Help with calculations please!!!

NurseLay · Aug 3, 2008

Okay so I was given this math test, and it says that I can use any online or paper resource, so I'm using you guys! I have completed it, but there are two that I just don't seem to understand. Here goes:

1. A 4 year old child weighs 15 kg. A morphine drip (112.5mg in 50ml of NS) is infusing at 1 ml/hr. How many mg/kg/hr are being delivered?

---Okay, so I figured that the concentration is 2.25mg/1ml and then 2.25mg/15kg/1hr=33.75mg/kg/hr-----This is a different answer than what I had written on my paper the first time. Initially I had 7.5mg/kg/hr and now I don't understand how I got that. :banghead: Please explain!!!!!

For question two---Rule of sixes--For drugs infused in doses of 0.1mcg/kg/min (epinephrine, isoproterenol, levarterenol, Neo-synephrine): Multiply weight in kg by 0.6, place this number in milligrams of drug in solution totaling 100mg---then 1ml/hr delivers 0.1mcg/kg/min

2. A 10 year old boy weighing 88 lbs needs an epinephrine drip (based on rules of sixes) made so 1ml/hr=0.1mcgs/kg/min. How many milligrams of epinephrine would be added to bag a NS to equal 100ml?

---Okay, so I got 40kg, then using the rule 40kg x 0.6=24mg My answer 24mg of epinephrine would be added???

I am totally confused:no: Any help would be appreciated.

Thanks in advance guys!!!