Sp26 504w advanced med surg proctored exam (Massachusetts college)
Calculation
A client with acute coronary syndrome is receiving a continuous heparin infusion. The client is to receive 18 units/kg/hour. The client weighs 181.4 pounds. Based on the heparin concentration on the label, the nurse will set the infusion pump to deliver _______ mL/hr. Round to the nearest tenths place. Record numerical answers only.
mL/hr
Explanation & Rationale
Convert the client’s weight to kilograms Weight in kg = 181.4 ÷ 2.2 = 82.45 kg Calculate the heparin dose in units per hour Dose (units/hr) = 18 units/kg/hr × 82.45 kg = 1484.1 units/hr Identify the concentration of heparin from the label Concentration = 25,000 units / 500 mL = 50 units/mL Calculate the flow rate in mL/hr Flow Rate = Dose ÷ Concentration Flow Rate = 1484.1 ÷ 50 ≈ 29.682 mL/hr Round to the nearest tenth = 29.7 mL/hr
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