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For questions 15-19: There is a correctly written MD order to titrate Dopamine between 1. 5mcg/kg/min to maintain urine output of at least 1 ml/kg/hr. Patient weighs 90kg. The drug comes in a solution of 200mg in 750 mL. This drug works to increase urine output. The maximum recommended dose is 15mcg/kg/min. 15. What is the lowest infusion rate for this Dopamine solution? 16. What is the highest infusion rate for this Dopamine solution? 17. At what rate would you begin the infusion of Dopamine? 18. Your patient started on Dopamine at the rate that you indicated in #17 two hours ago. His urine output was 75 mL in the last hour. How do you adjust the IV infusion rate? Explain your rationale for your decision. 19. Two hours later, the urine output is 95 ml/hr. How do you adjust the IV infusion rate? Explain your rationale for your decision.
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