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Math and Dosage Calculations for Health Care   Third Edition Booth & Whaley 10- McGraw-Hill  Chapter 10: Intravenous Medications Edited by B. Holmes MSN/Ed, RN
Learning  Outcomes ,[object Object],[object Object],[object Object],[object Object],10-
Learning Outcomes   (cont.) ,[object Object],[object Object],[object Object],10-3
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10- Introduction Results can be fatal if wrong medication or dosage is given.
IV Solutions –  FUNCTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Solutions –  IV LABELS ,[object Object],[object Object],[object Object],10-
IV Solutions –  IV LABELS  (cont.) ,[object Object],[object Object],[object Object],10-
IV Solutions –  IV LABELS  (cont . ) ,[object Object],[object Object],[object Object],[object Object],[object Object],10- Example
IV Solutions –  COMMONLY USED ABBREVIATIONS 10- ABBREVIATION SOLUTION D10W 10% dextrose in water D5W 5% dextrose in water W; H 2 O Water NS; NSS Normal saline (0.9% NaCl) LR Lactated ringer’s RL Ringer’s lactate
IV Solutions –  COMMONLY USED ABBREVIATIONS  (cont . ) 10- ABBREVIATION SOLUTION ½ NS; ½ NSS One-half normal saline solution (0.45% NaCl) 1 / 3  NS;  1 / 3  NSS One-third normal saline solution (0.3% NaCl) ¼ NS; ¼ NSS One-fourth normal saline solution (0.225% NaCl)
IV Solutions  –  IV CONCENTRATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Solutions  –  IV CONCENTRATIONS  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
IV Solutions  –  IV CONCENTRATIONS  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Solutions  –  IV CONCENTRATIONS  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
IV Solutions  –  IV CONCENTRATIONS  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
IV Solutions  –  COMPATIBILITY ,[object Object],[object Object],[object Object],10-
IV Solutions  –  COMPATIBILITY  (cont.) ,[object Object],[object Object],10-
IV Solutions  –  COMPATIBILITY  (cont.) 10- Examples of incompatible medications/solutions Ampicillin D5W Cefotaxime sodium Sodium bicarbonate Diazepam Potassium chloride Dopamine HCl Sodium bicarbonate Penicillin Heparin  Penicillin Vitamin B complex Sodium bicarbonate Lactated Ringer’s Tetracycline  Calcium chloride
IV Equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
10- Roller clamp
IV Equipment  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Equipment –  MONITORING ,[object Object],[object Object],[object Object],[object Object],10-
IV Equipment – MONITORING  (cont . ) ,[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Equipment –  MONITORING  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
IV Equipment –  MONITORING  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],10-
[object Object],[object Object],[object Object],[object Object],IV Equipment –  MONITORING  (cont.) 10-
IV Equipment –  MONITORING  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy ,[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy   (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy   (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy   (cont.) ,[object Object],[object Object],10- May push a clot into the circulatory system
Peripheral and Central IV Therapy  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy   (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Peripheral and Central IV Therapy  (cont.) ,[object Object],[object Object],[object Object],10-
Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10- Matching:  I H G F A C B E D
Calculating Flow Rates ,[object Object],[object Object],[object Object],[object Object],[object Object],10- mL/h
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Use the formula method with  or dimensional analysis to determine the flow rate in milliliters per hour.
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Calculating Flow Rates  (cont.) ,[object Object],[object Object],10- Example
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],10-
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],10-
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Calculating Flow Rates  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],10- Example  (cont.)
Practice ,[object Object],[object Object],[object Object],[object Object],10-
Practice ,[object Object],[object Object],[object Object],[object Object],10- Original drop rate f = 21 gtt/min Adjusted rate f = 17 gtt/min
Infusion Time and Volume ,[object Object],[object Object],[object Object],10-
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Use this formula or dimensional analysis to find T, the infusion time in hours.
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Infusion Time and Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],10-
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],10- Example
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Infusion Time and  Volume  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Intermittent IV Infusions ,[object Object],[object Object],[object Object],[object Object],[object Object],10-
Intermittent IV Infusions –  SECONDARY LINES ,[object Object],[object Object],[object Object],[object Object],10-
Intermittent IV Infusions –  INTERMITTENT PERIPHERAL INFUSION DEVICES ,[object Object],[object Object],[object Object],10-
Intermittent IV Infusions –  INTERMITTENT PERIPHERAL INFUSION DEVICES  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
Intermittent IV Infusions  (cont.) ,[object Object],[object Object],[object Object],[object Object],10-
Intermittent IV Infusions  (cont.) ,[object Object],[object Object],[object Object],10-
Intermittent IV Infusions  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example
Intermittent IV Infusions  (cont.) ,[object Object],[object Object],[object Object],[object Object],10- Example  (cont.)
Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10-
Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],10-
Apply Your Knowledge ,[object Object],10- ,[object Object],[object Object],[object Object],[object Object],[object Object]
Apply Your Knowledge ,[object Object],[object Object],10- ANSWER  900 mg NaCl ANSWER  450 mg NaCl
Apply Your Knowledge ,[object Object],[object Object],[object Object],10- ANSWER  25% Flushing may push a clot into the circulatory system causing an obstruction.
Formulas ,[object Object],[object Object],[object Object],[object Object],10-
End of Chapter 10 10- Wisdom consists of the anticipation of consequences. ~ Norman Cousins

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Chapter10

  • 1. Math and Dosage Calculations for Health Care Third Edition Booth & Whaley 10- McGraw-Hill Chapter 10: Intravenous Medications Edited by B. Holmes MSN/Ed, RN
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  • 9. IV Solutions – COMMONLY USED ABBREVIATIONS 10- ABBREVIATION SOLUTION D10W 10% dextrose in water D5W 5% dextrose in water W; H 2 O Water NS; NSS Normal saline (0.9% NaCl) LR Lactated ringer’s RL Ringer’s lactate
  • 10. IV Solutions – COMMONLY USED ABBREVIATIONS (cont . ) 10- ABBREVIATION SOLUTION ½ NS; ½ NSS One-half normal saline solution (0.45% NaCl) 1 / 3 NS; 1 / 3 NSS One-third normal saline solution (0.3% NaCl) ¼ NS; ¼ NSS One-fourth normal saline solution (0.225% NaCl)
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  • 18. IV Solutions – COMPATIBILITY (cont.) 10- Examples of incompatible medications/solutions Ampicillin D5W Cefotaxime sodium Sodium bicarbonate Diazepam Potassium chloride Dopamine HCl Sodium bicarbonate Penicillin Heparin Penicillin Vitamin B complex Sodium bicarbonate Lactated Ringer’s Tetracycline Calcium chloride
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  • 72. End of Chapter 10 10- Wisdom consists of the anticipation of consequences. ~ Norman Cousins