Published Sep 21, 2008
LuvScrubs2, BSN, RN
306 Posts
#1. A patient who weighs 242 lbs is ordered to receive a heparin bolus of 50 units/kg IVP. How many units of heparin will you administer?
convert 242 / 2.2kg = 110 kg.
50 units x 110 kg = 5500 units of Heparin.
#2. Heparin is available 5000units/mL. How many mL's will you administer? (See previous question)
5500 units / 5000 units = 1.1ml
3. A heparin drip (25000units/250mL of D5W) is infusing at 13mL/hr. How many units/hr is the patient receiving?
units/hr = 25,000 units/250ml x 13ml/hr = 1300 units/hr
#4a. A patient is ordered to receive 500mL's of 0.9NSS over 30 minutes. At what rate will you set the pump? (mL/hr)
ml/hr = 500ml/30min x 60min/ hr = 1000 ml/hr
#4b.The pump malfunctions 15 minutes into the infusion so you decide to use a gravity set. You drop factor is 10gtts/mL. How many drops per minute will be required to deliver the bolus in the prescribed amount of time? I am stuck on this part.
Thanks for your assistance!!!!!!!!!!
beth66335, BSN, RN
890 Posts
Okay after 15 min you have given 250mL so you need to give 250 more
250mL X 10gtts X = 2500 =166.7 gtts/min
15min......1mL..........15
round to 167gtts/min
locolorenzo22, BSN, RN
2,396 Posts
Looks fine.
#2. Heparin is available 5000units/mL. How many mL’s will you administer? (See previous question)
5500 units / 5000 units = 1.1ml Yes.
units/hr = 25,000 units/250ml x 13ml/hr = 1300 units/hr Yes.
#4a. A patient is ordered to receive 500mL’s of 0.9NSS over 30 minutes. At what rate will you set the pump? (mL/hr)
ml/hr = 500ml/30min x 60min/ hr = 1000 ml/hr fine.
#4b.The pump malfunctions 15 minutes into the infusion so you decide to use a gravity set. You drop factor is 10gtts/mL. How many drops per minute will be required to deliver the bolus in the prescribed amount of time?
Ok, in this one....you have only given 250.
so you go
250 ml(to give)/15 mins(time left in infusion) times 10gtts/1mL = 2500/15= 166.7...round to 167.