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Slide 1

INTRAVENOUS CALCULATIONS DOSAGE TUTORIAL

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Terms & Concepts What is the IV stream rate? The speed at which intravenous liquid injects into the body What is the drop figure? The quantity of drops (curtailed " gtt ") required to convey 1mL of liquid What are the tubing sizes ? 1 0, 15, or 20 gtt/mL ( Macrodrip tubing) 60 gtt/mL ( Microdrip tubing) What decides gtt/mL ? The span of the IV organization set (tubing) How would you compute the IV stream rate? Utilizing the IV stream rate equation

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IV Flow Rate Formula IV Flow Rate Formula is utilized while figuring an imbuement by gravity (without an IV pump). Volume to be Infused (in mL ) x Drop Factor = Flow Rate Total Infusion Time (in minutes) (in gtt/min) Electronic Flow Rate Formula is utilized while computing a mixture by IV pump (electronic imbuement gadget, or EID). Volume to be Infused (in mL ) = Flow Rate Total Infusion Time (in hours) (in mL/h) *Round all rates to the closest entire number

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Dosage Calculations Complete essential transformations (i.e. measurement per weight, mass, volume, and so forth) before utilizing both of the two past stream rate equations. Transformations might be ascertained utilizing: Ratio/Proportion Dimensional Analysis Whatever technique you are most OK with and utilize reliably/accurately

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LET\'S CALCULATE !

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#1 Order: Infuse 800mL of NS in 10 hours. This is a straight-forward IV stream rate count, in which no transformation is required. We know we will utilize the Electronic Flow Rate Formula since we were not given the tubing size or drop figure, which would be required to compute a gravity stream rate. The right equation is: 800mL ÷ 10 hours = 80mL/h Volume to be Infused (in mL ) = Flow Rate Total Infusion Time (in hours) (in mL/h)

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#2 Order: Infuse 150mL of D5W in 30 minutes utilizing an organization set with a drop variable of 20gtt/mL. This is additionally a straight-forward IV stream rate computation, in which no change is required. We know we will utilize the IV Flow Rate Formula since we were given the drop figure. The right equation is: 150mL x 20gtt/mL ÷ 30 minutes = 100gtt/min Volume to be Infused (in mL ) x Drop Factor = Flow Rate Total Infusion Time (in minutes) (in gtt/min)

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#3 Order: Infuse 100mL of LR by IV pump in 20 minutes. We know we will utilize the Electronic Flow Rate Formula since we were coordinated to utilize an IV pump, and on the grounds that we were not given the tubing size or drop calculate. Before utilizing our stream rate recipe, we should finish the vital conversion(s). To utilize our Electronic Flow Rate Formula , we require the aggregate volume to be imbued in mL (which we know), and the aggregate implantation time in hours (which we don\'t have a clue). We should change over minutes to hours utilizing our picked measurements figuring technique.

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CONTINUED Order: Infuse 100mL of LR by IV pump in 20 minutes. Our computation strategy for decision is proportion/extent, which includes a 3-section prepare: 1) Set up proportion, 2) Cross-increase, 3) Isolate X by partitioning its incentive without anyone else\'s input Step 1 20 min = X hour 60 min 1hour Step 2 60( X ) = 20(1) or 60 X = 20 Step 3 60 X = 20 so X = 0.33 60 60

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CONTINUED Order: Infuse 100mL of LR by IV pump in 20 minutes. Since we have changed over minutes to hours (20 minutes = 0.33 hours), we can utilize our Electronic Flow Rate Formula to take care of our IV measurement count issue. (The IV pump would be modified for 303 mL for each hour keeping in mind the end goal to imbue the coveted 100 mL in 20 minutes.) 100mL ÷ 0.33 hours = 303mL/h

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Order: Infuse 200mL of D5W in 4 hours utilizing a Microdrip tubing. We know we will utilize the IV Flow Rate Formula since we were given a tubing size (recollect that a Microdrip organization set conveys 60gtt/mL ). Before utilizing our stream rate equation, we should finish the vital conversion(s). To utilize our IV Flow Rate Formula , we require the aggregate volume to be mixed in mL (which we know), the drop consider (which we additionally know), and the aggregate imbuement time in hours (which we don\'t have the foggiest idea). We should change over hours to minutes utilizing our picked measurements computation technique. #4

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CONTINUED Order: Infuse 200mL of D5W in 4 hours utilizing a Microdrip tubing. Finish the change figuring. Step 1 4 hours = X minutes 1 hour a hour Step 2 1( X ) = 4(60) or 1 X = 240 Step 3 1 X = 240 so X = 240 1 1

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CONTINUED Order: Infuse 200mL of D5W in 4 hours utilizing a Microdrip tubing. Since we have changed over hours to minutes (4 hours = 240 minutes), we can utilize our IV Flow Rate Formula to take care of our IV dose figuring issue. (The roller brace on the IV tubing would be physically controlled to convey 50 drops for each moment.) 200mL x 60gtt/mL ÷ 240 minutes = 50gtt/min

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Reminders When planning to handle any kind of IV stream rate figuring, make certain to figure out what, assuming any, changes need to happen first. When you have finished every important transformation, you are prepared to figure the IV stream rate utilizing one of the two IV stream rate equations we\'ve examined in this instructional exercise. Recall that, it is constantly best to be predictable with the dose figuring technique you utilize while finishing this sort of issue.

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Examples CALCULATION

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Order: Give 500mg of dopamine in 250mL of D5W to imbue at 20mg/h. Compute the stream rate in mL/h. *In request to know what number of mL we have to implant in 1 hour for every the IV pump, we have to change over our dose required (20mg) into its identicalness in mL. *Set up proportion, and after that cross-duplicate: 500mg = 250mL so 500 X = 250(20) 20mg X mL *Isolate X and illuminate: 500 X = 5000 so X = 10mL 500 500 *There are 20mg of dopamine in 10mL of arrangement, so we will program our IV pump at 10mL/h .

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Your patient has a request to get 800U of heparin for every hour by nonstop intravenous mixture. On the off chance that the drug store blends the IV sack to contain a sum of 5,000U of heparin in 500mL of D5W, what number of mL every hour ought to the patient get? *In request to compute mL/hour, we have to change over our dose required (800U) into its identicalness in mL. *Set up proportion, and after that cross-duplicate: 5000U = 500mL so 5000 X = 500(800) 800U X mL *Isolate X and tackle: 5000 X = 400,000 so X = 80mL 5000 5000 *There are 800U of heparin in 80mL of arrangement, so we will program our IV pump at 80mL/h .

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Order: 21.7mg of dopamine in 105mL of D5W to be mixed at a rate of 9mg/h. Figure the stream rate in mL/h. *In request to figure mL/hour, we have to change over our measurements required (9mg) into its identicalness in mL. *Set up proportion, and after that cross-duplicate: 21.7mg = 105mL so 21.7 X = 9(105) 9mg X mL *Isolate X and fathom: 21.7 X = 945 so X = 43.55mL 21.7 21.7 *There are 9mg of dopamine in 43.55mL of arrangement, so we will program our IV pump at 44mL/h .

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Order: Aggrastat at 12.5mg in 250mL to be injected at a rate of 6 mcg/kg/hr in a patient who weighs 100kg. At what stream rate will you set the IV pump? *For issues that incorporate a weight/mass, do that change 1 st : 6mcg for each kg = 6mcg x 100kg = 600mcg/hr *Since our requested measurements is in mg, we have to change over mcg to mg: 600mcg ÷ 1000 = 0.6mg/hr *In request to compute mL/hour, we have to change over our dose required (0.6mg) into its comparability in mL. *Set up proportion, and after that cross-increase: 12.5mg = 250mL so 12.5 X = 0.6(250) 0.6mg X mL *Isolate X and understand: 12.5 X = 150 so X = 12mL 12.5 12.5 *There are 0.6mg of Aggrastat in 12mL of arrangement, so we will program our IV pump at 12mL/h .

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A 1000cc arrangement of D5NS with 20,000U of heparin is imbuing at 20mL/h. The IV set conveys 60gtt/mL. What number of units of heparin is the patient accepting every hour? *This is a switch computation, as we definitely know the electronic stream rate ( mL/h). We will utilize our dose count strategy to work through the issue. *Set up proportion, and after that cross-duplicate: 20,000U = 1000mL so 1000 X = 20(20,000) X U 20mL *Isolate X and understand: 1000 X = 400,000 so X = 400U 1000 1000 *There are 400U of heparin in 20mL of arrangement, which implies the patient is accepting 400U of heparin for every hour. The drop variable is just a distracter, and is not utilized as a part of this issue.

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The doctor arranges an IV implantation of D5W 1000mL to be imbued throughout the following 8 hours. The IV tubing you are utilizing conveys 15gtt/mL. What is the right rate of stream? *In request to utilize the IV Flow Rate Formula , we have to know time in minutes rather than hours, which is the main transformation we should do to take care of this issue. *We can kill the additional means of a period change by fusing it into our recipe: 1000mL x 15gtt/mL = 15,000 = 31.25 8 h x 60 min 480 *Remember our " mL " marks are counterbalanced amid the computation procedure, and we should round all stream rates, abandoning us with 31gtt/min as the right rate of stream.

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Your patient has a request to inject 10mEq of KCl in 100mL of D5½NS throughout the following 30 minutes. The set adjustment is 10gtt/mL. What is the right rate of stream? *We will utilize the IV Flow Rate Formula , and no change computation is required: 100mL x 10gtt/mL = 1000 ÷ 30 = 33.33 30 min *The adjust rate of stream is 33gtt/min . *Do not be befuddled by additional numbers, for example, are utilized as a part of the name of an answer (i.e. D 5 W or ½ NS). These make little difference to your measurements estimation. *Be cautious in figuring out which value(s) are applicable in taking care of your issue. In this case, the 10mEq o

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