The nurse has an order to administer Dopamine at 2 mg/kg/min for a patient admitted to the cardiac intensive care unit with cardiogenic shock. The pharmacy prepares a solution of 400mg/250mL 5% Dextrose. The patient weighs 132 lbs.
The nurse should set the pump at what rate in mL per hour?
Given
Order:Dopamine
Weight:132lbs(0.454×132=59.9 or 60kg)
Dose:2mg/kg/min
As 1kg=2mg
Then 60kg=??mg
Cross multiply and divide
=60×2÷1
=180mg/min
Available:400mg/250ml 5% Dextrose
So to get the total volume
When 400mg=250ml
Then 180mg=??ml
Cross multiply and divide
=180×250÷400
=45000÷400
=112.5 or 113 ml
=113ml
Flow rate=Total volume (ml)÷Hour(hr)
=113÷1
113ml/hr
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