You are to prepare 250mg of Dobutrex in 1,000ml of 0.9% saline solution to infuse at 0.22mg/minute.?
The gtt factor is 15 gtt/ml. You will adjust the IV flow to (round to nearest gtt).
Asked by Pricilla Ouderkirk 2 years ago.
solution concentration: 250 mg/1000 mL = 0.25 mg/mL find how many mL contain the desired dose: mL/0.25 mg * 0.22 mg/min = 0.88 mL/min find flow rate: 0.88 mL/min * 15 gtt/mL = 13.2 gtt/min --> round to 13 gtt/min Answered by Man Allara 2 years ago.
The order calls for the administration of dobutamine hydrochloride (Dobutrex) at a rate of 5.2 mcg/kg/min?
Need some help with dosage. Have figured everything out but these few problems. Any help would be great. 1. The order calls for the administration of dobutamine hydrochloride (Dobutrex) at a rate of 5.2 mcg/kg/min after the addition of Dobutrex 250 mg to 200 mL of D5W. The client weighs 154 lb. Calculate the...
Asked by Humberto Billy 2 years ago.
Need some help with dosage. Have figured everything out but these few problems. Any help would be great. 1. The order calls for the administration of dobutamine hydrochloride (Dobutrex) at a rate of 5.2 mcg/kg/min after the addition of Dobutrex 250 mg to 200 mL of D5W. The client weighs 154 lb. Calculate the flow rate (drops per minute) with the use of microdrop tubing. (Round your answer to the nearest whole number.) 2. Order: Synthroid 0.15 mg po daily Available: Synthroid tablets labeled "75 mcg" How many tablets will you administer? 3. The order calls for the administration of dobutamine hydrochloride (Dobutrex) at a rate of 5 mcg/kg/min after Dobutrex 250 mg is added to 250 mL of D5W. The client weighs 121 lb. Calculate the flow rate in microdrops. (Round your answer to the nearest whole number.) 4.Ilosone (erythromycin estolate) 62.5 mg po q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hours divided into 4 doses, to be given every 6 hours. (For the following questions, round your answers to the nearest tenth as indicated.) What is the lowest safe 24-hour dose, in milligrams, for this infant? 5.The order calls for the infusion of 500 mL of D5W with aminophylline 1 g. The drop factor is 60 gtt/mL. Calculate the flow rate (drops per minute) if the client is to receive 0.9 mg/kg/hr by way of continuous infusion. The client weighs 50 kg. (Round your answer to the nearest whole number.) Answered by Polly Mckelphin 2 years ago.
1. 5.2*154 = 800 mcg/min; 800*60 = 48048 mcg/hr; 48048/1000 = 48 mg/hr; 250/200 = 1.25 mg/ml; 48/1.25 = 38...so, you're answer is 38 ml/hr 2. 0.15 mg = 150 mcg; 150/75 = 2; so the answer is 2 tablets 3. 5*121 = 605; 605*60 = 36300 mcg/hr; 36300/1000 = 36 mg.hr; your drug concentration is 1 mg/ml; so the answer is 36ml/hr 4. First, convert pounds to kg; 10 pounds 4 oz = 10.25 pounds*2.2 = 22.5 kg; 22.5*30 = 675; 675/4 = 170 mg per dose; 170/62.5 = 2.7 (round to 2.5), so the answer is 2.5 tabs is the safest dose 5. 0.9*50 = 45 mg/hr; your drug concentration is 1000 mg/500 ml or 2 mg per ml; the dose is 45/2 = 22.5 ml/hr; 60*22.5 = 1350 gtts/hr; 1350/60 = 22.5 gtts per min Answered by Angie Bies 2 years ago.
PLEASE HELP ME WITH THIS DOSAGE CALC QUESTION!!?
dobutrex 6mcg/kg/min is ordered to infuse IV to sustain BP of a patient weighing 75kg. the solution available is 250mg in 1L of D5W. calculate the ml/hr a pump will deliver. if you could also show me how you worked it out that would be awesome. thanks!!!
Asked by Sunny Maddaleno 2 years ago.
6mcg x 75kg= 450 mcg/min needed 450mcg x 60min=27000mcg/hr dextrose solution has 250 mg/L=250mcg/mL 27000mcg/hr / 250 mcg/mL =108mL/hr Answered by Breann Spartz 2 years ago.
Ok health pros, here's one for you. I take medication for HTN, .....?
I AM a nurse, so I know part of the answer already, just thought I'd put it out there to get more info, thanks for the replies so far.
Asked by Jerald Hemmen 2 years ago.
HI The Only Solo Rose (very creative) I must commend you first for assisting many people with your time. Athough I have different concepts on how to heal people then modern medicine (mostly drugs) I still see the value and willingness doctors and nurses are trying to help people. We need more healers in the world and we come from all different backgrounds of training and education. Again I applaud you sharing your expertise with so many. Now Ill share my thoughts with you and I have no idea about drugs, but I am very keen on how the body functions. Smoking or exposure to secondhand smoke causes high blood pressure because of how smoking damages cells and narrows arteries. In addition, cigarettes contain an abundance of life-threatening chemicals that further increase overall health risks. Even smokeless tobacco products such as chewing tobacco and snuff can raise blood pressure levels because of the nicotine and sodium they contain. Many of the other chemicals contained in cigarettes can create a toxic burden on the liver to further disturb healthy body habits. Pharmaceutical Drugs: According to the Physicians` Desk Reference, the following drugs can all cause high blood pressure as a side effect of their use: Alfenta Injection, Aredia for Injection, Dobutrex Solution Vials, Epogen for Injection, Habitrol Nicotine Transdermal System, Lupron Depot, Methergine Injection and Tablets, Orthoclone OKT3 Sterile Solution, Polygam Immune Globulin Intravenous Human, Procrit for Injection, Sandimmune, Sandimmune Soft Gelatin Capsules, Tolectin, Velban Vials, Ventolin Inhalation Aerosol and Refill, and Wellbutrin. ****Here are some ideas to contol your blood pressure: Quick Action Plan for High Blood Pressure 1. Make any necessary lifestyle changes. If you are overweight, commit to a weight loss plan. If you smoke, stop, and avoid all sources of secondhand smoke. Also exercise at least thirty minutes a day at least three to four times a week. Safe and effective exercise choices include brisk walking, bicycling, hiking, rebounding, and swimming. Additionally try a restorative yoga class, tai chi or chi gong; all can provide great stress relief and can be pleasurable ways to add movement to your life. 2. Adopt a healthy diet. In place of red meats, choose fish such as blue fish, cod, Greenland halibut, mackerel, and wild caught salmon, as well as free-range, organic poultry. If you want red meat choose bison, for a low fat option. 3. Emphasize fresh, organic fruits and vegetables that are rich in vital nutrients, such as avocados, bananas, cantaloupe, honeydew melons, grapefruit, nectarines, oranges, asparagus, broccoli, cabbage, cauliflower, green peas, kidney and lima beans, leafy green vegetables, nuts such as almonds, cashews, walnuts and pecans, potatoes, squash, and yams, raw dairy, and whole grains like brown rice, buckwheat and quinoa. 4. Use raw virgin coconut butter or organic butter for cooking, and flaxseed and extra virgin olive oil for dressings. 5. Avoid alcohol, coffee, caffeine, and refined salt. 6. Supplement with vitamin A, beta carotene, vitamin B3 (niacin), vitamin B6, vitamin C, bioflavonoids (especially rutin), vitamin E, coenzyme Q10 (CoQ10), evening primrose oil, fish oil, calcium, magnesium, potassium, selenium, and zinc, as well as the amino acids cysteine, taurine, and tryptophan. 7. Useful herbs for high blood pressure include garlic, hawthorn berry, olive leaf extract, and the medicinal mushrooms maitake and reishi. 8. Drink at least one 8-ounce glass of fresh squeezed, organic vegetable juice each day. Excellent juice combinations include beet, carrot, and celery; and carrot or cucumber, spinach, and parsley. For added benefit, add one clove of juiced garlic. 9. Adopt a stress management program of daily meditation and/or relaxation exercises. 10. Detoxify your body to eliminate toxins and heavy metals that can dramatically increase the risk of high blood pressure. Quick Action Plan for Addictions 1. Determine if the addiction stems from allergies, biochemical imbalances, genetics, and/or malabsorption of nutrients. 2. Repressed core emotions such as denied anger often lead to depression, anxiety, lethargy, mood swings, and disassociation. Embracing your feelings is the most important aspect of beginning to deal with addictive behavior. 3. Regular chiropractic adjustments prove to be supportive, along with release-oriented tissue and bodywork techniques such as Rolfing. 4. Eat three meals and two snacks consistently. Emphasize quality protein foods such as organic poultry, bison, lamb, wild-caught fish, and eggs. Eat plenty of raw nuts and seeds, apples, berries, and other whole fruits; avoid all fruit juices. 5. A critical step in the recovery process is to cleanse, heal and support liver function by using herbs such as Milk Thistle, Dandelion and Bupleurum. 6. Blood-cleansing will support sluggish energy. Herbs in the form of tinctures or teas made from Oat Straw, Burdock Root, Echinacea, and Licorice Root are helpful, and are also vital to healthy kidney function. 7. To calm nerves and anxiety caused by addiction, use the herbs Skullcap, Valerian, and Vervain. 8. After eating a stable whole foods diet for at least 3 months, consider a juice fast of organic vegetable juices. 9. Take nutritional supplements. The B vitamins, particularly thiamin (B1) and B6 are important. Consider amino acid therapy for rebalancing brain chemistry, and to reduce cravings for alcohol, drugs, and/or nicotine. 10. Acupuncture, particularly auriculotherapy (ear acupuncture), is especially useful for drug addictions, and excellent for addressing addictive behaviors such as sex, gambling, and workaholicism. 11. Homeopathy, Hypnotherapy, Naturopathic Medicine and Orthomolecular Medicine are especially helpful for alcoholism, drug addiction, and smoking. Continue your quest to assisting people because the world is in great need. But we do need to have you happy and healthy. Learn about nutrition and drink a gallon of water a day (I do). Keep persuing the answers for all categories you want to know about. There are always higher level of truths to be found. Best of health to you Answered by Cheree Chim 2 years ago.
Since you are a nurse, you probably know more about Hypotension than I do, but I'll give it a shot. First, remember that a persons BP can change drastically over a short period of time, often within minutes. No single reading can indicate High or Low BP. Several readings over time must be taken before there is a need for concern. Don't be alarmed by a single reading. Second, there are many factors that can affect your blood pressure. Some of those factors are: - Stress (Emotional, mental and physical) - Some medications (or combinations) can cause a rise or drop in BP - Poor sleep habits and sleep disorders (Sleep Apnea, not enough sleep, sleep disturbances, etc.) - Body position as the reading is taken (lying down. sitting, arm not level with heart, legs crossed, etc.) - Also there is a condition called "White Coat Hypertension". This is when a person visits a doctor and their BP goes up. It's an example of mental stress. - and of course smoking (or not). - How long it's been since your last meal. - Caffeine - Alcohol - Needing to go to the bathroom This comes from the FamilyDoctor.org website: "Hypotension, or low blood pressure, happens when your systolic pressure is consistently (several blood pressure readings over several days) below 90--or 25 points below your normal reading. Hypotension can be a sign of something serious such as shock, a life threatening condition. Contact your doctor immediately if you are dizzy or fainting" If you just started the medication, then it and quitting smoking has probably combined to cause this. It may take a little time for your body to adjust to both improvements and settle out. If you have been on the medication for some time, then I suspect the sudden drop in BP is due to the lack of smoking (nicotine) in your system. I have seen the same result when I don't smoke for several hours, though my BP never drops that low. But my HR varies from around 60 bpm to above 90 bpm (normally 68 to 84 bpm range) and my O2 Sat remains above 90% and is normally above 94%. I wouldn't worry about the HR at all, unless it continues to drop below 50 bpm or stays very near that for some time. As for the BP that is a concern if it remains there, but if it continues to drop I would suggest a visit to the ER is in order. My information comes from my research and experience with 5x Bypasses in Oct. 2006, High BP (Hypertension), High Cholesterol (Hypercholesterolemia), COPD (Emphysema) and Idiopathic Pulmonary Fibrosis. I suggest the links below for more information. Answered by Shirlee Yeaton 2 years ago.
I'm no pro, but I have an opinion, so I'll share it! First of all, I'm so glad to hear you are quitting smoking. It's a huge step, I'm sure, but a very important one. So kudos to you! Now, as to the hypotension issue, I'm guessing that if you called your doctor and suggested that a) your BP is running low as you withdraw from nicotine so b) you're contemplating scaling back the HTN meds, he would have no problem with it. You already monitor your BP regularly (apparently), so there's no reason that you can't carefully adjust your medications to keep your BP in line. That said, fainting ain't good. If this hasn't happened to you before, you really ought to get a more complete cardio workup. Just my 2 cents worth... Answered by Valery Darosa 2 years ago.
I am not a doctor or a nurse, but I feel this is true. As you probably are aware smoking (the nicotine) causes increased heart rate and increased blood pressure. So actually with the nicotine going out of your system now it caused your BP to start dropping and your heart rate. The same thing happened to me when I quit smoking, heart rate decreased and so did my BP. I consulted my cardiologist and physician and they began to decrease my BP meds as they told me you should never just stop taking BP meds cold turkey. I monitored my BP with every decreased dosage they told me to do. My BP remained where it should and then I was off the BP meds. Unfortunately, then I started to smoke again, and my BP increased and so did my heart rate, went back on BP meds again, BUT NOW, I HAVE FINALLY KICKED THE HABIT, have not been smoking for a year now and BP and heart rate is fine. I am just talking from personal experience and I also know that nicotine does increase heart rate and blood pressure. Answered by Dario Signorelli 2 years ago.
There are many different types of medications that act in different ways to lower BP. The first medication your Dr prescribes may not work well enough or have some adverse side effects. It is important to track BP when you start taking HTN medication and note any side effects you may experience. There are many types of medications available and different combinations of medications that can tried. It is important to treat HTN as it can lead to many serious medical problems. It is important to get your BP checked regularly so that you don’t suffer from the terrible effects of long term untreated HTN, since it is very treatable and the alternatives are costly in many ways, including an untimely death. Answered by Freddie Mcilvain 2 years ago.
you probably have STDS go get a life! Answered by Jesica Gottsch 2 years ago.
Help with Pharm questions?
Medication order: Cardizem (diltiazem) 100 mg in 100 mL D5W at 0.25 mg/kg over 2 minutes, then begin a continuous infusion of 10 mg/hour.Patient Weight: 165 lbHow many mL/hr will the patient receive as the continuous infusion?The medication order is to administer dobutamine hydrochloride (Dobutrex) at...
Asked by Lamont Rung 2 years ago.
Medication order: Cardizem (diltiazem) 100 mg in 100 mL D5W at 0.25 mg/kg over 2 minutes, then begin a continuous infusion of 10 mg/hour. Patient Weight: 165 lb How many mL/hr will the patient receive as the continuous infusion? The medication order is to administer dobutamine hydrochloride (Dobutrex) at 5.2 mcg/kg/min. The patient weighs 150 lb. Prepare the IV solution by adding Dobutrex 250 mg to 200 mL of D5W. Calculate the flow rate in microdrops (60 drops per mL). Answered by Franchesca Salvio 2 years ago.
17 Drops/Minute. Answered by Carey Tabone 2 years ago.
Are cardiac glycosides the same as cardiotonics?
I did research on both of them and to me, they have the same mechanism of action and do the exact same thing so I thought they may be the same "group" of drugs but with a different name. But if they're not.... what is another name for cardiotonic drugs?
Asked by Lisha Fawver 2 years ago.
Inotropics and cardiotonics are medications that increase the strength of the muscle contractions that pump blood from the heart. All cardiac glycosides are cardiotonic drugs. But glycosides are not the only cardiotonic drugs. Cardiotonics are a group with initially mentioned characteristics of which cardiac glycosides are a sub-group. Until recently, the inotropic drug digitalis was the main cardiotonic. Now there are others such as: # Amrinone (Inocor®): A positive inotropic cardiotonic (CARDIOTONIC AGENTS) with vasodilator properties, phosphodiesterase inhibitory activity, and the ability to stimulate calcium ion influx into the cardiac cell. Used in CHF. # Dobutamine (Dobutrex®): Dobutamine is a sympathomimetic drug used in the treatment of heart failure and cardiogenic shock. Its primary mechanism is direct stimulation of β1 receptors of the sympathetic nervous system. # Milrinone (Primacor®): It has positive inotropic, vasodilating and minimal chronotropic effects. It is used in the management of heart failure only when conventional treatment with vasodilators and diuretics has proven insufficient. Answered by Virgil Valentin 2 years ago.
What Do Cardiac Glycosides Do Answered by Mike Schanzenbach 2 years ago.
Hello, As we move into the busy holiday season, I hope you’ll take a few minutes to read our latest newsletter. In this edition, I’ve taken a hard look at heart disease and heart attacks, with a close examination of the theories that form the basis of much of today’s treatment. I’m particularly pleased to share with you a report from a dynamic study group in Brazil, Infarctcombat.org. If you have any interest in this topic, I think you’ll find the information of great value. As an addition to the newsletter, I’ve included a book review this round, something I’ve been wanting to do for months. I hope you’ll find this useful as well. No holiday season is complete without a cheery and nutritious recipe, this time a very simple but delicious Cranberry sauce. Enjoy! Warmest wishes to you and your family for the holiday and coming year. Tom Cowan Answered by Caitlin Reibsome 2 years ago.
yes. They are both positive inotrope drugs which means they both increase the strength of contraction of the heart. You can probably group them as Positive inotropes... I may be wrong about this because its midnight and I'm tired but I believe Cardiotonic drugs (they arent used as far as I know) but they can be grouped with beta 1 adrenergic agonists . sorry probably wasnt any help Answered by Shantelle Wagy 2 years ago.
What does noncardiac pulmonary edema do to your body?
Asked by Morris Brickhouse 2 years ago.
Non-heart-related pulmonary edema is caused by lung problems like pneumonia, an excess of intravenous fluids, some types of kidney disease, bad burns, liver disease, nutritional problems, and Hodgkin's disease. Non-heart-related pulmonary edema can also be caused by other conditions where the lungs do not drain properly, and conditions where the respiratory veins are blocked. Early symptoms of pulmonary edema include: shortness of breath upon exertion sudden respiratory distress after sleep difficulty breathing, except when sitting upright coughing In cases of severe pulmonary edema, these symptoms will worsen to: labored and rapid breathing frothy, bloody fluid containing pus coughed from the lungs (sputum) a fast pulse and possibly serious disturbances in the heart's rhythm (atrial fibrillation, for example) cold, clammy, sweaty, and bluish skin a drop in blood pressure resulting in a thready pulse Diagnosis A doctor can usually diagnose pulmonary edema based on the patient's symptoms and a physical exam. Patients with pulmonary edema will have a rapid pulse, rapid breathing, abnormal breath and heart sounds, and enlarged neck veins. A chest x ray is often used to confirm the diagnosis. Arterial blood gas testing may be done. Sometimes pulmonary artery catheterization is performed to confirm that the patient has pulmonary edema and not a disease with similar symptoms (called adult respiratory distress syndrome or "noncardiogenic pulmonary edema"). Treatment Pulmonary edema requires immediate emergency treatment. Treatment includes: placing the patient in a sitting position, oxygen, assisted or mechanical ventilation (in some cases), and drug therapy. The goal of treatment is to reduce the amount of fluid in the lungs, improve gas exchange and heart function, and, where possible, to correct the underlying disease. To help the patient breathe better, he/she is placed in a sitting position. High concentrations of oxygen are administered. In cases where respiratory distress is severe, a mechanical ventilator and a tube down the throat (tracheal intubation) will be used to improve the delivery of oxygen. Non-invasive pressure support ventilation is a new treatment for pulmonary edema in which the patient breathes against a continuous flow of positive airway pressure, delivered through a face or nasal mask. Non-invasive pressure support ventilation decreases the effort required to breath, enhances oxygen and carbon dioxide exchange, and increases cardiac output. Drug therapy could include morphine, nitroglycerin, diuretics, angiotensin-converting enzyme (ACE) inhibitors, and vasodilators. Vasopressors are used for cardiogenic shock. Morphine is very effective in reducing the patient's anxiety, easing breathing, and improving blood flow. Nitroglycerin reduces pulmonary blood flow and decreases the volume of fluid entering the overloaded blood vessels. Diuretics, like furosemide (Lasix), promote the elimination of fluids through urination, helping to reduce pressure and fluids in the blood vessels. ACE inhibitors reduce the pressure against which the left ventricle must expel blood. In patients who have severe hypertension, a vasodilator such as nitroprusside sodium (Nipride) may be used. For cardiogenic shock, an adrenergic agent (like dopamine hydrochloride [Intropin], dobutamine hydrochloride [Dobutrex], or epinephrine) or a bipyridine (like amrinone lactate [Inocor] or milrinone lactate [Primacor]) are given. Prognosis Most patients with pulmonary edema who seek immediate treatment can be treated quickly and effectively. ______________________ Answered by Wynell Quint 2 years ago.
Pulmonary edema is literally the deposition of fluid into the alveoli which are the end points of the smallest airways. This fluid prevents the exchange of oxygen and carbon dioxide. Pulmonary edema is a very serious condition which may lead to death in a sense from 'drowning'. Although I do not watch must television I will admit that I enjoy the cerebral Las Vegas CSI which had an episode of death due to altitude related pulmonary edema. Indeed rapid ascent to as little as 10 000 feet (think of the rim of the Grand Canyon) may induce pulmonary edema and I have treated an individual returning from that very circumstance. Answered by Wendi Christle 2 years ago.
This Site Might Help You. RE: What does noncardiac pulmonary edema do to your body? Answered by Anamaria Kulish 2 years ago.
It makes your body retain (keep inside) fluids. It can cause shortness of breath and other breathing problems, that make you tired and weak feeling. You should see a pulmonary (Lung) doctor for that. Answered by Cliff Moatz 2 years ago.
www.healthatoz.com/healthatoz/Atoz/ency/... Above is some great info on the subject, it causes extreme swelling. Answered by Christel Carthens 2 years ago.