Published Feb 13, 2007
adamsmom
220 Posts
I can not figure out how to answer this:
A doctors order reads "heparin IV at 1400 units/hr" for a patient undergoing percutaneous coronary intervention. The pharmacy sends heparin in a bag containing 25,000 units in 250ml of D5W. What infusion rate should you set on this IV pump?
TashaLPN2006RN2012, ASN, RN
1 Article; 1,715 Posts
well i loved doing my math stuff but i dont believe there is enough info?! unless it said 1400ml/hr?? instead of 1400 units. or what size tubing is used? i'm stumped on this one too...sorry i couldnt help
D
- X Q I'd do desired (dr order) over Have X quantity to figure it out
H
Jokerhill
172 Posts
First break down what you have 25000u/250ml is the same as 100u/1ml. Then you need 1400u not 100u so 1ml X 14ml = 14ml.
Another way is to take 25000 / 250 = 1400 / X , and do the math
25000x = 35000 , x = 35000/25000 and you get X = 14
The pharmacy wants it to be right so give them a call with your questions. Call a friend = final answer.
ABerryGirl, CNA
23 Posts
Here's how I would set up the problem:
1400 units x 250 mls
1 hour ........25000 units
You then cross multiply (crossing out "units" to leave you with mls/hr). Your answer should be 14mls/hr.
Here are a couple of good site that explain this problem using dimensional analysis.
http://www-isu.indstate.edu/mary/tutorial.htm
http://www.alysion.org/dimensional/analysis.htm
It will get easier as you continue to do these type of problems....
Good luck!
AnnieOaklyRN, BSN, RN, EMT-P
2,587 Posts
First you need to figure out how many units are in each ML of the mixed solution: 25000 units divided by 250 mL = 100 units/mL
Now you need to find out how many mL/hour you need to set the pump at to acheive the ordered units per hour. solution: 1400 units divided by 100 (because their are 100 units per mL)= 14 ml/Hour
Swtooth
Daytonite, BSN, RN
1 Article; 14,604 Posts
a doctors order reads "heparin iv at 1400 units/hr" for a patient undergoing percutaneous coronary intervention. the pharmacy sends heparin in a bag containing 25,000 units in 250ml of d5w. what infusion rate should you set on this iv pump?
iv pumps are almost always set at mls per hour, so those are the labels you are looking for in the final answer. do, this problem by dimensional analysis (factor label method)"