16. The physician orders nitroprusside for the client. The pharmacy sends an IV containing 50 mg in 500 mL NS. The order states: Begin titration at 3 mcg/kg/min and increase dose 0.06 mcg/kg q 15 min to keep SBP>90. The client weighs 180 lbs. Calculate the initial flow rate. a. The client will receive __________mL/hr (Round to the third decimal place) b. After 15 min the client’s SBP is 88. How many mL will the nurse increase the dose by? (Round to the first decimal place)
Available;
50mg/ 500ml
5mg/50ml
1mg/10ml
Order:
3Mcg/kg/minutes
Weight: 180lb=180/2.2= 82kg
3MCG/82/min
246MCG/min
246×60/hour
14760MCG/hour
14.76mg/hour
Answer1 14.76mg/hour
Next dose increase: 0.06MCG/kg/min
So
3.06MCG/82kg/min
251MCG/min
2.51/min
251×60/hour
15060MCG/hour
15.06mg/hour
Answer 2= 15.06mg/hour.
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