inm2mmg/ml.
mHow mmanymmlmshould mthemnursemadminister?m(Entermnumericmvaluemonly.)
- Usemratiomand mproportion,m4mmgm:mXmmlm=m2mmgm:m1 mml m2X m=m4mXm=m2
m m
ThemnursemismpreparingmtomadministermHepatitismBmVaccine,mRecombinant m(Energix-
B)m5mmcgmIMmtomamschool-
aged mchild.mThemvaccinemismlabeled,m10mmcg/ml.mHow mmanym mlm should mthemnursemadminister?m(E
ntermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mtenth).
- Usemratiomand mproportion,m5mmcgm:mXmmlm::m10m mcgm:m1ml m10Xm=m5mXm=m0.5mml
m m
At mthemend mof mthemshift,mthemnursemismrecordingmthemfluid mbalancemformamclient mreceivingmamcontinu
ousmgastrostomymtubem(GT)mfeeding.mBased monmthemclient'smrecords,mhowmmanymmlmshould mthemnur
semrecord mformthemtotalmfluid mbalancem(intakem-
moutput)mformthemshift mthat mstarted mat m0700mand mended mat m1900?m(Entermnumericmvaluemonly.)m(Clic
kmonmeachmimagemasset mformadditionalminformation.)
- 695
m m
Themtubemfeedingmismadministered mat m75mml/hourmform11mhoursm(0700m-
m1800)mand mthenmturned moff mformonemhourmbecausemthemresidualmismgreatermthanm200mml.m11mhoursm
xm75mml/hrm=m825mml.mThreemdosesmof m20mmlmof mmedicationmarem administered,mwithm10mmlmof mwat
ermused mtomflushmthemGTmbeforemand maftermeachmdose.m20mmlmxm3mdosesm=m60mml;m10mmlm(flush)mxm
2mxm3mdosesm=m60mml;msom825mmlm+m60mmlm +m60mmlm=m945m ml.m250mmlmof mresidualm ismremoved mand
mnot mreplaced.m945mmlm-m250mmlm=m695mmlmtotalmfluid mbalancem(Intakem-moutput).
Am180-
pound madult mmalemismadmitted mtomthemEmergencymCentermaftermreceivingmthermalmburnsmtom60mper
cent mof mhismbody.mUsingmthemParkland mformulamof m4mml/kg/24mhours,mthemclient mshould mreceivemho
wmmanymmlmof mfluid mduringmthemfirst m24mhours?m(Entermthemnumericmvaluemonly.mIf mroundingmismre
quired,mround mtomthemnearest mwholemnumber.)
- 19632
m m
UsingmthemParkland mformula,mthemclient'smfluid mrequirementsmformthemfirst m24mhoursmafterminjury:m4
mmlmlactated mRinger'smsolutionmxmBodymweight m(inmkilograms)mxmPercent mburn.mConvert m180mpoun
dsmtomkgm=m180m/m2.2m=m81.8mkgm4mmlmxm81.8mkgmxm60m=m19632mmlmover mthemfirst m24mhours.
,Themhealthcaremprovidermprescribesmacetazolamidem(Diamox) m600mmg/m2/daymdivided mintom3mdos
es.mThemnursemcalculatesmthemchild'smbodymsurfacemaream(BSA)masm0.7mm2. mHow mmanymmgm should m
themchild mreceivempermdose?m(Entermthemnumericmvaluemonly.)
m-
mUsingmthemchild'smBSA,m0.7mm2,mcalculatemthemmg/dose,m600mmgmxm0.7mm2m=m420mmg/day/3mdose
sm=m140mmg/dose
Amloadingmdosemof macetylcysteinem(Mucomyst)m8mgrams,mwhichmismavailablemasma m20%msolutionm(2
00mmgmacetylcysteinempermml)mismprescribed mbymnasogastricmtubemformamclient mwithmacetaminophen
mtoxicity.mHow mmanymmlmof mdiluent mshould mbemadded mtomthemmedicationmtomobtainmam1:4mconcentra
tion?m(Entermthemnumericalmvaluemonly.mIf mroundingmismrequired,mround mtomthemwholemnumber.)
m -
m 8mgramsm=m8,000mmgmprescribed mdose.mUsingmthemformula,mD/H mxmQ,m8,000mmgm/m200 mmgmxm1 mml
m=m40mmlmof mthem20%msolution.mDilutemthem40mmlmtomam1:4mconcentrationmformadministrationmusingm
ratiomand mproportion,m1m:m4msolutionm::m40mmlm:mX mX=m160m mlmtotalmvolumemtomadminister.mSubtrac
t mtotalmvolumemof m160mmlm-
m40mmlmof m20%mconcentrationm=m120mmlmdiluent mismadded mtomobtainmam1:4mconcentration.
Amchild mwhomweighsm55mpoundsmreceivesmamprescriptionmformatovaquonemwithmproguanilm(Malaron
emPediatric)m125mmg/50mmgmPO mdaily.mAmdrugmreferencemstatesmthat mchildrenm11mtom20mkgmshould m
receivem1mpediatricmtablet mdaily;m21mtom30mkgmshould mreceivem2mpediatricmtabletsmdaily;m31mtom40mk
gmshould mreceivem3mpediatricmtabletsmdaily;mand mgreatermthanm40mkgmshould mreceivem1madult mtablet m
dailymwithmfood.mThemdrugmismavailablemasmatovaquonem62.5mmg/proguanilm25m mgmpediatricmtablet
s.mHow mmanymtabletsmshould mthemnursemadminister?
m-
mCalculatemeachmdrugmcomponent mdose,musingmthemformula,mD/H m125mmgm/m62.5mmgm(atovaquone)
m=m2mcombined mwithm50mmgm/m25mmgm(proguanil)m=m2.m The mchild mshould mreceivem2mtablets.
Amchild mwhomismscheduled mformamkidneymtransplant mreceivesmamprescriptionmformbasiliximabm (Simul
ect)m20mmgmIV m2mhoursmpriormtomsurgery.mThemmedicationmism availablem inmam20 mmgmvialmthat mism rec
onstituted mbymaddingm5mmlmsterilemwatermforminjection,mand madministered minmam50mmlmbagmof mnorm
almsalinemoverm30mminutes.mThemnursemshould mprogrammtheminfusion mpumpmtomdeliver mhow mmanym
ml/hour?m(Entermthemnumericmvaluemonly.)
m-
mAftermreconstitutingmthemmedicationmvial,mthemnursemaddsmthem5mmlmof mmedicationmtomthem50mmlmo
f msterilemwatermtomresult minmam55mmlmvolumemtominfuseminm30m minutes.mUsingmthemformula,mVolume
/Timem=m55mmlm/m0.5mhours m=m110mml/hour
,Amclient mwithmamgastrostomymtubem(GT)mreceivesmamprescriptionmformOsmolite®m1/2mstrengthmenter
almformulamat m80mml/hour.mTomprepare mam4mhour msolution,mthemnursemshould mdilutemthemfull-
strengthmformulamwithmhowmmanymmlmof mwater?m(Entermnumericmvaluemonly.)
m-
mDeterminemthemtotalmvolumemneeded mat m80mml/hourmxm4mhoursm=m320mml.mUsemthemformula,mDesir
ed mstrength/strengthmonmHand mxmVolumem=m50/100mxm320m=m160mmlmof mOsmolite®menteralmformul
a,mwhichmmust mbemdiluted mtomhalf mstrength.mOrmusemratiomand mproportion,mDesired mstrengthm(1/2m=m
1mpart m:m2mparts)m::mVolumemof mfullmstrengthm:mTotalmDesiremvolumem1m :m2m ::mXm: m320mmlm2X m=m320
,mand mXm=m160mmlmof mOsmolite®menteralmformula,mfullmstrengthm320mmlmtotalmvolumem-
m160mmlmof mfull-
strengthmformulam=m160mmlmof mwatermtomcreatem1/2mstrengthmorm50%mconcentration.
Themnursemnotesmthat mamclient mismreceivingmanmoxytocinm (Pitocin)m infusionmviamampumpmthat mismpro
grammed mtomdeliverm30mml/hour.mThemavailablemsolutionmis mRinger's mLactated m1,000mmlmwithmPito
cinm20munits.mHow mmanymmilliunits/minutemis mthemclient mreceiving?m(Entermnumericmvalue monly.)
m-
mConvert munitsmtommilliunits,m20mxm1,000m=m20,000munits.mUsingmD/H mxmQ m=m30mml/hourmX/20,000
munitsmxm1,000mmlm=m30mml/hourm(60mminutes)mX/20m=30/60,mreducemX/2m=m1/2,mand m2X m=m20,msom
Xm=m10mmilliunits/minutemORm20/1,000m=m0.02m1000m:m0.02m ::m30m :mXm=m0.6m ::m1,000X mXm=m600ma
nd m600/60m=m10mmilliunits/minute.
Amclient mismreceivingmHeparinmSodiumm25,000mUnitsminm5%mDextrosemInjectionm500m mlmIV mat m1,0
00munit/hourmpermprotocolmformacutemcoronarymsyndromem(ACS).mThemclient'smpartialmthromboplast
inmtimem(PTT)mism76mseconds.mBased monmthemACSmprotocol,mtheminfusionmshould mbemdecreased mbym
100munits/hourmformamPTTmbetweenm71mtom80mseconds.mThemnursemshould mprogrammthempumpmtomde
livermhow mmanymml/hour?m(Entermnumericmvalue monly.)
m-
mAdjust mtheminfusionmtom900munits/hourm(1,000munits/hourmminusm100munits/hourmpermprotocol).mUs
ingmthemformula,mD/H mxmQ,m900munits/1mhourmdivided mbym25,000munitsmxm500mmlm=m90/5=m18mml/h
our.
Themhealthcaremprovidermprescribesmoxytocinm(Pitocin)m0.5m milliunits/minutemformamclient minm labor
.mOnemlitermRinger'smLactatemwithm10munitsmof moxytocinm(Pitocin)misminfusing.mThemnursemshould mpr
ogrammtheminfusionmpumpmat mhowmmanymml/hour?m(Entermnumericmvaluemonly.)
-
m
Usingmthemformula,mD/H mxmQ,m0.5mmilliunitsm/m10,000mmilliunitsmxm1000m ml m=m0.05mml/minute.m
m
Multiplymbym60mminutesm=m3mml/hour.
, Amclient mismreceivingmdantrolenemsodiumm(Dantrium)mPOmformmalignant mhyperthermia. mThe mmaxi
mummsafemdosemism8mmg/kg/dayminm4mdivided mdoses.mThemclient mcurrentlymweighsm48.5mkg.mWhat mi
smthemmaximummsafemdosemthemnursemshould madminister?m(Entermnumericmvaluemonly.mIf mroundingm
ismrequired,mround mtomthemnearest mwholemnumber.)
m-
mDeterminemthemmaximummnumbermof mmgmthismclient mshould mreceivem inmamday:m48.5mkgmx m8mmg/kg
/daym=m388mmg/day.mNext mdeterminemhow mmanymmgmthemnursemshould mdelivermeachmdose:m388mmg
/4mdosesm=m97mmg.
Themhealthcaremprovidermprescribesmamcontinuousm intravenousm infusionmof mdextrosem5%mand m0.45
%msodiummchloridemwithmKClm20mmEq/1000mmlmtombemdelivered moverm8mhours.mThe mnursem should m
programmtheminfusionmpumpmtomdelivermhowmmanymml/hour?m (Entermnumericmvaluemonly. mIf mround
ingmismrequired,mround mtomthemnearest mwholemnumber.)
- Usingmthemformulamvolume/time:m1000mml/8mhoursm=m125m ml/hour
m m
Amclient mreceivesmamprescriptionmformanmintravenousm infusionm0.45%m sodiummchloridem500mml mtomb
eminfused moverm6mhours.mThemnursemshould mprogrammtheminfusionmpumpmtomdelivermhow mmanym ml/
hour?m(Entermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mwholemnumber.)
- CalculatemusingmVolume/Time: m500mml/6mhoursm=m83.3 mml/hour
m m
Amclient mreturnsmtomthemnursingmunit mfrommsurgerymwithmamprescriptionmformLactated mRinger'smsolut
ionm1,000mmlmtombeminfused moverm10mhours.mThemIVmadministrationmset mdeliversm60mgtts/ml.m Themn
ursemshould mregulatemtheminfusionmtomdelivermhow mmanymgtts/minute?
m-
mFirst mconvert mhoursmtomminutes:m10mhrsmxm60m=m600mminutes.mUsingmthemformulamVolume/Timemx
mdropmfactor:m1000mmlm/600mminutesm=m1.66666mxm60m=m100mgttsmminute
AnmIVminfusionmof mdextrosem5%minmnormalmsalinemwithmoxytocinm(Pitocin)m20munitsminm1,000m mlm i
smprescribed mformamclient mtomcontrolmpostpartummbleeding.mThemsolutionmis mtombemadministered mat ma
mratemof m2mmu/minute.mThemnursemshould mprogrammtheminfusionmpumpmtomadministermhow m manymm
l/hour?m(Entermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mwholemnumber.
)
m-
mFirst mcalculatemthemnumbermof munits/hour.m0.002munits/minutemxm60m minutesm=m0.12munits/hour.mN
ext mcalculatemthemnumbermof mml/hourmneeded mtomadministerm0.12munits/hour.m20munitsm:m1,000mmlm:
:m0.12munitsm:mXm20/0.12m::m1,000/X m20X m:m120mX m=m6
m m m
Ammalemclient mreceivesmamprescriptionmformondansetronmhydrochloridem(Zofran)m4m mgmIV mtompreve
nt mpostoperativemnauseamaftermanminguinalmherniamrepair.m Themmedicationmismavailablem inm2mmg/ml.
mHow mmanymmlmshould mthemnursemadminister?m(Entermnumericmvaluemonly.)
- Usemratiomand mproportion,m4mmgm:mXmmlm=m2mmgm:m1 mml m2X m=m4mXm=m2
m m
ThemnursemismpreparingmtomadministermHepatitismBmVaccine,mRecombinant m(Energix-
B)m5mmcgmIMmtomamschool-
aged mchild.mThemvaccinemismlabeled,m10mmcg/ml.mHow mmanym mlm should mthemnursemadminister?m(E
ntermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mtenth).
- Usemratiomand mproportion,m5mmcgm:mXmmlm::m10m mcgm:m1ml m10Xm=m5mXm=m0.5mml
m m
At mthemend mof mthemshift,mthemnursemismrecordingmthemfluid mbalancemformamclient mreceivingmamcontinu
ousmgastrostomymtubem(GT)mfeeding.mBased monmthemclient'smrecords,mhowmmanymmlmshould mthemnur
semrecord mformthemtotalmfluid mbalancem(intakem-
moutput)mformthemshift mthat mstarted mat m0700mand mended mat m1900?m(Entermnumericmvaluemonly.)m(Clic
kmonmeachmimagemasset mformadditionalminformation.)
- 695
m m
Themtubemfeedingmismadministered mat m75mml/hourmform11mhoursm(0700m-
m1800)mand mthenmturned moff mformonemhourmbecausemthemresidualmismgreatermthanm200mml.m11mhoursm
xm75mml/hrm=m825mml.mThreemdosesmof m20mmlmof mmedicationmarem administered,mwithm10mmlmof mwat
ermused mtomflushmthemGTmbeforemand maftermeachmdose.m20mmlmxm3mdosesm=m60mml;m10mmlm(flush)mxm
2mxm3mdosesm=m60mml;msom825mmlm+m60mmlm +m60mmlm=m945m ml.m250mmlmof mresidualm ismremoved mand
mnot mreplaced.m945mmlm-m250mmlm=m695mmlmtotalmfluid mbalancem(Intakem-moutput).
Am180-
pound madult mmalemismadmitted mtomthemEmergencymCentermaftermreceivingmthermalmburnsmtom60mper
cent mof mhismbody.mUsingmthemParkland mformulamof m4mml/kg/24mhours,mthemclient mshould mreceivemho
wmmanymmlmof mfluid mduringmthemfirst m24mhours?m(Entermthemnumericmvaluemonly.mIf mroundingmismre
quired,mround mtomthemnearest mwholemnumber.)
- 19632
m m
UsingmthemParkland mformula,mthemclient'smfluid mrequirementsmformthemfirst m24mhoursmafterminjury:m4
mmlmlactated mRinger'smsolutionmxmBodymweight m(inmkilograms)mxmPercent mburn.mConvert m180mpoun
dsmtomkgm=m180m/m2.2m=m81.8mkgm4mmlmxm81.8mkgmxm60m=m19632mmlmover mthemfirst m24mhours.
,Themhealthcaremprovidermprescribesmacetazolamidem(Diamox) m600mmg/m2/daymdivided mintom3mdos
es.mThemnursemcalculatesmthemchild'smbodymsurfacemaream(BSA)masm0.7mm2. mHow mmanymmgm should m
themchild mreceivempermdose?m(Entermthemnumericmvaluemonly.)
m-
mUsingmthemchild'smBSA,m0.7mm2,mcalculatemthemmg/dose,m600mmgmxm0.7mm2m=m420mmg/day/3mdose
sm=m140mmg/dose
Amloadingmdosemof macetylcysteinem(Mucomyst)m8mgrams,mwhichmismavailablemasma m20%msolutionm(2
00mmgmacetylcysteinempermml)mismprescribed mbymnasogastricmtubemformamclient mwithmacetaminophen
mtoxicity.mHow mmanymmlmof mdiluent mshould mbemadded mtomthemmedicationmtomobtainmam1:4mconcentra
tion?m(Entermthemnumericalmvaluemonly.mIf mroundingmismrequired,mround mtomthemwholemnumber.)
m -
m 8mgramsm=m8,000mmgmprescribed mdose.mUsingmthemformula,mD/H mxmQ,m8,000mmgm/m200 mmgmxm1 mml
m=m40mmlmof mthem20%msolution.mDilutemthem40mmlmtomam1:4mconcentrationmformadministrationmusingm
ratiomand mproportion,m1m:m4msolutionm::m40mmlm:mX mX=m160m mlmtotalmvolumemtomadminister.mSubtrac
t mtotalmvolumemof m160mmlm-
m40mmlmof m20%mconcentrationm=m120mmlmdiluent mismadded mtomobtainmam1:4mconcentration.
Amchild mwhomweighsm55mpoundsmreceivesmamprescriptionmformatovaquonemwithmproguanilm(Malaron
emPediatric)m125mmg/50mmgmPO mdaily.mAmdrugmreferencemstatesmthat mchildrenm11mtom20mkgmshould m
receivem1mpediatricmtablet mdaily;m21mtom30mkgmshould mreceivem2mpediatricmtabletsmdaily;m31mtom40mk
gmshould mreceivem3mpediatricmtabletsmdaily;mand mgreatermthanm40mkgmshould mreceivem1madult mtablet m
dailymwithmfood.mThemdrugmismavailablemasmatovaquonem62.5mmg/proguanilm25m mgmpediatricmtablet
s.mHow mmanymtabletsmshould mthemnursemadminister?
m-
mCalculatemeachmdrugmcomponent mdose,musingmthemformula,mD/H m125mmgm/m62.5mmgm(atovaquone)
m=m2mcombined mwithm50mmgm/m25mmgm(proguanil)m=m2.m The mchild mshould mreceivem2mtablets.
Amchild mwhomismscheduled mformamkidneymtransplant mreceivesmamprescriptionmformbasiliximabm (Simul
ect)m20mmgmIV m2mhoursmpriormtomsurgery.mThemmedicationmism availablem inmam20 mmgmvialmthat mism rec
onstituted mbymaddingm5mmlmsterilemwatermforminjection,mand madministered minmam50mmlmbagmof mnorm
almsalinemoverm30mminutes.mThemnursemshould mprogrammtheminfusion mpumpmtomdeliver mhow mmanym
ml/hour?m(Entermthemnumericmvaluemonly.)
m-
mAftermreconstitutingmthemmedicationmvial,mthemnursemaddsmthem5mmlmof mmedicationmtomthem50mmlmo
f msterilemwatermtomresult minmam55mmlmvolumemtominfuseminm30m minutes.mUsingmthemformula,mVolume
/Timem=m55mmlm/m0.5mhours m=m110mml/hour
,Amclient mwithmamgastrostomymtubem(GT)mreceivesmamprescriptionmformOsmolite®m1/2mstrengthmenter
almformulamat m80mml/hour.mTomprepare mam4mhour msolution,mthemnursemshould mdilutemthemfull-
strengthmformulamwithmhowmmanymmlmof mwater?m(Entermnumericmvaluemonly.)
m-
mDeterminemthemtotalmvolumemneeded mat m80mml/hourmxm4mhoursm=m320mml.mUsemthemformula,mDesir
ed mstrength/strengthmonmHand mxmVolumem=m50/100mxm320m=m160mmlmof mOsmolite®menteralmformul
a,mwhichmmust mbemdiluted mtomhalf mstrength.mOrmusemratiomand mproportion,mDesired mstrengthm(1/2m=m
1mpart m:m2mparts)m::mVolumemof mfullmstrengthm:mTotalmDesiremvolumem1m :m2m ::mXm: m320mmlm2X m=m320
,mand mXm=m160mmlmof mOsmolite®menteralmformula,mfullmstrengthm320mmlmtotalmvolumem-
m160mmlmof mfull-
strengthmformulam=m160mmlmof mwatermtomcreatem1/2mstrengthmorm50%mconcentration.
Themnursemnotesmthat mamclient mismreceivingmanmoxytocinm (Pitocin)m infusionmviamampumpmthat mismpro
grammed mtomdeliverm30mml/hour.mThemavailablemsolutionmis mRinger's mLactated m1,000mmlmwithmPito
cinm20munits.mHow mmanymmilliunits/minutemis mthemclient mreceiving?m(Entermnumericmvalue monly.)
m-
mConvert munitsmtommilliunits,m20mxm1,000m=m20,000munits.mUsingmD/H mxmQ m=m30mml/hourmX/20,000
munitsmxm1,000mmlm=m30mml/hourm(60mminutes)mX/20m=30/60,mreducemX/2m=m1/2,mand m2X m=m20,msom
Xm=m10mmilliunits/minutemORm20/1,000m=m0.02m1000m:m0.02m ::m30m :mXm=m0.6m ::m1,000X mXm=m600ma
nd m600/60m=m10mmilliunits/minute.
Amclient mismreceivingmHeparinmSodiumm25,000mUnitsminm5%mDextrosemInjectionm500m mlmIV mat m1,0
00munit/hourmpermprotocolmformacutemcoronarymsyndromem(ACS).mThemclient'smpartialmthromboplast
inmtimem(PTT)mism76mseconds.mBased monmthemACSmprotocol,mtheminfusionmshould mbemdecreased mbym
100munits/hourmformamPTTmbetweenm71mtom80mseconds.mThemnursemshould mprogrammthempumpmtomde
livermhow mmanymml/hour?m(Entermnumericmvalue monly.)
m-
mAdjust mtheminfusionmtom900munits/hourm(1,000munits/hourmminusm100munits/hourmpermprotocol).mUs
ingmthemformula,mD/H mxmQ,m900munits/1mhourmdivided mbym25,000munitsmxm500mmlm=m90/5=m18mml/h
our.
Themhealthcaremprovidermprescribesmoxytocinm(Pitocin)m0.5m milliunits/minutemformamclient minm labor
.mOnemlitermRinger'smLactatemwithm10munitsmof moxytocinm(Pitocin)misminfusing.mThemnursemshould mpr
ogrammtheminfusionmpumpmat mhowmmanymml/hour?m(Entermnumericmvaluemonly.)
-
m
Usingmthemformula,mD/H mxmQ,m0.5mmilliunitsm/m10,000mmilliunitsmxm1000m ml m=m0.05mml/minute.m
m
Multiplymbym60mminutesm=m3mml/hour.
, Amclient mismreceivingmdantrolenemsodiumm(Dantrium)mPOmformmalignant mhyperthermia. mThe mmaxi
mummsafemdosemism8mmg/kg/dayminm4mdivided mdoses.mThemclient mcurrentlymweighsm48.5mkg.mWhat mi
smthemmaximummsafemdosemthemnursemshould madminister?m(Entermnumericmvaluemonly.mIf mroundingm
ismrequired,mround mtomthemnearest mwholemnumber.)
m-
mDeterminemthemmaximummnumbermof mmgmthismclient mshould mreceivem inmamday:m48.5mkgmx m8mmg/kg
/daym=m388mmg/day.mNext mdeterminemhow mmanymmgmthemnursemshould mdelivermeachmdose:m388mmg
/4mdosesm=m97mmg.
Themhealthcaremprovidermprescribesmamcontinuousm intravenousm infusionmof mdextrosem5%mand m0.45
%msodiummchloridemwithmKClm20mmEq/1000mmlmtombemdelivered moverm8mhours.mThe mnursem should m
programmtheminfusionmpumpmtomdelivermhowmmanymml/hour?m (Entermnumericmvaluemonly. mIf mround
ingmismrequired,mround mtomthemnearest mwholemnumber.)
- Usingmthemformulamvolume/time:m1000mml/8mhoursm=m125m ml/hour
m m
Amclient mreceivesmamprescriptionmformanmintravenousm infusionm0.45%m sodiummchloridem500mml mtomb
eminfused moverm6mhours.mThemnursemshould mprogrammtheminfusionmpumpmtomdelivermhow mmanym ml/
hour?m(Entermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mwholemnumber.)
- CalculatemusingmVolume/Time: m500mml/6mhoursm=m83.3 mml/hour
m m
Amclient mreturnsmtomthemnursingmunit mfrommsurgerymwithmamprescriptionmformLactated mRinger'smsolut
ionm1,000mmlmtombeminfused moverm10mhours.mThemIVmadministrationmset mdeliversm60mgtts/ml.m Themn
ursemshould mregulatemtheminfusionmtomdelivermhow mmanymgtts/minute?
m-
mFirst mconvert mhoursmtomminutes:m10mhrsmxm60m=m600mminutes.mUsingmthemformulamVolume/Timemx
mdropmfactor:m1000mmlm/600mminutesm=m1.66666mxm60m=m100mgttsmminute
AnmIVminfusionmof mdextrosem5%minmnormalmsalinemwithmoxytocinm(Pitocin)m20munitsminm1,000m mlm i
smprescribed mformamclient mtomcontrolmpostpartummbleeding.mThemsolutionmis mtombemadministered mat ma
mratemof m2mmu/minute.mThemnursemshould mprogrammtheminfusionmpumpmtomadministermhow m manymm
l/hour?m(Entermnumericmvaluemonly.mIf mroundingmismrequired,mround mtomthemnearest mwholemnumber.
)
m-
mFirst mcalculatemthemnumbermof munits/hour.m0.002munits/minutemxm60m minutesm=m0.12munits/hour.mN
ext mcalculatemthemnumbermof mml/hourmneeded mtomadministerm0.12munits/hour.m20munitsm:m1,000mmlm:
:m0.12munitsm:mXm20/0.12m::m1,000/X m20X m:m120mX m=m6
