Critical Care medication test

A nurse is preparing to administer nitroglycerin 50 mcg/min by continuous IV infusion. Available is nitroglycerin 25,000 mcg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

30 mL/hr = 250mL/25,000mcg X 50mcg/1min X 60min/1hr = 750,000/25,000 = 30

A nurse is preparing to administer 0.45% sodium chloride 750 mL IV to infuse over 2 hr to a client. The nurse should set the IV pump to deliver how many mL/hr?

375 mL/hr = 750/2 = 375

A nurse is preparing to administer packed RBCs 280 mL IV to infuse over 4 hr to a client. The nurse should set the IV pump to deliver how many mL/hr?

70 280mL/4hr = 70

A nurse is preparing to administer nitroglycerin 15 mcg/min by continuous IV infusion. Available is nitroglycerin 25 mg in 250 mL of dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL?

9 mL/hr = 250mL/25mg X 1mg/1000mcg X 15mcg/1min X 60min/1hr = 225,000/25,000 = 9

A nurse is preparing to administer lidocain (Xylocaine) 3 mg/min by continuous IV infusion. Available is 2 g lidocaine in 500 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

45 mL/hr = 500mL/2g X 1g/1000mg X 3mg/1min X 60min/1hr = 90,000/2,000 = 45

A nurse is preparing to administer lidocaine (Xylocaine) 4 mg/min by continuous IV infusion. Available is lidocaine 0.004 g/mL in dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

60 mL/hr = 1mL/0.004g X 1g/1000mg X 4mg/1min X 60min/1hr = 240/4 = 60

A nurse is preparing to administer epinephrine (Adrenalin) 10 mcg/min by continuous IV infusion. Available is epinephrine 1 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

150 mL/hr = 250mL/1mg X 1mg/1000mcg X 10mcg/1min X 60min/1hr = 150,000/1000 = 150

A nurse is preparing to administer dextrose 5% in water (D5W) 500 mL IV to infuse over 45 min to a client. The nurse should set the IV pump to deliver how many mL/hr?

667 mL/hr = 500mL/45min X 60min/1hr = 30,000/45 = 666.6 = 667

A nurse is preparing to administer nitroprusside (Nipride) 4 mcg/kg/min by continuous IV infusion to a client who weighs 57 kg. Available is nitroprusside 50 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

68.4 mL/hr = 250mL/50mg X 1mg/1000mcg X 228mcg/1min = 60min/1hr = 3,420,000/50,000 = 68.4

A nurse is preparing to administer magnesium sulfate 0.75 g/hr by continuous IV infusion. Available is 1g magnesium sulfate in 100 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

75 mL/hr = 100mL/1g X 0.75g/1hr = 75

A provider prescribes esmolol (Brevibloc) 30 mcg/kg/min by continuous IV infusion for a client who weights 67 kg. Available is esmolol 2,500 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

12.1 mL/hr = 250mL/2,500mg X 1mg/1000mcg X 2,010mcg/1min X 60min/1hr = 30,150,000/2,500,000 = 12.06 = 12.1

A nurse is preparing to administer epinephrine (Adrenalin) 8 mcg/min by continuous IV infusion. Available is epinephrine 1 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

120 mL/hr = 250mL/1mg X 1mg/1000mcg X 8mcg/1min X 60min/1hr = 120,000/1000 = 120

A nurse is preparing to administer nitroprusside (Nipride) 7 mcg/kg/min by continuous IV infusion to a client who weighs 63 kg. Available is nitroprusside 50 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

132.3 mL/hr = 250mL/50mg X 1mg/1000mcg X 441mcg/1min X 60min/1hr = 6,615,000/50,000 = 132.3

A nurse is preparing to administer heparin 10 units/kg/hr by continuous IV infusion to a client who weighs 72 kg. Available is 25,000 units of heparin in 500 mL 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?

14.4 mL/hr = 500mL/25,000U X 720U/1hr = 360,000/25,000 = 14.4

A nurse is preparing to administer heparin 12 units/kg/hr continuous IV infusion for a client who weighs 51 kg. Available is 20,000 units of heparin in 500 mL 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?

15.3 mL/hr = 500mL/20,000U X 612U/1hr = 306,000/20/000 = 15.3

A provider prescribes esmolol (Brevibloc) 45 mcg/kg/min by continuous IV infusion for a client who weighs 59 kg. Available is esmolol 2,500 mg in 250 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

15.9 mL/hr = 250mL/2,500mg X 1mg/1000mcg X 2,655mcg/1min X 60min/1hr = 39,825,000/2,500,000 = 15.93

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1,200 mL IV to infuse over 6 hr to a client. The nurse should set the IV pump to deliver how many mL/hr?

200 mL/hr = 1200/6 = 200

A nurse is preparing to administer magnesium sulfate 0.5 g/hr by continuous IV infusion. Available is magnesium sulfate 1g in 100 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

50 mL/hr = 100mL/1g X 0.5g/1hr = 50/1 = 50

A nurse is preparing to administer procainamide (Pronestyl) 2 mg/min by continuous IV infusion. Available is procainamide 1g in 500 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr?

60 mL/hr = 500mL/1g X 1g/1000mg X 2mg/1min X 60min/1hr = 60,000/1000 = 60

A nurse is preparing to administer 0.9% sodium chloride 300 mL IV over 30 min to a client. The nurse should set the IV pump to deliver how many mL/hr?

600