lab 9

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Widener University *

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206

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Chemistry

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Apr 3, 2024

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IV Worksheet #4 1. Your patient is to receive Ampicillin 2 gm IV to run over 30 minutes. Ampicillin comes as a powder that requires reconstitution. Adding 7.5 ml of NSS results in a concentration of 250 mg/ml. How many ml will you draw up to administer the dose? 2 gm = 2000 mg 2000 mg 250 mg x 1 ml = 8 mL You mix the ampicillin in 50 ml of IV solution. At what rate will you regulate the IV with a drop factor of 15 gtts/ml? 50 ml 30 minutes x 15 gtt ml = 750 gtt 30 minutes = 25 gtts/min 2. The order reads 7,000 units of heparin. The vial is labeled 10,000 units/ml. How many ml will you give? 7000 units 10000 units x 1 ml = 0.7 mL 3. A dose of 85 mg is ordered and the drug is available as 0.1 gm/1.5 ml. How much will you draw up? 0.1 gm = 100 mg 85 mg 100 mg x 1.5 ml = 1.275 1.3 mL 4. An IV of 1000 ml is to infuse at 70 ml/hr. How long will it take for the total volume to be infused? 1000 ml 70 ml x 1 hr = 14.3 hr 5. Dopamine is ordered at the rate of 3 mcg/kg/min for a patient weighing 95 kg. The solution strength is 400 mg of dopamine in 250 ml of D5W. Dose ordered: 3 mcg/kg/min Patient weigh: 95 kg
Calculate the dosage in mcg _______3 mcg kg x min x 95 kg = 285 mcg/min __________ Calculate the flow rate___ 250 x 0.285 400 = 71.25 400 = 0.178125 mL/min x 60 min/hour = 10.7 mL/hr IV Practice Problems #5 1. Ordered: Ticarcillin 1000 mg IV q 6 hours to be administered in a total of 50 ml of NSS and infused over 30 minutes. a. The pharmacy sends a 1 gram vial of Ticarcillin in powdered form for reconstitution. Directions state: “add 4.2 ml of sterile water for injection and shake well. The resultant solution will yield a concentration of 200 mg/ml”. How many ml will the nurse draw up from the vial once reconstituted? 5 mL b. Once the nurse has drawn up the correct number of ml’s (answer to a) to equal the ordered dose (1000mg), this is added to NSS to achieve a total of 50 ml. If the tubing’s drip factor is 12 gtts/ml, how many gtt/min will be needed to administer this medication? (You know the total volume, the time and the drop factor). 20 gtt/min 2. A patient returns from the PACU with an IV solution of D5 ½ NSS infusing at 45 gtt/min. The tubing’s drop factor is 15 gtt/ml. How many ml/hr is this patient receiving? 45 gtt 1 min x 60 mins 1 hr x 1 ml 15 gtt = 180 ml/hr 3. The patient is ordered an IV solution D5 ¼ NSS at a rate of 105 ml/hr. The IV tubing has a drop factor of 10 gtts/ml. At how many gtt/min will the nurse regulate the infusion? 105 ml 1 hr x 1 hr 60 mins x 10 gtts ml = 17.5 18 gtt/min 4. The patient is ordered 300 ml of PRBC’s (Packed red blood cells) for a low hemoglobin count. The infusion is ordered to run over a total of 2 hours. At how many ml/hr will the nurse set the IV pump?
300 : 2 = 150 ml/hr 5. The patient is ordered Lactated ringers solution 125 ml/hr for 4 hours. The tubing’s drip factor is 20gtts/ml. How many drops per minute will the nurse regulate the IV? 125 ml 1 hr x 1 hr 60 mins x 20 gtts ml = 41.67 42 gtts/min 6. How long will it take to infuse 1 liter of IV solution if the IV infusion pump is set to deliver the solution at a rate of 115 ml/hr? 1 L = 1000 mL 1000 ml 115 ml x 1 hr = 8.7 hr 7. The pediatric patient has an order to infuse D5 ¼ NSS with 20 meq KCL at a rate of 65 ml/hr. Microdrip tubing is available. How many gtt/min will the IV infuse? Gtt/min = 125 ml 1 hr x 1 hr 60 mins x 60 gtts ml = 65 gtt/min 8. The pediatric patient weighs 46 lbs. Lactated Ringers is ordered at 20 ml/kg to run over 2 hours for this patient. 46 lbs = 20.9090909 kg a. How many ml/hr would this be? 20 ml/kg x 20.9090909 kg = 418.181818 ml 418.181818 ml 2 hrs = 209.1 ml/hr b. How many gtt/min with a tubing with a drip factor of 10 gtt/ml? 209.1 ml 1 hr x 1 hr 60 mins x 10 gtts ml = 34.85 = 35 gtt/min
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