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Calculating Intravenous (IV) Infusion Rates in ml/hr, Study notes of Nursing

A step-by-step process for calculating intravenous (iv) infusion rates in ml/hour based on patient weight, desired infusion dosage, and given iv strength. Two examples are shown with calculations for procainamide hydrochloride and vibramycin.

Typology: Study notes

Pre 2010

Uploaded on 08/19/2009

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Slide 2 Nsg 232 Calculating IV Rate ml/hr
Calculating IV Rate ml/hr
Example 1 1 gram of procainamide hydrochloride in dextrose 5% in
water is to be infused at a rate of 70 mcg/kg/minute. The IV has a total
volume of 500 ml. Your patient’s current weight is 48 lbs. At how
many ml/hr will you infuse the IV?
To find the ml/hr:
Step 1 Write down the patients weight and convert
Step 2 Write down desired infusion dosage
Step 3 Write down the given IV strength (amt/volume)
Step 4 Convert as needed
Step 5 Reduce the units
Step 6 Perform the math
70 mcg/kg/minute.
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Nsg 232 Calculating IV Rate ml/hr
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Slide 2 Nsg 232 Calculating IV Rate ml/hr

Calculating IV Rate ml/hr

 Example 1 1gram of procainamide hydrochloride in dextrose 5% in

water is to be infused at a rate of 70 mcg/kg/minute. The IV has a total

volume of 500 ml. Your patient’s current weight is 48 lbs. At how

many ml/hr will you infuse the IV?

To find the ml/hr:

Step 1– Write down the patient’s weight and convert

Step 2 – Write down desired infusion dosage

Step 3 – Write down the given IV strength (amt/volume)

Step 4 – Convert as needed

Step 5 – Reduce the units

Step 6 – Perform the math

70 mcg/kg/minute.

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Slide 3,4,5 Solution to Example One

Calculating IV Rate ml/hr

 Example 1 1gram of procainamide hydrochloride in dextrose 5% in

water is to be infused at a rate of 70 mcg/kg/minute. The IV has a total

volume of 500 ml. Your patient’s current weight is 48 lbs. At how

many ml/hr will you infuse the IV?

To find the ml/hr:

Step 1– Write down the patient’s weight and convert

Step 2 – Write down desired infusion dosage

Step 3 – Write down the given IV strength (amt/volume)

Step 4 – Convert as needed

Step 5 – Reduce the units

Step 6 – Perform the math

48 lbs

Step 1

1kg

2.2 lbs

21 .8 kg

48 x 1 kg x = =

1x 2.2 2.

48 kg

70 mcg/kg/minute.

Calculating IV Rate ml/hr

 Example 1 1gram of procainamide hydrochloride in dextrose 5% in

water is to be infused at a rate of 70 mcg/kg/minute. The IV has a total

volume of 500 ml. Your patient’s current weight is 48 lbs. At how

many ml/hr will you infuse the IV?

To find the ml/hr:

Step 1– Write down the patient’s weight and convert

Step 2 – Write down desired infusion dosage

Step 3 – Write down the given IV strength (amt/volume)

Step 4 – Convert as needed

Step 5 – Reduce the units

Step 6 – Perform the math

Step 1 Step 2

60 min

1hour

x 70 mcg

1kg/min

Step 3

Step 5

Step 6

x =

21 .8 x 70 x500 x 60 ml

1x 1x 1x 1000000 hour

500 ml

1gram

x x

1gram

1 000000 mcg

21 .8 kg

Step 4

Calculating IV Rate ml/hr

 Example 1 1gram of procainamide hydrochloride in dextrose 5% in

water is to be infused at a rate of 70 mcg/kg/minute. The IV has a total

volume of 500 ml. Your patient’s current weight is 48 lbs. At how

many ml/hr will you infuse the IV?

Step 6

= 21 .8 x 70 x500 x 60 ml

1x 1x 1x 1000000 hour

= 45780000 ml

1 000000 hr

=46 ml/hr

Round ml/hr to the nearest whole number.

Slide 7 Solution to Example 2

Calculating IV Rate ml/hr

 Example 2 200 milligrams of vibramycin in dextrose 5% in water is to

be infused at a rate of 0.012 mg/kg/minute. The IV has a total volume

of 220 ml. Your patient’s current weight is 130lbs. At how many ml/hr

will you infuse the IV?

To find the ml/hr:

Step 1– Write down the patient’s weight and convert

Step 2 – Write down desired infusion dosage

Step 3 – Write down the given IV strength (amt/volume)

Step 4 – Convert to hours

Step 5 – Reduce the units

Step 6 – Perform the math

1 30 lbs

Step 1

x

1kg 59.1kg

2.2 lbs

1 30 kg

0.01 2 mg/kg/minute.

Slide 8

Calculating IV Rate ml/hr

 Example 2 200 milligrams of vibramycin in dextrose 5% in water is to

be infused at a rate of 0.012 mg/kg/minute. The IV has a total volume

of 220 ml. Your patient’s current weight is 130lbs. At how many ml/hr

will you infuse the IV?

To find the ml/hr:

Step 1– Write down the patient’s weight and convert

Step 2 – Write down desired infusion dosage

Step 3 – Write down the given IV strength (amt/volume)

Step 4 – Convert as needed

Step 5 – Reduce the units

Step 6 – Perform the math

Step 1 Step 2

60 min

1hour

x

0.01 2 mg

1kg/min

Step 3

59.1kg

Step 4

Step 5

x =

59.1x 0.01 2 x 220 x 60 ml

1x 1 x 200 x 1hour

9361 .44 ml

200 hr

220 ml

200 mg

x

=47 ml/hr

Step 6

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