A client in the emergency department is having a stroke. The client weighs 225 pounds. After the initial bolus of t-Pa, at what rate should the nurse set the IV pump?

(Record your answer using a decimal rounded to the nearest tenth.) ____ mL/hr


ANS:
1.4 mL/hr
The client weighs 102 kg. The dose of t-PA is 0.9 mg/kg with a maximum of 90 mg, so the client's dose is 90 mg.
10% of the dose is given as a bolus IV over the first minute (9 mg). That leaves 81 mg to run in over 59 minutes.
, which rounds to 1.4 mL/hr.

Nursing

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