Dosage Calculations!!!

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Hello,

I'm a first year adult nursing student in s. of England. Would really appreciate any help with these questions (trying to complete my drug calculations booklet!!).

1) PATIENT PRESCRIBED SOLUBLE INSULIN 100 UNITS IN 5O ML 0.9% SODIUM CHLORIDE SET AT AN INFUSION RATE OF 6MLS PER HOUR. HOW MANY UNITS OF INSULIN WILL PATIENT RECEIVE EACH HOUR- CALCULATE FLOW RATE AS ML/HR.

2)PATIENT PRESCRIBED 40,000 UNITS OF HEPARIN OVER 24 HOURS. THE VIAL OF HEPARIN IS 25000 UNITS/ML AND YOU'RE ASKED TO DILUTE THE HEPARIN IN NaCl 0.9% TO RUN AT 1ML/HR. a) what volume of heparin do you draw up?

b) how much sodium chloride do you add to the heparin to infuse 40,000 units over 24 hours?

3) PATIENT PRESCRIBED 60mmol K+ IN 500MLS NaCl TO BE GIVEN OVER 3HOURS. HOW MANY mmol OF K+ WILL PATIENT RECEIVE EACH HOUR?

Thanks for taking time to read this.

Specializes in Anaesthetics, Critical Care.

I can recommend 2 formulars from an NCLEX preparation book, the always do work!

1) D:HxQ=X

D= doctor's order

H=dose on hand (from drug label)

Q=quantitiy (for ex. ml)

X= how many tablets to give or ml/hour

2) V:Txdrop factor=gtt/min

V=volume in ml = doctor's order

T=time in minutes

drop factor= depends on drop set used

Our program required 100% with one retake.

Hello,

I'm a first year adult nursing student in s. of England. Would really appreciate any help with these questions (trying to complete my drug calculations booklet!!).

1) PATIENT PRESCRIBED SOLUBLE INSULIN 100 UNITS IN 5O ML 0.9% SODIUM CHLORIDE SET AT AN INFUSION RATE OF 6MLS PER HOUR. HOW MANY UNITS OF INSULIN WILL PATIENT RECEIVE EACH HOUR- CALCULATE FLOW RATE AS ML/HR.

i cross multiply

if 100u=50ml

Xu=6ml

so 6*100 /50 =12

2)PATIENT pRESCRIBED 40,000 UNITS OF HEPARIN OVER 24 HOURS. THE VIAL OF HEPARIN IS 25000 UNITS/ML AND YOU'RE ASKED TO DILUTE THE HEPARIN IN NaCl 0.9% TO RUN AT 1ML/HR. a) what volume of heparin do you draw up?

25000= 1

40000=x

40000*1/25000 =1.6 ml

b) how much sod ium chloride do you add to the heparin to infuse 40,000 units over 24 hours?

1m/hr = 24ml-1.6= 22.4ml

3) PATIENT PRESCRIBED 60mmol K+ IN 500MLS NaCl TO BE GIVEN OVER 3HOURS. HOW MANY mmol OF K+ WILL PATIENT RECEIVE EACH HOUR?

Thanks for taking time to read this.

60mmol in 3h = 20mmol/hr and seems rather fast

Specializes in Advanced Practice, surgery.

Just wanted to point out that this thread is over 6 months old !!!!

yeah but i felt like working them out

actually calculated a drip rate recently as no pumps and it was potassium.

Specializes in Advanced Practice, surgery.

ayla, you really are nuts. I can't bear calculations let alone doing them for fun :yeah: :yeah: :yeah:

ayla, you really are nuts. I can't bear calculations let alone doing them for fun :yeah: :yeah: :yeah:

maybe not fun but the semi fear of a 3rd year wondering if i know enough

as my placement hospital and hopeful future employer perceptionship is two weeks of trailing another nurse, and once you have your pin its all solo

Specializes in Medical and general practice now LTC.
maybe not fun but the semi fear of a 3rd year wondering if i know enough

as my placement hospital and hopeful future employer perceptionship is two weeks of trailing another nurse, and once you have your pin its all solo

Ayla

Even once qualified you can always get your calculations checked with others, If in doubt get it checked out I have done it on several occasions

Ayla

Even once qualified you can always get your calculations checked with others, If in doubt get it checked out I have done it on several occasions

Measure twice, cut once :)

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