Deck 7: Special Types of IV Calculations

Question 1

Select the correct formula to use to identify the amount of drug in 1 mL of solution.

A) Amount of drug (mL)/Amount of fluid * Supply = 1 mL
B) Supply : Have :: 1 mL : Desire
C) Supply/Have = 1 mL/Desire
D) Amount of drug (mL)/Amount of fluid = Amount of drug in 1 mL

Answer 1

Amount of drug (mL)/Amount of fluid = Amount of drug in 1 mL

Question 2

The physician ordered heparin 850 units/hour. There are 25,000 units of heparin in 500 mL of D5W. Calculate the correct IV flow rate in milliliters per hour.

A) 17
B) 18
C) 19
D) 20

Answer 2

17

Question 3

The physician ordered aminophylline 250 mg in 500 mL of D5W. It is to infuse at 20 mg/hour per infusion pump. Calculate the correct IV flow rate in milliliters per hour.

A) 30
B) 35
C) 40
D) 45

Answer 3

40

Question 4

The physician ordered aminophylline 250 mg in 500 mL of D5W. It is to infuse at 30 mg/hour per infusion pump. How many hours will the IV run? Round to the nearest hour.

A) 8
B) 10
C) 12
D) 14

Question 5

The physician ordered Pronestyl (procainamide) 2 g in 250 mL of D5W. It is to infuse at 0.24 g/hour per infusion pump. Calculate the correct IV flow rate in milliliters per hour.

A) 30
B) 35
C) 40
D) 45

Question 6

The physician ordered Pronestyl (procainamide) 2 g in 500 mL of D5W. It is to infuse at 0.24 g/hour per infusion pump. How many hours will the IV run? Round to the nearest hour.

A) 7
B) 8
C) 9
D) 10

Question 7

The physician ordered lidocaine 2 g in 500 mL of D5W. It is to infuse at 1 mg/minute per infusion pump. What is the correct IV flow rate in milliliters per hour?

A) 5
B) 10
C) 15
D) 20

Question 8

The physician ordered lidocaine 2 g in 500 mL of D5W. It is to infuse at 1 mg/minute per infusion pump. How many hours will the IV run? Round to the nearest hour.

A) 30
B) 31
C) 32
D) 33

Question 9

The physician ordered Intropin (dopamine) 400 mg in 250 mL of D5W. It is to infuse at 100 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 4
B) 6
C) 8
D) 10

Question 10

The physician ordered 2 mg of epinephrine in 250 mL of D5W. It is to infuse at 4 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 28
B) 29
C) 30
D) 31

Question 11

The physician ordered 50 mg of nitroglycerin in 250 mL of D5W. It is to infuse at 10 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 2
B) 3
C) 4
D) 5

Question 12

The physician ordered 50 mg of Nipride (nitroprusside sodium) in 250 mL of D5W. It is to infuse at 3 mcg/kg/minute per infusion pump. The patient/client weighs 60 kg. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 52
B) 53
C) 54
D) 55

Question 13

The physician ordered 250 mg of Dobutrex (dobutamine) in 500 mL of D5W. It is to infuse at 3 mcg/kg/minute per infusion pump. The patient/client weighs 80 kg. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 26
B) 27
C) 28
D) 29

Question 14

The physician ordered 1 g of aminophylline in 1000 mL of D5W. It is to infuse at 12 mcg/kg/minute per infusion pump. The patient/client weighs 110 lb. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 35
B) 36
C) 37
D) 38

Question 15

The physician ordered 10 units of Pitocin in 1000 mL of D5W. It is to infuse at 3 milliunits/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 16
B) 17
C) 18
D) 19

Question 16

A child's weight is 20 lb, and his height is 30 inches. Determine the body surface area (BSA) in square meters. Use the nomogram in the textbook (p. 282).

A) 0.35 m²
B) 0.4 m²
C) 0.45 m²
D) 0.5 m²

Question 17

The patient/client is on patient-controlled analgesia for pain medication. The physician wrote orders for the basal rate. What is the basal rate?

A) Maximum of medication the patient/client can receive in an hour
B) Amount of medication infused continuously each hour
C) Amount of medication infused when the patient/client activates the button control
D) Interval during which the patient/client cannot initiate another dose after giving a self-dose

Question 18

A patient/client weighs 200 lb. Available is 25,000 units of heparin in 1000 mL of D5W. The physician orders the following: heparin sodium IV bolus of 80 units/kg and start the drip at 14 units/kg/hour. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 51
B) 52
C) 53
D) 54

Question 19

A patient/client weighs 110 lb. Available is 25,000 units of heparin in 1000 mL of D5W. The physician orders a heparin sodium IV bolus of 80 units/kg and a starting dose at 18 units/kg/hour. What is the heparin bolus dosage?

A) 900 units/hour
B) 1000 units/hour
C) 3900 units
D) 4000 units

Question 20

The physician ordered 100 units of regular insulin in 250 mL of NS. It is to infuse at 8 units/hour per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 16
B) 18
C) 20
D) 22

Question 21

The physician ordered heparin 1200 units/hour. Heparin is available as 40,000 units in 1000 mL D5W. What is the correct IV flow rate in milliliters per hour?

A) 10
B) 20
C) 30
D) 40

Question 22

The physician ordered 15 units of Pitocin in 500 mL of D5W. It is to infuse at 2 milliunits/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 1
B) 2
C) 3
D) 4

Question 23

A physician ordered Cerubidine (daunorubicin), 40 mg/m², in 100 mL D5W, over 1 hour. The patient/client's height is 140 cm, and he weighs 100 lb. How many milligrams should be added to the IV piggyback line?

A) 52
B) 56
C) 62
D) 66

Question 24

A patient/client weighs 152 lb. Available is 20,000 units of heparin in 1000 mL of D5W. The physician orders the following: heparin sodium IV bolus of 40 units/kg and start the drip at 10 units/kg/hour. What is the correct IV rate in milliliter per hour? Round to the nearest whole number.

A) 20
B) 25
C) 30
D) 35

Question 25

The physician ordered 80 units of regular insulin in 250 mL of NS. It is to infuse at 10 units/hour per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 21
B) 28
C) 31
D) 38

Question 26

The physician ordered Lasix (furosemide) 100 mg in 250 mL of D5W. It is to infuse at 6 mg/hour per infusion pump. How many hours will the IV run? Round to the nearest hour.

A) 17
B) 4
C) 8
D) 10

Question 27

The physician ordered Aramine (metaraminol) 50 mg in 250 mL of D5W. It is to infuse at 50 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 10
B) 15
C) 20
D) 25

Question 28

The physician ordered 100 mg of nitroglycerin in 250 mL of D5W. It is to infuse at 15 mcg/minute per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 2
B) 3
C) 4
D) 5

Question 29

The physician ordered 60 units of regular insulin in 100 mL of NS. It is to infuse at 15 units/hour per infusion pump. What is the correct IV rate in milliliters per hour? Round to the nearest whole number.

A) 18
B) 21
C) 25
D) 31