IV
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Cee SanchezIV
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Cee SanchezSinclair Community College Associate Degree Nursing Program Lab Worksheet: IVs infusing by gravity The formula to calculate
IV flow rate is:
V x gtt factor T V= hourly volume T= minutes per hour Gtt factor = drop factor of the tubing used. This number is found on the IV tubing package. Standard drop factors are 10 gtts/mL, 15 gtts/mL, 20 gtts/mL, and 60 gtts/mL. 60 gtts/mL is also called minidrip tubing. Example #1 The physician orders 1L of NS to infuse at 125 mL/h. The drop factor on the tubing is 10gtts/mL. V X gtt factor = 125 x 10 gtts 60 min = = 1250 gtts 60 min 20.83gtts min
Example #3: The physician orders Vancomycin 750 mg. IVPB q8h. It is diluted in 200mL D5W. You look up Vancomycin in your IV drug book and decide to infuse the IVPB over 60 minutes. Your tubing drop factor is 15 gtts/mL. 200 mL 60 min X 15gtts mL = = 3000gtts 60 min 50gtts min
Example #4: The physician orders Gentamycin 100 mg. IVPB q8h. It is diluted in 100mL D5W. You look up Gentamycin in your IV drug book and decide to infuse the IVPB over 45 minutes. Your tubing drop factor is 10 gtts/mL. 100 mL 45 min X 10 gtts mL = = = 1000gtts 45 min 22.22gtts min 22gtts Min
T 125 mL x 10 gtts 60 min mL
Now you know how to calculate IV rates for gravity administration!
Practice questions: 1. Your patient has been ordered an IV to infuse at 100 mL/hr. Drop factor is 15 gtt/mL. What is the drip rate? _________ The doctor has ordered D5W 150 cc/hour. Drop factor is 20 gtt/mL. What is the drip rate? _________ Your patient is to receive 2400 mL of D5 in 0.9% Normal Saline over 24 hours. Drop factor is 15 gtt/mL. Calculate mL per hour. ________ Calculate mL per min. _________ Calculate the drip rate. ________
To calculate mL per hour, divide total volume by total hour. In this case, 2400 mL divided by 24!
Notice the mL on the top cancels the mL on the bottom leaving the answer in drops per minute. Drops per minute are always expressed in whole numbers. Following the rules of rounding, round to the nearest whole number: = 21 gtts/min
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Example #2 The physician orders 1L of D5W to infuse at 100 mL/h. The drop factor on the tubing is 15gtts/mL. 100mL 60 min X 15gtts mL = = 100 x 15 gtts 60 min
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1500gtts 60 min = 25 gtts min = 25 gtts/min This formula also works for IVPB gravity administration.
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Ordered is D5 1/4 NS with 20 mEq of KCL per liter to be given at 20 mL/hr. Tubing is a micro set. What is the drip rate? gtt/min The doctor has ordered 5 mEq of KCL per hour. You have KCL 40 mEq per liter of Normal Saline. Drop factor is 15 gtt/mL. How many hours would the IV run? hours How many mL/hr? _________ How many mL/min.? ________ What is the drip rate? ________ The doctor has ordered Humulin R Insulin 5 Units per hour IV You have an IV of 1000 mL of Normal Saline with 50 Units of Humulin R Insulin added. Drop factor: 20 gtt/mL. How many hours will I.V. run? ____ Calculate mL/hour. _____________ Calculate mL/min. _____________ Calculate drip rate. _____________ Your patient has been ordered I.V. Aminophylline to infuse at 25 mg/hour. You have 500 mg of Aminophylline in a 1000 mL bag. The I.V. will infuse over hours at mL/hour, at a drip rate of gtt/min. (Drop factor: 20 gtt/mL) You have an order to start an IV of 1000cc 0.9% NaCl at 100cc/h. Your IV tubing has a gtt factor of 15 gtts/cc. How many gtts/min. will you regulate?____________ You will start the IV at 0800. When will it finish infusing?__________ You have an order for 1000 cc 0.9% NaCl over 8 hours. IV tubing gtt factor 10.
is 10 gtts/cc. How many cc/h? _______________How many gtts/min.?____________ You have an order for 1000 cc D5W to infuse over 12 hours. IV tubing gtt factor is 10 gtts/cc. How many cc/h? _______________How many gtts/min.?____________ You have an order to start an IV of 500 cc D5.45 NaCl at 50cc/h. Your IV tubing has a gtt factor of 10 gtts/cc. How many gtts/min. will you regulate?____________ You will start the IV at 1700. When will it finish infusing?__________ 1000cc of D5.9NaCl is to infuse over 24 hours. How many cc/h? _________Gtt factor is 15 gtts/cc. How many gtts/min.?___________ 1000cc of D5.2NaCl is to infuse over 5 hours. How many cc/h? _________Gtt factor is 15 gtts/cc. How many gtts/min.?___________
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