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    Dosage Calculation Review Part 3 - Flow Rate Calculations

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    NursyNurse
    This document provides information and examples for calculating intravenous (IV) flow rates. It discusses two main methods for controlling flow rates - manually using roller clamps and drop factors, or electronically using milliliters per hour. Formulas are provided for calculating flow rates in milliliters per hour or drops per minute based on the volume to be infused and time period. Additional examples demonstrate calculating infusion time by dividing volume by flow rate, and completion time by adding infusion time to the start time. The document concludes with medication math practice problems involving weight conversions, temperature conversions, and calculating medication dosages.

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    © All Rights Reserved
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    Dosage Calculation Review Part 3 - Flow Rate Calculations

    Uploaded by

    NursyNurse
    54 views3 pages
    This document provides information and examples for calculating intravenous (IV) flow rates. It discusses two main methods for controlling flow rates - manually using roller clamps and drop factors, or electronically using milliliters per hour. Formulas are provided for calculating flow rates in milliliters per hour or drops per minute based on the volume to be infused and time period. Additional examples demonstrate calculating infusion time by dividing volume by flow rate, and completion time by adding infusion time to the start time. The document concludes with medication math practice problems involving weight conversions, temperature conversions, and calculating medication dosages.

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    Dosage Calculation Review Part 3- Flow Rate Calculations

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    This document provides information and examples for calculating intravenous (IV) flow rates. It discusses two main methods for controlling flow rates - manually using roller clamps and drop factors, or electronically using milliliters per hour. Formulas are provided for calculating flow rates in milliliters per hour or drops per minute based on the volume to be infused and time period. Additional examples demonstrate calculating infusion time by dividing volume by flow rate, and completion time by adding infusion time to the start time. The document concludes with medication math practice problems involving weight conversions, temperature conversions, and calculating medication dosages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    54 views3 pages

    Dosage Calculation Review Part 3 - Flow Rate Calculations

    Uploaded by

    NursyNurse
    This document provides information and examples for calculating intravenous (IV) flow rates. It discusses two main methods for controlling flow rates - manually using roller clamps and drop factors, or electronically using milliliters per hour. Formulas are provided for calculating flow rates in milliliters per hour or drops per minute based on the volume to be infused and time period. Additional examples demonstrate calculating infusion time by dividing volume by flow rate, and completion time by adding infusion time to the start time. The document concludes with medication math practice problems involving weight conversions, temperature conversions, and calculating medication dosages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Part 3: IV Flow Rate Calculations Content

    IV infusions are measured as a flow rate of fluid. This flow rate is a relationship between a Unit
    of Volume over a Unit of Time: Volume
    Time
    Control of flow rates can basically be achieved in two ways: a) Manually or b) Electronically

     Electronic Flow Rate control


    o Using an electronic method, the most common volume measure used is milliliters
    per hour (ml/hr).

    Ex: Ordered: 600 mL of a given solution over 3 hr. At how many mL/hr should this
    infusion run?

    600 mL = X mL X= 600 x 1 X= 200 ml/hr


    3 hr 1 hr 3

     Manual Flow Rate control


    o The most commonly manual method used is an Infusion Set with a Roller Clamp, a
    device that allows the set of flow rates through the counting of drops falling in a Drip
    Chamber over a minute.
    o Using a manual infusion set, the flow rate is measured in drops per minute
    (gtts/min).
    o There are FOUR types of manual infusion sets according to the SIZE of the drops in
    which the Drip Chamber is calibrated (Drop Factor):
     MACRODRIPS:
    Drop Factor 10: 10 drops = 1 mL (10 gtts/mL)
    Drop Factor 15: 15 drops = 1 mL (15 gtts/mL)
    Drop Factor 20: 20 drops = 1 mL (20 gtts/mL)
     MICRODRIP:
    Drop Factor 60: 60 drops = 1 mL (60 gtts/mL)

     To calculate IV flow in gtts/min the following formula can be used:


    V (volume in mL to be infused) x F (drop factor) = gtts/min
    T (time in minutes)
    Ex: 1. Ordered: 1,200 mL of a given solution over 10 hours. At how many gtts/min would
    you infuse the ordered solution using an infusion set with a drop factor of 20 gtts/mL?

    V x F = gtts/min 1200 x 20 = gtts/min Answer: 40 gtts/min


    T 600
    Infusion Time

    IV infusion time is calculated by dividing the volume to be infused by the ml/hr flow rate.

    Ex. Calculate the infusion time for 400 mL of a given solution ordered to run at 60 mL/hr.

    60 mL = 400 mL X= 400 x 1 X= 6.67 hr 60 min/hr x 0.67 = 40.2 = 40 min


    1 hr X hr 60

    Infusion time = 6 hours 40 min

    Completion Time

    The completion time is calculated by adding the infusion time to the time the IV was started.

    Ex. An IV started at 0600 is to complete in 4 hr 30 min. Calculate the completion time.

    0600 Completion time: 10:30 am


    + 430
    1030

    Ex: An IV of 1000 has been ordered to run at 300 ml/hr. It was started at 10:40 am.
    Calculate the completion time.

    1000 ml – 300 ml = 700 ml at 1140


    700 ml – 300 ml = 400 ml at 1240
    400 ml – 300 ml = 100 ml at 1340

    100 ml ÷ 300 ml/hr = 0.33 = 0.33 hr 60 min/hr x 0.33 hr = 20 min


    1340 + 20 min = 1400 = 2:00 pm Completion time = 2:00 pm
    Medication Math Calculation Practice

    Helpful Hints:

    Weight conversion from pounds (lbs) to kilograms (kg): 2.2 lbs = 1 kg

    Remember: when converting weight, always round to the nearest 10th place.

    Temperature conversion formula: To convert from °F to °C; first, subtract 32 from degrees
    Fahrenheit; then multiply by 5; and finally, divide by 9. Remember to round to the nearest 10th
    place. Mathematical formula: °F – 32 × 5 ÷ 9 = °C

    1. Convert 247 lbs to kg (answer: 112.3 kg)

    2. The physician orders Macrobid 0.5 mg/kg for a client weighing 174 lbs. How many mg will
    the nurse administer to this client? Round final answer to the nearest 10th place.
    (answer: 0.5 mg × 79.1 kg = 39.6
    mg)

    3. Convert 98.6° F to °C (answer: 37° C)

    4. The physician orders Heparin 5,000 units in 500 mL of NS to infuse at 300 units/hr. How
    many mL/hr will the nurse infuse? (answer: 300 ÷ 5,000 × 500 = 30 mL/hr)

    5. The physician order reads: “If temp is > 38.0° C administer Tylenol 2 mg/kg po”. The client
    weighs 206 lbs and has a temperature of 100.5° F. First, what is the temperature in °C? Will
    you administer the Tylenol? If yes, how many mg will the nurse administer (round to the nearest
    10th place)?

    (answer: Temp = 38.1° C)

    (answer: Will you administer Tylenol? YES)

    (answer: 2 mg × 93.6 kg = 187.2 mg)

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