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## Heart Failure Calculations **11.** A patient with heart failure is admitted to the hospital and has an order for dextrose in water 1,000 mL to be infused over 24 hours. The patient has a history of diabetes, and the nurse must carefully monitor the drip rate to ensure that the patient's blood...

## Heart Failure Calculations **11.** A patient with heart failure is admitted to the hospital and has an order for dextrose in water 1,000 mL to be infused over 24 hours. The patient has a history of diabetes, and the nurse must carefully monitor the drip rate to ensure that the patient's blood sugar does not spike. The tubing available has a drop factor of 60. What is the appropriate drip rate (gtts/min) that the nurse should set for the primary IV? * A. 11 gtts/minute * B. 22 gtts/minute * C. 32 gtts/minute * D. 42 gtts/minute ## Dehydration Calculations **12.** A patient is admitted to the emergency department with severe dehydration after spending several hours in the hot sun at an outdoor event. The physician orders 2,000 mL of normal saline to be infused over the next 4 hours. The IV tubing has a drop factor of 15. How many milliliters per hour will you set on a controller? * A. 300 ml/hour * B. 400 ml/hour * C. 500 ml/hour * D. 600 ml/hour ## Diabetic Ketoacidosis Calculations **13.** A 38-year-old male patient with a history of diabetic ketoacidosis had an order of 2,000 mL of D5W IV over 24 hours to be delivered with a tubing set with a drop factor of 15. How many drops per minute will you set for an infusion rate? * A. 21 gtts/minute * B. 31 gtts/minute * C. 41 gtts/minute * D. 51 gtts/minute ## Left-sided Heart Failure Calculations **14.** A 67-year-old male patient with a history of left-sided heart failure is admitted to the cardiac care unit with acute decompensation. The physician orders furosemide (Lasix) 2 mg per minute via continuous IV infusion on a controller. The pharmacy sends a bag of furosemide (Lasix) 400 mg diluted in 250 mL of D5W. How many milliliters per hour will you set on the controller? * A. 70 ml/hour * B. 75 ml/hour * C. 80 ml/hour * D. 90 ml/hour ## Atrial Fibrillation Calculations **15.** A 65-year-old patient with a history of atrial fibrillation is admitted to the hospital with a suspected pulmonary embolism. The physician orders an IV with heparin at 700 units/hour. The pharmacy sends a bag with 100 units/mL of solution. The infusion set has a drip factor of 15. How many milliliters per hour will you set on the IV infusion controller? * A. 5 ml/hour * B. 6 ml/hour * C. 7 ml/hour * D. 8 ml/hour ## Asthma Attack Calculations **16.** A 12-year-old child was admitted to the emergency department because of an asthma attack. Upon assessment, you found out that the child's weight measures 82.4 lbs. The primary care provider ordered 2 mg/kg of methylprednisolone (Solu-Medrol). The available stock dose is 125 mg/2mL. How many mL will the nurse administer? * A. 1.1 ml/hour * B. 1.2 ml/hour * C. 1.3 ml/hour * D. 1.4 ml/hour ## Amoxicillin Syrup Calculations **17.** A health care provider orders amoxicillin syrup to a 3-year-old child with UTI. Your assessment reveals the following data: * Temperature of 38.5 degrees Celsius * Heart rate of 88 bpm * Respiratory rate of 30 bpm * Blood pressure of 90/50 * Height of 98 cm * Weight 12 kg (26.4 lbs) The dosage required as per order is 50 mg/kg/day divided into three doses per day (TID). Available stock is a suspension with a concentration of 400 mg/5mL. How much will you administer per dose? * A. 2.5 ml/hour * B. 2.6 ml/hour * C. 2.7 ml/hour * D. 2.8 ml/hour ## Ventricular Fibrillation Calculations **18.** A patient with ventricular fibrillation is prescribed with bretylium 5 mcg/kg/minute. The medication comes mixed 50 mg in 50 mL of 0.9% normal saline. The patient's weight is 170 lbs. How much of the medication will you administer per hour * A. 23 ml/hour * B. 24 ml/hour * C. 25 ml/hour * D. 26 ml/hour ## Chest Discomfort & Shortness of Breath Calculations **19.** A client suffering from chest discomfort and shortness of breath is brought to the emergency department due to acute angina pectoris. The healthcare provider orders IV nitroglycerin (Nitroglycerin) 75 mg in 500 mL of 5% Dextrose Water at 100 mcg/min. The nurse will set the pump at which rate (mL/hr)? * A. 30 ml/hour * B. 40 ml/hour * C. 50 ml/hour * D. 60 ml/hour ## Ceftriaxone Calculations **20.** A primary healthcare provider ordered ceftriaxone (Rocephin) for a 4-year old child with lower respiratory tract infection. The dose required is 20 mg/kg/day divided twice a day, administered per dose via IV. The child's weight is 29 lbs. The drug comes prediluted in a concentration of 10mg/ml. How much of the medication will you administer in mL? * A. 10.2 ml * B. 11.2 ml * C. 12.2 ml * D. 13.2 ml ## Tirofiban (Aggrastat) Calculations **21.** A health care provider orders tirofiban (Aggrastat) at 10.5 mg in 250 mL via infusion pump at 7 mcg/kg/hr to a patient weighing 190 lbs. The nurse will set the infusion pump at which flow rate? * A. 12 ml/hour * B. 13 ml/hour * C. 14 ml/hour * D. 15 ml/hour ## Diphenhydramine hcl (Benadryl) Calculations **22.** A health care provider orders diphenhydramine hcl (Benadryl) 180 mg/m2/day to a 12 year old child. The child's weight is 93 pounds and is 5 feet 2 inches tall. The medication label shows the normal adult dose of 25 mg t.i.d. How many mg of benadryl will the child receive at each dose? * A. 19.61 mg * B. 20.61 mg * C. 21.61 mg * D. 22.61 mg ## Heparin Calculations **23.** The patient's heparin drip is infusing at 11 ml/hr on an infusion pump. The bag of fluid is mixed 25,000 units of Heparin in 250 ml D5W. Calculate how many units of heparin the patient is receiving hourly. Round to the nearest whole number for your final answer. * A. 1000 units/hour * B. 1100 units/hour * C. 1200 units/hour * D. 1300 units/hour