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Medication Calculations3 (1)_4fefad2b79a39af30463082c2a0365fa

The document provides a comprehensive guide on medication calculations, including the metric system, basic equations, and examples for calculating drug dosages and IV fluid rates. It details specific medications such as Dopamine, Dobutamine, and Heparin, along with their uses and calculation examples for administering these drugs. The document emphasizes the importance of accurate calculations in medical settings to ensure patient safety and effective treatment.

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2 views31 pages

Medication Calculations3 (1)_4fefad2b79a39af30463082c2a0365fa

The document provides a comprehensive guide on medication calculations, including the metric system, basic equations, and examples for calculating drug dosages and IV fluid rates. It details specific medications such as Dopamine, Dobutamine, and Heparin, along with their uses and calculation examples for administering these drugs. The document emphasizes the importance of accurate calculations in medical settings to ensure patient safety and effective treatment.

Uploaded by

j.lihya2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Medication Calculations

Noor Abu Sobheiah, MSN.RN. Haya Albana,


MSN.RN
Farah Al- A’mar, MSN.RN
Outline
Metric system
 Basic equation
Examples
 IV Fluids calculations
Dopamine
Dobutamine
Heparin
Basic Medication calculation
The basic formula for calculating drug dosages is commonly
used and easy to remember:
D = desired dose (i.e., dose ordered by primary care provider)
H = dose on hand (i.e., dose on label of bottle, vial, ampule)
V = vehicle (i.e., form in which the drug comes, such as tablet
or liquid)
Note : 1 gm = 1000 Mg
Formula = D * V / H = amount to administer
Example 1
•A Client is ordered 50 milligrams of Amitriptyline
(25-milligram) tablets are available. How many
tablets will you give?

Formula = D * V / H = amount to administer

 Result: (50 × 1) = 2 tablets


25
Example 2
•A Client is ordered Erythromycin 500 mg .(250
mg in 5 mL are available. How many ml will you
give?
Formula = D * V / H = amount to administer

 Result: (500 × 5) = 10 ml
250
Example 3
•A client is ordered Dilantin 50 mg orally .
125mg/5ml of Syrup is available. How many
milliliters will you administer?
Formula = D * V / H = amount to administer

 Result: (50 × 5) = 2 ml
125
Example 4
•A patient is prescribed digoxin 0.1mg, the
Available tablet is 25mcg ● How many tablets
will you give the patient?
Formula = D * V / H = amount to administer

 * convert mcg to mg ....25mcg ÷ 1000 = 0.025mg

 Result: (0.1 × 1) = 4 tablets


0.025
Example 5
A client is ordered 50 micrograms of Fentanyl citrate
intravenously. 0.1milligrams in 1 milliliter of liquid for
IV Injection is available. How many milliliters will you
administer?
Formula = D * V / H = amount to administer
 * convert mg to mcg ....0.1mg × 1000 = 100 mcg

 Result: (50 × 1) = 0.5 ml


100
IV fluid calculations
 RATE: Volume(ml) = (ml/hr)
Infusion time (hr.)
 volume x drop factor = gtts/min Or drops/min
infusion time in minutes
• Macro drip = volume x 15 / hr x60

• Micro drip = volume x 60 / hr x 60

• Hemoset (blood transfusing) = volume x 10 / hr x 60


Example 6
• If you have 1000ml Normal saline to infuse over 8
hours, what is the rate per (ml/hr)?.
• RATE: Volume(ml) = (ml/hr)
Infusion time (hr.)
 Result: (1000) = 125 ml/hr
8
Example 7
The physician has ordered IV Saline 1500 milliliters in
12 hours using 15 drops per milliliter
infusion rate. How many drops per minute need to
be delivered?
Macro drip = volume x 15 / hr x60

 Result: (1500 × 15) = 31. 25 drops/min


12 × 60
Example 8
The provider has ordered 1,000 mL Lactated Ringers to infuse
over 8 hours. You have a macro-drip tubing with a drop factor
of 15 gtts/mL. Calculate how many gtts/min to set as the IV
flow rate.

Macro drip = volume x 15 / hr x60

 Result: (1000 × 15) = 3.125 gtts/min


8 × 60
Example 9
•Dr. orders your patient to receive 125 ml of D5W
an hour for the next 8 hours. What is the drip
rate per minute using Micro-drip?

Micro drip = volume x 60 / hr x 60

 Result: (125 × 60) = 15. 625 drops/min


8× 60
Example 10
•A patient is about to receive one unit of blood
over 3 hours, the blood unit contains 450 ml,
what is the required rate in drops/min?

• Hemoset (blood transfusing) = volume x 10 / hr x 60

 Result: (450 × 10) = 25 drops/min


3× 60
Medications by syringe pump
• Dopamine

• Dobutamine

• Heparin
Dopamine
• Description: a catecholamine neurotransmitter used to
treat hemodynamic imbalances, poor perfusion of vital
organs, low cardiac output, and hypotension.

• Uses: A medication used to treat low blood pressure, a


weak heartbeat, and poor blood flow to the organs.
•
Indication: For the correction of hemodynamic
imbalances present in the shock syndrome due to myocardial
infarction, trauma, endotoxic septicemia, open-heart surgery,
renal failure, and chronic cardiac decompensation as in
congestive failure
Example 11
• Give your patient 6mic/kg/min of Dopamine drug (patient
body weight 70kg), We will draw from vial 200.000 mic and Dopamine
dilute it in 50 ml NS then connected with the infusion pump, 200mg….5ml
What is the IV infusion rate in (ml/hr)?

 * convert all the vail from mg to mcg ....200mg × 1000 = 200,000 mcg
1. Calculate the amount of Dopamine that will enter the
patient( as his weight) in one hour
 Formula: Dose (mic/kg/min) × weight (kg) × 60 (minutes)
 Result: 6 × 70 × 60 = 25,200 mic/kg/hr
Cont…. Example 11
2. Diluted all vail amount in Total fluid describe, then Calculate Dose ml/hr and
put it in IV Pump)

Result: 200,000mic diluted in ...................................50ml (as question described)


25,200mic( total dose as pts weight )………..???

 Final Result: ( use Cross Multiplication) = (25,200 × 50) = 6.3 ml/hr


200,000
Dobutamine
• Uses: A medication used to treat a weak heart beat in
patients with heart disease or after heart surgery.

• Description : A beta-1 agonist catecholamine Treats


heart failure by strengthening your heart muscle . It is
proposed as a cardiotonic after myocardial infarction or
open heart surgery.

• Indication : short-term treatment of patients with


cardiac decompensation due to depressed contractility
resulting either from organic heart disease or from cardiac
surgical procedures.
Example 12
Give your patient 8mic/kg/min of Dobutamine (patient body
Dobutamine
weight 75kg). We will draw from vial 250.000 mic and dilute it 250mg….5ml
in 100 ml NS .What is the IV infusion rate in (ml/hr)?

 * convert all the vail from mg to mcg .... 250mg × 1000 = 250,000 mcg
1. Calculate the amount of dobutamine that will enter the
patient( as his weight) in one hour
 Formula: Dose (mic/kg/min) × weight (kg) × 60 (minutes)

 Result: 8× 75× 60 = 36,200 mic/kg/hr


Cont…. Example 11
2. Diluted all vail amount in Total fluid describe, then Calculate Dose ml/hr and
put it in IV Pump)

Result: 250,000mic diluted in ...................................100ml (as question described)


36,200mic( total dose as pts weight )………..???

 Final Result: ( use Cross Multiplication) = (36,200 × 100) = 14.48 ml/hr


250,000
Heparin
• Uses: Heparin is used to treat and prevent blood
clots caused by certain medical conditions or medical
procedures. It is also used before surgery to reduce the
risk of blood clots.
• Description : Heparin is an anticoagulant (blood thinner)
that prevents the formation of blood clots.
• Indication: prevention and treatment of thrombotic
events such as deep vein thrombosis (DVT) and pulmonary
embolism (PE) as well as atrial fibrillation (AF)
Example 13
• Give your patient 1200 IU/hr by syringe pump. What is the IV infusion
rate in (ml/hr)?
1. prepare the dose for six hours (as medication stability or as doctor Heparin
order): 25,000IU…5ML
5,000IU…1ML
 Result: 1200× 6 = 7,200 IU/hr

2. How many ml do we have to draw from the vial?


5,000IU diluted in ....................................1ml (as vail concentration)
7,200IU ( total dose for six hr)………...???

 Result: ( use Cross Multiplication) = (7,200 × 1) = 1.44 ml


5,000
Cont…. Example 13
3. Diluted Total amount of medication (in six hr) in Total fluid describe, , then
Calculate Dose ml/hr and put it in IV Pump)

Result: 7,200/IU diluted in ...................................50ml (as question described)


1,200/IU( total dose as pts weight )………..???

 Final Result: ( use Cross Multiplication) = (1,200 × 50) = 8.33 ml/hr


7,200

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