Scenario: Isuprel is ordered for a client

Scenario: Isuprel is ordered for a client at the rate of 3 mcg/min with a solution containing Isuprel 1 mg in 250 mL D5W. The nurse performed the following calculation to determine the rate by pump in mL/hr. • Calculated the dosage per hour: • Converted 180 mcg to milligrams to match the units in the solution strength: 180 mcg = 0.018 mg • Calculated the rate in mL/hr: 1 mg : 250 mL = 0.018 mg : x mL x = 250 × 0.018 x = 4.5 = 5 mL/hr a. What error did the nurse make in her calculation to determine the rate in mL/hr? __________________ b. What could be the potential outcome of the error? __________________ c. What should the rate be in mL/hr? __________________ d. What preventive measures could have been taken by the nurse? __________________ SCIENCE HEALTH SCIENCE NURSING RN 22

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