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Problem 35

Infuse Dobutamine \(250 \mathrm{mg}\) in \(500 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\) at \(5 \mathrm{mcg} / \mathrm{kg} / \mathrm{min}\). The client weighs \(143 \mathrm{lb}\). Concentration of solution is \(500 \mathrm{mcg}\) per mL. How many mcg of dobutamine will be infused per minute? _______________ per hour? __________

Problem 36

A medication has been ordered at 2 to \(4 \mathrm{mcg} / \mathrm{min}\) to maintain a client's systolic BP greater than \(100 \mathrm{~mm} \mathrm{Hg}\). The medication being titrated has \(8 \mathrm{mg}\) of medication in \(250 \mathrm{~mL} \mathrm{D}_{5} \mathrm{~W}\). Determine the IV rate for 2 to 4 mcg range. Then assume that after several changes in \(\mathrm{mL} / \mathrm{hr}\) have been made, the BP has stabilized at a rate of \(5 \mathrm{~mL} / \mathrm{hr}\). How many \(\mathrm{mcg} / \mathrm{min}\) is the client receiving at this rate? Determine the flow rate for an IV pump capable of delivering in tenths of a mL.

Problem 37

Order: Nitroglycerin to titrate at \(40 \mathrm{mcg} / \mathrm{min}\) for chest pain to a maximum of \(100 \mathrm{mcg} / \mathrm{min}\). The solution contains \(40 \mathrm{mg}\) of nitroglycerin in \(250 \mathrm{~mL}\) D5W. Develop a titration table from minimum to maximum dose in \(20 \mathrm{mcg} / \mathrm{min}\) increments. Assume the pump can deliver in tenths.

Problem 38

Order: Levophed \(4 \mathrm{mcg} / \mathrm{min}\) to maintain BP systolic greater than \(100 \mathrm{~mm} \mathrm{Hg}\) to a maximum of \(12 \mathrm{mcg} / \mathrm{min}\). Available solution: Levophed \(4 \mathrm{mg}\) in \(500 \mathrm{~mL}\) D5W. Develop a titration table in 2 \(\mathrm{mcg} / \mathrm{min}\) increments.

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