You admit a patient with an acute asthmatic episode. The MD has ordered aminophylline IV. The order is for a bolus/loading dose at 4.7 mg/kg over 15…

1.   You admit a patient with an acute asthmatic episode. The MD has ordered aminophylline IV. The order is for a bolus/loading dose at 4.7 mg/kg over 15 minutes followed by an infusion rate of 0.55 mg/kg/hr for the first 24 hours. This patient weighs 62 kg. The pharmacy has sent an IV bag labeled, “2 g aminophylline in 500 mL D5W.

a.   First, you need to calculate the volume for the loading dose. Based on the order and the client’s weight, you would set the “volume to be infused” on an electronic infusion pump as ___________________________ mL.

b.   Then you need to administer the bolus/loading dose. You would set the infusion pump at ____________________ mL/hour to deliver the bolus/loading dose.

c.   Third, you would set the infusion pump at _____________ mL/hr to deliver the continuous infusion rate for the next 24 hours. 

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