Exam 22: Intravenous Calculations

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - 250 mL were to infuse in 8 hr at 31 microgtt/min. The drop factor is 60 gtt/mL. After 4 hr, you notice that 100 mL have infused. a. Recalculated rate: _____ b. Percentage of change: _____ c. Course of action: _____

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a. 38 microgtt/min or 38 gtt/min
b. 23%
c. Assess client before adjusting IV rate, and monitor during increase. 23% is an acceptable increase.

Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - 750 mL lactated Ringer solution at 80 mL/hr a. Determine the infusion time: _____ b. The IV was started at 7:00 AM. When will the infusion be complete? _____

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a. 750 mL ÷ 80 mL/hr = 9.38 hr
60 min * 0.38 hr = 22.8 = 23 min
Infusion time: 9 hr 23 min
b. 4:23 PM; 1623

Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - D5 1/3NS 1,000 mL at 45 mL/hr Determine the infusion time: _____

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1,000 mL ÷ 45 mL/hr = 22.22 hr
60 min * 0.22 hr = 13.2 = 13 min
Infusion time: 22 hr 13 min

Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - 500 mL of whole blood to infuse at 130 mL/hr a. Determine the infusion time: _____ b. The transfusion was started at 2:40 PM. When will the transfusion be completed? _____

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Directions: Determine the following in drops per minute using the drop factor provided. - An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min. The drop factor is 15 gtt/mL. How long will it take for the IV to infuse? (Express time in hours and minutes.): _____

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - The type of administration set that will be selected for an IVPB solution is _______________.

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - Order: Integrilin 180 mcg/kg IV bolus initially. Infuse over 2 min. Client weighs 154 lb. Available: 2 mg/mL a. How many kilograms does client weigh? _____ kg b. How many milligrams should the client receive? _____ mg c. How many milliliters will you infuse per minute? _____ mL/min

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - When an IV medication is injected directly into a vein, the procedure is referred to as ________________.

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - Order: Regular Humulin Insulin 8 units/hr IV Available: 50 units of insulin in 150 mL 0.9% NS What rate in mL/hr will infuse 8 units/hr? _____

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - Order: Digoxin 0.25 mg IV push. Infuse slowly over 5 min. Available: Digoxin 0.5 mg/2 mL How many milliliters should be infused per minute? _____

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Directions: Determine the following in drops per minute using the drop factor provided. 2,500 mL RL in 12 hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____

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Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - 1,000 mL D5W infusing at 90 mL/hr a. Determine the infusion time: _____ b. The IV was started at 2:00 AM. When will the infusion be complete? _____

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Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - 60 mL of IV fluid with medication infusing at 50 macrogtt/min. Drop factor is 10 gtt/mL. Calculate the infusion time: _____

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Directions: Recalculate the IV flow rate. Determine the percentage of change and state the course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable. - 10% calcium chloride (10 mL) over 5 min IV push How many milliliters will be injected per minute? _____ mL

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Directions: Determine the flow rate for the following IV being administered by infusion pump. Zosyn 2 g in 100 mL D5W over 40 min: _____

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Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. - 250 mL 0.9% NS at 30 mL/hr a. Determine the infusion time: _____ b. The IV was started at 7:00 PM. When will the infusion be complete? _____

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Directions: Determine the following in drops per minute using the drop factor provided. Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr? _____

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Directions: Determine the following in drops per minute using the drop factor provided. 0.33% NS at 200 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____

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Directions: Determine the following in drops per minute using the drop factor provided. 0.45% NS at 30 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____

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Directions: Determine the flow rate for the following IV being administered by infusion pump. Ampicillin 1.5 g in 100 mL 0.9% NS over 45 min: _____

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