Iv medication question

Nursing Students Student Assist

Published

I need some help answering this IV medication question. Also, if someone could explain it to me, it would be great :)

Doctor's order: Flagyl 500 mg in 100 mL D5W to infuse over 45 minutes.

The IV tubing drop factor is 10 gtt/mL. When the IV has infused at the correct rate for 20 minutes, the patient will have received how much Flagyl?

Specializes in Hospice, Palliative Care.

Good day, loveofrn

What I stated --> My understanding is how many mL (which does have a relationship to the mg) the patient received

Which is not the same thing as what you think I stated what is in the () makes the difference ;-)

Thank you.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Good day, loveofrn

What I stated --> My understanding is how many mL (which does have a relationship to the mg) the patient received

Which is not the same thing as what you think I stated what is in the () makes the difference ;-)

Thank you.

Right but when the question wants to know how much of the med has been infused at a certain pooint....the nursing standard is how many mgs of the med has the patient received.

Wait, aren't we supposed to round to the nearest 10th in this situation? I learned that for a number above 1 mL or mg to round to the nearest 10th, and for numbers less than to round to the 100th. Isn't rounding to the whole number only applicable to gtt's?

In either case, by rounding to the 10th decimal place, I came up with 222 mg.

Specializes in MICU.
Wait, aren't we supposed to round to the nearest 10th in this situation? I learned that for a number above 1 mL or mg to round to the nearest 10th, and for numbers less than to round to the 100th. Isn't rounding to the whole number only applicable to gtt's?

In either case, by rounding to the 10th decimal place, I came up with 222 mg.

Yes thats right

11.11×20= 222

Specializes in Hospice, Palliative Care.

Good day, Esme:

Next time, I'll try to be more clear as I presumed that if one stated there was a relationship, if they had questions as to the meaning, they would ask. If mg and mL are interrelated in the relationship, finding one gives you the other.

Thank you.

Specializes in Emergency.
Wait, aren't we supposed to round to the nearest 10th in this situation? I learned that for a number above 1 mL or mg to round to the nearest 10th, and for numbers less than to round to the 100th. Isn't rounding to the whole number only applicable to gtt's?

In either case, by rounding to the 10th decimal place, I came up with 222 mg.

Yes, rounded down to the tenth. It was a silly error on my part, lol.

Step back and think about this. All they're asking is:

"If you're giving 500 mg in 45 minutes, how many mg will you give in 20 minutes?" (a little less than half, right, by eyeball?)

The amount of fluids and the gtt rate are meaningless.

Hint: divide 20 by 45 to tell you the percentage of the med that infuses in 20 minutes, then multiply x 500mg.

::sigh::

+ Add a Comment