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D. Ann Currie ,RN,MSN Question # 1 How many milliliters per kilogram per day is the neonate receiving, if the neonate is receiving D10W at 7.25 ml/hr for 24 hours and Fat Emulsion 20% solution at 4.5 ml/hr for 20 hours. Neonate weighs 4.7 lbs. ml/kg/day ml/kg/day 1. 7.25 ℎ x 24 ℎ 81.446808 2. 4.5 ℎ 42.127659 3. x 20ℎ x 81.446808 +42.127659 123.57446 x 2.2 1 x 1 4.7 2.2 x 1 4.7 382.8 = 4.7 = 198 = 4.7 = ans. 123.57 ml/kg/day Question # 2 The infant, who weighs 2,375 grams, is getting 150 mg/ kg/ day of Ampicillin in 4 equal doses, How many milligrams per dose should be given? mg/dose mg/dose wt. 2375 grams 2375 grams= 2.375 Kg. 150 / x 2.375 1 x 4 356.25 = = 4 89.0625 ans. 89.06 mg/dose Question # 3 The infant, who weighs 2,855 grams, will receive how many micrograms per kilogram per minute when the Dopamine is infusing at 750 mcg/kg/hr mcg/kg/min mcg/kg/min wt. 2855gm 2855 grams =2.855 kg. 750 /ℎ x 1ℎ 60 = 750 60 = 12.5 ans. 12.5 mcg/kg/min Question # 4 The neonate, who weighs 3 lbs 10 oz, will receive how many milligrams per minute of Dopamine when the infant is getting 950 mg/kg/hr. mg/min mg/min Wt = 3 lbs. 10 oz.= 3. 625 lbs 950 /ℎ x 2.2 x 3.625 x 10/16= .625 & 3 = 3.625 ℎ 60 = 3443.75 132 26.089015 ans. 26.09 mg/min Question # 5 The baby, who weighs 1,667 grams, has an IV of Dopamine 35 milligrams in 100 milliliters and is getting 12.5 mcg/kg/minute. What will the nurse set the IV infusion rate at to delivery 12.5 mcg/kg/min? ml/hr ml/hr wt. 1667 gm. Wt 1667 grams =1.667 kg 100 35 X 1 1000 X 12.5 / X 1.667 1 X = 3.5721428 ans. 3.57 ml/hr 60 ℎ 125025 = 35000 Question # 6 The neonate weighs 1,922 grams. The physician has ordered Gentamycin 2 mg per kilogram per dose stat and then every 18 hours for 7 days. A. What is the total number of doses the neonate will receive in 7 days? total number of doses in 7 days B. How many total milligrams will the neonate receive in 7 days? mg in 7 days. A. total number of doses in 7 days Doses /TT wt. 1922 grams = 1.922 kg Stat =1 dose & doses in÷7days 7 days = 7 X 24 hrs = 168 hrs.÷ 18hrs per dose = 9.333 doses 1 & 9 = 10 doses 10 total doses in 7days B. mg in 7 days=TT. Wt. 1.922 kg 2 / X 1.922 1 10 doses in 7 days =TT X 10 = 38.44 ans. 38.44 mg in 7 days Question # 7 The physician has ordered Dexamethasone 0.65 mg/kg/day with a dose to be given every 6 hours. The infant weighs 3 lbs. 8 oz. A. How many milligrams per dose will the infant receive? mg/dose B. How many milligrams will the infant receive in 24 hours? mg/24 hrs A. mg/dose Wt. 3 lbs. 8 oz. = 3.5 lbs every 6hrs = 4 doses/day 0.65 / X 2.2 X 3.5 1 X ( 8/16= .5 & 3=3.5) 4 = 2.275 = 8.8 0.2585227= 0.26 ans. 0.26 mg/dose B. mg/24 hrs Mg/TT or mg/day Wt.= 3.5 lbs. 0.65 / X 2.2 X 3.5 1 = 2.275 2.2 = 1.0340909 = 1.03 ans. 1.03mg/day or 24 hrs Question # 8 The baby, who weighs 3222 grams, received D10W @ 9 ml/hr for 18 hrs and then it was decreased to 7ml/hr for 6 hours. Also the baby received a fat emulsion 20% solution at 2.75 ml/hr for 21 hours. The baby took 28 ml per each feeding for 4 feedings of formula 24 cal/oz and then 32 ml per each feeding for 4 feedings. How many calories did the baby receive in 24 hours? calories/24 hours Calories/24 hours Wt. 3222 grams =3.222 kg 1 oz.=30 ml. Calories : a. 1 gram glucose=4 calories or 3.4 calories b. intralipids 10%= 1.1calories/ 1 ml 20%= 2.2calories/ 1ml c. formula= 24 calories/ oz IV calories 1) cal/day = a. 4 1 b. X 10 100 X 9 ℎ X 18ℎ 6480 = 100 64.8 4 1 X 10 100 16.8 64.8 & 16.8 81.6 7 X ℎ 6ℎ X 1680 = = 100 = Intralipids calories 2) cal/day 2.2 1 X 2.75 21ℎ X = ℎ 127.05 Formula Calories Cal/day 3) a. 24 X 30 28 X 1 30 32 1 X 4 = 2688 30 = 89.6 b. 24 X 89.6 & 102.4 192 X X 4 = 3072 = 30 102.4 Calories per day 81.6 127.05 & 192 400.65 ans. 400.65 calories per day or 3.4 cal/1 gm glucose 69.36 127.05 & 191.9 388.31 ans. 388.31 calories per day Question # 9 The infant, who weighs 5 lbs 4 oz, is receiving D12.5W at 4.5 ml/hr for 24 hours intralipids 20% solution at 3.5 ml/hr for 20 hours, and Similac 20 cal/oz every 3 hours with each feeding being 22 milliliters. Also microlipids 1 ml per 1 oz of formula will be added to formula. How may calories per kilogram per day is the infant receiving? cal/kg/day Calories /kg/day Wt. 5lbs 4oz = 5. 25 lbs ( 4/16=.25 & 5=5.25) Calories: IV 1gram of glucose = 4 calories or 3.4 calories intralipids 20%= 2.2calories/ 1 ml formula= 20calories/1 oz microlipids= 4.5calories/ 1ml IV Calories Cal/kg/day 4 1 X 12.5 100 X 22.628571 4.5 ℎ 24ℎ X 2.2 1 11880 X X = = 5.25 525 Intralipids Calories Cal/kg/day 2.2 1 X 3.5 ℎ 64.533333 X 20ℎ X 2.2 1 3388 X X = 5.25 5.25 Formula Calories Cal/kg/day 20 X 1 0 30 22 X 3ℎ 49.168253 X 24ℎ 2.2 1 2323.2 X X = = 5.25 472.5 Microlipids Calories Cal/kg/day 4.5 1 1 X X 1 1 0 30 5227.2 =11.062857 472.5 X 22 3ℎ 24ℎ 2.2 X X 1 X 5.25 = Calories/kg/day 22.628571 64.533333 49.168253 &11.062857 147.39301 4cal ans. 147.39 cal/kg/day 18.772662 64.533333 49.168253 11.062857 143.53709 3.4 cal ans. 143.54 cal/kg/day The End Questions come see me