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D X Q = X
H
You are ordered to give 5 mg Valium IV. The
label states there is 10 mg in 2cc(10mg/2cc).
How many cc’s will you give?
The equation will look like this:
5mg X 2cc = X cc
10 mg
1 X 2 = X cc
X = 1 cc
you will give 1cc!
Desired dose (D) x Weight in Kg (W)
Known dose on hand
X Unit of measure or volume on hand (Q)
= Volume or unit measure to be administered (X)
D X W X Q = X
H
You are to give 0.5 mg/kg IV push. Your patient
weighs 80 kg. The drug comes packaged:
100mg/10cc. How many mg will you give? How
many cc’s will you deliver.
Your equation to determine mg will look like
this:
0.5mg/kg x 80 kg = 40mg to be given
Your equation to determine cc will look like this
40 mg x 10 cc = 4cc
100 mg
“Clock” method (used only for 4:1)
60
4
45 3 1 15
2
30
If your dose is 1 mg/min, your drip rate is 15 gtt/min.
If the order is greater than 4 mg/min, add them
together. A dose of 6 mg/min is 90 gtt/min (4+2= 6
so 60+ 30 = 90)
Desired dose x Size of bag x gtt set = gtt/min
Amount of drug on hand
The order is for 5 mg/min. You have a 500cc bag of NS,
a 60 gtt/cc administration set, and 2g of drug on hand.
How many gtt/min will you administer ?
5 mg/min x 500 cc x 60 gtt/cc = 75 gtt/min
2000 mg
Note: If the dose is weight based, determine the total
dose prior to beginning the equation or multiply
everything by the number of kg.
Enteral (via digestive tract)
Oral (by mouth, PO)
10-90 minutes to begin working
Affected by digestion and absorption
PO: CT, PM
1.5 mg/kg initial dose and repeat for cardiac arrest up to 3mg/kg
total
0.5-0.75 mg/kg repeat dose with pulse up to 3mg/kg total
Magnesium Sulfate- Torsades de pointes, refractory Vfib, pre
eclampsia
PO: CT, PM
1-2 g in 10cc IV over 1-2 min for arrest and 2-4g in 50cc NS slow IV
push
Midazolam (Versed)- sedation, seizures
PO: CT, SO: PM
2mg slow IV push titrated to effect
Morphine Sulfate- pain, CHF
PO: CT and PM
1-3mg slow IV for CHF and chest pain and 2-4 mg IV for burns
Sodium Bicarbonate (Bicarb)- tricyclic antidepressant overdose,
return of circulation after long arrest, known severe acidosis
PO: CT and PM
1 mEq/kg IV push
Solmedrol (Methylprednisone)- anaphylaxis,
severe asthma
PO: CT and PM
125 mg IV
Rate Calculations
Macrodrip Set
10 drops = 1 ml
15 drops = 1 ml
20 drops = 1 ml
Microdrip Set
60 drops = 1 ml
Blood Set
10 drops = 1 ml
Formula
Desired x size of bag x gtt set = gtt/min
Amount of drug on hand
The order is for 5 mg/min. You have 500cc bag of NS,
a 60 gtt/cc administartion set, and 2g of drug on hand.
How many gtt/min will you administer?
5 mg/min x 500cc x 60gtt/cc = 75gtt/min
2000 mg
Note: If the dose is weight based, determine the total
dose prior to beginning the equation or multiply
everything by the number of kg.
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Formula