1. Calculate the volume per hour (mL/h) that Rate; mL/hr.
Total vol = 500 mL 500 mL
you need to deliver if a patient is prescribed Total time = 8 = 62.5mL/h 8h an infusion. The volume of the infusion is Units in mL/hr 500 mL over an 8 hour period. 2. You have to run an infusion of 500 ml Rate (2 of them); Total vol = 500mL Dextrose/Saline over the next 3 hrs. How 500mL; Total time = 3 hrs ≈ 166 mL/h 3h many ml per hour will you be infusing at. Units in mL/hr How many drops per minutes will the Total drops = 500x20 infusion be set to if you are using a giving Units in drops/min 500 mL × 20 drops/mL set of 20 drops/ml. 3 h × 603 min 500 drops = ≈ 9 min 56 drops/min 3. Your patient is prescribed Lasix 80 mg IV Medication 80 mg 1 mL stat this morning. The available dose is 10 Dose reqd =80mg × = 8 mL 10 mg 1 mg/mL. How many mL will you draw up? Dose in stock = 10mg/mL Units in mL 4. The doctor orders a volume of 250mL to Rate (ml/h) 250 mL be infused at 30 mL/hr. You start this Units in a time after midday 30 mL/h = time infusion at 12 noon. At what time will this 25 0 mL infusion be complete? time = 3 0 mL/h 1 =8 h 3 Finish at 8:20pm (1/3 hour = 20 mins) 5. You patient had Hartman’s 1000mL 2 questions 1000 mL started at 12 noon in the theatre recovery. Rate (mL/h) Rate = ≈ 167 mL/h 6h This was to run for 6 hours. When he After 2.5 h should have used about 418 mL (2.5 returned to the ward at 14:30 there was x 167) so would be 582 mL remaining so it is 650mL remaining in the bag. Is the infusion running a bit quick. running on time? Calculate the new rate (20 Rate (in drops per minute) drops/mL) so that your patient receives his Total volume – 650 IV on time. Total time = 3.5 hrs 650 mL× 20 drops/mL 3.5 h× 60 3 min 650 drops = 10.5 min ≈ 62 drops/min 6. Calculate the flow rate (in drops per Rate 500 2000 × 20 drops/min minute) which is necessary to deliver 2 litres Unit in drops/minute in 16 hours with a drop factor of 20 Total volume = 2 L 16 4 h × 60 3 min drops/mL. Total time = 16 hrs 125 = drops/min 3 ≈ 42 drops/min 7. Your Patient is prescribed Heparin of Medication (2 options) This is the standard way 23000 units over 24 hrs. You hold a stock of Dose required = 23000 units 23 000 units 1 mL Heparin which comes in 5000 units/mL and Dose in stock = 5000 units/mL OR × 5 000 units 1 1000 units/mL. What volume of Heparin will 1000 units/mL you draw up? 23 = mL 5 = 4.6 mL or 23 000 units 1 mL × 1000 units 1 = 23 mL However it would be easier to do a combination of 4 of the 5000 units/mL (giving 20 000 units) and 3 of the 1000 units (giving 3 000 units)
8a In order to improve the renal perfusion the Rate 3 mcg/kg/m × 85 kg
doctors have prescribed an infusion of Dose required = 3 mcg/kg/min = 255 mcg/min Dopamine to be titrated at 3 mcg/kg/min. And the patient weighs 85 kg Your patient's weight this morning is 85 kgs. How many micrograms will your patient receive each minute? 8b. The ward stock of Dopamine is 200 mgs It is a rate but it is treated like a 153 00 mcg 100 mL in 10 mL. To restrict fluid overload you are medication in mL × 3 00 ×10 00 mcg 1 asked to mix 300 mgs in 100 mL of 5% Dose required is 255mcg/min or Dextrose. How many mL will your patient 255 x 60 = 1533 mcg/h = 5.1 mL/h be receiving each hour? Dose in stock is 300 mcg in 100 mL. Units in mLs per hour 9. Your patient is written up for IV Rate (finding time) 100 mL Metronidazole 500 mg every 8 hrs. This 5 mL/min = 500 mg 100 mL time comes pre-packed in 100mL bag × Total volume = 500 mg 1 100mL (Metronidazole 500mg/100 mL). The MIMS time = suggest that this drug should be administered = 100 mL 5 mL/min at a rate of 5 mL/min. Over what period of Rate = 5 mL/min = 20 min time will you administer the Metronidazole? Unit in minutes 10. The doctors have ordered an infusion of Rate (finding time) 1500 mL×20 drops/mL 1500mL of 5% Dextrose to be given at the Unit in hours 50 drops/min = time rate of 50 drops per minute. Assuming a drop Total volume = 1500 mL 300 1500 mL×2 0 drops/mL factor of 20 drops per mL, how many hours Rate = 50drops/minute time = will it take for this infusion to complete? 5 0 drops/min = 600 min = 10 hours