Mrs. Shaw was admitted to a cardiology unit for Congestive Heart Failure at 1000 hours. T

Mrs. Shaw was admitted to a cardiology unit for Congestive Heart Failure at 1000 hours. The cardiologist orders an IV furosemide infusion to achieve a urine output of at least 1 ml/kg/hr. Mrs. Shaw weighs 145 lbs (2.2 lbs = 1 kg).

Orders:

• Give a loading dose of 40 mg furosemide in 50 mL of Normal Saline intravenous piggyback

(IVPB) and infuse over 15 minutes:

Initiate at 20 mg/hr IV furosemide continuous infusion using a concentration of 200 mg Furosemide per 100 ml 

• If urine output is less than 1 ml/kg/hr increase the furosemide infusion rate by 10 mg/hr as needed to a max dose of 60 mg/hr Furosemide Vials contain: 40 mg/4 mL

a) How many mL of furosemide from the vial are required for the initial loading dose? 

b) How many vials of furosemide are needed to mix your IV furosemide continuous infusion (200 mg Furosemide per 100 mL)? 

c) How many mL of furosemide from the vial is needed to mix your IV furosemide continuous infusion? 20ml

d) What is the initial flow rate (ml/hr) you would program into the pump to initiate your furosemide continuous infusion? 

e) At 1100 hours your patient’s urine output has been 65 ml per hour. What flow rate (ml/hr) would you re-program the IV furosemide infusion