SKILLS

ENHANCEMENT
Edna U. Robles, MAN, RN
 IV COMPUTATION
• What is the volume of IVF?
• 50cc or ml
• 100cc or ml
• 250cc or ml
• 500cc or ml
• 1000cc or ml
• What type of infusion set is used?
• Macroset/macrodrip • 15 or 20 drops/cc
• Microset/ microdrip • 60 microdrops/cc
• Blood administration set • 10 or 20 drops/cc
• Soluset or VCAS • 60 microdrops/cc
cc –ml
Drops – gtts
Microdrops - µgtts or mcgtts
 CALCULATION OF BASIC IV
DRIPS
Volume of IV fluid X drop factor
IV drip = ___________________________________________________________________________________________

# of hours to be infuse X 60 min/hour

EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours using IV infusion set of 15gtts/ml
(macroset/macrodrip)
1000 ml X 15gtts/ml
= __________________________________________________________

10 hrs X 60 min/hr
15000gtts
= ________________________________

600min

= 25 gtts/min
 CALCULATION OF BASIC IV
DRIPS
Volume of IV fluid X drop factor
IV drip = ___________________________________________________________________________________________

# of hours to be infuse X 60 min/hour

EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours during IV infusion set of 60mgtts/ml
(microset/microdrip)
1000 ml X 60mcgtts/ml
=
___________________________________________________________________________________________________________________________________________________________

10 hrs X 60 min/hr

1000mcgtts
= ___________________________________________________

10min

= 100 mcgtts/min
CALCULATION OF BASIC IV
DRIPS
EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours during IV infusion set of
60mgtts/ml (microset/microdrip)

IV drip = Volume of IV fluid X drop factor

___________________________________________________________________________________________

# of hours to be infuse X 60 min/hour

Volume of IV fluid
___________________________________________________________

# of hours to be infuse
=
1000ml
_____________________________

= 10hrs

= 100ml/hr or 100cc/hr or 100mgtts/min

CALCULATION OF BASIC IV
DRIPS
1. Start IVF of NSS 500 cc to run for 6 hours using macroset
with drop factor of 20gtts/ml. Compute for IV rate
2. Shift IVF to D5NSS 250 cc to run for 8 hours using
microdrip. Compute for IV rate
3. Start Amoxicillin 500mg to be diluted in 100 ml of NSS to
run for 30mins, using soluset. Compute for IV rate
4. Order: Infuse 1 unit packed RBC 250cc for 4 hours using
blood set with drop factor of 10gtts/ml
5. D5NM 1liter to run for 12 hours using macroset with
drop factor of 15gtts/ml
 DRUG COMPUTATION
EXAMPLE:
• Paracetamol 750mg 1 tablet PO twice a day
• Stock Dose: 500mg/tablet
D
X V or Q
S
D – desired dose
S – stock dose/stock on hand
V – volume
Q - quantity
 DRUG COMPUTATION
D
X V or Q
S

EXAMPLE
(Community Health Center)
• Paracetamol 250mg/5ml in 60 ml bottle
(syrup), give 3.7ml PO every 4 hours for
5 days. Patient’s weight is 18.5 kg
• Recommended dose is 10mg/kg/dose

• How many mg/dose

• How mg/day
• How many bottle will you dispense?
 DRUG COMPUTATION
D
S X V or Q

EXAMPLE
(Community Health Center)
• Amoxicillin 250mg/5ml in 60 ml bottle (syrup)
• Recommended dose is 40mg/kg/dose in 3
divided doses
• Patient’s weight is 18.5 kg

• How many mg/dose

• How mg/day
• How many bottle will you dispense?
 FIVE – PLUS FIVE RIGHTS OF
MEDICATION ADMINISTRATION
• The rights for medication • Additional rights for
administration are the professional nursing
foundation for practice
medication safety 1. Right assessment
1. Right patient 2. Right documentation
2. Right drug 3. Right to education
3. Right dose 4. Right evaluation
4. Right route 5. Patient’s right to refuse
5. Right time
 MEDICATIONS
RIGHT ASSESSMENT
1. Indication and signs and symptoms

RIGHT EDUCATION
2. What to expect during/after medication administration
3. Side effects/adverse effects
4. Drug-drug/Drug-food interaction
5. Limitations in ADL after administration of drug

RIGHT EVALUATION
1. Re assess the patient 30minutes to 1 hour after administration of
medication

RIGHT DOCUMENTATION
1. Document…. Document….document!!!
 PRE ECLAMPSIA
• JB is a 38-year-old, gravida 1, para 0, Caucasian female who presented in
hospital at 36 weeks plus 5 days gestation with sudden development of
oedema in the face and upper and lower extremities along with a severe
headache.
• On examination her blood pressure (BP) was elevated at 171/107 mmHg. Her
pulse 81 beats per minute (bpm), respiratory rate 15 breaths per minutes,
and temperature was 36.4 °C. Headache with VAS of 7/10. Her urine sample
showed ++ 2 proteinuria. There was evidence of oedema in her face and
upper and lower extremities and her lower deep tendon reflexes were brisk
but without any clonus. JB denied any visual disturbances and epigastric
pain. On palpitation of the abdomen, the symphysio-fundal height was 38cm.
The fetal lie was longitudinal and the back appeared to be on the right. The
presentation appeared to be cephalic and the head was 3/5 engaged.
• Electronic fetal monitoring showed fetal heart rate at 135 bpm, with
reassuring variability. There was no deceleration and acceleration was
normal. It was also noted that contractions were absent.
• Her antenatal care had been shared between the hospital and her general
practitioner and was uneventful until she was admitted to hospital on this
occasion.
 PATIENT’S MEDICATIONS

1. Magnesium Sulfate 4gms IM every 4 hours

2. Methyldopa 250mg/tablet, give 2 tablets PO
every 8 hours
3. Dexamethasone 6mg IV every 12 hours
4. Hydralazine
Thank you…