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NABP NAPLEX Exam - Topic 4 Question 99 Discussion

Posted by Dianne on Jan 14, 2025 at 02:44 PM

If a patient is getting NS IVF at 120mls/hr, how much Sodium Chloride in grams is this patient getting in 24 hours? NS is 0.9% sodium chloride.

Suggested Answer: C

Serum chloride levels should ideally fall between 96-106 mEq/L. For this reason, the patient's chloride level has come back as normal.


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35 comments · newest first
PA
Paris 10 months ago
25.92kg? That's just ridiculous!
ER
Erasmo 11 months ago
I thought it was 90mg, but I guess not.
CE
Celeste 11 months ago
Wait, is it really that much? Sounds high!
AV
Avery 11 months ago
Totally agree, 25.92gm makes sense.
TH
Theodora 11 months ago
It's 25.92gm, right? Simple math!
VE
Vernell 12 months ago
I feel like I might be overthinking this. Is it just a matter of multiplying the flow rate by the concentration?
DO
Dorcas 12 months ago
If NS is 0.9%, that means there are 9 grams of sodium chloride in 1 liter, right? So I need to figure out how much that is in 24 hours.
LE
Lezlie 12 months ago
I think we did a similar question in practice about IV fluids, but I can't recall the exact steps for this one.
LO
Louann 1 year ago
I remember we calculated the total volume first, but I'm not sure how to convert that to grams of sodium chloride.
JE
Jenelle 1 year ago
This seems straightforward enough. I'll just need to convert the volume to liters, multiply by the concentration, and that should give me the total grams of sodium chloride. I'm feeling pretty confident about this one.
AN
Angella 1 year ago
Okay, I think I've got this. If the patient is getting 120mL/hr, that's 2,880mL in 24 hours (120mL x 24 hours). Since NS is 0.9% sodium chloride, that means there are 9 grams of sodium chloride per liter. So the total amount of sodium chloride is 2.592 grams (2,880mL / 1000mL/L x 0.9g/L).
TH
Theron 1 year ago
I'm a little confused on how to approach this. Do I need to convert the volume to milliliters first, or can I just work in liters? And what formula should I use to calculate the total grams?
HE
Heike 1 year ago
Hmm, this seems straightforward, but I want to make sure I have the right approach. I'll need to convert the volume to liters, then multiply by the concentration to get the total amount of sodium chloride.
PA
Pansy 1 year ago
Okay, let's think this through step-by-step. We know the patient is getting NS IVF at 120mL/hr, and NS is 0.9% sodium chloride. We need to calculate the total amount of sodium chloride in grams over 24 hours.
KI
Kimberely 1 year ago
90mg? Really? That seems way too low for a 24-hour IV infusion. I'm sticking with A) on this one.
JA
Jani 1 year ago
↳ replying to Kimberely
Yeah, 90mg does seem too low for a 24-hour IV infusion.
KA
Karol 1 year ago
↳ replying to Kimberely
I agree, that seems like the most reasonable choice.
AN
Annmarie 1 year ago
↳ replying to Kimberely
I think A) 25.92gm is the correct answer.
RE
Reita 1 year ago
Haha, 25.92kg? That would be one heck of a sodium load! I'll go with A) to be safe.
SY
Sylvia 1 year ago
↳ replying to Reita
User 3: Yeah, I'll go with A) as well. Better to be safe.
BI
Billye 1 year ago
↳ replying to Reita
User 2: I agree, that would be way too much. I think A) 25.92gm sounds more reasonable.
FE
Fernanda 1 year ago
↳ replying to Reita
User 1: Haha, 25.92kg? That would be one heck of a sodium load!
MA
Mari 1 year ago
Hmm, I'm a bit confused. Is this really asking for the amount in grams? I'd better double-check the units.
MY
My 1 year ago
↳ replying to Mari
I think it's asking for the amount in grams, so A) 25.92gm seems correct.
RO
Ronnie 1 year ago
↳ replying to Mari
E) 90gm
EL
Elenore 1 year ago
↳ replying to Mari
A) 25.92gm
CH
Charlena 1 year ago
I think the answer is A) 25.92gm. That seems like the right amount of sodium chloride for a 24-hour IV infusion at 120mL/hr.
CL
Clarence 1 year ago
↳ replying to Charlena
E) 90gm is not the correct answer. The correct calculation based on the infusion rate and concentration is 25.92gm.
TE
Telma 1 year ago
↳ replying to Charlena
D) 90mg is not the correct answer. The concentration of the solution is 0.9% sodium chloride, so it should be higher than 90mg.
RE
Renea 1 year ago
↳ replying to Charlena
C) 25.92mg is too low of a measurement. We are dealing with a larger quantity of sodium chloride in this case.
ME
Melodie 1 year ago
↳ replying to Charlena
B) 25.92kg is too high of a measurement for this situation. We need to consider the concentration of the solution.
EM
Emerson 1 year ago
↳ replying to Charlena
A) 25.92gm is correct. It's important to calculate the total amount of sodium chloride for the entire 24-hour period.
KI
Kip 1 year ago
I'm not sure, but I think it's important to calculate the total amount of sodium chloride the patient is receiving in 24 hours.
BE
Bette 2 years ago
I agree with Tambra, because NS IVF is 0.9% sodium chloride.
TA
Tambra 2 years ago
I think the answer is A) 25.92gm.
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