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Pharmacological and Parenteral Therapies · Calculation · Take action

A heparin bolus of 80 units/kg IV is prescribed for a client who weighs 75 kg. The vial contains 5,000 units/mL. How many mL should the nurse give?

mL

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Answer: 1.2 mL

Dose: 80 units × 75 kg = 6,000 units. Volume: 6,000 ÷ 5,000 = 1.2 mL. Heparin is high-alert; get an independent double check.

Source: Pickar. Dosage Calculations; ISMP High-Alert Medications

Keep practicing Pharmacological and Parenteral Therapies

This question is one of 182 Pharmacological and Parenteral Therapies items in NCLEXSim. On the NCLEX-RN, this category makes up 13–19% of the exam.

Study tip
  • Learn high-alert drugs by their hold parameters and antidotes: digoxin, warfarin (vitamin K), heparin (protamine), opioids (naloxone), insulin, potassium.
  • Do 10 dosage calculations a day: tablets, liquids, mL/hr, gtt/min, mg/kg, and units/hr. Convert units first, round last.

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