The nurse administered a dopamine (Intropine) infusion to a 70-kg patient, as ordered. The solution, which consist of 500 mg of dopamine added to 250 ml of dextrose 5% in water, (D5W), is administered at a flow rate of 21 mcgtt/min using a micro drop setup (60 mcgtt = 1 ml). How many micrograms per kilogram per minute is the patient receiving?
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- The nurse administered a dopamine (Intropine) infusion to a 70-kg patient, as ordered. The solution, which consist of 500 mg of dopamine added to 250 ml of dextrose 5% in water, (D5W), is administered at a flow rate of 21 mcgtt/min using a micro drop setup (60 mcgtt = 1 ml). How many micrograms per kilogram per minute is the patient receiving?The order reads: “Dopamine 3 mcg/kg/min IV.” The solution available is 400mg in 250 mL D5W, and the patient weighs 176 pounds. The nurse will set the IV infusion pump to run at how many mL/hour?An IV infusion of 0.9% normal saline 500 ml with ammonium chloride 0.2 mEq/ml is prescribed for a client who was admitted for an amphetamine overdose. How many mEq of ammonium chloride should the nurse use to prepare the solution? (Enter numeric value only. If rounding is required, round to the nearest whole number).
- The order reads: “Dopamine 3 mcg/kg/min IV.” The solution available is 400 mg in 250 mL D5W, and the patient weighs 176 pounds. The nurse will set the IV infusion pump to run at how many mL/hour?A 1 mL vial containing 2 mg/mL of scopolamine hydrobromide is available, and the order is for 800 mcg Sc. How many mililiters should you administer?The nurse practitioner prescribed 500 micrograms of Risperidone. The stock solution available in a concentration of 1 mg/mL. What volume of the solution would you administer? I just wanted to make sure my answer of 0.5 ml was correct with the conversion of MCG to ML
- The order reads, “Give metoprolol (Lopressor) 300 mg/day PO in 2 divided doses.” The tablets are available in 50-mg strength. How many tablets will the patient receive per dose?The client was ordered Oral Phenergan 0.1g, TDS (three times a day). The pharmacy has dispensed Phenergan 25mg tablets. How many tablets will you administer? What dose of Phenergan will this client receive in 24 hours?A 30-year-old female patient with uncontrolled hypertension is suspected by an investi- gating endocrinologist of having Conn's syndrome. Results of routine biochemistry were (reference ranges are given in brackets): Sodium Potassium Urea Creatinine Alkaline phosphatase Alanine aminotransferase Albumin Bilirubin Calcium 146 mmol/L 2.1 mmol/L 7.2 mmol/L 146 μmol/L 290 IU/L 20 IU/L 49 g/L 8 μmol/L 2.19 mmol/L (135-145) (3.5-5.0) (3.5-6.6) (70-150) (95-320) (5-42) (35-50) (<17) (2.12-2.62) (a) Are any of the electrolyte concentrations abnormal, and if so what condition is suggested? (b) What further biochemistry investigations would you undertake? Explain your reasoning.
- The medication order for a patient is 150 mL of drug A over 2.0 hours with a drop factor of 12 gtt/mL. What is the flow rate in drops/min?Assume that Ali (same patient in question 1) was prescribed vancomycin 1000 mg every 36 hours. After few days, Steady-state vancomycin concentrations were obtained before and after the fourth dose, and the peak concentration (obtained ½ hour after a 1- hour infusion of vancomycin) was 34 µg/mL while the trough concentration (obtained immediately before dosage administration) was 2.5 pg/mL. Compute a revised vancomycin dose for this patient to provide a steady-state peak concentration of 48 ug/mL and a steady- state trough concentration of 17 pg/mL. a. Estimate new rate constant (Ke) and half-life (t1/2) b. Estimate volume of distribution (Vd) using this equation Cmaxss + Cminss C. Calculate the new dose interval d. Calculate the new doseA 158lb adult male diagnosed with endocarditis has an order for gentamicin 3mg/kg/day IV in 2 divided doses, in addition to vancomycin. The Gentamicin is available in 2 mL vials containing 40mg/mL. The facility protocol is to round the gentamicin dose to the nearest 10mg, then calculate the volume of solution to the nearest tenth mL. How many mL will administer per dose?