Asked by Akeeya Jones on Apr 23, 2024
Verified
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate 90 beats per minute (bpm).Increase by increments of 5 mg per hr
Available: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation:
Diltiazem Hydrochloride
A medication used in the treatment of hypertension (high blood pressure) and certain types of angina and arrhythmias.
Atrial Flutter
A type of heart rhythm disorder characterized by rapid, regular heartbeats originating from the atria, potentially leading to various complications.
Titrate
The process of adjusting the dose of a drug or the concentration of a solution gradually until the desired effect is reached.
- Figure out the appropriate amount of IV medication required as per the patient's weight.
- Determine the infusion rate for IV medications to ensure safe administration, including understanding flow rates in mL per hour.
- Use Dimensional Analysis (DA) to ascertain medication dosages and check the outcomes for their precision.
Verified Answer
b.5 mL per hr (100 mg per 100 mL = 1:1)
c.
d.Equation is balanced.Only mL per hour remain.
e.10 mg per hr.Note: The drug is to be titrated in 5 mg per hr increments.
f.10 mL per hr
g. h.Equation is balanced.Only mL per hr remain.
Learning Objectives
- Figure out the appropriate amount of IV medication required as per the patient's weight.
- Determine the infusion rate for IV medications to ensure safe administration, including understanding flow rates in mL per hour.
- Use Dimensional Analysis (DA) to ascertain medication dosages and check the outcomes for their precision.
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