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IV Fluid Calculation

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IV fluids

Emelda Jones, BSN, RN


Calculating milliliters per hour

MD orders type solution amount " time of


infusion
medications to be added
to continuous infusion
to intermittent infusion
(IVPB)
as bolus dose
Calculating milliliters per hour

Rx: 1000 ml NSS to run over 6 hours


total volume = ml/hour total time in hours
1000 = 166.6 ml/hr 6
Round off to 167 ml/hr
Calculating Drops per Minute

Rx: Administer 1000 ml How many ml will you


D5W every 8 hr. Drop add to 50 ml bag?
factor is 15 gtt/min 500 mg = 1g
total volume x drop 1 ml x ml
factor = gtt/min total 500 mg = 1000 mg
time (in minutes) 1 ml x ml
1000 ml x 15 = 15000 8
500 x = 1000
x 60 480
x = ml
= 31.25 gtt/min
Round to 31 gtt/min
Common IV Drop Factors

Macrodrip 10gtt/ml 15 How many drops per


gtt/ml 20 gtt/ml minute will you run the
Microdrip 60 gtt/ml Kefzol so it is absorbed
  in 20 minutes?
Rx: Kefzol 1 g IVPB q 6 h  
(Mix in 50 ml D5W. 50 ml X 20 (drop factor)
Infuse over 20 min.) = 20 (time in minutes)
Drop factor is 20 gtt/ml 1000 = 20
Kefzol supplied as Run at 50 gtts/min
500mg/ml.
Tips from Errickson & Todd

Write out units of measurement; must appear in same


order
e.g. 60 mg = 90 mg (60mg:1tab::90mg:x tabs) 1 tab x
tabs
line up decimals
Re-check if odd answer e.g. 25 tablets !!
Calculator only as good as your set-up

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