Adult health (med surg proctored exam) examplify
Calculation
The nurse is administering an insulin drip for a patient in DKA (see image below for medication label) who weighs 231 lbs. The order is to start the insulin drip at 0.1 units/kg/hr. Calculate the milliliters per hour the nurse will set the infusion pump. Round to the nearest whole number.
mL/hr
Explanation & Rationale
Step 1: Convert the patient’s weight to kilograms Weight in kg = 231 ÷ 2.2 ≈ 105 kg Step 2: Calculate the insulin dose in units per hour Dose (units/hr) = 0.1 units/kg/hr × 105 kg = 10.5 units/hr Step 3: Determine the concentration from the insulin label (typically, insulin is supplied as 100 units/100 mL for IV infusion unless otherwise specified; if we assume 1 unit/mL) mL/hr = Units/hr ÷ Concentration (units/mL) Assuming 1 unit/mL: mL/hr = 10.5 ÷ 1 ≈ 11 mL/hr Final Answer: 11 mL/hr
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