Medication Math Level Insanity

MICRODRIP OF DEATH

100

A patient requires a Dopamine infusion at 10 mcg/kg/min.
Patient weight: 88 kg
Mixture: 400 mg Dopamine in 250 mL NS

Question:
What is the infusion rate in mL/hr?

Answer:
33 mL/hr

200

Protocol calls for Magnesium Sulfate 2 grams over 10 minutes.
You have 4 g in 100 mL premixed.

Question:
What mL/hr rate must the pump be set to?

300 mL/hr

300

A septic shock patient requires Norepinephrine at 0.12 mcg/kg/min.
Patient weight: 132 kg
Concentration: 8 mg in 250 mL D5W

Question:
Calculate the infusion rate in mL/hr.

29.7 mL/hr

400

You are administering Epinephrine at 6 mcg/min.
Mixture: 1 mg in 250 mL
Tubing: 60 gtt set

Question:
What is the drip rate in gtt/min?

90 gtt/min

500

A severe asthma patient is receiving continuous Albuterol at 15 mg/hr.
Transport time: 2.5 hours
Supply: 2.5 mg/3 mL unit doses

Question:
How many total milliliters are required?

45 mL

PEDIATRIC DOSE OR PRISON

100

22 kg pediatric seizure patient
Midazolam 0.1 mg/kg IN
Concentration: 5 mg/mL

Question:
What total volume should be administered?

0.44 mL

200

16 kg pediatric anaphylaxis patient
Epinephrine 0.01 mg/kg IM
Concentration: 1 mg/mL

Question:
What volume should be administered?

0.16 mL

300

Pediatric hypoglycemia patient
D10 ordered at 5 mL/kg
Patient weight: 18 lbs

Question:
What total volume should be administered?

40.9 mL

400

34 kg pediatric patient
Ketamine 1.5 mg/kg IV
Concentration: 500 mg/10 mL

Question:
What volume should be administered?

1.02 mL

500

41 kg pediatric post-ROSC patient
Amiodarone infusion at 5 mcg/kg/min
Mixture: 150 mg in 100 mL

Question:
What infusion rate in mL/hr is required?

8.2 mL/hr

PUSH-DOSE PANIC

100

You prepare Push-Dose Epinephrine by mixing:
1 mL cardiac epi (0.1 mg/mL) into a 10 mL syringe.

Question:
What is the resulting concentration in mcg/mL?

10 mcg/mL

200

Push-Dose Epinephrine ordered at 20 mcg.
Concentration: 10 mcg/mL

Question:
How many mL are administered?

2 mL

300

Push-Dose Epinephrine prepared using:
1 mL of 10 mg/mL Epinephrine into 99 mL NS.

Question:
What is the final concentration?

100 mcg/mL

400

Post-intubation hypotension
Push-Dose Epinephrine ordered at 1 mcg/kg
Patient weight: 146 kg
Concentration: 10 mcg/mL

Question:
What volume is administered?

14.6 mL

500

Epinephrine infusion ordered at 4 mcg/min
Concentration: 4 mg in 250 mL

Question:
What infusion rate in mL/hr is required?

15 mL/hr

THE RSI CALCULATOR BROKE

100

104 kg patient
Ketamine induction dose: 2 mg/kg IV
Concentration: 100 mg/mL

Question:
What volume should be administered?

2.08 mL

200

96 kg patient
Rocuronium ordered at 1.2 mg/kg
Concentration: 100 mg/10 mL

Question:
What volume is required?

11.5 mL

300

Post-intubation Midazolam infusion
Dose: 0.08 mg/kg/hr
Patient weight: 118 kg
Mixture: 100 mg in 100 mL

Question:
What infusion rate in mL/hr is required?

9.4 mL/hr

400

Fentanyl ordered at 1.5 mcg/kg
Patient weight: 287 lbs
Concentration: 50 mcg/mL

Question:
What volume should be administered?

3.9 mL

500

Ketamine analgesia infusion
Dose: 0.5 mg/kg/hr
Patient weight: 143 kg
Mixture: 500 mg in 250 mL

Question:
What infusion rate in mL/hr is required?

35.8 mL/hr

CQI WILL FIND YOU

100

Adenosine 6 mg rapid IV push
Concentration: 3 mg/mL

Question:
How many milliliters are administered?

2 mL

200

Calcium Chloride 1 gram IV
Supply: 10% Calcium Chloride

Question:
How many mL equal 1 gram?

10 mL

300

Patient requires 25 grams of glucose using D10.

Question:
What volume is required?

250 mL

400

Cardiac arrest patient
Amiodarone 300 mg IV push
Supply: 150 mg/3 mL vials

Question:
What total volume is administered?

6 mL

500

Post-ROSC STEMI patient
Heparin infusion at 12 units/kg/hr
Patient weight: 178 lbs
Mixture: 25,000 units in 250 mL

Question:
What infusion rate in mL/hr is required?

9.7 mL/hr