Ati W25 Nurs 226 Med Surg Proctored Exam
Calculation
The nurse prepares to administer dobutamine 2.5 mcg/kg/min IV for a client who weighs 193 pounds. The nurse receives dobutamine 250 mg in 250 mL of 5% dextrose from the pharmacy. The IV pump should be set to deliver how many mL/hr? Round to a whole number.
mL/hr
Explanation & Rationale
Step 1: Convert weight from pounds to kilograms Weight (kg) = 193 ÷ 2.2 Weight ≈ 87.7 kg Step 2: Calculate the ordered dose in mcg/min Dose (mcg/min) = 2.5 mcg/kg/min × 87.7 kg Dose ≈ 219.25 mcg/min Step 3: Convert mcg/min to mg/hr 219.25 mcg/min × 60 min/hr = 13,155 mcg/hr 13,155 mcg/hr ÷ 1,000 mcg/mg = 13.155 mg/hr Step 4: Determine concentration of IV solution 250 mg in 250 mL Concentration = 1 mg/mL Step 5: Calculate mL/hr mL/hr = 13.155 mg/hr ÷ 1 mg/mL mL/hr ≈ 13.155 mL/hr Step 6: Round to the nearest whole number 13.155 = 13 mL/hr Final Answer: 13 mL/hr
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