Exam 22: Intravenous Calculations

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500 mL of D5 0.45% NS was to infuse in 5 hours at 33 macrott/min.The drop factor is 20 gtt/mL.After 2 hours,you notice 250 mL remaining. a.Recalculated rate: _____ b.Percentage of change: _____ c.Course of action: _____

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a.28 macrogtt/min or 28 gtt/min
b.15%
c.Assess client before decreasing rate,and monitor during decrease.~15% is an acceptable decrease.

500 mL of Intralipid in 6 hours: _____

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83 mL/hr

Total parenteral nutrition (TPN)solution of 1,000 mL at 30 mL/hr Determine the infusion time: _____

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1,000 mL ÷ 30 mL/hr = 33.33 hr
60 min ×\times 0.33 hr = 19.8 = 20 min
Infusion time: 33 hr 20 min

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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250 mL was to infuse in 8 hours at 31 microgtt/min.The drop factor is 60 gtt/mL.After 4 hours,you notice that 100 mL has infused. a.Recalculated rate: _____ b.Percentage of change: _____ c.Course of action: _____

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100 units of Regular Humulin insulin in 250 mL 0.9% NS to infuse at 4 mL/hr.How many units per hour will be delivered? _____

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The type of administration set that will be selected for an IVPB solution is _______________.

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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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D5 1/2 NS is infusing at 28 macrogtt/min.The drop factor is 10 gtt/mL.How much fluid volume will the client receive in 8 hours? _____

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150 mL D5W 1/2 NS at 40 mL/hr infusing at 20 macrogtt/min.Drop factor: 15 gtt/mL.Calculate the infusion time: _____

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Drop factor of 15 on the package of a continuous IV administration set indicates what? ______________________________

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Order: Cardizem 0.25 mg/kg IV bolus.Infuse over 2 minutes.Client weighs 50 kg.Available: Cardizem 25 mg (5 mg/mL) a.How many milligrams should the client receive? _____ mg b.How many milliliters will you give? _____ mL c.How many milliliters will you infuse per minute? _____ mL/min

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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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Clindamycin 600 mg in 100 mL D5W over 1 1/2 hours: _____

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750 mL Ringer lactate 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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10% calcium chloride (10 mL)over 5 minutes IV push How many milliliters will be injected per minute? _____ mL

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Order: Integrilin 180 mcg/kg IV bolus initially.Infuse over 2 minutes.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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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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When an IV medication is injected directly into a vein,the procedure is referred to as ________________.

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40 units of Regular Humulin insulin in 100 mL 0.9% NS to infuse at 10 mL/hr.How many units per hour will be delivered? _____

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