Titration

Math in the Critical Care Area


1	Heparin is infusing at 15 ml/hr on an infusion pump. The bag has 25,000 U. of heparin sodium in 250 cc of D5W. How many units/hr is the client receiving?
		100 U/hr
		15000 U/hr
		1500 U/hr
		25 U/hr.


2	Order: Give lidocaine(Xylocaine) 2 gm in 250 ml D5W at 3 mg/min. At what flow rate will this medication be infused?
		0.375
		32.8 or 33
		15
		22.5 or 23


3	The physician orders dopamine (Intropin) 400 mg in 250 mg D5W TRA 5 mcg/kg/min. For the client who weighs 110 lbs, how many ml /hr will the pump be set?
		9.375 0r 9 cc/hr
		1.6 cc/hr
		9375 cc/hr
		93.75 cc/hr


4	Nitroglycerin is infusing at 16 ml/hr. The bag has 50 mg NTG in 250 ml D5W. How many mcg/min is the client receiving?
		5.33 mcg/min
		53.3 mcg /min
		32 mcg/min
		18 mcg/min


5	O: Heparin sodium 25,000 U in 250 ml D5W and infuse at 2000 U/hr. How many cc/hr will the pump be set?
		15
		35
		27.2
		20


6	Dopamine (Intropin) is infusing at 15 cc/hr. The bag has 200 mg / 250 cc D5W. The client weighs 145 lbs. How many mcg/kg/min is the client receiving?
		6.04
		1.03
		3.03
		4.06


7	Sodium nitroprusside (Nipride) 50 mg / 250 ml of D5W is hanging. The physician orders include titrating the Niprideto keep Mr. Granger's systolic BP <140 mm Hg. The IV is infusing at 20 ml / hr. Mr. Granger weighs 56 kg. What is the dosage (mcg / kg / min the client is receiving?
		3.6
		1.2
		2.4
		0.8


8	Mr. Greer has an order for Nipride (sodium nitroprusside) 3 mcg / kg / min. The nurse checks the label on the bag hanging and finds 50 mg in 250 ml D5. If Mr. Greer's weight is 124 lbs, what infusion rate will the nurse set the pump?
		37 cc/hr (37 gtt/min)
		43 cc/hr (43 gtt/min)
		29.5 cc/hr (29.5 gtt/min)
		51 cc/hr (51 gtt/min)


9	Mr. Collins has an order for 800 U. of heparin sodium per hour. Premixed 500 ml bags containing 25,000 U of heparin are available in the pharmacy stock area. At what rate will the nurse set the infusion pump to deliver the dosage?
		32
		13
		16
		8


10	Mr. Collins' heparin dosage needs to be changed to 1000 U/hr. At what rate will the nurse set the infusion pump?
		22
		20
		18
		24


11	Mr. Rouse is admitted to CCU for chest pain. A nitroglycerine drip is started at 12 ml/hr. The label indicates 100 mcg/ml. How many mcg/min of nitroglycerin is he receiving?
		10 mcg/min
		18 mcg/min
		32 mcg/min
		20 mcg/min


12	Mr. Andersen weighs 150 lbs. The physician orders dopamine (Intropin) at 8 mcg/kg/min. The unit standard admixture in pharmacy is 400 mg/250 ml D5. What will be the flow rate?
		10.2
		20.4
		15
		16


13	Ms. Caldwell is post-op CABGx3. She has an order of dobutamine 3 mcg/kg/min. The 250 ml bag of D5 indicates 250 mg of Dobutrex. Her weight is 130 lbs. What is the flow rate?
		10.6 or 11 ml/hr
		13.5 or 14 ml/hr
		8.3 or 8 ml/hr
		6.8 or 7 ml/hr


14	Mr. Corinthos is being treated for shock. The dobutamine infusion is set at 34 ml/hr. The medication label indicates Dobutrex 250 mg in 250 ml D5. His weigh is 190 lbs. What is the dosage of dobutamine the client is receiving?
		2.5 mcg/kg/min
		9.4 mcg/kg/min
		3.22 mcg/kg/min
		6.56 mcg/kg/min


15	Ms. Abrams weighs 128 lbs. The IV bag label indicates dopamine 800 mg in 500 ml D5. The infusion pump is set at 15 (ml/hr). What is the dosage of dopamine the client is receiving?
		4 mcg/kg/min
		18 mcg/kg/min
		6.87 or 6.9 mcg/kg/min
		12.4 or 12 mcg/kg/min