Showing posts with label IV (intravenous). Show all posts
Showing posts with label IV (intravenous). Show all posts

Thursday, January 7, 2016

Dosage Calculation - Dosage Question Steps

Source Website: http://www.dosagehelp.com/steps.html
By Dosagehelp.com


The following is an overview of the steps to take to complete each dosage problem.

Dosage Question Steps
1. Determine problem type:

2. Identify what is the value of each variable in formula.

3. Make units consistent as necessary.

4. Fill in values for formula and solve the problem.


Continue (to Mass/Liquid For Liquid Questions )



Reference
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html

[6] HTML Tables, by Tutorialspoint, http://www.tutorialspoint.com/html/html_tables.htm

Dosage Calculation - Fluid Maintenance Requirement Questions

Source Website: http://www.dosagehelp.com/fluid_maintenance.html
By Dosagehelp.com


Fluid Maintenance Requirement Questions

Given the weight of a child or infant, calculate the necessary amount of fluid per day. Different hospitals may have different policies, but for learning how to perform these pediatric dosage calculations, the following commonly used table of fluid requirements may be used.

Weight RangeRequired Daily Fluid
0-10 kg100 mL per kg
10-20 kg1,000 mL + 50 mL per each kg above 10 kg
20-70 kg1,500 mL + 20 mL per each kg above 20 kg
Over 70 kg2,500 mL (adult requirement)

Example: An infant weighs 4 kg. What is the required amount of fluid per day in mL?

0-10 kg100 mL per kg

         
           4 kg
           x
           100 mL/kg
           =
           
             400 mL
          
        

Example: An infant weighs 30.8 lb. What is the required IV flow rate in mL/hr to maintain proper fluid levels?
Convert 30.8 lb to kg.
    lb → kg    ( ÷ by 2.2 )
    30.8 lb ÷ 2.2 = 14 kg

10-20 kg1,000 mL + 50 mL per each kg above 10kg

14 kg - 10 kg = 4 kg (There are 4 kg over 10 kg).
1,000 mL + (50 mL/kg x 4 kg) = 1,200 mL/day

This is now an ordinary IV Flow Rate - mL Rate Question. The required volume is 1,200 mL and the time is one day.


         
            
              Volume (mL)
              Time (hr)
           
           =
           Y(Flow Rate in mL/hr)
        
There are 24 hours in one day.
1 day x 24 = 24 hr

         
            
              1,200 mL
              24 hr
           
           =
           
            50 mL/hr
          
        

Continue (to Mass/Time - IV mL Rate Questions)

 


Reference
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html

[6] HTML Tables, by Tutorialspoint, http://www.tutorialspoint.com/html/html_tables.htm


Dosage Calculation - Amount in IV Fluid Questions

Source Website: http://www.dosagehelp.com/iv_amount.html
By Dosagehelp.com

Amount in IV Fluid Questions
Given a volume of IV fluid and a dosage expressed in percent, what is the mass of a particular dosage?


Formula:


     
         
            
              Concentration %
              100
           
           x
           Volume (mL)
           =
           Y(Dosage Amount in g)
        
     

Example: Calculate the amount of dextrose in 1000 mL D5W.

         
            
              Concentration %
              100
           
           x
           Volume (mL)
           =
           Y(Dosage Amount in g)
        

         
            
              5 %
              100
           
           x
           1000 mL
           =
           
             50 g
        
        

Example: Calculate the amount of sodium chloride in 2000 mL NS.
Recall NS is 0.9% NaCl (sodium chloride)


         
            
              Concentration %
              100
           
           x
           Volume (mL)
           =
           Y(Dosage Amount in g)
        

         
            
              0.9 %
              100
           
           x
           2000 mL
           =
           
             18 g
        
        

Continue (to Fluid Maintenance Requirement Questions)




Reference
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html 


Tuesday, January 5, 2016

Dosage Calculation - Mass/Time - IV mL Rate Questions

Source Website: http://www.dosagehelp.com/iv_rate_ml_adv.html 
By Dosagehelp.com

Mass/Time - IV mL Rate Questions

Give an order in quantity of mass per time, determine the necessary IV flow rate in mL/hr based on the given mass per volume. These types of problems are often used in critical care nursing.

Formula:

     
         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        
     

Example: Give patient 500 mg of dopamine in 250 mL of D5W to infuse at 20 mg/hr. Calculate the flow rate in mL/hr.

         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        

         
            
              20 mg/hr
              500 mg
           
           x
           250 mL
           =
          
            10 mL/hr
          
        
Alternatively 500 mg = 250 mL
Therefore, 20 mg/hr = 250 mL/500 mg x 20 mg/hr = 10 mL/hr


Example: Aggrastat at 12.5 mg in 250 mL is prescribed to be infused at a rate of 6 mcg/kg/hr in a patient who weighs 100 kg. At what flow rate in mL/hr will you set the pump?

         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        
The first step is to convert the order per time to the amount required for this particular patient. This is a Dosage By Weight Question. 6 mcg/kg/hr is a dosage in terms of kg.

         
             Weight in Kg
             x
             Dosage Per Kg
             =
             Y(Required Dosage)
        

         
             100 Kg
             x
             6 mcg/kg/hr
             =
             600 mcg/hr
        
Convert 600 mcg/hr to mg/hr.
    mcg → mg → g → kg    ( ÷ by 1,000 )
    600 ÷ 1,000 = 0.6 mg/hr


         
            
              0.6 mg/hr
              12.5 mg
           
           x
           250 mL
           =
          
            12 mL/hr
          
        
Alternatively 12.5 mg = 250 mL
Therefore, 0.6 mg/hr = 250 mL/12.5 mg x 0.6 mg/hr = 12 mL/hr

Question (22): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Dopamine 5 mcg/kg/min. Dilution - 200 mg/100 mL Normal Saline. Patient Weight:
50 kg.
Calculate: __________ mL/hr = 5 mcg/kg/min.


         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        
The first step is to convert the order per time to the amount required for this particular patient. This is a Dosage By Weight Question. 50 kg is the weight in kg and 5 mcg/kg/min is a dosage in terms of kg.

1 min Dosage = 5 mcg/kg
1 hour Dosage = 5 mcg/kg x 60 = 300 mcg/kg
5 mcg/kg/min = 300 mcg/kg/hr


         
             Weight in Kg
             x
             Dosage Per Kg
             =
             Y(Required Dosage)
        

         
             50 Kg
             x
             300 mcg/kg/hr
             =
             15,000 mcg/hr
        
Convert 15,000 mcg/hr to mg/hr.
    mcg → mg → g → kg    ( ÷ by 1,000 )
    15,000 ÷ 1,000 = 15 mg/hr


         
            
              15 mg/hr
              200 mg
           
           x
           100 mL
           =
          
            7.5 mL/hr
          
        
Alternatively 200 mg = 100 mL
Therefore, 15 mg/hr = 100 mL/200 mg x 15 mg/hr = 7.5 mL/hr

Question (23): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Dopamine 1 mcg/kg/min. Patient Weight: 50 kg.
Calculate: Amount of Dopamine in 100 mL diluent to deliver 1 mL/hr = 1 mcg/kg/min


The first step is to convert the order per time to the amount required for this particular patient. This is a Dosage By Weight Question. 50 kg is the weight in kg and 1 mcg/kg/min is a dosage in terms of kg.

1 min Dosage = 1 mcg/kg
1 hour Dosage = 1 mcg/kg x 60 = 60 mcg/kg
1 mcg/kg/min = 60 mcg/kg/hr


         
             Weight in Kg
             x
             Dosage Per Kg
             =
             Y(Required Dosage)
        

         
             50 Kg
             x
             60 mcg/kg/hr
             =
             3,000 mcg/hr
        
Convert 3,000 mcg/hr to mg/hr.
mcg → mg → g → kg ( ÷ by 1,000 )
3,000 ÷ 1,000 = 3 mg/hr

         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        

         
            
              3 mg/hr
              Amt. of Dopamine
           
           x
           100 mL
           =
           1 mL/hr
        

        
           Amt. of Dopamine
           =
           
             
               3 mg/hr
               x
               100 mL
             
             1 mL/hr
          
           =
           
             300 mg
           
        
Alternatively,
To deliver, 1 mL = 3 mg of Dopamine
Therefore, 100 mL diluent = 3/1 x 100 = 300 mg of Dopamine

Question (24): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
Patient Weight:
50 kg.
Calculate amount diluent for 200 mg Dopamine to deliver 1 mL/hr = 1 mcg/kg/min (Dosage).


The first step is to convert the order per time to the amount required for this particular patient. This is a Dosage By Weight Question. 50 kg is the weight in kg and 1 mcg/kg/min is a dosage in terms of kg.

1 min Dosage = 1 mcg/kg
1 hour Dosage = 1 mcg/kg x 60 = 60 mcg/kg
1 mcg/kg/min = 60 mcg/kg/hr


         
             Weight in Kg
             x
             Dosage Per Kg
             =
             Y(Required Dosage)
        

         
             50 Kg
             x
             60 mcg/kg/hr
             =
             3,000 mcg/hr
        
Convert 3,000 mcg/hr to mg/hr.
mcg → mg → g → kg ( ÷ by 1,000 )
3,000 ÷ 1,000 = 3 mg/hr

         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        

         
            
              3 mg/hr
              200 mg
           
           x
           Volume of diluent (mL)
           =
           1 mL/hr
        

         
           Volume of diluent (mL)
           =
           1 mL/hr
           x
            
              200 mg
              3 mg/hr
           
           =
           
           66.7 mL
           
        
Alternatively,
To deliver, 3 mg of Dopamine = 1 mL
Therefore, 200 mg of Dopamine = 1/3 x 200 = 66.7 mL of diluent

Question (25): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V adrenaline
0.02 mcg/kg/min. Dilution - 1.5 mg/50 mL. Patient Weight: 50 kg.
Calculate: __________ mL/hr =
0.02 mcg/kg/min.

         
            
              Ordered Per Hour
              Have
           
           x
           Volume (mL)
           =
           Y(Flow Rate in mL/hr)
        
The first step is to convert the order per time to the amount required for this particular patient. This is a Dosage By Weight Question. 50 kg is the weight in kg and 0.02 mcg/kg/min is a dosage in terms of kg.

1 min Dosage = 0.02 mcg/kg
1 hour Dosage = 0.02 mcg/kg x 60 = 1.2 mcg/kg
0.02 mcg/kg/min = 1.2 mcg/kg/hr


         
             Weight in Kg
             x
             Dosage Per Kg
             =
             Y(Required Dosage)
        

         
             50 Kg
             x
             1.2 mcg/kg/hr
             =
             60 mcg/hr
        
Convert 60 mcg/hr to mg/hr.
    mcg → mg → g → kg    ( ÷ by 1,000 )
    60 ÷ 1,000 = 0.06 mg/hr


         
            
              0.06 mg/hr
              1.5 mg
           
           x
           50 mL
           =
          
            2 mL/hr
          
        
Alternatively 1.5 mg = 50 mL
Therefore, 0.06 mg/hr = 50 mL/1.5 mg x 0.06 mg/hr = 2 mL/hr

Congratulations: You have completed the Dosage Calculation Worksheet From Ngee Ann Polytechnics.

Continue (to Mass/Liquid For Liquid Questions)

 
Continue (to Dosage Question Steps)




Reference
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html

Monday, January 4, 2016

Dosage Calculation - Volume/Time - IV mL Rate Questions

Source Website: http://www.dosagehelp.com/iv_rate_ml.html
By DosageHelp.com


Volume/Time - IV mL Rate Questions

Given a certain amount of liquid and a time period, what is the necessary IV flow rate in mL/hr? Measurement used when IV regulated electronically by infusion pump.

Formula:


     
         
            
              Volume (mL)
              Time (hr)
           
           =
           Y(Flow Rate in mL/hr)
        
     

Example: Infuse 250 mL over the next 120 minutes by infusion pump.

         
            
              Volume (mL)
              Time (hr)
           
           =
           Y(Flow Rate in mL/hr)
        
Convert 120 minutes to hours.
    min → hr    ( ÷ by 60 )
    120 min ÷ 60 = 2 hr


         
            
              250 mL
              2 hr
           
           =
           
             125 mL/hr
           
        

Example: Ordered 1000 mL D5W IV to infuse in 10 hours by infusion pump.

         
            
              Volume (mL)
              Time (hr)
           
           =
           Y(Flow Rate in mL/hr)
        

         
            
              1000 mL
              10 hr
           
           =
          
            100 mL/hr
         
        

Question (17): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Hartmann's Solution 500 mL over 4 hours via infusion pump.


         
           Rate:
           
             
          
          mL/hr
        

         
            
              Volume (mL)
              Time (hr)
           
           =
           Y(Flow Rate in mL/hr)
        

         
            
              500 mL
              4 hr
           
           =
          
            125 mL/hr
         
        

Question (21): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Hartmann's as per Parkland formula 4 mL/kg/%burns
Body Weight: 60 kg; %Burns: 30%
Volume to be infused over 24 hours: _______ mL; over first 8 hours:
_______ mL

The Parkland formula is a burn formula used to estimate the amount of replacement fluid required for the first 24 hours in a burn patient so as to ensure they remain hemodynamically stable. The first half of this amount is delivered within 8 hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.
 
The first step is to estimate the amount of replacement fluid required for the first 24 hours for this particular patient.
This is a Dosage By Weight Question. 60 kg is the weight in kg, 4 mL/kg/%Burns and 
30 %Burns is a dosage in terms of mL.

         
             Weight in Kg
             x
             Dosage Per Kg
             x
             %Burns
             =
             Y(Required Dosage)
        

         
             60 kg
             x
             4 mL/Kg/%Burns
             x
             30 %Burns
             =
             
               7200 mL over 24 hours
             
        

The first half of this amount is delivered within 8 hours from the burn incident.

         
             =
             
             7200 mL
             2
             
             =
             
               3600 mL over first 8 hours
             
        

Continue (to Amount in IV Fluid Questions)




Reference 

[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html

Dosage Calculation - Volume/Time - IV Drop Rate Questions

Source Website: http://www.dosagehelp.com/iv_rate_drop.html
By DosageHelp.com


Volume/Time - IV Drop Rate Questions

Given a certain amount of liquid, a time period, and a drop factor (gtts/mL), what is the necessary IV flow rate in gtts/min? Measurement used when IV is regulated manually. Because it is not possible to give a patient a fraction of a drop, it is typical to round answers for these problems up or down to the nearest whole number. 

Formula:


     
         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        
     

Example: Calculate the IV flow rate for 1200 mL of NS to be infused in 6 hours. The infusion set is calibrated for a drop factor of 15 gtts/mL.

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        
Convert 6 hours to minutes.
    min ← hr    ( x by 60 )
    6 hr x 60 = 360 min


         
            
              1200 mL
              360 min
           
           x
           15 gtts/mL
           =
           
             50 gtts/min
          
        

Example: Calculate the IV flow rate for 200 mL of 0.9% NaCl IV over 120 minutes. Infusion set has drop factor of 20 gtts/mL.

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        

         
            
              200 mL
              120 min
           
           x
           20 gtts/mL
           =
           
             33 gtts/min
          
        

Question (16): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Normal Saline 1000 mL over 24 hours. Drop Factor = 60 gtts/mL.


         
           Rate:
           
             
          
          gtts/min
        

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        
Convert 24 hours to minutes.
    min ← hr    ( x by 60 )
    24 hr x 60 = 1440 min


         
            
              1000 mL
              1440 min
           
           x
           60 gtts/mL
           =
           
             41.7 gtts/min
          
        
Answer rounded to the nearest whole number = 42 gtts/min

Question (18): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
I/V D5% 1000 mL over 8 hours. Drop Factor = 20 gtts/mL.

         
           Rate:
           
             
          
          gtts/min
        

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        
Convert 8 hours to minutes.
    min ← hr    ( x by 60 )
    8 hr x 60 = 480 min


         
            
              1000 mL
              480 min
           
           x
           20 gtts/mL
           =
           
             41.7 gtts/min
          
        
Answer rounded to the nearest whole number = 42 gtts/min

Question (19): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V gentamycin 80 mg/100 mL N/Saline over 1 hour. Drop Factor = 60 gtts/mL.


         
           Calculate Rate:
           
             
          
          gtts/min
        

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        
Convert 1 hours to minutes.
    min ← hr    ( x by 60 )
    1 hr x 60 = 60 min


         
            
              100 mL
              60 min
           
           x
           60 gtts/mL
           =
           
             100 gtts/min
          
        

Question (20): (From Ngee Ann Polytechnics Dosage Calculation Worksheet)
ORDER: I/V Osmofundin 20% 100 mL over 30 Minutes. Drop Factor 60 gtts/mL.


         
           Rate:
           
             
          
          gtts/min
        

         
            
              Volume (mL)
              Time (min)
           
           x
           Drop Factor (gtts/mL)
           =
           Y(Flow Rate in gtts/min)
        

         
            
              100 mL
              30 min
           
           x
           60 gtts/mL
           =
           
             200 gtts/min
          
        

Continue (Go to Volume/Time - IV mL Rate Questions)




Reference 
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html
 

Saturday, January 2, 2016

Dosage Calculation - IV Terms & Abbreviations

Source Website: http://www.dosagehelp.com/iv_terms.html
By DosageHelp.com

The following is an overview of key IV (intravenous) concepts which are useful for dosage calculation problems.

Important IV Terms

  • gtts: drops
  • Drop Factor: Number of drops per volume of IV fluid. Varies depending on the tubing used. Usually measured in gtts/mL.
  • Flow Rate: Measure of the flow of liquid from an IV. Usually measured in gtts/minute (how many drops are released every minute) or in mL/hour (how many mL flow through each hour). gtts/minute is used for manually regulating an IV while mL/hour is used when utilizing an electronic IV regulator.

Important IV Abbreviations

  • D: Dextrose
  • W: Water
  • S: Saline
  • NS: Normal Saline (0.9% NaCl)
  • RL or LR: Lactated Ringer's Solution

Example: D5W = 5% Dextrose in Water
Example: D5
� NS = 5% dextrose in 0.225% saline solution

Continue (Go to Volume/Time - IV Drop Rate Questions)



Reference
 
[1] Advanced Formatting, Ry’s MathML Tutorial, http://rypress.com/tutorials/mathml/advanced-formatting.
[2] MathML, Presentation MathML, https://en.wikipedia.org/wiki/MathML.
[3] MathJax in Blogger (II), Posted on Tuesday, 12 July 2011, http://irrep.blogspot.sg/2011/07/mathjax-in-blogger-ii.html
[4] MathJax, http://docs.mathjax.org/en/latest/start.html

[5] MathML Fundamentals (Colours), W3C recommendation, http://www.w3.org/TR/MathML/chapter2.html