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The orders 375 mg of cefuroxime for the patient. The drug is available
in 750 mg vial. You plan to dilute it in 10 mL of sterile water. How much
should you give to your patient?
• Amount of solution to be given x 10 ml
• = 0.5 mg x 10 ml = 5 ml
Calculate IV Rate – mL per hour and
minute
• It is easy to calculate the running rate of IV
fluids in terms of mL per hour or mL per
minute:
• ML per hour or minute
• Start venoclysis with D5 0.9 NaCl 1 L to be
infused for 16 hours. How many mL of the IV
fluid should you infuse per hour?
• 1 L ÷ 16 hours = mL per hour
• = 62.5 mL per hour
Calculate IV Rate – drops per minute
• Calculating for drops per minute is simple with the following
formula:
– Drops Per Minute x Drop Factor
Example
• The physician orders to start venoclysis with D5 0.3 NaCl 1 L
solution. The IV fluid will be infused for 14 hours and the drop
factor of the macrodrip used is 20. It should be regulated to how
many drops per minute?
– Drops Per Minute x 20
𝑤𝑡 𝑖𝑛 𝑘𝑔
𝐷𝑜𝑠𝑒 = × 𝑎𝑑𝑢𝑙𝑡 𝑑𝑜𝑠𝑒(𝑚𝑔)
70𝑘𝑔
The rule is applicable only when child dose is less than 150lb or 70kg
FLUID THERAPY
• In fluid therapy maintenance is calculated using 4, 2, 1 formula
(Holliday - Segar’s Formula): This was standard looking at
maintenance daily fluid requirement of health children
4ml/kg/hr. for first 10 kg,
2ml/kg/hr. for next 10 kg
1ml/kg/hr. for remaining kilogram weight.
• This can be simplified by using formula
• Maintenance fluid requirement (ml/hr) = {60+ (Weight kg-20)}
ml/hr for weight ≥20 kg
• Example: 65 kg women who is nil per Os will require
Fluid required= 60 + (65-20)
60+45
105ml/hr of intravenous infusion
• Similarly 70 kg who had fasted over (night) 8hrs for elective
surgery will have deficit of
• Fluid deficit = 60 + (70-20)
• =60 + 50 ml
• =110 ml/hr
Hence total fluid deficit is 110 ml/hr ×8 hr=880 ml
References
• Finkel, R., Clark, M. A., Cubeddu, L. X., Harvey,
R. A., & Champe, P. C. (2009). Lippincott’s
illustrated reviews : pharmacology. Lippincott
Williams & Wilkins, Cop.
• Rosenfeld, G. C., & Loose, D. S.
(2014). Pharmacology. Lippincott Williams &
Wilkins.
• Clayton, B. D., & Willihnganz, M. J. (2017). Basic
pharmacology for nurses. Elsevier.
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