Ati nur 1211 med surg Proctored exam
Calculation
A nurse is caring for a client with atrial fibrillation. The provider orders a continuous heparin infusion at 24 units/kg/hour. The heparin is available as an IV infusion of 500 mL D5W with 25,000 units of heparin. The client weighs 85 kg. What infusion rate should the nurse program into the electronic infusion device? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation & Rationale
Step 1 is to calculate the total units required per hour based on the client's weight Units per hour = Weight in kg × Dosage (units/kg/hr) 85 × 24 = 2,040 units/hr Step 2 is to calculate the concentration of the heparin solution in units per mL Units per mL = Total heparin units ÷ Total volume in mL 25,000 ÷ 500 = 50 units/mL Step 3 is to calculate the infusion rate in mL per hour mL/hr = Total units per hour ÷ Units per mL 2,040 ÷ 50 = 40.8 Step 4 is to round to the nearest whole number 40.8 ≈ 41 Answer: 41
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