Exam 10: Basic Intravenous Calculations
An IV of 100 mL at 50 mL per hr is started at 1000 hours.About what time should the nurse set an alarm to discontinue or replace the IV if the nurse wants a 10-minute warning for this slow flow rate?
1150 hours (1 hour and 50 minutes after start)
If an IV solution,medicated or unmedicated,falls behind or gets ahead of the ordered schedule,what should and shouldn't the nurse do? What are some of the concerns?
The nurse should not automatically readjust the flow rate.The prescriber orders the flow rate based upon the contents of the IV,patient heart,lung and renal function,diagnoses,and purpose of the IV,among other things.There are no approved "catch- up formulas" for any patient.The nurse is not prepared to evaluate all this.The patient condition must be assessed for symptoms of fluid or medication overload or underload.It's best to consult the prescriber promptly about adjustments.Even abruptly slowing down a medicated IV can cause problems.Never open the IV to full flow to "catch up."
What is the difference between microdrip and macrodrip tubing?
Microdrip tubing has smaller diameter and delivers smaller drops (60 drops per mL).Macrodrip tubing has larger diameter and delivers larger drops (10,15,or 20 drops per mL).
An IVPB of 50 mL is ordered to be infused over 30 minutes.What flow rate will the nurse set on the EID in mL per hr?
Agency policy states that blood is to be administered at 2 mL per minute for the first 30 minutes.How many mL per hr will be set on the EID?
Name and give the abbreviations for three isotonic solutions commonly ordered.
Four types of IV administration sets are available: DF10,DF15,DF20,and DF60.
A)Which DF will deliver the largest drops?
B)Which DF will deliver the fewest drops per milliliters?
C)Which DF is used for a microdrip or pediatric IV administration set?
D)Which IV administration set would be used to administer blood?
E)Why?
Directions: Calculate the IV flow rates with DA equations where requested.For credit,show work.Label all answers.Label flow rates in milliliters per hour or drops per minutes,as needed.
Ordered: IVPB antibiotic.Available from the pharmacy: antibiotic diluted in 25-mL solution.Administer over 30 minutes.Equipment: microdrip infusion set.
A)Estimated flow rate:
B)DA equation:
C)Evaluation:
A medicated IVPB 30 mL is ordered to be infused over 60 minutes.What flow rate will the nurse set on the EID in mL per hr?
Directions: Calculate the IV flow rates with DA equations where requested.For credit,show work.Label all answers.Label flow rates in milliliters per hour or drops per minutes,as needed.
Ordered: D5W IV at 125 mL per hr.Available: D5W 1000 mL; gravity device with DF10 administration set.
What flow rate will the nurse set?
A)DA equation:
B)Evaluation:
What solution is hung with blood and administered on Y tubing before and after blood administration.What is the purpose?
Directions: Calculate the IV flow rates with DA equations where requested.For credit,show work.Label all answers.Label flow rates in milliliters per hour or drops per minutes,as needed.
Ordered: NS IV at 75 mL per hr.Available: NS 1000 mL; IV administration set with DF15.
A)Where is the DF written? What flow rate will the nurse set?
B)DA equation:
C)Evaluation:
A maintenance IV is of 1000 mL D5W is ordered every 24 hours on an EID.
A)What is mL per hr to nearest 0.5 mL? ____________
B)Estimate:
C)DA equation:
D)Evaluation:
E)Is this considered a continuous or an intermittent infusion?
Directions: Calculate the IV flow rates with DA equations where requested.For credit,show work.Label all answers.Label flow rates in milliliters per hour or drops per minutes,as needed.
Ordered: D5LRS IV at 40 mL per hr.Available: D5LRS 500 mL; gravity device with microdrip administration set.
A)What is the DF for a microdrip administration set? How many hours (and minutes, if applicable) will the infusion last?
B)DA equation: What flow rate will the nurse set?
C)Estimated flow rate:
D)DA equation:
E)Evaluation:
A medicated IVPB of 50 mL is ordered to be infused over 20 minutes.What flow rate will the nurse set on the EID in mL per hr?
Estimate:
DA equation
Evaluation.
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