Worked example

Weight-based IV infusion - practice problem 13

A patient weighing 90 kg has dobutamine 1000 mg in 250 mL. The prescriber orders 2.5 mcg/kg/min.

Weight90 kg

Ordered rate2.5 mcg/kg/min

Bag1000 mg in 250 mL

What pump rate (mL/hr) delivers this order?

Answer: 3.4 mL/hr

Step-by-step solution

1. Find the bag concentration in mcg/mL

1000 mg × ( 1000 mcg ÷ 1 mg ) ÷ 250 mL

= 4000 mcg/mL

2. Dose per minute: multiply the rate by the patient's weight

2.5 mcg/kg/min × 90 kg

= 225 mcg/min

3. Convert to mcg per hour

225 mcg/min × ( 60 min ÷ 1 hr )

= 13500 mcg/hr

4. Divide by concentration so mcg cancels, leaving mL/hr

13500 mcg/hr × ( 1 mL ÷ 4000 mcg )

= 3.4 mL/hr