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16. The physician orders nitroprusside for the client. The pharmacy sends an IV containing 50 mg in 500 mL NS. The order...

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)

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Answer #1

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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