Math whiz? Help! Know about Buretrol? Help!! Please!

[spditup77]

My instructor wants me to know the answers to this problem and we've never been taught a thing about Buretrol. Can someone please help??? I need an answer by Tuesday. Here's the problem:

A nurse working from 0700 to 1530 hours has a patient receiving an IV infusion w/ a Buretrol volume control set and has the following orders:

1. D5W IV to infuse @ 50 ml/hr for continuous infusion.

2. Pipracil 1g IV q6hr

The pharm supplies the Pipracil in a prefilled syringe labeled 1g/5ml with instructions to "add Pipracil to Buretrol and infuse over 30 mins". (http://www.accd.edu/sac/nursing/math/peds10.html)

a. What is the drop factor of the Buretrol? (http://www.accd.edu/sac/nursing/math/peds2.html)

b. What amount of Piperacil will the nurse add to the Buretrol?

c. How much D5W will the nurse add to the Buretrol w/ the Piperacil?

d. To maintain flow rate of the IV at 50ml/hr, the nurse will tiem the Piperacil to infuse at what rate (in gtt/min)?

e. If the pt received the last dose of Pipracil at 0600, how many doses will the nurse give during the shift?

[morte, LPN, LVN]

My instructor wants me to know the answers to this problem and we've never been taught a thing about Buretrol. Can someone please help??? I need an answer by Tuesday. Here's the problem:

A nurse working from 0700 to 1530 hours has a patient receiving an IV infusion w/ a Buretrol volume control set and has the following orders:

1. D5W IV to infuse @ 50 ml/hr for continuous infusion.

2. Pipracil 1g IV q6hr

The pharm supplies the Pipracil in a prefilled syringe labeled 1g/5ml with instructions to "add Pipracil to Buretrol and infuse over 30 mins". (www.accd.edu/sac/nursing/math/peds10.html)

a. What is the drop factor of the Buretrol? (www.accd.edu/sac/nursing/math/peds2.html)

b. What amount of Piperacil will the nurse add to the Buretrol?

c. How much D5W will the nurse add to the Buretrol w/ the Piperacil?

d. To maintain flow rate of the IV at 50ml/hr, the nurse will tiem the Piperacil to infuse at what rate (in gtt/min)?

e. If the pt received the last dose of Pipracil at 0600, how many doses will the nurse give during the shift?

a) would be on the packaging of the Buretrol

b)self explanatory

c)usually the dilution instructions would come with med from pharmacy, otherwise look up in IV drug administration book

d)depends on the drip factor that you found on the package

e) if it is q6 hours, (every six hours) and was given at 0600 hours (6 am)

when is it do next? that will give you your answer.

[CRIMSON]

my instructor wants me to know the answers to this problem and we've never been taught a thing about buretrol. can someone please help??? i need an answer by tuesday. here's the problem:

a nurse working from 0700 to 1530 hours has a patient receiving an iv infusion w/ a buretrol volume control set and has the following orders:

1. d5w iv to infuse @ 50 ml/hr for continuous infusion.

2. pipracil 1g iv q6hr

the pharm supplies the pipracil in a prefilled syringe labeled 1g/5ml with instructions to "add pipracil to buretrol and infuse over 30 mins". (http://www.accd.edu/sac/nursing/math/peds10.html)

a. what is the drop factor of the buretrol? (http://www.accd.edu/sac/nursing/math/peds2.html)

b. what amount of piperacil will the nurse add to the buretrol?

c. how much d5w will the nurse add to the buretrol w/ the piperacil?

d. to maintain flow rate of the iv at 50ml/hr, the nurse will tiem the piperacil to infuse at what rate (in gtt/min)?

e. if the pt received the last dose of pipracil at 0600, how many doses will the nurse give during the shift?

a. this would be on the packaging of the buretrol. (if it is a microdrip set it is: 60gtt/ml: so check your problem and see if she gave more info.

b. you would do simple ml= 5ml/1g and order is for 1g so per your pharmacy package this would be the 5ml prefilled.

c. this is answered by looking in your iv drug book. my particular book says 5ml of diluent for each 1gm of piperacillin.

d. cannot answer this without answer to a. but again check your problem/order because pharmacy states over 30 minutes and if it is on a pump it is ml/hr not gtt/min and your problem in "d" states iv at 50ml/hr. **also iv drug book states "single doses given over intermittent infusion over 30 minutes...d/c primary iv during administration"**

e. this depends what shift are you on? is it a 8 or 12 hour shift. still missing information.

[spditup77]

See I felt there was missing information too.

Anyway I just assumed the drop factor is 60 also. But I don't know how to figure out part d.

[CRIMSON]

see i felt there was missing information too.

anyway i just assumed the drop factor is 60 also. but i don't know how to figure out part d.

if it is 60 gtt/ml you would plug in the info.

gtt/min= 60gtt/1ml x 10ml/30min = 600/30 = 20gtt/min.

however, this is still a big if b/c if using pump would be ml/hr. still feel missing info. also, the 10ml is the 5ml prefilled + the 5ml diluent listed in the iv drug book per 1 g.

good luck .