FRANCO, JAN CRIZZA DALE R.

BSN 4E, GROUP 3

1. Order 1 L of D5NSS incorporated with 1 vial multivitamins (MVI) and 30 mEq of
KCl to run for 10 hours. Available: 1000 mL of D5NSS, macrodrip (20 gtts/mL)
and microdrip (60 gtts/mL) sets 10-mL via MVI, and 10 mEq/30-mL vial KcL.
a. How many mL of KCl should be incorporated in the bag?
Answer: 10 mEq/30mL
b. Compute for the total IV fluid intake of the patient after 10H.
Answer: 1000 mL + 10 mL + 90 mL = 1100 mL
c. What is the regulation of the total infusion using macrodrip and microdrip
sets?
Answer: 1100 mL x 60 gtts/min / 10 hrs x 60 minutes = 110
ugtts/min
d. How many mL of the total solution should the client receive every hour of
infusion?
Answer: 1100 mL/10 hrs = 110 mL/hr

2. Calculate the regulation of the following intravenous fluids using an

administration set with a drip factor of 15 gtts/min.
a. IVF of D ½ S at 150 mL/hr
Answer: (150 mL x 15 gtts/min) / 1 hr (60 mins)
= 37.5 or 37-38 gtts/min
b. IVF of D5W at 12 mL/hr
Answer: (125 mL x 15 gtts/min) / 1 hr (60 mins)
= 31.25 or 31-32 gtts/min
c. IVF of D5W with 20 mEq KCl at 100 mL/hr
Answer: (100 mL x 15 gtts/min) / 1 hr (60 mins)
= 25 gtts/min
d. IVF of PNSS at 75 mL/hr
Answer: (75 mL x 15 gtts/min) / 1 hr (60 mins)
= 18.75 or 18-19 gtts/min
e. IVF of ⅔-⅓ solution at 50 mL/hr
Answer: (50 mL x 15 gtts/min) / 1 hr (60 mins)
= 12.5 or 12-13 gtts/min

3. 500 mL of D5NS is to infuse over 5 hours. After 2 hours, there are 250 mL
remaining in the IV bag.
a. At what flow rate (mL/hr) should the IV be running?
Answer: 500 mL/5 hrs = 100 mL/hr
FRANCO, JAN CRIZZA DALE R.
BSN 4E, GROUP 3
b. How many mL should be left in the IV bag after 2 hours?
Answer: 500 mL - (100 mL x 2 or 200 mL) = 300 mL
c. Is the IV ahead or behind?
Answer: The IV is ahead since the IV fluid infused for 2 hours
accounts to 250 mL, and based on the calculation presented above, the
flow rate is 100 mL/hr. Hence, for hours, there should be only a total of
200 mL of IV fluid that is infused, leaving a total of 300 mL to run for the
remaining 3 hours.
d. Recalculate a new flow rate (mL/hr) in order to finish the bag on time.
Answer: 250 mL/3 hrs = 83.33 or 83-84 mL/hr
e. Does the flow rate fit with acceptable practice? Explain.
Answer: No, the flow rate does not fit with acceptable practice;
considering that the regulation is compressed for 3 hours, it might
affect the condition of the patient. The doctor’s orders should not be
violated.

4. 500 mL of whole blood is to be infused over 4 hours. After 2 hours, there are
375 mL remaining in the blood bag.
a. At what flow rate should the IV be running?
Answer: 500 mL/4 hrs = 125 mL/hr
b. How many mL should be left in the IV bag after 2 hours?
Answer: 500 mL - (125 mL x 2 hrs or 250 mL) = 250 mL
c. Is the IV ahead or behind?
Answer: Behind; the appropriate regulation per hour is 125 mL/hr,
and 125 mL/hr multiplied by 2 hours totals 250 mL. Hence, the blood left
in the blood bag after 2 hours should be 250 mL.
d. Recalculate a new flow rate in order to finish the bag on time.
Answer: 375 mL/hr / 2 hrs = 187.5 mL/hr
e. Does the new flow rate fit with acceptable practice? Explain.
Answer: No, the flow rate does not fit with acceptable practice; the
regulation is compressed for 2 hours, and it might affect the condition
of the patient. The doctor’s orders should not be violated.