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    EMS Calculating Drip Rates

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    زهرة النرجس
    This document discusses how to calculate drip rates for intravenous medications. It provides examples of calculating drip rates for lidocaine and dopamine using the "clock method". For lidocaine prepared at 4 mg/mL, the document shows how to determine the drip rate in cc/hr to deliver a target dose of 2 mg/min using a 60 gtt/mL set. Similarly, it calculates the drip rate for a dopamine infusion at a target dose of 5 mcg/kg/min for a 100 kg patient using a solution prepared at 1600 mcg/mL. The document also introduces the "magic number" calculation for determining the dose in mcg/kg/min being delivered based on the drip rate and patient

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    EMS Calculating Drip Rates

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    زهرة النرجس
    312 views17 pages
    This document discusses how to calculate drip rates for intravenous medications. It provides examples of calculating drip rates for lidocaine and dopamine using the "clock method". For lidocaine prepared at 4 mg/mL, the document shows how to determine the drip rate in cc/hr to deliver a target dose of 2 mg/min using a 60 gtt/mL set. Similarly, it calculates the drip rate for a dopamine infusion at a target dose of 5 mcg/kg/min for a 100 kg patient using a solution prepared at 1600 mcg/mL. The document also introduces the "magic number" calculation for determining the dose in mcg/kg/min being delivered based on the drip rate and patient

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    This document discusses how to calculate drip rates for intravenous medications. It provides examples of calculating drip rates for lidocaine and dopamine using the "clock method". For lidocaine prepared at 4 mg/mL, the document shows how to determine the drip rate in cc/hr to deliver a target dose of 2 mg/min using a 60 gtt/mL set. Similarly, it calculates the drip rate for a dopamine infusion at a target dose of 5 mcg/kg/min for a 100 kg patient using a solution prepared at 1600 mcg/mL. The document also introduces the "magic number" calculation for determining the dose in mcg/kg/min being delivered based on the drip rate and patient

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    312 views17 pages

    EMS Calculating Drip Rates

    Uploaded by

    زهرة النرجس
    This document discusses how to calculate drip rates for intravenous medications. It provides examples of calculating drip rates for lidocaine and dopamine using the "clock method". For lidocaine prepared at 4 mg/mL, the document shows how to determine the drip rate in cc/hr to deliver a target dose of 2 mg/min using a 60 gtt/mL set. Similarly, it calculates the drip rate for a dopamine infusion at a target dose of 5 mcg/kg/min for a 100 kg patient using a solution prepared at 1600 mcg/mL. The document also introduces the "magic number" calculation for determining the dose in mcg/kg/min being delivered based on the drip rate and patient

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    The document discusses several methods for calculating drip rates and medication doses for IV infusions, including using concentration-dependent drip factors, the clock method, and the magic number method.

    The document explains that different concentrations of IV fluids have different drip factors - for example, a 60 gtts/mL set runs at 60 gtts/min to deliver 1 cc, while a 10 gtts/mL set runs at 10 gtts/min to deliver 1 cc.

    The clock method uses a graphic representation of time to determine drip rates based on the concentration of the medication solution and the desired dose. It is shown for calculating lidocaine and dopamine infusions.

    Calculating Drip Rates

    Jeremy Maddux NREMTP

    Micro & Macro Drip Sets


    60 gtt/mL set 60 gtt/min = 1 cc 10 gtt/mL set 10 gtts/min = 1cc 15 gtt/mL set 15 gtts/min = 1 cc Micro Macro

    Fluid Volume Over Time


    Volume X Drip Factor Time in Minutes 500 cc X 10 gtt/mL 60 minutes = gtts/min

    = 83.3 gtts/min

    Calculating mg/min
    dose X gtt factor = gtts/min Solution Concentration
    2 mg X 60 gtt/mL 4 mg Using a 60 gtt set: 30 gtt/min = 30 cc/hr = 30 gtts/min

    Calculating mcg/kg/min
    dose X kg X 60 min = cc/hr solution concentration
    5 mcg/min X 75 kg X 60 min = 18.75 cc/hr 1600 mcg/cc Using a 60 gtt set: 18.75 cc/hr = 18.75 gtts/min

    Lidocaine Clock
    Lidocaine is prepared by mixing:
    2 Grams Lidocaine in 500 mL D5W 1 Gram Lidocaine in 250 mL D5W

    2000 mg / 500 mL = 4 mg/mL Using a 60 gtt set


    60 gtts/min = 1 mL 1 mL = 4 mg

    Lidocaine Clock
    4 mg 60

    3 mg

    45

    15

    1 mg

    30 2 mg

    Lidocaine Clock
    You are preparing to start a
    Lidocaine infusion on your patient. You would like to give the patient 2 mg/min. Using the clock method, how many cc/hr should you set your pump at?

    Lidocaine Clock
    4 mg 60

    3 mg

    45

    15

    1 mg

    30 2 mg

    30 cc/hr

    Dopamine Clock
    Dopamine is prepared by mixing:
    800 mg Dopamine in 500 mL D5W 400 mg Dopamine in 250 mL D5W

    800 mg / 500 mL = 1.6 mg/mL Using a 60 gtt set

    60 gtts/min = 1 mL 1 mL = 1600 mcg

    Dopamine Clock
    1600 mcg 60

    1200 mcg

    45

    15

    400 mcg

    30 800 mcg

    Dopamine Clock
    You are about to start a
    Dopamine drip on your patient. You would like to start this drip at 5 mcg/kg/min. Your patient weighs 100 kg. Using the clock method, how many cc/hr would you start your drip at?

    5 mcg X 100 kg = 500 mcg/min

    Dopamine Clock
    1600 mcg 60

    1200 mcg

    45

    15

    400 mcg

    30 800 mcg

    17 cc/hr

    You are assuming care of a patient that is on a Dopamine drip currently running at 9 cc/hr. The patients weight is 84 kg. There is 400 mg of Dopamine in 250 mL of D5W. How many mcg/kg/min is this patient receiving?

    Magic Number
    Works for any medication that is
    delivered in mcg/kg/min.

    Soln Concentration (mcg)

    divided by 60 divided by pt weight (kg) = Magic Number.

    Magic Number X cc/hr =


    mcg/kg/min

    Soln Concentration

    Magic Number

    400mg / 250 mL = 1.6 mg 1.6 mg X 1000 = 1600 mcg

    1600 mcg / 60 cc = 26.6 26.6 / 84 kg = .31 .31 X 9 cc/hr = 2.84 mcg/kg/min

    ANY QUESTIONS?

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