Answer Happy

You are reviewing orders for your post-surgical male patient (80
kg) who is receiving heparin 20,000 units in D5W 500 ml at a rate
of 50 ml/hr who has recently undergone vascular surgery. The
smart IV pump will only deliver heparin in units/kg/hr. The maximum
allowable starting dose is 18 units/kg/hr.
a) You need to change the order to units/kg/hr to
be compliant with the policy. What is the current rate in
units/kg/hr? Answer in whole numbers.
______________________ units/kg/hr
b) The maximum allowable dose is 18 units/kg/hr and
the physician accepts your dosing adjustment recommendation. In
discussing the dose adjustment with the physician, she is wants to
be careful about the total amount of fluid the patient is getting
and wants to ensure the patient is getting less than 1500 ml/hr in
his IV medications per day. The following is the list of
medications. How many total milliliters of fluid is the
patient getting per day? Answer in whole numbers.
 Heparin 18 units/kg/hr
 Vancomycin 1000 mg in NS 250 ml q12hrs x 3
doses
 Piperacillin/Tazobactam 4.5 gm in 100 ml q8hrs
x 3 doses
______________________ ml