| Ms. Pibb was admitted to ICU with renal failure and has developed multiorgan system
dysfunction. Her dry weight was 60 kg. She is receiving the following medications: Nitroglycerine
50 mg/250 ml D5W at 20 mcg/min
Dopamine 800 mg/250 ml D5W at 8 mcg/kg/min
- What rate (ml/hr) do you expect the Nitroglycerine to be infusing?
- What rate (ml/hr) do you expect the Dopamine to be infusing?
- The physician orders Amrinone loading dose of 0.75 mg/kg to be given over 3 minutes.
What dose of Amrinone will Ms. Pibb receive?
- After the loading dose you start the Amrinone at 5 mcg/kg/min. If you have 250
mg/50 ml NS, what rate (ml/hr) will you start the Amrinone infusion?
- The physician orders the Dopamine to be decreased to a renal dose of 2 mcg/kg/min. What
rate (ml/hr) will you infuse the Dopamine?
- The Amrinone is increased to 5 ml/hr. You know the maximum dose of Amrinone is 10
mcg/kg/min. What is the maximum rate (ml/hr) you can infuse the Amrinone?
- Two hours later, you need to notify the physician of the Ms. Pibb's condition. The
Amrinone is now infusing at 17 ml/hr. What dose will you tell the physician she is
receiving?
- Ms. Pibb begins complaining of chest pain. You increase the Nitroglycerine to
15 ml/hr.
What dose (mcg/min) is she now receiving?
Answers: Problem 1 / Problem 2 / Problem 3 / Problem 4
/ Problem 5
/ Problem 6
/ Problem 7
/ Problem 8
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