A 80 kg patient is brought in causality. Patient is in shock. Vaso-pressure is to be staed micro/kg/min. Vial has 200 mg in 5 ml, 2 ls diluted in 250 ml NS. 16 drops is equal to 1 ml. Calculate drops per minute required
**Core Concept**
The question requires the calculation of the dose of a vasopressor medication, specifically norepinephrine, in micrograms per kilogram per minute. This involves understanding the concentration of the medication, the patient's weight, and the desired rate of administration.
**Why the Correct Answer is Right**
To calculate the required dose, we first need to determine the concentration of norepinephrine in micrograms per milliliter. The vial contains 200 mg in 5 ml, which is equivalent to 40 mg/ml. Since 1 mg of norepinephrine is equal to 1,000 micrograms, the concentration is 40,000 micrograms per milliliter. The patient weighs 80 kg, and the desired dose is 0.5 micrograms/kg/min. Therefore, the required dose is 40 micrograms/min. The vial is diluted in 250 ml of normal saline, and 16 drops are equal to 1 ml. Therefore, we need to calculate the total number of drops per minute required to administer 40 micrograms/min.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not take into account the concentration of the medication and the desired dose.
**Option B:** This option is incorrect because it does not consider the patient's weight and the desired rate of administration.
**Option C:** This option is incorrect because it does not correctly calculate the concentration of the medication and the required dose.
**Clinical Pearl / High-Yield Fact**
When calculating the dose of a medication, it is essential to consider the concentration of the medication, the patient's weight, and the desired rate of administration. Always double-check the units and calculations to ensure accuracy.
**Correct Answer:** D.