MATH MED REVIEW SESSION – STUDENT PRACTICE SHEET 2019

MATH MED REVIEW SESSION – STUDENT PRACTICE SHEET 2019 A client is admitted with septic shock. Despite fluid resuscitation, the client’s BP remains 86/30 mm Hg with a HR 120 bpm and UOP of 20 mL/hr. The patient’s weight is 86 kg. The following questions pertain to this situation. 1. Dopamine is ordered to start at a dose of 6 mcg/kg/min; titrate for a MAP of 70. Call if dopamine is titrated higher than 15 mcg/kg/min. Pharmacy delivers a dopamine bag with a concentration of 800 mg/250 mL. At how many milliliters per hour (mL/hr) would the IV infusion pump be set? 2. The client’s blood pressure does not respond to the dopamine. An order for Levophed, start at 4 mcg/min, titrate for MAP greater than 70 mm Hg is received. Pharmacy sends an IV bag with a concentration of Levophed 2 mg/250 mL NS. Calculate the milliliters per hour required. A client suddenly develops respiratory distress and is diagnosed with a pulmonary embolism. Weight- based heparin is ordered. The client’s weight is 168 lb. The following questions pertain to this situation. Initiate the heparin protocol: