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RN Nursing · Medications for Upper GI Disorders · Practice question

The client is to receive pantoprazole 40 mg intermittent infusion over 15 minutes. Available is pantoprazole 40 mg/100 mL of normal saline. At what rate will the nurse program the pump? Round to the whole number. mL/hr

Answer & explanation

Correct:

To calculate the infusion pump rate for an intermittent intravenous infusion, the nurse uses the formula: rate (mL/hr) = volume (mL) divided by time (hr). The order is to infuse 100 mL of pantoprazole 40 mg in normal saline over 15 minutes. First, convert 15 minutes to hours: 15 minutes divided by 60 minutes per hour equals 0.25 hours. Then divide the volume by the time in hours: 100 mL divided by 0.25 hours equals 400 mL/hr. Therefore, the nurse programs the infusion pump to deliver 400 mL/hr. This rate seems high but is correct for a small-volume intermittent infusion given over a short duration; the pump delivers 100 mL in exactly 15 minutes at this rate. A common error is forgetting to convert minutes to hours before dividing, which would yield an incorrect result. Another mistake would be calculating dosage per kilogram or using the drug concentration rather than simply applying the volume-over-time formula. Since pantoprazole is available as a premixed 40 mg/100 mL bag and the full bag is to be administered over 15 minutes, no additional dose calculation is needed beyond determining the rate. The answer rounded to the whole number is 400 mL/hr.

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