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Zorluk: OrtaPharmacological Therapies

An older adult client admitted with community-acquired pneumonia has a scheduled dose of intravenous levofloxacin. The medication arrives from the pharmacy as a 500 mg500 \text{ mg} dose premixed in a 100 mL100 \text{ mL} bag of 5% Dextrose5\% \text{ Dextrose} in Water (D5W\text{D}_5\text{W}). According to the administration instructions, the medication must infuse steadily over 9090 minutes.

At what rate, in mL/hr\text{mL/hr}, should the infusion pump be programmed?

Record answer to the nearest tenth. Do not include units in answer.

Cevap: 66.7 mL/hr

Cevap

The infusion pump should be programmed to a rate of 66.766.7.
To determine the correct IV pump setting in mL/hr\text{mL/hr}, the total volume of the infusion (100 mL100 \text{ mL}) must be divided by the total time in minutes (9090 minutes) and then multiplied by 6060 (the number of minutes in an hour). This yields 66.666... mL/hr66.666... \text{ mL/hr}. Rounding to the nearest tenth provides the final correct value of 66.766.7.

Adım Adım Çözüm

1
Identify the total volume to be infused.
The total fluid volume is 100 mL100 \text{ mL}.
The rate calculation relies on the total fluid volume of the IV bag, not the mass of the medication.
2
Identify the designated infusion time.
The infusion time is 9090 minutes.
This determines the duration over which the volume must be delivered.
3
Set up the standard formula for an IV pump rate.
100 mL90 minutes×60 minutes/hour\frac{100 \text{ mL}}{90 \text{ minutes}} \times 60 \text{ minutes/hour}
Infusion pumps are programmed in milliliters per hour (mL/hr\text{mL/hr}), so the time in minutes must be converted.
4
Calculate the continuous rate.
1.111...×60=66.666... mL/hr1.111... \times 60 = 66.666... \text{ mL/hr}
This provides the exact hourly rate required to deliver the medication over the specified timeframe.
5
Apply the rounding instructions.
66.766.7
The prompt explicitly requires rounding to the nearest tenth for safe and accurate pump programming.

Anahtar Kavram

Intravenous Infusion Rate Calculation
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