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IV drop calculations   January 17, 2012




HW Practice exam #4                       1
IV drop calculations                                                 January 17, 2012




                                  Parenteral Medications
     Directions for Calculating IV Flow Rates
     A. To find flow rate stated in cc's per hour (if not given in the order):

     Total volume of solution in cc's x cc's
     Total number of hours to run = # hours


      Example: 1000 cc IV solution ordered to infuse over 8 hours.




HW Practice exam #4                                                                     2
IV drop calculations                                    January 17, 2012




      This number (cc/hr) is used to calculate drops per minute.
      (When answer is not even - round to nearest whole number)
      Example: 1000 cc solution to infuse over 6 hours.




HW Practice exam #4                                                        3
IV drop calculations                                                         January 17, 2012




     To find flow rate stated in drops per minute:

     Drop factor is the number of drops it takes to equal 1 cc with a specific
     type of IV tubing. The drop factor is stated on the tubing package.

     cc/hr. x drop factor         gtts/min
     60 min/hr              =

      Example: The drop factor is a 15 gtts/cc and the flow rate is 120 cc/hr.




HW Practice exam #4                                                                             4
IV drop calculations                                        January 17, 2012




     Example:
     The drop factor is 20 gtts/cc and the flow rate is 100 cc/hr.




HW Practice exam #4                                                            5
IV drop calculations                             January 17, 2012




      IV Formulas
      Amount of Fluid per hour: ml/hr or cc/hr

      Total Volume             TV
      Total # of hrs to infuse TT

      How many drops per minute: gtts/min.

      ml/hr x drop factor (given)
            60 min/hr

      Example: 100cc x 20     = 33 gtts/min
                   60




HW Practice exam #4                                                 6
IV drop calculations                                            January 17, 2012




    How much drug in 1 ml (or cc) of fluid?

    Total amount of drug =   TD
    Total amount of fluid      TV

    How much drug in hour?

    1.    TV      = TT (total time)
       # cc /hr

    2. Total amount of drug   = TD
           Total time (TT)          TT

    What time of day will the IV end?

    Current time   +   TV     = end time
                                 ml/hr

    With IV fluids ­ round off to the nearest whole number.  




HW Practice exam #4                                                                7
IV drop calculations                 January 17, 2012




      Examples
      1. Ordered: 5 mg
           Available: 2 mg/ml
          How many ml do you give?




      2. Ordered: 5cc
           Available: 10 mg/ cc




HW Practice exam #4                                     8
IV drop calculations                                                              January 17, 2012




     3. IV Order: D5W with 20 meq Kcl per liter to infuse at 50 cc/hour.

     To prepare this solution, the nurse uses the stock preparation of Kcl
     (10 meq/5cc) to add to the liter of D5W to make the concentration ordered.



     The drop factor is 60 gtts/cc. How many gtts/min will the IV run?



     How much fluid will the client receive in 24 hrs?



     How many meq of Kcl will client receive in one hour?




HW Practice exam #4                                                                                  9
IV drop calculations                                          January 17, 2012




      4. Ordered: 2 mg/kg
      Client weighed: 44 lbs
      How many mg will the client receive?




      5. Ordered: D51/2NS to infuse 2 liters over 16 hours.
           How many cc's/hr will be infused per hour?




HW Practice exam #4                                                              10

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Iv drop calculations

  • 1. IV drop calculations January 17, 2012 HW Practice exam #4 1
  • 2. IV drop calculations January 17, 2012 Parenteral Medications Directions for Calculating IV Flow Rates A. To find flow rate stated in cc's per hour (if not given in the order): Total volume of solution in cc's x cc's Total number of hours to run = # hours Example: 1000 cc IV solution ordered to infuse over 8 hours. HW Practice exam #4 2
  • 3. IV drop calculations January 17, 2012 This number (cc/hr) is used to calculate drops per minute. (When answer is not even - round to nearest whole number) Example: 1000 cc solution to infuse over 6 hours. HW Practice exam #4 3
  • 4. IV drop calculations January 17, 2012 To find flow rate stated in drops per minute: Drop factor is the number of drops it takes to equal 1 cc with a specific type of IV tubing. The drop factor is stated on the tubing package. cc/hr. x drop factor gtts/min 60 min/hr = Example: The drop factor is a 15 gtts/cc and the flow rate is 120 cc/hr. HW Practice exam #4 4
  • 5. IV drop calculations January 17, 2012 Example: The drop factor is 20 gtts/cc and the flow rate is 100 cc/hr. HW Practice exam #4 5
  • 6. IV drop calculations January 17, 2012 IV Formulas Amount of Fluid per hour: ml/hr or cc/hr Total Volume TV Total # of hrs to infuse TT How many drops per minute: gtts/min. ml/hr x drop factor (given) 60 min/hr Example: 100cc x 20 = 33 gtts/min 60 HW Practice exam #4 6
  • 7. IV drop calculations January 17, 2012 How much drug in 1 ml (or cc) of fluid? Total amount of drug =   TD Total amount of fluid      TV How much drug in hour? 1.    TV      = TT (total time)    # cc /hr 2. Total amount of drug   = TD        Total time (TT)          TT What time of day will the IV end? Current time   +   TV     = end time                              ml/hr With IV fluids ­ round off to the nearest whole number.   HW Practice exam #4 7
  • 8. IV drop calculations January 17, 2012 Examples 1. Ordered: 5 mg Available: 2 mg/ml How many ml do you give? 2. Ordered: 5cc Available: 10 mg/ cc HW Practice exam #4 8
  • 9. IV drop calculations January 17, 2012 3. IV Order: D5W with 20 meq Kcl per liter to infuse at 50 cc/hour. To prepare this solution, the nurse uses the stock preparation of Kcl (10 meq/5cc) to add to the liter of D5W to make the concentration ordered. The drop factor is 60 gtts/cc. How many gtts/min will the IV run? How much fluid will the client receive in 24 hrs? How many meq of Kcl will client receive in one hour? HW Practice exam #4 9
  • 10. IV drop calculations January 17, 2012 4. Ordered: 2 mg/kg Client weighed: 44 lbs How many mg will the client receive? 5. Ordered: D51/2NS to infuse 2 liters over 16 hours. How many cc's/hr will be infused per hour? HW Practice exam #4 10