Pitocin and Magnesium Sulfate Practice Questions and Answers

Pitocin and Magnesium Sulfate Practice Questions Questions Only pg. 1 With Answers pg. 2 Pitocin 1. A client is being admitted to L & D for induction of labor using Pitocin. An IV has been started with a #16 gauge catheter. The fluid is LR which is running at 125 hr/hr. Per protocol, 10 units of Pitocin is added to a 500 ml bag of D5LR and piggybacked into the primary IV line, which infuses by gravity. The IV pump for the Pitocin is set at 6 ml/hr. How many milliunits/minute of Pitocin is this patient receiving? 2. The physician ordered the Pitocin infusion to run at 16mu/min. The pharmacy sent up 10 units of Pitocin in 500mL of D5LR. You would set your pump at ____mL/hour. 3. Your client is undergoing a labor induction. The infusion has 10 Units of Pitocin in 1000 mL of Normal Saline. She started to receive the medication at 3 mu/min and is ordered to have it titrated 1 mu/min every 20 minutes until the contractions are 2 to 3 minutes apart. a. What is the concentration factor? b. What rate will you set the pump for the initial infusion? c. What will the rate be one hour after starting the infusion? Magnesium Sulfate 1. A patient is admitted for preeclampsia. A Magnesium Sulfate infusion is ordered 30 gm in 1000 mL of D5W. The bolus is 4 gm over 30 minutes followed by a maintenance rate of 0.5 Gm/hour. a. What is the concentration factor? b. What is the bolus rate? c. What is the maintenance rate? 2. Dr. Franklin has ordered 25 Gm of Magnesium Sulfate into 500 mL of NSS. Then 8 gm should be administered over the next 15 minutes, followed by a maintenance infusion of 2.5 gm per hour. a. What is the concentration factor? b. What is the bolus rate? c. What is the maintenance rate? 1 Pitocin 4. A client is being admitted to L & D for induction of labor using Pitocin. An IV has been started with a #16 gauge catheter. The fluid is LR which is running at 125 hr/hr. Per protocol, 10 units of Pitocin is added to a 500 ml bag of D5LR and piggybacked into the primary IV line, which infuses by gravity. The IV pump for the Pitocin is set at 6 ml/hr. How many milliunits/minute of Pitocin is this patient receiving? 2 mu/min 5. The physician ordered the Pitocin infusion to run at 16mu/min. The pharmacy sent up 10 units of Pitocin in 500mL of D5LR. You would set your pump at _48___mL/hour. 6. Your client is undergoing a labor induction. The infusion has 10 Units of Pitocin in 1000 mL of Normal Saline. She started to receive the medication at 3 mu/min and is ordered to have it titrated 1 mu/min every 20 minutes until the contractions are 2 to 3 minutes apart. a. What is the concentration factor? 10 mu/mL b. What rate will you set the pump for the initial infusion? 18 mL/hour c. What will the rate be one hour after starting the infusion? 36 mL/hour Magnesium Sulfate 3. A patient is admitted for preeclampsia. A Magnesium Sulfate infusion is ordered 30 gm in 1000 mL of D5W. The bolus is 4 gm over 30 minutes followed by a maintenance rate of 0.5 Gm/hour. a. What is the concentration factor? 30 mg/mL b. What is the bolus rate? 267 mL/hour c. What is the maintenance rate? 17 mL/hour 4. Dr. Franklin has ordered 25 Gm of Magnesium Sulfate into 500 mL of NSS. Then 8 gm should be administered over the next 15 minutes, followed by a maintenance infusion of 2.5 gm per hour. a. What is the concentration factor? 50 mg/mL b. What is the bolus rate? 640 mL/hour c. What is the maintenance rate? 50 mL/hour 2