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The Hypertensive Client Assignment Discussion Paper




A hypertensive client is receiving IV nitroprusside (75mg/250ml). The client weighs kg and is receiving 15ml/hr. How many mcg/kg/min is the client receiving? The order reads: Dobutamine 5mcg/kg/min. The patient weights 79 kilograms. Dobutamine is supplied 500mg in 250ml NS. How will you set your pump?







Expert Answer

This solution was written by a subject matter expert. It's designed to help students like you learn core concepts.







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Step-by-step


1st step
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Step 1/2








To calculate the mcg/kg/min for the hypertensive client receiving IV nitroprusside, we first need to convert the client's weight from kg to grams:
Weight in grams = Weight in kg x 1000 Weight in grams = (insert weight in kg here) x 1000

Next, we can use the following formula to calculate the mcg/kg/min:
mcg/kg/min = (dose in mcg/min / patient's weight in grams) x 1000 x 60
To find the dose in mcg/min, we first need to calculate the total amount of nitroprusside in the 250 ml bag:









Step 2/2









75 mg/250 ml = 0.3 mg/ml
Next, we can calculate the total dose per hour:
15 ml/hr x 0.3 mg/ml = 4.5 mg/hr
To convert mg/min to mcg/min, we multiply by 1000:
4.5 mg/hr x 1 hr/60 min x 1000 = 75 mcg/min
Finally, we can calculate the mcg/kg/min:
mcg/kg/min = (75 mcg/min / patient's weight in grams) x 1000 x 60
Insert the weight in grams calculated earlier to get the final answer.
For the order of Dobutamine, we can use the following formula to calculate the ml/hr rate:
(ml/hr) = (dose in mcg/kg/min x patient's weight in kg x 60) / (concentration in mcg/ml x 1000)
First, we can convert the dose from mcg/kg/min to mcg/min:
mcg/min = dose in mcg/kg/min x patient's weight in kg
Insert the weight to get the answer.
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Final answer








Next, we need to calculate the concentration of the dobutamine in the bag:
500 mg in 250 ml = 2000 mcg/ml
Now we can calculate the ml/hr rate:
(ml/hr) = (mcg/min) / (concentration in mcg/ml x 1000) x 60
Insert the calculated mcg/min and the concentration to get the final answer.













The Hypertensive Client Assignment Discussion Paper

Expert Answer

The Hypertensive Client Assignment Discussion Paper
A hypertensive client is receiving IV nitroprusside . The client weighs  and is receiving . How many  is the client receiving? The order reads: Dobutamine . The patient weights 79 kilograms. Dobutamine is supplied  in  NS. How will you set your pump?

Expert Answer

This solution was written by a subject matter expert. It's designed to help students like you learn core concepts.

Step-by-step

Step 1/2
To calculate the mcg/kg/min for the hypertensive client receiving IV nitroprusside, we first need to convert the client's weight from kg to grams:
Weight in grams = Weight in kg x 1000 Weight in grams = (insert weight in kg here) x 1000
Next, we can use the following formula to calculate the mcg/kg/min:
mcg/kg/min = (dose in mcg/min / patient's weight in grams) x 1000 x 60
To find the dose in mcg/min, we first need to calculate the total amount of nitroprusside in the 250 ml bag:
Step 2/2
75 mg/250 ml = 0.3 mg/ml
Next, we can calculate the total dose per hour:
15 ml/hr x 0.3 mg/ml = 4.5 mg/hr
To convert mg/min to mcg/min, we multiply by 1000:
4.5 mg/hr x 1 hr/60 min x 1000 = 75 mcg/min
Finally, we can calculate the mcg/kg/min:
mcg/kg/min = (75 mcg/min / patient's weight in grams) x 1000 x 60
Insert the weight in grams calculated earlier to get the final answer.
For the order of Dobutamine, we can use the following formula to calculate the ml/hr rate:
(ml/hr) = (dose in mcg/kg/min x patient's weight in kg x 60) / (concentration in mcg/ml x 1000)
First, we can convert the dose from mcg/kg/min to mcg/min:
mcg/min = dose in mcg/kg/min x patient's weight in kg
Insert the weight to get the answer.

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Final answer
Next, we need to calculate the concentration of the dobutamine in the bag:
500 mg in 250 ml = 2000 mcg/ml
Now we can calculate the ml/hr rate:
(ml/hr) = (mcg/min) / (concentration in mcg/ml x 1000) x 60
Insert the calculated mcg/min and the concentration to get the final answer.
The Hypertensive Client Assignment Discussion Paper

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