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Discussion

can someone help...PLEASE!!!!!!!!!!

i need some help on calculating iv drug pushes...i need a formula to know how much medicine to give over seconds...here is an example:

dilaudid 4mg iv push prn for severe pain, may administer every 6 hours as needed.

mr. smith rates his pain as an 8.

dilaudid available 4mg/1ml

dilute with 1 ml of ns per 1mg of medication:

give at a rate of every 2mg over 4minutes

you have a 6ml syringe that has 5 increments per 1ml.

thank you for your responses!

Featured Replies

number of seconds divided by number of increments equals seconds per increment

1) change number of minutes to seconds (change the 4 minutes to seconds)

2) figure out number of increments (figure out your dose, then multiply the number of mLs times the increments per mL based on syringe)

3) divide step one by step two and you'll get the seconds per increment.

HTH

Michelle

  • Experts

dilaudid 4mg iv push prn for severe pain, may administer every 6 hours as needed.

mr. smith rates his pain as an 8.

dilaudid available 4mg/1ml

dilute with 1 ml of ns per 1mg of medication:

give at a rate of every 2mg over 4minutes

you have a 6ml syringe that has 5 increments per 1ml.

first dilute the dilaudid per instructions:

4 mg x 1 ml = 4 ml of ns to be added to the 1 ml of dilaudid 4mg. this gives you a solution of
4mg/5ml

give at a rate of every 2mg over 4minutes
- so you are going to push 5 ml over 4 minutes. you will push it every increment marked on the syringe and just need to figure how many seconds between each push that will be until the syringe is empty. . .

[4 minutes
(time in which to give the drug)
x 60 seconds
(per minute)
]/ [5 ml
(amount to give)
x 5 increments
(per ml)
] =
9.6 seconds
, rounded off to
10 seconds

you will push one increment of the solution of dilaudid + ns that is in the syringe into the patient every 10 seconds. i would probably alternate pushing it 9 seconds one time and then 10 seconds the next time.

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