## Drip rate problems

DRIP RATE PROBLEMS
Upon arriving at the emergency department the physician asks how much fluid you infused into your transport patient. Your total transport time was 40 minutes and you ran NS at 45 gtts/min through at 15 gtts/mL administration set. What would you report? The transferring physician requests that you infuse 750 mL of NS during your transport. Anticipated transport time is 3 hours. At what rate would you set a: 62.5 gtts/min
83.33 gtts/min
250 gtts/min

You are ordered to start a patient on a lidocaine drip at 2 mg/min. There is 2
grams of lidocaine in 500 mL of D5W. At what rate would you set a:
7.5 gtts/min
10 gtts/min
30 gtts/min

You are ordered to start a patient on a dopamine drip at 5 mcg/kg/min. Your
patient weighs 185 pounds. You have mixed 400 mg of dopamine in 250 mL of
D5W. At what rate would you set a:
3.94 gtts/min
5.25 gtts/min
15.75 gtts/min

You are ordered to start a patient on a nitroglycerine drip at 20 mcg/min. There
is 25 mg of nitroglycerine in 250 mL of D5W. At what rate would you set a:
3 gtts/min
4 gtts/min
12 gtts/min

You are ordered to start a patient on a dobutamine drip at 7.5 mcg/kg/min. Your
patient weighs 154 pounds. You have mixed 500 mg of dobutamine in 250 mL of
D5W. At what rate would you set a:
3.94 gtts/min
5.25 gtts/min
15.75 gtts/min
You are ordered to start a patient on a nitroglycerine drip at 50 mcg/min. There is 50 mg of nitroglycerine in 250 mL of D5W. At what rate would you set a: 3.75 gtts/min
5 gtts/min
15 gtts/min

The physician orders you to start your patient on a norepinephrine drip at 10
mcg/min. You have mixed 8 mg of norepinephrine in 500 mL of D5W. At what
rate would you set a:
9.38 gtts/min
12.5 gtts/min
37.5 gtts/min

You are transporting a patient on dopamine at 5 mcg/kg/min. Your patient
weighs 190 pounds. You have mixed 400 mg of dopamine in 250 mL of D5W.
You have given report to medical control and the physician has ordered you to
increase your drop to 7.5 mcg/kg/min. At what rate would you set a:
6.04 gtts/min
5.38 gtts/min
24.18 gtts/min

You have successfully resuscitated your cardiac arrest patient. She weighs 110
pounds. Since you defibrillated this patient your protocol calls for you to hang a
lidocaine infusion at 2 mg/min. The lidocaine is mixed with 1000 mg of lidocaine
in 250 mL of D5W. Your patient is also hypotensive with a blood pressure of
80/60 that does not respond to a fluid bolus; per your protocol you are to
administer dopamine at 5 mcg/kg/min. Your dopamine is mixed with 800 mg of
dopamine in 250 mL of D5W. Using a 60 gtts/mL administration set what would
you:
30 gtts/min
4.69 gtts/min

The above patient continues to have numerous multifocal PVC’s and her blood pressure
remains 80/60. Per you protocol you are to increase your lidocaine infusion to 3 mg/min
and increase your dopamine infusion by 2.5 mcg/kg/min. Using the same 60 gtts/mL
administration set what would you increase your:
a.
45 gtts/min
7.03 gtts/min

Source: http://www.vtemsdistrictsix.org/DRIP_RATE_PROBLEMS_-.pdf

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