A 72-year-old male is admitted to the cardiac intensive care unit with cardiogenic shock following an acute myocardial infarction. He requires a continuous dobutamine infusion for inotropic support. The provider orders dobutamine 250 mg in 250 mL of D5W to infuse at 6 mL per hour. How many micrograms per minute is the patient receiving? Enter numeric answer only. 

Use the drug label below to answer the following question: A pediatric ICU patient is receiving epinephrine 0.3mg IM PRN every 15 minutes for severe anaphylaxis. The patient weighs 70lbs. How many mL would the nurse administer? Enter numeric value only. Round to the nearest tenth.

A 32-year-old woman (weight 176 lbs) is admitted to the labor and delivery unit with preeclampsia and has experienced a seizure. The provider orders magnesium sulfate as follows: Loading dose (bolus): 5 g IV over 20 minutes Maintenance dose: 2 g/hour IV continuous infusion Magnesium sulfate is available as 1 g/12 mL. At what rate (in mL/hr) should the nurse set the pump to administer the bolus dose over 20 minutes? Enter numeric value only. 

A 7-year-old post operative patient who weighs 66 lbs is experiencing pain and inflammation. The provider orders ibuprofen (Motrin) 300mg to be administered every 6 hours. The nurse checks the drug reference guide, and notes that the recommended pediatric range (6mo-12yr) of ibuprofen (Motrin) is 30-50mg/kg/day, in 4 divided doses. Calculate the safe dose range for this patient, and determine if the dose ordered for this patient is appropriate or not. 

A nurse is monitoring serum drug levels for four patients. In which scenario would the nurse need to hold the medication and notify the provider? 

A 7-year-old post operative patient who weighs 55lbs is experiencing pain. The provider orders acetaminophen (Tylenol) 300mg to be administered every 6 hours. The nurse checks the drug reference guide, and notes that the recommended pediatric range of acetaminophen (Tylenol) is 10-15mg/kg/dose every six hours. Calculate the single-dose safe dose range for this patient to determine if the dose ordered for this client is appropriate.

A 28-year-old woman (weight 154lbs) is admitted to the labor and delivery unit with eclampsia, and has had a tonic-clonic seizure. The provider orders magnesium sulfate as follows: Loading dose (bolus): 4 g IV over 15 minutes Maintenance dose: 1 g/hour IV continuous infusion Magnesium sulfate is available as 1 g/10 mL. At what rate (in mL/hr) would the nurse need to set the pump to administer the bolus dose over 15 minutes? Enter numeric value only. Round to the nearest hundredth. 

A 45-year-old patient with newly diagnosed primary hypothyroidism is being started on levothyroxine. The patient weighs 154 lb and has no history of cardiac disease. The physician orders levothyroxine 1.6 mcg/kg/day to be given orally. How many mg of levothyroxine will the patient receive in a day? 

A 26-year-old patient is admitted with a complicated urinary tract infection. The physician orders ceftazidime (Fortaz) 1g IV, to be diluted in 100 mL of 0.9% normal saline and infused over 60 minutes. The nurse must manually administer the fluids in gtt/min. The drop factor of the IV tubing is 20 gtt/mL.Calculate the flow rate of the fluids in gtt/min. Round to the nearest whole number. Enter numeric value only. 

A 16-year-old post-operative patient develops persistent hypotension and reduced urine output and is started on a dopamine infusion at [x]mcg/kg/min IV; the patient weighs [w] lb.Concentration available: Dopamine HCL, 400mg diluted in 250mL NS.At what rate (in mL/hr) should the IV infusion be set to deliver the prescribed dose? Round to the nearest whole number. Enter numeric value only.