Hesi rn dosage calculation proctored exam
Calculation
A continuous infusion of heparin 10 unit/kg/hour is prescribed for a client with deep vein thrombosis (DVT) who weighs 165 pounds. The IV bag is labeled Heparin Sodium 25,000 Units in 5% Dextrose Injection 500 mL. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)
mL/hour
Explanation & Rationale
Calculation: Convert the client's weight from pounds to kilograms: Weight (kg) = Weight (pounds) / 2.2 pounds/kg = 165 pounds / 2.2 pounds/kg = 75 kg Calculate the prescribed dose in units per hour: Dose (units/hour) = Prescribed dose (units/kg/hour) x Client's weight (kg) = 10 units/kg/hour x 75 kg = 750 units/hour Determine the concentration of heparin in the IV solution: Heparin concentration (units/mL) = Total heparin units / Total volume of solution (mL) = 25,000 units / 500 mL = 50 units/mL Calculate the infusion rate in mL/hour: Infusion rate (mL/hour) = Desired dose (units/hour) / Heparin concentration (units/mL) = 750 units/hour / 50 units/mL = 15 mL/hour
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