Jump to content

IV Question

Geriatric   (1,837 Views | 6 Replies)

nycNurse2b specializes in Currently: Certified School Nurse.

8,723 Profile Views; 376 Posts

When the MD orders, for example, continuous IV fluids.....do you guys have to calculate drop factors, drip rates, etc and then regulate the flow? OR do they just order it, for example to run at 75cc/hr and your facility just has the tubing with the regulator dials that you just set to "75"?

(hope this is somewhat clear!)

TIA!

Share this post


Link to post
Share on other sites

PediLove2147 has 7 years experience as a BSN, RN and specializes in Pediatric Cardiology.

649 Posts; 13,586 Profile Views

Our MDs order (ex) Normal Saline 75 ml/hr and we just program it into our pumps. No need to calculate drip rate or regulate flow. Do people still do that?

Share this post


Link to post
Share on other sites

IVRUS has 32 years experience as a BSN, RN and specializes in Vascular Access.

1,030 Posts; 20,818 Profile Views

Flow rate is calculated initially. Flow rate is needed when you need to know what to program a pump to. It is also needed if you don't have a pump and need to calculate gtts per minute using the formula method.

Flow rate calculation is: Volume to be infused divided by Time in HOURS. (NOT TIME IN MUNUTES) so a 250ml dose of an IVAB to be given over 90 minutes would be 250/1.5.

Got it?

One liter over 8 hours is 1000/8....(125cc/hr)

Share this post


Link to post
Share on other sites

CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

2 Followers; 6,076 Posts; 61,619 Profile Views

We have used pumps for at least 20 years. If the pump breaks, we use a dial-a-flow valve. If we don't have any of those we calculate...ah to be an old nurse and remember the math!

Share this post


Link to post
Share on other sites

10,263 Posts; 58,280 Profile Views

I'm a relatively new nurse and know the math! It was imperative, when I passed my clinicals, to set a pump to gravity using only the clamp.

Share this post


Link to post
Share on other sites

zorabanks has 4 years experience and specializes in Geriatrics.

103 Posts; 4,361 Profile Views

When in dout...call the RX...they love to help:-). They have infusion people to answer questions like that when needed.

Share this post


Link to post
Share on other sites

nycNurse2b specializes in Currently: Certified School Nurse.

376 Posts; 8,723 Profile Views

Thanks everyone. I am a recent grad so I know how to calculate drops per minute and all that. I had to take an entire class on it! the reason why I was asking is because you don't seem to have to know it! as everyone else mentioned, there are electronic pumps, dial a flow regulators, the pharmacy a phone call away, etc.

I was wondering if there was anyone out there who was actually doing the math at work!

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.