Published Jan 22, 2012
lovelylady42
27 Posts
A client is receiving 2mg in 250mL D5W. The order is to infuse at 20mL/hr.
Calculate:
mg/hr
mcg/hr
mcg/min
The answers I keep getting are:
.16mg/hr
160mcg/hr
2.7mcg/min
The book answers are:
.36mg/hr
360mcg/hr
6mcg/min
Who is wrong me or the book? lol
psu_213, BSN, RN
3,878 Posts
I've worked it out twice and go the same things you did. I don't 100% trust my math, so I'm not willing yet to say that the book is wrong. Maybe someone else can check our answers.
artimjo
23 Posts
i got the same answers like yours too...
SentimentalGeek, ADN, RN
82 Posts
I got the same answers too. If we're all getting it wrong it must be something ridiculously easy to overlook!
locolorenzo22, BSN, RN
2,396 Posts
ok, so what do we need to do first? First figure out how many mg are in 1 mL. take 2mg/250mls = .008 mg in 1 mL * 20mls/hr = 0.16 mg/hr. for mcg/hr multiply by 100 (0.16 * 100) = 160 mcg/hr. then take that 160mcg/hr and divide by 60 mins/hr = 2.7 mcg/hr (rounding up). I think with all this explained, the book is wrong. Not to mention trying to infuse 20ml/hr is really slow. I can't think of too many drugs that run this slowly. some cardiac ones, but it would make sense to run the dosages this slow.