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    Ati rn 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 of dopamine to be administered per minute (mcg/min). Ordered rate: 5 mcg/kg/min Patient weight: 4.4 kg Total dose rate (mcg/min) = 5 mcg/kg/min x 4.4 kg = 22 mcg/min. Calculate the total dose of dopamine to be administered per hour (mcg/hr). Total dose rate (mcg/hr) = 22 mcg/min x 60 min/hr = 1320 mcg/hr. Calculate the concentration of the available solution in micrograms per milliliter (mcg/mL). Available concentration: 200 mg in 250 mL Convert mg to mcg: 200 mg x 1000 mcg/mg = 200,000 mcg Concentration (mcg/mL) = 200,000 mcg / 250 mL = 800 mcg/mL Calculate the infusion rate in milliliters per hour (mL/hr). Infusion rate (mL/hr) = Total dose rate (mcg/hr) / Concentration (mcg/mL) = 1320 mcg/hr / 800 mcg/mL = 1.65 mL/hr. Round the answer to the nearest tenth. = 1.7 mL/hr.

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