IV Drug Administration Drug Calculations November 2007 Drug

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IV Drug Administration Drug Calculations November 2007

IV Drug Administration Drug Calculations November 2007

Drug Calculation Assessment • SECTION 1: Units & Equivalences • SECTION 2: Calculating dose

Drug Calculation Assessment • SECTION 1: Units & Equivalences • SECTION 2: Calculating dose as volume • SECTION 3: Drug Strengths & Stated Concentrations • SECTION 4: Duration of Infusion – Stated rate (dose per min) & Infusion rate (m. L/hr) • SECTION 5: Infusion Rate Calculations

SECTION 1: Units & Equivalences 1 Kg = 1, 000 g 1 g= 1,

SECTION 1: Units & Equivalences 1 Kg = 1, 000 g 1 g= 1, 000 mg 1 mg = 1, 000 micrograms 1 L= 1, 000 m. L

Converting from One Unit to Another • To convert from a larger unit to

Converting from One Unit to Another • To convert from a larger unit to a smaller unit, multiply by 1000 or move the decimal point three places to the right • To convert from a smaller unit to a larger unit, divide by 1000 or move the decimal point three places to the left

Units & Equivalences Convert 0. 25 mg into micrograms Convert 600 micrograms to mg

Units & Equivalences Convert 0. 25 mg into micrograms Convert 600 micrograms to mg

Answers 0. 25 × 1000 or move decimal point three places to the RIGHT

Answers 0. 25 × 1000 or move decimal point three places to the RIGHT = 250 micrograms 600 ÷ 1000 or move the decimal point three places to the LEFT = 0. 6 mg

SECTION 2: Calculating Dose as Volume What you WANT X what it is IN

SECTION 2: Calculating Dose as Volume What you WANT X what it is IN What you have GOT = the volume you want to administer

A patient is prescribed 200 mg of Furosemide I. V. The ampoules available contain

A patient is prescribed 200 mg of Furosemide I. V. The ampoules available contain 250 mg in 10 m. L. What volume containing the drug do you need to administer? Time Furosemide 0700 -0900 1200 -1400 Dose 200 mg Route Start Date IV 18. 05. 07 End Date What it is IN 1600 -1800 2200 -2400 Other Time Signature of Doctor Furosemide 250 mg/10 m. L P. Rescriber What we WANT What we have GOT

Answer What you WANT X what it is IN What you have GOT 200

Answer What you WANT X what it is IN What you have GOT 200 mg 250 mg × 10 m. L = 8 m. L

SECTION 3: Drug Strengths & Stated Concentrations What you HAVE (mg) CONCENTRATION (mg/m. L)

SECTION 3: Drug Strengths & Stated Concentrations What you HAVE (mg) CONCENTRATION (mg/m. L) = How much fluid is required (Volume)

A patient is prescribed 250 mg of Aciclovir I. V. Aciclovir has to be

A patient is prescribed 250 mg of Aciclovir I. V. Aciclovir has to be initially reconstituted with water for injection, then added to a bag of compatible infusion fluid, giving a final concentration of 5 mg/m. L. How much infusion fluid should be used dilute the reconstituted Aciclovir to achieve this final concentration? Time Aciclovir 0700 -0900 1200 -1400 Dose 250 mg Route Start Date IV 18. 05. 07 End Date 1600 -1800 2200 -2400 Other Time What we HAVE Signature of Doctor Additional Comments P. Rescriber Final Concentration 5 mg/m. L CONCENTRATION

Answer What you HAVE (mg) CONCENTRATION (mg/m. L) 250 mg 5 mg/m. L =

Answer What you HAVE (mg) CONCENTRATION (mg/m. L) 250 mg 5 mg/m. L = 50 m. L

A 1% (w/v) solution means that in every 100 m. L of solution you

A 1% (w/v) solution means that in every 100 m. L of solution you will find 1 g of drug. Therefore, how many g of Glucose would there be in 500 m. L of 5% Glucose? Glucose 5% 500 ml

Answer • A 1% (w/v) solution means that in every 100 m. L of

Answer • A 1% (w/v) solution means that in every 100 m. L of solution you will find 1 g of drug. 100 m. L = 1 g Therefore a 5% w/v must mean that 100 m. L = 5 g Multiply each side by 5 500 m. L = 25 g

1: 10, 000 strength means that in every 10, 000 ml of solution you

1: 10, 000 strength means that in every 10, 000 ml of solution you will find 1 g of Adrenaline. Therefore, how many mg of Adrenaline would there be in 10 m. L of 1: 10, 000 Adrenaline?

Answer • 1: 10, 000 means that 1 g of adrenaline is dissolved in

Answer • 1: 10, 000 means that 1 g of adrenaline is dissolved in 10, 000 m. L. 1 g = 10, 000 m. L 1000 mg = 10, 000 m. L Divide both sides by 1000 1 mg = 10 m. L

SECTION 4: Duration of Infusion Stated rate (dose per min) Infusion rate (m. L/hr)

SECTION 4: Duration of Infusion Stated rate (dose per min) Infusion rate (m. L/hr) Stated Rate – dose per min Dose (mg) = Time Rate (mg/min)

Furosemide must be administered at a rate no faster than 4 mg/minute. How many

Furosemide must be administered at a rate no faster than 4 mg/minute. How many minutes would it take to give 200 mg of this drug? Time Furosemide 0700 -0900 DOSE (mg) 1200 -1400 Dose Route Start Date 200 mg IV 18. 05. 07 End Date 1600 -1800 2200 -2400 Other Time Signature of Doctor P. Rescriber Additional Comments Rate of 4 mg/minute Furosemide 250 mg/10 m. L Rate (mg/min)

Answer Dose (mg) = Time Rate (mg/min) 200 mg 4 mg/min = 50 minutes

Answer Dose (mg) = Time Rate (mg/min) 200 mg 4 mg/min = 50 minutes

Infusion rate – m. L/hr Volume (m. L) = Rate (m. L/min) Time (Min)

Infusion rate – m. L/hr Volume (m. L) = Rate (m. L/min) Time (Min) X 60 = Rate (m. L/Hr) * Tip if rate is in hours omit “X 60”

Omeprazole (Losec ®) 40 mg is diluted in 100 m. L of compatible infusion

Omeprazole (Losec ®) 40 mg is diluted in 100 m. L of compatible infusion fluid. This infusion has to be given over 20 minutes. What rate should you set the infusion pump at, in ml/hr, to deliver this dose? Omeprazole 40 mg/100 m. L

Answer Volume (m. L) = Time (m. L/hr) x 60 Rate (hr) 100 ml

Answer Volume (m. L) = Time (m. L/hr) x 60 Rate (hr) 100 ml 20 mins x 60 = 300 m. L/hr

Acetylcysteine (Parvolex ®) 7. 5 g is diluted in 1000 m. L of compatible

Acetylcysteine (Parvolex ®) 7. 5 g is diluted in 1000 m. L of compatible infusion fluid. This infusion has to be given over 16 hours. What rate should you set the infusion pump at, in ml/hr, to deliver this dose? Acetylcysteine 7. 5 g/1000 m. L

Answer Dose (m. L) = Time (m. L/hr) Rate (hr) 1000 16 = 62.

Answer Dose (m. L) = Time (m. L/hr) Rate (hr) 1000 16 = 62. 5 m. L/hr

SECTION 5: Infusion Rate Calculations What you WANT x 60 (60 mins per hr)

SECTION 5: Infusion Rate Calculations What you WANT x 60 (60 mins per hr) What you have GOT X what it is IN = the volume you want to administer

You are required to give a patient Glyceryl Trinitrate as a continuous I. V

You are required to give a patient Glyceryl Trinitrate as a continuous I. V infusion at 25 micrograms/minute. You have prepared a 50 mg in 50 m. L infusion. What rate should you set the infusion pump at, in ml/hr, to deliver this dose? What we Time Glyceryl Trinitrate 07000900 What we WANT 12001400 Dose Route 25 micrograms/ IV minute 60 mins per hr Start Date 18. 05. 07 End Date 16001800 have GOT Glyceryl Trinitrate 50 mg/50 m. L 22002400 Other Time Signature of Doctor P. Rescriber Additional Comments Continuous Infusion What its IN

Answer What you WANT x 60 (60 mins per hr) What you have GOT

Answer What you WANT x 60 (60 mins per hr) What you have GOT X what it is IN 25 micrograms x 60 = 1500 micrograms/hr 1500 ÷ 1000 = 1. 5 mg x 50 m. L 50 mg = 1. 5 m. L/hr

Any Questions? Assessment time……

Any Questions? Assessment time……