: The nurse is preparing daily fluid maintenance for a pediatric patient weighing 99 lbs. The drop factor is 15 gtts/mL. How many gtts/min will the nurse set the infusion?
1. 18 gtts/min
2. 20 gtts/min
3. 21 gtts/min
4. 27 gtts/min
3
Rationale 1: First, convert the client's weight in lbs to kg. kg = 1 kg/2.2 lbs x 99 lbs. Multiply the numerators and then divide by the denominators. The client weight is 45 kg. To determine the client's fluid needs:
mL = 100 mL/1 kg x 10 kg. Multiply the numerators and then divide by the denominators. For the first 10 kg of weight, this child requires 1000 mL of fluid.
mL = 50 mL/1 kg x 10 kg. Multiply the numerators and then divide by the denominators. For the second 10 kg of weight, this child requires 500 mL.
mL = 20 mL/1 kg x 25 kg. Multiply the numerators and then divide by the denominators. For the second 10 kg of weight, this child requires 500 mL.
The client requires a total of 2000 mL/24 hrs, or 83 mL/hr. To determine gtts/min = 15 gtts/1 mL x 83 mL/1 hr x 1 hr/60 min. The nurse sets the infusion at 21 gtts/min.
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