Situаtiоn 15: Yоu аre treаting a 132-lb 78-year-оld female who is complaining of profound weakness. Your patient appears to be in good health, but you are unable to detect a BP. The patient, who is conscious, alert, and oriented, states that she had severe chest pain about 2 hours ago, but now “it’s just a solid lump feeling.” The monitor shows sinus tachycardia with an occasional unifocal PVC. She also persistently complains of a feeling of needing to move her bowels. You start an IV of NS at 20 gtts/min, using a mini-drip solution set. How much fluid (ml) will have infused in 3 minutes? [A1] gtt/min You contact your base physician who is familiar with this patient, and believes her to be in cardiogenic shock. She asks that you do a fluid challenge of 20 ml/kg. What is the patient’s weight? [A2] kg How much NS do you administer? [A3] ml At wide-open, your micro drip set runs 3000 gtts/min. How long does the infusion take? [A4] min Your patient’s condition does not improve with the fluid challenge. The physician asks you to hang a dopamine drip to run at 8 mcg/kg/min. You add 400 mg of dopamine to a 250-ml bag of D5W. You use a mini-drip solution set. What is the concentration of the dopamine mixture? [A5] mcg/ml How many gtt/min do you run the dopamine mixture? [A6] gtt/min