NABP Exam NAPLEX Topic 2 Question 94 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 94
Topic #: 2

An order is received to start Milrinone at 0.75mcg/kg/min, Milrinone comes as 20mg/100ml D5W. What is the infusion rate in mL/hr? Patient weighs 115kg.

A86 mls/hr

B13 mls/hr

C25.9 mls/hr

D43 mls/hr

E7 mls/hr

Show Suggested Answer

Suggested Answer: C

Patient dose: 0.75mcg 115kg = 86.25mcg/min (100mL/20mg) (86.25mcg/1hr) (60min/1hr) (1mg/1000mcg) = 25.875mL/hr Rate of infusion of Milrinone

by Chanel at Sep 16, 2024, 04:28 AM

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Stefany

5 months ago

If I get this wrong, I'm blaming the exam writers for not including the conversion factors. What is this, amateur hour?

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Felicidad

5 months ago

I'm gonna go with C) 25.9 mls/hr. It's the only one that doesn't make me scratch my head and go 'really?'

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Allene

5 months ago

Hmm, A) 86 mls/hr seems a bit high. Maybe the patient weighs more than 115kg in real life? Better not assume anything!

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Alonso

5 months ago

B) 13 mls/hr? That can't be right, the patient would be underdosed. Unless they're trying to trick us with a 'trick question'...

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Alaine

4 months ago

D) 43 mls/hr

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Precious

4 months ago

C) 25.9 mls/hr

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Elliot

4 months ago

B) 13 mls/hr

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Pansy

5 months ago

A) 86 mls/hr

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Refugia

6 months ago

E) 7 mls/hr, really? That's way too slow for a critical medication like Milrinone. Better double-check that one.

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Moon

5 months ago

E) 7 mls/hr, really? That's way too slow for a critical medication like Milrinone. Better double-check that one.

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Franklyn

5 months ago

C) 25.9 mls/hr

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Eden

5 months ago

A) 86 mls/hr

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Willow

6 months ago

I'm not sure, but I think the answer is C) 25.9 mls/hr. Can someone explain the calculation to me?

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Maile

6 months ago

I agree with Joseph, because the calculation is 0.75mcg/kg/min x 115kg x 60min/hr / 20mg/100ml = 86 mls/hr.

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Joseph

6 months ago

I think the answer is A) 86 mls/hr.

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Willetta

6 months ago

D) 43 mls/hr looks good to me. Can't be too hard to figure out the right amount of this super-fast-acting drug, right?

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Margret

5 months ago

D) 43 mls/hr is the correct infusion rate for Milrinone at 0.75mcg/kg/min based on the patient's weight and concentration of the drug.

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Leota

5 months ago

B) 13 mls/hr is not the correct infusion rate for Milrinone at 0.75mcg/kg/min.

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Fletcher

5 months ago

A) 86 mls/hr seems like the correct calculation based on the order and concentration of Milrinone.

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Filiberto

6 months ago

I think the answer is C) 25.9 mls/hr. The calculation seems straightforward, and this option matches the infusion rate I worked out.

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Alana

5 months ago

Yes, I'm confident it's C) 25.9 mls/hr. The math adds up.

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Ty

5 months ago

I think it's A) 86 mls/hr. Are you sure about C)?

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Vivienne

5 months ago

I agree, the answer is C) 25.9 mls/hr. The calculation checks out.

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Diane

5 months ago

E) 7 mls/hr

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Gracia

5 months ago

D) 43 mls/hr

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Wynell

5 months ago

C) 25.9 mls/hr

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Rosendo

6 months ago

B) 13 mls/hr

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Shaun

6 months ago

Yes, I also got C) 25.9 mls/hr. It's important to double check the calculations though.

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Tora

6 months ago

I agree, the answer is C) 25.9 mls/hr. The calculation is simple.

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Rossana

6 months ago

A) 86 mls/hr

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