Published Oct 4, 2013
hannahmarie44
7 Posts
Nurse collects a bag of D5LR for the pitocin which is available in 20 units in 1000 cc d5lr. The order from the HCP is oxytocin 2mu/min to augument labor.Calculate the following drip rate for pitocin.
Someone please help me!
KelRN215, BSN, RN
1 Article; 7,349 Posts
What do you have so far?
You have 20 units in 1,000 cc. Your order is in milliunits. How do you convert units to milliunits?
I think there are 20,000mu in a 20 units
Right. So you know you have 20,000 mu/1,000 mL. So what is your concentration?
the Iv was infusing at 125ml/hr
I honestly have no idea how to solve this
That would be the maintenance fluid I imagine, because that is much too high a rate to infuse the ordered dose of pitocin at.
Have you taken a course that involves drug calculations?
You know that you have 20,000 milliunits/1,000 mL. You need to divide to figure out your concentration in milliunits/mL. Once you figure that out, you know that your order is for 2 milliunits/min. How many milliunits will you infuse in an hour? How many mL is that?
Kuriin, BSN, RN
967 Posts
Hi Hannah,
This is actually a trickier medication calculation question than normal.
Check out this video to learn how to do it:
Mama_Cashew, ASN, RN
179 Posts
Try this:
Amount ordered divided by Amount Available (in the same mU) times quantity (how many ml of fluid you have) times 60. This will give you ml/hr.
(2/20,000) * 1000 * 60 = ? ml/hr
Nafartiti01
3 Posts
Thank you Kuriin!!!! This short video cleared it all up for me. TY TY TY!!!
1000 mL x 1U x 2mu x 60 min = 6 ml /hr
20U 1,000mu 1 min 1hr
Another way of looking at it is as there are 20,000 mU in 1000mL D5LR. The order is 2mU/min.
If we use the formula:
mcg/min*60 (for hour) mcg in solution
_______ = ________
mL/hr total solution
We can plug everything in:
2*60 20,000mU in the solution
_________ = ____________
x (we are looking for the mL/hr) 1000mL
2*60 = 120. Cross multiply with 1000mL and you get 120,000. Divide by 20,000 and you will get x (6).
Hopefully no one gets confused with this type of problem again.