The PCP orders 200 units of Insulin in 500 mL NS to infuse at 10 units/hr. How many mL/hr will the nurse set the pump? Round the answer to the nearest whole number.



Answer :

The infusion rate would be 25ml/ hr.

What is the infusion rate?

  • The rate of infusion (or dosing rate) in pharmacokinetics refers to the ideal rate at which a drug should be supplied to achieve a steady state of a fixed dose that has been shown to be therapeutically effective. This rate is not only the rate at which a drug is administered.
  • The infusion volume is divided into drops, known as a drip-rate. The Drip Rate formula is as follows: Volume (mL) times time (h) equals drip-rate. A patient must get 1,000 mL of intravenous fluids over the course of eight hours.
  • Infusion rates of 3–4 mg/kg per minute are advised by manufacturers to reduce rate-related adverse effects. Usually, the infusion lasts for several hours. Although not advised, rates exceeding 5 mg/kg per hour may be tolerated by some patients.
  • If no negative reactions occur, the rate may be increased in accordance with the table every 30 minutes up to a maximum rate of 3 ml/kg/hour (not to exceed 150 ml/hour).

How many mL/hr will the nurse set the pump?

First, identify the doctor's order.

doctor's order = 10 units/ hour

This is also known as the dose.

Second, identify the dose in hand (DOH).

DOH = 200units/500ml

Supplied is 200 units of insulin in 500ml of NS.

So this can be written as 200units/500ml

Now solve the infusion rate in ml/hr using dimensional analysis.

doctor's order  × DOH = Wanted quantity

10 units/hr × 500ml/200 units = 25 ml/hr.

Therefore, the infusion rate would be 25ml/ hr.

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