Dopamine and Dobutamine Computation

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Infuse Dobutamine 500 mg in 250 ml D5W at 5 mcg/kg/min using microdrip tubing. The
client weighs 182 lbs. Determine the ml/hr and the gtts/min.

How do you solve this problem?

All you need to do is to understand the problem and to memorize your conversion.

Step 1 - Know the given:

• 500mg/250ml (may 500mg na Dobutamine sa bawat 250mL na hawak mong gamot

galing pharmacy/stock dose)
• 5mcg/kg/min (5mcg sa bawat kg na bigat ng patient per minute ang ibibigay/main
order ng Dr.)
• 182 lbs (182 lbs ang timbang/weight ng patient mo)

Step 2 - Know what is asked:

• mL/hr (Ilang mL ang ibibigay mo bawat oras?)

• gtts/min (Ilang gtts per minute ang setting mo?)

Step 3 - Solve the problem:

• Find the dosage for every total weight of the patient

a) Convert the weight from lbs to kg. (1kg/2.2lbs) ang conversion so the answer is 82.7kg
b) Multiply 82.7kg by 5mcg (dahil sa bawat kg weight ng patient magbigay ka daw ng 5mcg)
the answer is 413.5mcg/min (eto na ngayon yung main order ng Dr. per total weight of the
patient)

• Convert your stock dose so that you can cancel the units or use the popular formula
D/S*Q

a)Convert 500mg to mcg. Use (1mg/1000mcg) the answer is 500,000mcg. You now have
500,000mcg/250mL

• We can now use the popular formula D/S*Q (desired / stock * quantity)

a) desired - 413.5mcg
b) stock - 500,000mcg
c) quantity - 250ml

413.5mcg / 500,000mcg * 250ml = (0.20675ml/min)

(saan nanggaling yung min sa ml/min? = Dito po: 413.5mcg/min)
What is asked:
a) mL/hr? - your answer is in minutes so you just have to multiply by 60, the answer now is
12.4mL/hr
b) gtts/min? - cc/hr or mL/hr IS THE SAME WITH ugtts/min (Remember that!) So the answer
is 3 gtts/min from our answer na 12.4 ugtts/min divided by 4 to get the gtts/min.

Observation:
mahirap yata i-set yung 3gtts/min, mali siguro yung question baka ugtts yun, sabi din kasi
use microdrip. I got the question here: LINK Visit this link, maganda din explanation dyan.

NOTE: Stock dose varies, there is what we call Double dose which simply means that the
dosage of the stock medicine is greater. Just check the label and compute as is. Don't worry
about NCLEX-RN questions about Double or Triple dose, they will surely provide you with
the exact stock dosage and details because they don't give vague questions, after all we are
dealing with lives.