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    Dosage calculation rn maternal newborn proctored assessment 3.2
    Calculation

    A nurse is preparing to administer dopamine 5 mcg/kg/min via continuous IV infusion to a newborn who weighs 4.4 kg and has septic shock. Available is dopamine 200 mg in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

    mL/hr

    Explanation & Rationale

    Calculate the total dose per minute: Dose: 5 mcg/kg/min Weight: 4.4 kg Total dose per minute: 5 mcg/kg/min × 4.4 kg = 22 mcg/min Convert mcg/min to mg/min: Given 1mg = 1000mcg 22 mcg/min / 1000 mcg/mg = 0.022 mg/min Calculate the concentration of the solution: Available: 200 mg in 250 mL Concentration: 200 mg / 250 mL = 0.8 mg/mL Calculate the infusion rate in mL/min: Infusion rate: 0.022 mg/min / 0.8 mg/mL = 0.0275 mL/min Convert mL/min to mL/hr: Infusion rate: 0.0275 mL/min ×60 min/hr = 1.65 mL/hr Round to the nearest tenth: 1.65 mL/hr rounded to the nearest tenth is 1.7 mL/hr. Therefore, the nurse should set the IV pump to deliver 1.7 mL/hr.

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