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:

Question

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:

Mercyhoney George · Accepted Answer

Final Answer :

a.5 mg per hr.Note: When titrating medications,the initial dose must be the lowest dose in the range.
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. a.5 mg per hr.Note: When titrating medications,the initial dose must be the lowest dose in the range. 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.

h.Equation is balanced.Only mL per hr remain.

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