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10/30/2012

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Spring 2010
TOPIC PAGE
IV Flow Rates (
review
)2-5Timing IV Push Medications 5-7Continuous
Medicated
IV Infusions 8-10Titrating Heparin Infusions 10-12Advanced/Critical Care Infusions 12-14Pediatric Doses (pp 14-16, #¶s1-10 for
review

2
CALCULATING IV FLOW RATES ± ML/HRElectronically Regulated Flow Rates
are calculated in
ml/hr
. The nurse programs the infusiondevice to deliver the ordered solution in milliliters per hour (ml/hr)
Formula for calculating ml/hr
:TV (ml) = ml/hr OR TV (ml) X 60 (min) = ml/hr TT (hr) TT (min)TV = total VOLUME to be infused in mlTT = total TIME of infusionEXAMPLES
1. Infuse 250ml over 2 hours
250ml = 125ml/hr 2hr
2. Infuse 2L over 4 hours
2000ml = 500ml/hr 4hr
*3. Infuse 75ml in 30 minutes (IVPB)
75ml X 60 = 150ml/hr 30min
*4. Infuse 100ml in 20 minutes (IVPB)
100ml X 60 = 300ml/hr 20min

*IVPBs (often < 1 hr infusion)
PRACTICE PROBLEMS
±
Electronically Regulated Flow Rates
Calculate the IV flow rate in ml/hr for each of the following problems:1. Infuse 1.5 liters of NS over 3 hours*2. Unasyn 0.5gm in 75ml D5W IVPB to infuse over 20 minutes*3. Zantac 50mg in 100ml NS to infuse over 30 minutes4. Infuse 500ml LR over 2 hours

3

*5. Ancef 1gm in 100ml D5W IVPB to infuse in 45 minutes6. Infuse 1200ml D51/2NS in 6 hours7. Infuse 250ml packed red blood cells in 4 hours8. Infuse 1 liter D5LR over 8 hours*9. Carbenicillin disodium 2 g IVPB diluted in 50ml D5W to infuse in 15 minutes*10. 50ml drug ³X´ to infuse in 20 minutes
CALCULATING IV FLOW RATES ± DROPS/MINUTE (gtt/min)Manually Regulated Flow Rates
are calculated in drops/minute. The nurse calculates thenumber of drops the IV should flow per minute according to the ordered infusion time. The driprate (gtt/min) is then set by adjusting the roller clamp and timed by counting the number of dropsdripping per minute into the IV drip chamber.The IV solution may be a continuous infusion or an intermittent/bolus infusion.
Formula for calculating gtt/min
:D X V = gtt/minMD = DROP factor of tubing (gtt/ml)M = Time of infusion in MINUTESV = Total VOLUME to be infused in mlEXAMPLES
1. Order is to infuse D5NS at 125ml/hr. The drop factor is 15gtt/ml
15 X 125 = 31.25 or 31gtt/min60