Order: Heparin Sulfate loading dose (bolus) 10,000 units IVP. Following the bolus, administer Heparin Sulfate continuous...

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Order: Heparin Sulfate loading dose (bolus) 10,000 units IVP. Following the bolus, administer Heparin Sulfate continuous...

Order: Heparin Sulfate loading dose (bolus) 10,000 units IVP. Following the bolus, administer Heparin Sulfate continuous infusion 15 units/kg/hr.

Available: Heparin 5,000 u/mL for the loading dose; Heparin 20,000 u/500 mL for the continuous infusion.

Patient weighs 110 pounds.

When setting the IV pump for the continuous infusion, how many mL/hour will the nurse administer in order to accomplish this order? Round your answer to the nearest whole number.

Please show me the work for this problem

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Answer 1

Answer #1

ANSWER.

Calculation of ml/hr set for continuous infusion.

Formula

ml/hr = Volume (ml) /Time (hr).

Amount (ml) required for continuous infusion.

Formula = Desired dose /Dose in hand * Quantity.

Here

Order = 15 units/kg/hr.

Weight of the patient = 110 pounds

Convert pound to kg for calculation

1 kg = 2.205 pound.

So

weight of the patient = 110 / 2.205

= 49.8

= 50 kg.

Desired dose for patient with 50 kg (D) = 15 * 50

= 750 units.

Dose in hand (H) = 20000 unit.

Quality (Q) = 500 ml.

As per formula

Amount (ml) required for continuous infusion = D/H *Q

= 750 / 20000 * 500

= 0.037 * 500

= 18.5

= 19 ml.

ml/hr required for continuous infusion = Volume/Time

= 19/1

= 19 ml/hr.

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Answer 2

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