Published Jun 27, 2008
OncNurse_08
2 Posts
I can't seem to make this come out right..
Order dopamine
7mcg/kg/min
Client is 129lbs
Nurse has 250mcg per 250ml D5%
Find ml/hr
I am pulling my hair out!
doglvr
67 Posts
i must be doing something wrong because i'm not great at math.. but i'm getting like 24,627.2727ml/hour. what are you getting?
Freedom42
914 Posts
I can't seem to make this come out right..Order dopamine7mcg/kg/minClient is 129lbsNurse has 250mcg per 250ml D5%Find ml/hrI am pulling my hair out!
Are you sure that's not supposed to be 250 mg per 250 ml?
Exactly what I thought too...I am reading it right. It says 250mcg in 250ml. I totally think it is a stupid typo.
iheartnurses
49 Posts
got the same answer.
So, presuming there's a typo in there, let's try this:
mcg/kg/min x weight in kilos x 60 minutes
divided by
mg/ml x 1000 mcg/ml = mL/hour
7 mcg/kg/min x 58.63 x 60 = 24062.33
divided by 1 x 1000 = 24 mL/hour
I think that's more like it. Anyone?
BebobthefrogFNP
110 Posts
So, presuming there's a typo in there, let's try this:mcg/kg/min x weight in kilos x 60 minutesdivided by mg/ml x 1000 mcg/ml = mL/hour7 mcg/kg/min x 58.63 x 60 = 24062.33divided by 1 x 1000 = 24 mL/hourI think that's more like it. Anyone?
Yep, that's what I got, more precisely 24.6 or 25 ml/hr.
OptimusPrime
39 Posts
Sure would suck to take care of that pt, here's why...
129lbs = 59kg
7mcg/kg/min = (59kg*7mcg)= 413 mcg/min
Now, you only have 250 mcg available in a 250cc bag and need to give 413 mcg/min, so....
With each 250cc bag of dopamine, you have about a 30 second supply. Better call pharmacy and let em know that you'll need 2 bags/minute for 12 hours. 60 minutes per hour @ 2 bags/min gives you 120 bags/hr * 12 hours = 1440 bags on your shift. That equals a minimum intake of 360,000cc's on your shift.
You might want to consider lasix as well
Just my worth!
ciber-1
56 Posts
Sure would suck to take care of that pt, here's why...129lbs = 59kg7mcg/kg/min = (59kg*7mcg)= 413 mcg/minNow, you only have 250 mcg available in a 250cc bag and need to give 413 mcg/min, so....With each 250cc bag of dopamine, you have about a 30 second supply. Better call pharmacy and let em know that you'll need 2 bags/minute for 12 hours. 60 minutes per hour @ 2 bags/min gives you 120 bags/hr * 12 hours = 1440 bags on your shift. That equals a minimum intake of 360,000cc's on your shift.You might want to consider lasix as well Just my worth!
No, No need for lasix. it is correct, because the question was about elephant clinic (anorexic one). How many UAP one will need for 1440 bags, not mention shoes?
hehe... I always forget to consider the anorexic elephant.