Math Help for Returning Nurse

Nursing Students General Students

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Hi, I'm new to the forum, and am returning to nursing after being out for many years. I didn't let my licesnse expire, and I'm taking a refresher course. I'm having a terrible time with the math. Some of it has come back to me, but I'm having trouble figuring out formulas. I have some problems with the answers, and some of them I can do in my head, but can't tell you how I got there. Could someone explain the basic way to solve this problem:

Isuprel 2 mg IV per 500 cc D5W at 5 mcg/min__________rate

The answer is 3.75

I know I need to practice, but I'm just stuck.

Thank you.

Specializes in Pedi.

3.75 what? The answer needs to have some kind of label for it to be a valid answer.

This is how I would approach this problem:

You have 2mg/500 mL. Your ordered rate is in mcg/min. 2 mg = 2000 mcg. 2000 mcg/500 mL= 4 mcg/mL.

1 mL/4 mcg x 5 mcg/min= 1.25 mL/min x 60 min/1 hr = 75 mL/hr

You can also figure out that 5 mcg/min will be a rate of 300 mcg/hr. (5 mcg/min x 60 min/1 hr = 300 mcg/hr) You know that your concentration is 4 mcg/mL so:

1 mL/4 mcg x 300 mcg/hr = 300/4 = 75 mL/hr.

I am failing to see where the answer of 3.75 could possibly come from.

Thank you for your help. I'm an idiot. The 3 was the number of the problem, so yes the answer was 75. I just couldn't figure how to write it. I'm going to study your example and work on more of the practice problems and hopefully this is going to click for me!! Thanks so much!

Specializes in Vascular Access.

For me this is a simple want/have times volume question:

want = 5mcg times 60min in an hour which equals 300mcg per hour.

have= 2000mcg and a volume of 500ml

300 divided by 2000 then times 500 = 75mls/hr.

Thank you IVRUS! The want/have times volume formula will be a big help to me!

Specializes in Infusion.

Ever since I heard about dosagehelp.com, I have been breezing through these questions. Amount or rate needed / what you have on hand x number of mls (cc's) in the vial, bag, or whatever.

(0.005 mg(mcg converted to mg) / 2 mg) x 500 cc/mLs = 1.25 mLs/minute x 60 = 75 mLs/hr.

Go through the mass/time - IV rate practice questions. Good luck.

Thanks so much JROregon for the site! I will be doing the practice questions! (Boy, I wish this stuff had been around in the dark ages, back when I was in nursing school!)

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