# Drug Dose Calculations. Calculate This! Organize- 2/8/2012. Finding the ordered dose-the KEY to Calculations! What are you looking for?

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1 Drug Dose Calculations What are you looking for? 1. The desired dose Volume on hand 4. Lbs. to kg 5. Units to administer (What are you looking for?) Calculate This! Doctor orders 2.5 mg of morphine to be administered IV to a patient with substernal chest pain. You have 1 ml vial that contains 10mg of morphine (10 mg/ml). How many milliliters are you going to have to draw up into a syringe and push IV into your patient s IV line port? 1. D Dose: 2.5 mg of Morphine IV 2. : 10 mg 3. Volume on hand: 1 ml 5. Looking for: ml to be given 1

2 Ordered Dose Formula Ordered dose = Volume on hand x Ordered Dose Should look like this! Dose Volume 2.5 mg x 1 ml = 0.25 ml to be given 10 mg/ml Calculate This! A 154 lb. male patient needs Lasix. The ED physician orders 40 mg via IV push. Lasix is supplied as 100mg/10ml. How many ml will you give to deliver the ordered dose? 2

3 1. D Dose: 40 mg Lasix 2. : 100 mg 3. Volume on hand: 10 ml 5. Looking for: ml to be given Ordered Dose Formula Ordered dose = Ordered Dose x Volume on hand Should look like this! Dose Volume 40 mg x 10 ml = 4ml 100mg 3

4 Calculate this! You are ordered to start an IV of Normal Saline with a 10 gtts/ml administration set and infuse 300 ml over 2 hours. At how many gtts/min will you set your IV? Organize! 1. D Dose: 300 ml 2. : not needed 3. Volume on hand: 500 or Looking for: ml to be given/minute Drip Rate Formula- Amount to be infused x Drip set = Time in minutes 4

5 Should look like this! ATBI Drip Set 300 ml x 10 = 25 gtts/min 120 Time in Minutes Calculate this! After your radio report of a 220 lb. male patient involved in a MVA has been given, the physician orders an infusion of Lactated Ringers to be given a rate of 500 per hour. You have a 20 gtts drip set. What rate does your IV need to be running at? 1. D Dose: 500 ml 2. : not needed 3. Volume on hand: 500 or 1000 unlimited! 5. Looking for: ml to be given/minute 5

6 Drip Rate Formula- Amount to be infused x Drip set = Time in minutes Should look like this ATBI Drip Set 500 x 20 = 167gtts/minute 60 Time Calculate this! Post cardiac arrest Save you are ordered to prepare and hang a Lidocaine drip at 2 mg/min. Your Lidocaine is prepackaged at 1g/250 ml. You will be using a 60gtt administration set. At how many drops will you be running your IV? 6

7 Organize 1. D Dose: 2mg/min 2. : 1g or 1000 mg or 4mg/ml 3. Volume on hand: Looking for: ml to be given/minute Medication per Minute Dosing- Med per minute ordered x Drip Set = of the Drug Should look like this Med/min (dose) Drip Set 2mg x 60 = 30 gtts 4 mg/ml 7

8 Calculate this! After your radio report, the physician orders and Epinephrine drip at a rate of 0.25 mg/min. Your Epinephrine comes pre-packaged in 10mg/250ml. You are using a 60gtts administration set. What rate will your IV need to be infusing at? 1. D Dose: 0.25mg/min 2. : 10mg or 0.04mg/ml 3. Volume on hand: 250ml 5. Looking for: ml to be given/minute Medication per Minute Dosing- Med per minute ordered x Drip Set = of the Drug 8

9 Should look like this Med/min (dose) Drip Set 0.25mg/min x 60 = 375 gtts/min 0.04 mg /ml Calculate this? Atropine is ordered for symptomatic bradycardia. The desired dose is 0.5mg. Atropine comes as 1mg/10ml. How many ml will you need to administer to deliver the desired dose of 0.5mg 1. D Dose: 0.5 mg 2. : 1mg or 0.1mg/ml 3. Volume on hand: 10ml 5. Looking for: ml to be given 9

10 Ordered Dose Formula Ordered dose = Volume on hand x Ordered Dose Should look like this Dose Volume 0.5 mg x 10m = 5 ml 1.ml Calculate this! The physician orders 5mg/kg Bretylium IV to be administered to your patient. You have premixed syringes with 500mg/10ml. Your patient weighs 170lbs. How many mls will you need to administer? 10

11 1. D Dose: 5mg x 77 kg=385mg 2. : 500mg=50mg/ml 3. Volume on hand: 10ml 4. Lbs. to kg: Yes-170/2.2=77kg 5. Looking for: ml to given Ordered Dose Formula Ordered dose = Volume on hand x Ordered Dose Should look like this Dose Volume 385 mg x 10ml = 77 ml 50mg/ml 11

12 Calculate this A dopamine drip is ordered at 5mcg/kg/min. Your dopamine comes prepackaged 400mg/500ml. You are using a microdrip drop set (60 gtts). The patient weighs 163lbs. At how many drops per minute will you run your IV? 1. D Dose: 5mcg x 74 kg=370mcg 2. : 400mg is 0.8 mg 3. Volume on hand: 500ml 4. Lbs. to kg: Yes-163lbs./2.2=74kg 5. Looking for: ml to given per minute Medication per Weight Dosing Drip Rate = amt. per minute (dose) x weight in kg x Drip Set 12

13 Should look like this Medication per Weight Dosing amt. per minute (dose) x weight in kg x Drip Set 5 mcg x 74kg x 60gtt =28 gtts/min 0.8 mg/ml or 800 mcg 13

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