Solving IV Flow Rate Problems Using Dimensional Analysis-2
Solving IV Flow Rate Problems Using Dimensional Analysis-2
Terminology:
4.5 g = mg
• Place the ratio with the units of the answer on top and the units to be canceled on the
bottom. Multiply the given by the ratio. The grams cancel out, leaving mg in the answer.
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦
𝟒𝟒. 𝟓𝟓 𝐠𝐠 � � = 𝟒𝟒𝟒𝟒𝟒𝟒𝟒𝟒 𝐦𝐦𝐦𝐦
𝐠𝐠
(Given)(Ratios) = Answer
The problem will supply you with the given and the units of the answer. The ratios will either be
supplied in the problem, or you may have to use your own (60 min/h, 1000 mcg/mg, etc.).
There are three types of IV Flow rate problems:
• The rate to rate problem is the most common. For example: An IV is running at a rate of
1 Liter per hour with a drop factor of 20 (20 drops/mL). What is the rate in drops/min?
If the units of the answer are a rate, the given must be a rate.
(Rate)(Ratios) = Rate
• The time to quantity problem will give you a time duration and ask for the quantity of
something (mL, mg, mg/kg, mEq) delivered over that duration. For example: An IV with
a flow rate of 500 mL/h has been running for 2 hours. What volume of fluid has been
administered?
If the units of the answer are a quantity, the given must be a time duration.
(Time)(Ratios) = Quantity
• The quantity to time is just the opposite of the time to quantity problem. You will be
given a quantity of something and asked for the time duration to administer it. For
example: How long will it take to administer 1 L of fluid at the rate of 250 mL/h?
If the units of the answer are a time duration, the given must be a quantity.
(Quantity)(Ratios) = Time
Examples:
1) 1000 mL is infused over 4 hours using an infusion set with a drop factor of 10 (10 gtts/mL).
Calculate the flow rate in gtts/min.
Step 1) Look at the units of the answer. Gtts/min is a rate, so the given must be a rate. The
only other rate in the problem is 1000 mL/4 h. Write these down with an equal sign.
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
=
𝟒𝟒 𝐡𝐡 𝐦𝐦𝐦𝐦𝐦𝐦
𝟏𝟏𝟏𝟏 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
Now you can see that you have to change mL to gtts and h to min. The ratio of will
𝐦𝐦𝐦𝐦
𝟏𝟏 𝐡𝐡
change mL to gtts and the ratio will change hours to minutes.
𝟔𝟔𝟔𝟔 𝐦𝐦𝐦𝐦𝐦𝐦
Step 2) Arrange the ratios so the unwanted units cancel leaving the units of the answer.
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 𝟏𝟏𝟏𝟏 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠 𝟏𝟏 𝐡𝐡 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
� �� � =
𝟒𝟒 𝐡𝐡 𝐦𝐦𝐦𝐦 𝟔𝟔𝟔𝟔 𝐦𝐦𝐦𝐦𝐦𝐦 𝐦𝐦𝐦𝐦𝐦𝐦
Step 3) Cross out the units which cancel and make sure that only the units of the answer
remain.
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 𝟏𝟏𝟏𝟏 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠 𝟏𝟏 𝐡𝐡 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
� �� � =
𝟒𝟒 𝐡𝐡 𝐦𝐦𝐦𝐦 𝟔𝟔𝟔𝟔 𝐦𝐦𝐦𝐦𝐦𝐦 𝐦𝐦𝐦𝐦𝐦𝐦
Step 4) Take out your calculator and do the calculations. Multiply everything on top and
divide by everything on the bottom, giving the answer of 41.7 gtts/min which is rounded to
42 gtts/min.
2) A patient has an order for regular insulin at the rate of 18 units/hour. The solution is 100 mL
with 100 units of regular insulin. An infusion set with a drop factor of 20 is being used. What
will be the flow rate in gtts/min?
Step 1) Looking at the units of the answer you see gtts/min, so you know the given must be a
rate. The only other rate in the problem is 18 units/hour, so you know this is the given.
𝟏𝟏𝟏𝟏 𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
=
𝐡𝐡 𝐦𝐦𝐦𝐦𝐦𝐦
You will have to change units to gtts and hours to minutes. It will take two ratios to change
𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 𝟐𝟐𝟐𝟐 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠 𝟏𝟏 𝐡𝐡
units to gtts, 𝐚𝐚𝐚𝐚𝐚𝐚 . The ratio of will change hours to minutes.
𝟏𝟏𝟏𝟏𝟏𝟏 𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮 𝐦𝐦𝐦𝐦 𝟔𝟔𝟔𝟔 𝐦𝐦𝐦𝐦𝐦𝐦
Step 2) Arrange the ratios so the unwanted units cancel leaving the units of the answer. Double
check everything and do the calculations.
𝟏𝟏𝟏𝟏 𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮 𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 𝟐𝟐𝟐𝟐 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠 𝟏𝟏 𝐡𝐡 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
� �� �� � = 𝟔𝟔
𝐡𝐡 𝟏𝟏𝟏𝟏𝟏𝟏 𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮𝐮 𝐦𝐦𝐦𝐦 𝟔𝟔𝟔𝟔 𝐦𝐦𝐦𝐦𝐦𝐦 𝐦𝐦𝐦𝐦𝐦𝐦
3) A patient has an order for a drug to be infused at the rate of 25 mg/kg/h. A 1 L bag contains
10 g of the drug and the patient weighs 80 kg. An infusion set with a drop factor of 15 is being
used. What is the flow rate in gtts/min?
This problem looks a little different because it contains the rate 25 mg/kg/h. This means
𝟐𝟐𝟐𝟐 𝐦𝐦𝐦𝐦/𝐤𝐤𝐤𝐤 𝟐𝟐𝟐𝟐 𝐦𝐦𝐦𝐦
(25 mg/kg)/h. You can either enter the rate as 𝐨𝐨𝐨𝐨 𝐦𝐦𝐦𝐦 𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩𝐩 𝐰𝐰𝐰𝐰𝐰𝐰 , which is
𝐡𝐡 𝐤𝐤𝐤𝐤 𝐡𝐡
mathematically equivalent.
Step 1) Look at the units of the answer. Gtts/min is a rate, so the given must be a rate. The
only other rate in the problem is 25 mg/kg/h. Write these down with an equal sign.
𝟐𝟐𝟐𝟐 𝐦𝐦𝐦𝐦 𝐠𝐠𝐠𝐠𝐠𝐠𝐠𝐠
=
𝐤𝐤𝐤𝐤 𝐡𝐡 𝐦𝐦𝐦𝐦𝐦𝐦
You will have to change mg to gtt and h to minutes. kg is not changed to anything, but rather
eliminated from the equation. The patient’s weight is part of the given and will be inserted
above the line to eliminate kg.
Step 2) Arrange the ratios and the patient’s weight so the unwanted units cancel leaving the
units of the answer. Double check everything and do the calculations.
4) Calculate the length of time required to infuse a 1000 mL bag at the rate of 50 mL/h.
Step 1) Look at the units of the answer. Although it doesn’t say “Calculate the number of
hours”, you can figure that out yourself. Since the units of the answer is a time duration, you
know that the given must be a quantity. The only quantity in the problem is 1000 mL.
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 = 𝐡𝐡𝐡𝐡𝐡𝐡𝐡𝐡𝐡𝐡
Step 2) Whenever you have a time to quantity or quantity to time problem, one of the ratios
must be a rate. The only rate in the problem is 50 mL/h, so you know that must be part of the
equation.
𝟏𝟏 𝐡𝐡
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 � � = 𝟐𝟐𝟐𝟐 𝐡𝐡
𝟓𝟓𝟓𝟓 𝐦𝐦𝐦𝐦
5) An IV has been running for 2 hours at the rate of 40 mL/h. How many mL have been
administered?
This is an example of a simple time to quantity problem. The units of the answer are mL, so the
given must be a time duration.
𝟐𝟐 𝐡𝐡 = 𝐦𝐦𝐦𝐦
The rate of 40 mL/h will change h to mL.
𝟒𝟒𝟒𝟒 𝐦𝐦𝐦𝐦
𝟐𝟐 𝐡𝐡 � � = 𝟖𝟖𝟖𝟖 𝐦𝐦𝐦𝐦
𝐡𝐡
Summary
1) Look at the units of the answer.
• If it is a rate, the given will be a rate.
• If it is a duration of time, the given will be a quantity.
• If it is a quantity, the given will be a duration of time.
3) 1000 mL infused over 4 hours using an infusion set with a drop factor of 10 (10 gtts/mL).
4) 250 mL infused over 2 hours using an infusion set with a drop factor of 15.
5) 2 L infused over 24 hours using an infusion set with a drop factor of 20.
6) 100 mL infused over 1 hour using an infusion set with a drop factor of 10.
7) 1000 mL infused over 5 hours using an infusion set with a drop factor of 20.
9) A 1000 mL bag infused at the rate of 45 mL/h using an infusion set with a drop factor of 20.
10) A 1000 mL bag infused at the rate of 45 mL/h using an infusion set with a drop factor of 10.
11) A 1 L bag infused at the rate of 50 gtts/min using an infusion set with a drop factor of 15.
12) A 500 mL bag infused at the rate of 25 gtts/min using an infusion set with a drop factor of 20.
14) A patient has an order for a drug to be infused at the rate of 5 mcg/kg/min. A 500 mL bag
contains 250 mg of the drug and the patient weighs 185 pounds. An infusion set with a drop
factor of 20 is being used. What is the flow rate in gtts/min?
15) A patient has an order for a drug to be infused at the rate of 25 mg/kg/h. A 1 L bag contains
10 g of the drug and the patient weighs 80 kg. An infusion set with a drop factor of 15 is being
used. What is the flow rate in gtts/min?
3) 1000 mL infused over 4 hours using an infusion set with a drop factor of 10 (10 gtts/mL).
7) 1000 mL infused over 5 hours using an infusion set with a drop factor of 20.
𝟏𝟏 𝐡𝐡
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 � � = 𝟐𝟐𝟐𝟐. 𝟐𝟐 𝐡𝐡
𝟒𝟒𝟒𝟒 𝐦𝐦𝐦𝐦
9) A 1000 mL bag infused at the rate of 45 mL/h using an infusion set with a drop factor of 20.
𝟏𝟏 𝐡𝐡
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 � � = 𝟐𝟐𝟐𝟐. 𝟐𝟐 𝐡𝐡
𝟒𝟒𝟒𝟒 𝐦𝐦𝐦𝐦
10) A 1000 mL bag infused at the rate of 45 mL/h using an infusion set with a drop factor of 10.
𝟏𝟏 𝐡𝐡
𝟏𝟏𝟏𝟏𝟏𝟏𝟏𝟏 𝐦𝐦𝐦𝐦 � � = 𝟐𝟐𝟐𝟐. 𝟐𝟐 𝐡𝐡
𝟒𝟒𝟒𝟒 𝐦𝐦𝐦𝐦
11) A 1 L bag infused at the rate of 50 gtts/min using an infusion set with a drop factor of 15.
12) A 500 mL bag infused at the rate of 25 gtts/min using an infusion set with a drop factor of 20.
13) A patient has an order for regular insulin at the rate of 18 units/hour. The solution is 100 mL with 100 units of regular
insulin. An infusion set with a drop factor of 20 is being used. What will be the flow rate in gtts/min?
In practice, you would probably change the 1 L bag to 1000 mL and the 10 g to 10,000 mg before you started the problem. This
would simplify things a bit and result with the following calculation.