Question
The patient weighs 175 lbs. and is having chest pain. The patient has an order that...
The patient weighs 175 lbs. and is having chest pain. The patient has an order that reads for CP give Nitrostat gr 1/150 SL to be followed by Trindal (nitroglycerin) drip to relieve CP. The pharmacy sends you a glass bottle labeled 50 mg of Nitro in 250 mL for the drip. You have been titrating this drip up by 5 mcg every 3-5 minutes and finally the patient states his pain is relieved. You note that the pump states he is receiving 12 mL/hr of the Nitro drip. How many mcg/min is the patient receiving to achieve pain relief?
Answers
The available dosage in the bottle is 50 mg of nitroglycerine in 250 ml
In 1 ml of solution the available dose is = 50
250 = 0.2 mg
The pump is set to 12 ml/hour = 12
0.2 = 2.4 mg/ hour
2.4 mg = 2400 mcg (to convert mg to mcg multiply mg with 1000)
In 1 minute the patient receiving = 2400 mcg
The patient is receiving 40 mcg/ min of nitroglycerine.
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