ATI: Comprehensive s4 math Review 2023 Questions and Answers

A patient who weighs 125 lbs. And has IV heparin ordered per the following weight based heparin protocol: Heparin IV infusion: Heparin 25,000 units in 250 ml of ½ NS IV push Bolus: Use heparin 1000 units / ml Bolus with heparin 80 units/kg. Then initiate heparin drip at 18 units/kg/h. Obtain APTT every 6 hours and adjust dosage and rate as follows: If APTT is < 35 seconds: Rebolus with 80 units/kg and increase rate by 4 units/kg/h. If APTT is 36-44 seconds: Rebolus with 40 units/kg and increase rate by 2 units/kg/h. If APTT is 45-75 seconds: Continue current rate. If APTT is 76-90 seconds: Decrease rate by 2 units/kg/hr. If APTT is > 90 seconds: Hold heparin for one hour and then decrease rate by 3 units/kg/h. 14. 14. At 0930, the patient's APTT is 77 seconds. According to the protocol, what will your action be and the rate of the infusion in units/hr and ml/hour? {{Correct Ans- Decrease by 2 units/kg/hr and to 9 mL/hr A critical care patient is receiving propofol 1000 mg in 100ml with a dose of 45 mcg/kg/min. The patient weighs 154 pounds. What will the pump infusing this medication be set at in ml/hr? {{Correct Ans- 18.9 mL/hr Dopamine 800mg in 500 mls is infusing at 30 mls/hr. The patient weighs 80 kg. What is the dose to be administered in mcg/kg/min? {{Correct Ans- 10 mcg/kg/min