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    Drug Dose Calculations

    Uploaded by

    Prince Ali
    This document provides examples of how to calculate drug doses and infusion rates. It demonstrates how to organize the key pieces of information given, determine the appropriate formula, and perform the calculations. Some of the examples calculated include: the volume of morphine needed to administer a 2.5 mg IV dose based on available concentration; the rate of a lactated ringers infusion over 2 hours; and the drop rate for a dopamine drip ordered at 5 mcg/kg/min based on the patient's weight and available drug concentration. The document emphasizes that identifying the ordered dose is key to performing accurate drug calculations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Drug Dose Calculations

    Uploaded by

    Prince Ali
    114 views13 pages
    This document provides examples of how to calculate drug doses and infusion rates. It demonstrates how to organize the key pieces of information given, determine the appropriate formula, and perform the calculations. Some of the examples calculated include: the volume of morphine needed to administer a 2.5 mg IV dose based on available concentration; the rate of a lactated ringers infusion over 2 hours; and the drop rate for a dopamine drip ordered at 5 mcg/kg/min based on the patient's weight and available drug concentration. The document emphasizes that identifying the ordered dose is key to performing accurate drug calculations.

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    This document provides examples of how to calculate drug doses and infusion rates. It demonstrates how to organize the key pieces of information given, determine the appropriate formula, and perform the calculations. Some of the examples calculated include: the volume of morphine needed to administer a 2.5 mg IV dose based on available concentration; the rate of a lactated ringers infusion over 2 hours; and the drop rate for a dopamine drip ordered at 5 mcg/kg/min based on the patient's weight and available drug concentration. The document emphasizes that identifying the ordered dose is key to performing accurate drug calculations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    114 views13 pages

    Drug Dose Calculations

    Uploaded by

    Prince Ali
    This document provides examples of how to calculate drug doses and infusion rates. It demonstrates how to organize the key pieces of information given, determine the appropriate formula, and perform the calculations. Some of the examples calculated include: the volume of morphine needed to administer a 2.5 mg IV dose based on available concentration; the rate of a lactated ringers infusion over 2 hours; and the drop rate for a dopamine drip ordered at 5 mcg/kg/min based on the patient's weight and available drug concentration. The document emphasizes that identifying the ordered dose is key to performing accurate drug calculations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 13

    2/8/2012

    Drug Dose Calculations


    Finding the ordered dose-The KEY to Calculations! What are you looking for? 1. 2. 3. 4. 5. The desired dose Concentration Volume on hand Lbs. to kg Units to administer (What are you looking for?)

    Calculate This!
    Doctor orders 2.5 mg of morphine to be administered IV to a patient with substernal chest pain. You have 1 ml vial that contains 10mg of morphine (10 mg/ml). How many milliliters are you going to have to draw up into a syringe and push IV into your patients IV line port?

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 2.5 mg of Morphine IV Concentration: 10 mg Volume on hand: 1 ml Lbs. to kg: Do not need it Looking for: ml to be given

    2/8/2012

    Which Formula?
    Ordered Dose Formula

    Ordered dose = Volume on hand x Ordered Dose Concentration

    Should look like this!


    Dose Volume

    2.5 mg x 1 ml = 0.25 ml to be given 10 mg/ml


    Concentration

    Calculate This!
    A 154 lb. male patient needs Lasix. The ED physician orders 40 mg via IV push. Lasix is supplied as 100mg/10ml. How many ml will you give to deliver the ordered dose?

    2/8/2012

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 40 mg Lasix Concentration: 100 mg Volume on hand: 10 ml Lbs. to kg: Do not need it Looking for: ml to be given

    Which Formula?
    Ordered Dose Formula

    Ordered dose = Ordered Dose x Volume on hand Concentration

    Should look like this!


    Dose Volume

    40 mg x 10 ml = 4ml 100mg
    Concentration

    2/8/2012

    Calculate this!
    You are ordered to start an IV of Normal Saline with a 10 gtts/ml administration set and infuse 300 ml over 2 hours. At how many gtts/min will you set your IV?

    Organize!
    Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 300 ml Concentration: not needed Volume on hand: 500 or 1000 Lbs. to kg: Do not need it Looking for: ml to be given/minute

    Which Formula?
    Drip Rate FormulaAmount to be infused x Drip set = Time in minutes

    2/8/2012

    Should look like this!


    ATBI Drip Set

    300 ml x 10 = 25 gtts/min 120 Time in Minutes

    Calculate this!
    After your radio report of a 220 lb. male patient involved in a MVA has been given, the physician orders an infusion of Lactated Ringers to be given a rate of 500 per hour. You have a 20 gtts drip set. What rate does your IV need to be running at?

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 500 ml Concentration: not needed Volume on hand: 500 or 1000 unlimited! Lbs. to kg: Do not need it Looking for: ml to be given/minute

    2/8/2012

    Which Formula?
    Drip Rate FormulaAmount to be infused x Drip set = Time in minutes

    Should look like this


    ATBI Drip Set

    500 x 20 = 167gtts/minute 60 Time

    Calculate this!
    Post cardiac arrest Save you are ordered to prepare and hang a Lidocaine drip at 2 mg/min. Your Lidocaine is prepackaged at 1g/250 ml. You will be using a 60gtt administration set. At how many drops will you be running your IV?

    2/8/2012

    Organize
    Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 2mg/min Concentration: 1g or 1000 mg or 4mg/ml Volume on hand: 250 Lbs. to kg: Do not need it Looking for: ml to be given/minute

    Which Formula?
    Medication per Minute DosingMed per minute ordered x Drip Set = Concentration of the Drug

    Should look like this


    Med/min (dose) 2mg x 4 mg/ml Concentration Drip Set 60 = 30 gtts

    2/8/2012

    Calculate this!
    After your radio report, the physician orders and Epinephrine drip at a rate of 0.25 mg/min. Your Epinephrine comes pre-packaged in 10mg/250ml. You are using a 60gtts administration set. What rate will your IV need to be infusing at?

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 0.25mg/min Concentration: 10mg or 0.04mg/ml Volume on hand: 250ml Lbs. to kg: Do not need it Looking for: ml to be given/minute

    Which Formula?
    Medication per Minute DosingMed per minute ordered x Drip Set = Concentration of the Drug

    2/8/2012

    Should look like this

    Med/min (dose) 0.25mg/min 0.04 mg /ml Concentration

    Drip Set x 60 = 375 gtts/min

    Calculate this?
    Atropine is ordered for symptomatic bradycardia. The desired dose is 0.5mg. Atropine comes as 1mg/10ml. How many ml will you need to administer to deliver the desired dose of 0.5mg

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 0.5 mg Concentration: 1mg or 0.1mg/ml Volume on hand: 10ml Lbs. to kg: Do not need it Looking for: ml to be given

    2/8/2012

    Which Formula?
    Ordered Dose Formula

    Ordered dose = Volume on hand x Ordered Dose Concentration

    Should look like this


    Dose Volume 0.5 mg x 10m = 5 ml 1.ml
    Concentration

    Calculate this!
    The physician orders 5mg/kg Bretylium IV to be administered to your patient. You have premixed syringes with 500mg/10ml. Your patient weighs 170lbs. How many mls will you need to administer?

    10

    2/8/2012

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 5mg x 77 kg=385mg Concentration: 500mg=50mg/ml Volume on hand: 10ml Lbs. to kg: Yes-170/2.2=77kg Looking for: ml to given

    Which Formula?
    Ordered Dose Formula

    Ordered dose = Volume on hand x Ordered Dose Concentration

    Should look like this


    Dose Volume 385 mg x 10ml = 77 ml 50mg/ml
    Concentration

    11

    2/8/2012

    Calculate this
    A dopamine drip is ordered at 5mcg/kg/min. Your dopamine comes prepackaged 400mg/500ml. You are using a microdrip drop set (60 gtts). The patient weighs 163lbs. At how many drops per minute will you run your IV?

    Organize Finding the ordered dose-The KEY to Calculations! 1. 2. 3. 4. 5. D Dose: 5mcg x 74 kg=370mcg Concentration: 400mg is 0.8 mg Volume on hand: 500ml Lbs. to kg: Yes-163lbs./2.2=74kg Looking for: ml to given per minute

    Which Formula?

    Medication per Weight Dosing Drip Rate = amt. per minute (dose) x weight in kg x Drip Set Concentration

    12

    2/8/2012

    Should look like this


    Medication per Weight Dosing amt. per minute (dose) x weight in kg x Drip Set 5 mcg x 74kg x 60gtt =28 gtts/min 0.8 mg/ml or 800 mcg Concentration

    13

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