Calculation - page 2

Guys i really do not understand how to do this. The physician orders Pronestyl at 1 mg/min. Solution avail. is 1gm in 500cc D5W. What rate shoud it run if drip factor is 60 gtt/mL. I know... Read More

  1. by   redneckrn2b
    I meant to click the thanks but missed you...dont get offended. Dang its just a forum. But do realize you helped me a lot. I just forgot to click the thanks button silly.
  2. by   SMS80
    Quote from Nrs_angie
    sheesh.... i have to say though, I am a little offended that you thanked the others, but not me...

    aren't the other posters still students anyway???

    ya gonna listen to another student or an RN? LOL

    hehehehehe

    how can you be offended? we are trying to help each other out. you were once a nursing student or were you born a nurse?

    and captron is right, it's all about what works best for you. and to me your way is not simpler and quicker. but what do i know, i'm just a nursing student who has a BS already, the highest math i've completed is Cal 2, and am doing this RN program in 18 months... yes, what could i possibly know about anything...
  3. by   Nrs_angie
    Quote from redneckrn2b
    Ohhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhh. LoL maybe i will use that tomorrow on the test. Hehe i had an epiphany
    good im glad you got it...

    here's another example just to make sure...

    lets say you have a heparin order

    this is why you wanna use the DESIRED/HAVE X QUANTITY formula

    order is for 5000 u of heparin per hour & pharmacy sends 25,000 u in 250mL D5W

    5000u/hr X 250 mL = 50 mL/hr
    25,000 u

    you have macrodrip set with drop factor of 15 but no electrical IV pump...

    so you need to set up a gravity drip... how many drops per minute do you set

    ok... 60/15 = 4 (division factor)

    50 mL/hr dividided by 4 = 12.5 rounded up is 13 drops per minute...

    does it seem to be getting easier??

    Angie
  4. by   redneckrn2b
    AAww. Dont get all touchy. I do agree with you sms, we as student nurses are thought not to know anything. We are belittled at times as well. I dont think it is fair. I believe that it is all a matter of tecnique, its the way you feel most comfortable doing things. I am not going to say which formula i used, but they were all different and i had to choose the one that was the best for me. Now...who wants to take this test for me tomorrow?
  5. by   Nrs_angie
    Quote from redneckrn2b
    I meant to click the thanks but missed you...dont get offended. Dang its just a forum. But do realize you helped me a lot. I just forgot to click the thanks button silly.
    I was only joking.... guess you dont know who Rodney dangerfield is.... am I that old since I know who he is?
  6. by   redneckrn2b
    Quote from Nrs_angie
    good im glad you got it...

    here's another example just to make sure...

    lets say you have a heparin order

    this is why you wanna use the DESIRED/HAVE X QUANTITY formula

    order is for 5000 u of heparin per hour & pharmacy sends 25,000 u in 250mL D5W

    5000u/hr X 250 mL = 50 mL/hr
    25,000 u

    you have macrodrip set with drop factor of 15 but no electrical IV pump...

    so you need to set up a gravity drip... how many drops per minute do you set

    ok... 60/15 = 4 (division factor)

    50 mL/hr dividided by 4 = 12.5 rounded up is 13 drops per minute...

    does it seem to be getting easier??

    Angie

    Yeah....Its just getting me motivated. I am just stressed out to the T, and dont understand why we have to know this when the pharm does it for us haha. :trout:
  7. by   Nrs_angie
    happy holidays
    Last edit by Nrs_angie on Nov 19, '07 : Reason: leaving the forum
  8. by   Nrs_angie
    Quote from redneckrn2b
    Yeah....Its just getting me motivated. I am just stressed out to the T, and dont understand why we have to know this when the pharm does it for us haha. :trout:
    Don't forget... pharmacy and MD's can make mistakes... youre the one giving the med, so its your butt on the line too.

    Oh well... dont worry about the test... you'll be fine... just keep practicing.

    BTW... if you know the formulas... you can't go wrong!
    Last edit by Nrs_angie on Nov 19, '07
  9. by   SMS80
    Quote from redneckrn2b
    I do agree with you sms, we as student nurses are thought not to know anything. We are belittled at times as well. I dont think it is fair.

    comments and tones like that are not okay. i'm sure that i will have to deal with this is the real world of nursing but on a forum from an RN?! you've got be kidding me!

    and i didn't wear a thong today, thank you. i do have a sense of humor as long a someone does not belittle me into trying to make me feel like an idiot to make themself feel better. do you Nrs_angie like to be called "silly", silly? didn't think so... it's like calling your patient honey or sweetheart. don't insult me.
  10. by   redneckrn2b
    The test continues on with the EKG reading. Pwave Twave etc. Do you know any websites that is clear and to the point? Oh and Quit arguing LoL:smackingf
  11. by   Nrs_angie
    Quote from SMS80
    comments and tones like that are not okay. i'm sure that i will have to deal with this is the real world of nursing but on a forum from an RN?! you've got be kidding me!

    and i didn't wear a thong today, thank you. i do have a sense of humor as long a someone does not belittle me into trying to make me feel like an idiot to make themself feel better. do you Nrs_angie like to be called "silly", silly? didn't think so... it's like calling your patient honey or sweetheart. don't insult me.


    Why does it seem that nowadays everyone takes simple TERMS of ENDEARMENT such as "silly, hon, sweetie" and turn it into an ugly thing...

    FYI my mother's oncologist calls her sweetie all the time... its a term of endearment. We are NOT offended by it.

    If I was belittleing you... I would have said Idiot, Dummy, Moron... So relax dude!

    Looks like SMS blew this outta proportion... must be why he likes using proportions so much!
  12. by   Nrs_angie
    Quote from redneckrn2b
    The test continues on with the EKG reading. Pwave Twave etc. Do you know any websites that is clear and to the point? Oh and Quit arguing LoL:smackingf
    Sorry... I don't know a website... but I can recommend a book that is Clear and to the point!

    ECG Interpretation Made Incredibly Easy!

    It's a quick read... you can finish in a day or two... it explains the important points along with some nice to know info! Very concise!
  13. by   captron74
    Angie, we must have been typing at the very same time, because when I was doing my orginal answer, there were no other posts showing up, so I figured I would put my new found knowlege that was less than a week old to some good use! LOL I start clinical in the begining of January, so I am trying to get my mental ducks in order now. And yes I know who Rodney Dangerfield is.

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