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2016 NUR1021 Calculation of Basic IV Drip Rates - Instructor
2016 NUR1021 Calculation of Basic IV Drip Rates - Instructor
Drip Rates
Marion Technical College
NUR 1021
Spring 2016
IV Therapy Fluids
• D5W = D5%W
• D5S = D5 %0.9NS
• D5½NS = D5 %0.45NS
• NS = 0.9%NS
• ½NS = 0.45% NS
• LR = Lactated Ringers
IV Delivery Methods
•100 mL Medications
•50 mLMedications
Kinds of IV Drip Factors
• Microdrip = 60 gtt/mL
• Macrodrip need to check package
• 10 gtt/mL
• 15 gtt/mL
• 20 gtt/mL
• IV Drip Rate
• No Pump = rate will be gtt/min- also known as Gravity Drip
A 20 gtt/mL set is to be used to infuse an IV at a rate of 90 mL/hr. Calculate the gtt/min flow rate.
• Answer: 30 gtt/min
Practice:
Calculate the gtt/min flow rate to administer an IV at 100 mL/hr using a set calibrated at 15
gtt/mL.
• Set it up:
100 ml/hr x 15 gtt/mL = ___________gtt/min.
60 minutes
Answer: 25 gtt/min
Practice:
Dr. Order: Adm 125 mL/hr; gtt factor is 10 gtt/mL. How many gtt’s
per minute will this infuse at?
• Set it up:
125ml/hr x 10gt/ml = ______gtt/min
60 min
60 minutes
PRACTICE:
Doctor’s order: Infuse 500 mL D5 W over next 12 hours. Use a microdrip tubing. What is the drop per minute rate?
• Infuse fluids into the vein under pressure & against resistance
• Do not depend on gravity
• Pumps are programmed to deliver a set amount of fluid per hour
• Milliliters per hour (mL/hr)
• Milliliter calculation that results in a decimal fraction -round to a whole
milliliter
• Pumps in ICU may have decimal capability and may use fractions
Smart Pumps
• Use the formula to set the problem (set pump at 100/hr for 4 hours)
up: Then calculate second amount
b. 600 mL
Total number of milliliters ordered =
8 hrs = 75 mL/hr
mL/hour
(set pump now at 75 mL/hr for 8 hours)
Number of hours to run
Calculating the Rate/Hr for an IVPB
Practice
Doctor’s order: Keflin 2 g IVPB over 30 min. Keflin is in 100mL bag and drop factor is 15 gtt/mL. At what rate should the IV be regulated?
HINT: Need to find out what to set the pump at per hour
• Set it up:
• Total number of mL = X mL
Infusion time (minutes) 60 minutes
• 100 mL = X mL
30 min 60 min
•Keflex 250 mg comes from pharmacy in a bag of 100 cc 5D/W; directions are
infuse over 1 hr. per IV pump
•Set it up:
100 mL = x mL
60 min 60 min
x = 100 mL
•Answer: Set pump at 100 mL/hr
IVPB : Calculate the rate to set the pump at
• Set it up:
50 mL = x mL
30 min 60 min (Use 60 minutes since the IV pump can only be set by the hour)
x = 100 mL
• Answer: Set pump at 100 mL/hr
Determining the Number of Hours an IV Will Run
Formula:
Number of milliliters ordered = Number of hours to run
Number of milliliters per hour
Example of how to calculate how long IV will run
• PRACTICE:
• Order= LR 1000 mL IV at 125 mL/hour
• Calculation:
1000mL = 8 hours
125 mL
Safety Alert !