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Old 08-28-2009, 07:27 PM   #1
BigDeanEvans
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Math Problem - can anyone solve this?

Your 78 kg patient has 400 mg dopamine in 250 ml D5W running at 12 ml/hr. What dose of dopamine is the patient receiving?


A) 2 mcg/kg/min


B) 4 mcg/kg/min


C) 5 mcg/kg/min


D) 6 mcg/kg/min
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Old 08-28-2009, 07:37 PM   #2
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12ml ~= 1200mcg 1200mcg/60min = 20mcg/min
78kg/20mcg/min = 3.9 mcg/kg/min

That's assuming at the 12ml is the dopamine amount not watered down.. I really don't understand the whole statement.
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Old 08-28-2009, 07:43 PM   #3
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I'm not doing your hw for you -- master dimensional analysis otherwise you are fuced.
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Old 08-28-2009, 07:50 PM   #4
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I calculated ~4.1 mcg/kg/min, B?
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Old 08-28-2009, 07:58 PM   #5
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Math makes my head hurt.
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Old 08-28-2009, 08:04 PM   #6
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Just plug shit in and cancel stuff out, this isn't rocket science...
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Old 08-28-2009, 10:19 PM   #7
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B) 4 mcg/kg/min

Patient is 78 kg. The ordered dose would have to be for 4 mcg/kg/min since:

78 kg x 4mcg/kg/min = 312 mcg/min.

312mcg/min x 60min/hr = 18720mcg/hr which equals mg= 18.72 mg/hr.

18.72 mg/hr x 250mL/400mg = 11.7 (12) mL/hr the running rate.
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Old 08-28-2009, 10:32 PM   #8
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Old 08-28-2009, 10:40 PM   #9
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these things always freak me out when the answer is inexplicably rounded off to 1 significant digit
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Old 08-28-2009, 10:42 PM   #10
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First, whats my patient's name? Is she sexy?
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Old 08-28-2009, 11:07 PM   #11
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wtf does this have to do with tube sites?
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Old 08-28-2009, 11:41 PM   #12
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oops...I guess this is the wrong forum ... I was looking for titties and pussy....
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Old 08-29-2009, 12:42 AM   #13
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Old 08-29-2009, 01:51 AM   #14
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Im not sure if GFY is the right place to ask people how much dopamine to inject yourself with...
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Old 08-29-2009, 02:08 AM   #15
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Old 08-29-2009, 02:25 AM   #16
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B) 4 mcg/kg/min

Patient is 78 kg. The ordered dose would have to be for 4 mcg/kg/min since:

78 kg x 4mcg/kg/min = 312 mcg/min.

312mcg/min x 60min/hr = 18720mcg/hr which equals mg= 18.72 mg/hr.

18.72 mg/hr x 250mL/400mg = 11.7 (12) mL/hr the running rate.
See, gay math problems that round like that shouldn't be allowed. It should be exact fucking answers or the question should ask "which dose is the closest to what the patient is receiving". Do enough rounding with shit and all of a sudden #s can get way off in a hurry.
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Old 08-29-2009, 03:17 AM   #17
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I bet Doc Conrad Murray could answer this..
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Old 08-29-2009, 03:26 AM   #18
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I love the answers in here
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Old 08-29-2009, 04:22 PM   #19
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I love the answers in here
what is it about the answers that you love?
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Old 08-29-2009, 04:29 PM   #20
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Old 08-29-2009, 06:10 PM   #21
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Im not sure if GFY is the right place to ask people how much dopamine to inject yourself with...
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Old 08-29-2009, 06:12 PM   #22
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Im not sure if GFY is the right place to ask people how much dopamine to inject yourself with...
Threadwinning post right here.
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Old 08-29-2009, 06:37 PM   #23
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Just start low and turn up the volume till you start feeling good and then keep it there.
If your vision get blurry then turn it down slightly.
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Old 08-30-2009, 09:09 AM   #24
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I bet Doc Conrad Murray could answer this..
Micheal Jackson's doctor, yes, his answer is who the fuk cares? just inject him with the drug propofol until they quit asking those questions!
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Old 08-30-2009, 09:12 AM   #25
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I concur.
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Old 08-30-2009, 09:12 AM   #26
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Old 08-30-2009, 09:22 AM   #27
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God damn it's been 10 years since I had to do this on the streets lol
400mg of Dopamine in 250 cc D5W = 1600 mcg/cc
60 min/hr

= 26.6 mcg/cc/min

When I was a paramedic we didn't use bags of 250cc's we always used 500/1000 and it was N/s sometimes Ringers *shrugs*
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Old 08-30-2009, 09:32 AM   #28
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I calculated ~4.1 mcg/kg/min, B?




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Old 08-30-2009, 09:35 AM   #29
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Answer is B.
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Old 08-30-2009, 10:48 AM   #30
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400mg / 250 = x mg/1 ml

250 x = 400

x = 1.6

Concentration is 1.6 mg/ml
Convert mg to mcg

1.6 (mg) X 1000 (mcg per 1mg) = 1600 mcg /ml

(ml/hr) 12 X 1600 / (time) 60 min/hr X 78 (weight in kgs) = 19200 / 4680

X = 4.1 mcg/kg/min
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Old 08-30-2009, 01:24 PM   #31
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The answer is E.
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