DRIP RATE PROBLEMS
Upon arriving at the emergency department the physician asks how much fluid you infused into your transport patient. Your total transport time was 40 minutes and you ran NS at 45 gtts/min through at 15 gtts/mL administration set. What would you report?
The transferring physician requests that you infuse 750 mL of NS during your transport. Anticipated transport time is 3 hours. At what rate would you set a:
62.5 gtts/min 83.33 gtts/min 250 gtts/min You are ordered to start a patient on a lidocaine drip at 2 mg/min. There is 2 grams of lidocaine in 500 mL of D5W. At what rate would you set a: 7.5 gtts/min 10 gtts/min 30 gtts/min You are ordered to start a patient on a dopamine drip at 5 mcg/kg/min. Your patient weighs 185 pounds. You have mixed 400 mg of dopamine in 250 mL of D5W. At what rate would you set a: 3.94 gtts/min 5.25 gtts/min 15.75 gtts/min You are ordered to start a patient on a nitroglycerine drip at 20 mcg/min. There is 25 mg of nitroglycerine in 250 mL of D5W. At what rate would you set a: 3 gtts/min 4 gtts/min 12 gtts/min You are ordered to start a patient on a dobutamine drip at 7.5 mcg/kg/min. Your patient weighs 154 pounds. You have mixed 500 mg of dobutamine in 250 mL of D5W. At what rate would you set a: 3.94 gtts/min 5.25 gtts/min 15.75 gtts/min
You are ordered to start a patient on a nitroglycerine drip at 50 mcg/min. There is 50 mg of nitroglycerine in 250 mL of D5W. At what rate would you set a:
3.75 gtts/min 5 gtts/min 15 gtts/min The physician orders you to start your patient on a norepinephrine drip at 10 mcg/min. You have mixed 8 mg of norepinephrine in 500 mL of D5W. At what rate would you set a: 9.38 gtts/min 12.5 gtts/min 37.5 gtts/min You are transporting a patient on dopamine at 5 mcg/kg/min. Your patient weighs 190 pounds. You have mixed 400 mg of dopamine in 250 mL of D5W. You have given report to medical control and the physician has ordered you to increase your drop to 7.5 mcg/kg/min. At what rate would you set a: 6.04 gtts/min 5.38 gtts/min 24.18 gtts/min You have successfully resuscitated your cardiac arrest patient. She weighs 110 pounds. Since you defibrillated this patient your protocol calls for you to hang a lidocaine infusion at 2 mg/min. The lidocaine is mixed with 1000 mg of lidocaine in 250 mL of D5W. Your patient is also hypotensive with a blood pressure of 80/60 that does not respond to a fluid bolus; per your protocol you are to administer dopamine at 5 mcg/kg/min. Your dopamine is mixed with 800 mg of dopamine in 250 mL of D5W. Using a 60 gtts/mL administration set what would you: 30 gtts/min 4.69 gtts/min The above patient continues to have numerous multifocal PVC’s and her blood pressure remains 80/60. Per you protocol you are to increase your lidocaine infusion to 3 mg/min and increase your dopamine infusion by 2.5 mcg/kg/min. Using the same 60 gtts/mL administration set what would you increase your: a. 45 gtts/min 7.03 gtts/min
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e d i to r i a l When true enough is not good enough A recent court ruling that favored freedom of speech over the authority of the US Food and Drug Administration (FDA) to regulate off-label drug promotion may have profound implications for the way drugs are marketed and, ultimately, for patients’ interests. t he off-label use of medications is exceedingly widespread The court found that,