Chapter 6 Calculation Of Basic IV Drip Rates PDF

Chapter 6 Calculation of Basic IV Drip Rates Copyright © 2016 Wolters Kluwer All Rights Reserved Types of IV Fluids  D5W = D5%W  D5S = D5% 0.9NS  D5½NS = D5% 0.45NS  NS = 0.9% NS  ½NS = 0.45% NS Copyright © 2020 Wolters Kluwer All Rights Reserved IV Drip Factors ...

Chapter 6 Calculation of Basic IV Drip Rates Copyright © 2016 Wolters Kluwer All Rights Reserved Types of IV Fluids  D5W = D5%W  D5S = D5% 0.9NS  D5½NS = D5% 0.45NS  NS = 0.9% NS  ½NS = 0.45% NS Copyright © 2020 Wolters Kluwer All Rights Reserved IV Drip Factors  Microdrip = 60 gtt/mL  Macrodrip—need to check package 10 gtt/mL 15 gtt/mL  To calculate IV drip rates, this information must be known. Copyright © 2020 Wolters Kluwer All Rights Reserved Electric Infusion Pumps  Volume for infusion  Rate for infusion  Turn pump on Copyright © 2020 Wolters Kluwer All Rights Reserved IV Piggybacks on Electronic Infusion Pumps  Secondary volume  Secondary rate  Turn pump on Copyright © 2020 Wolters Kluwer All Rights Reserved Calculating Basic IV Drip Rates   When the order reads “hour,” convert to minutes by multiplying by 60 (60 minutes = 1 hour). Copyright © 2020 Wolters Kluwer All Rights Reserved Calculating IV Drips for Infusion Pump Totalnumberofmil ilitersordered run¿=mL/hour Numberofhours¿ Copyright © 2020 Wolters Kluwer All Rights Reserved Question #1 Order: 1000 mL D5W at 120 mL/hour Available macrodrip 15 gtt/mL What is the drip factor in drops per minute? A. 30 gtt/minute B. 31 gtt/minute C. 32 gtt/minute D. 33 gtt/minute Copyright © 2020 Wolters Kluwer All Rights Reserved Answer to Question #1 A. 30 gtt/minute Copyright © 2020 Wolters Kluwer All Rights Reserved Choosing the Infusion Set  Microdrip o IV administered over a long period o Small amount of fluid to be infused o Macrodrops per minute are too few.  Macrodrip o Order specifies a large amount of fluid over a short time. o Microdrips per minute are too many, and counting the drip rate becomes too difficult. Copyright © 2020 Wolters Kluwer All Rights Reserved Determining Hours an IV Will Run Numberofmil ilitersordered =Numberofhours¿run Numberofmil ilitersperhour Copyright © 2020 Wolters Kluwer All Rights Reserved Question #2 How many hours will 500 mL of D5½NS run at 75 mL/hour? Round to the nearest whole number. A. 4 hours B. 5 hours C. 6 hours D. 7 hours Copyright © 2020 Wolters Kluwer All Rights Reserved Answer to Question #2 D. 7 hours Copyright © 2020 Wolters Kluwer All Rights Reserved Adding Medications to IVs  Check diluent and volume.  Check dose and expiration date of reconstituted solution.  Note whether the IV piggyback (IVPB) should be refrigerated before use and remain at room temperature.  Calculate the drip rate, and record this information on IVPB label. Copyright © 2020 Wolters Kluwer All Rights Reserved Reconstitution Device Copyright © 2020 Wolters Kluwer All Rights Reserved Enteral Nutrition  Used when a patient/client cannot eat or cannot eat enough  Administered with a pump o Intermittent o Cyclic o Continuous Copyright © 2020 Wolters Kluwer All Rights Reserved