Quote from Ionafey
Actually, that is the answer we all got: 166ml/hr. It is the clinical instructor who said that pharmacy told her that is wrong. She said that it is actually supposed to be 187ml/hr. Her reasoning is that you calculate it for 2hrs and then subtract 30 minutes . . . well, I'm not exactly sure what her take on it is. I don't understand it and was hoping someone here could help me figure it out. It's something about the pump being set for an hour or something.
I'm really at a loss. However, if this esteemed community says that it is 166 and provided a rationale, I may be able to tactfully talk to her about it. There are ten of us in this clinical group and we should not be told how to calculate them the wrong way!
Anyone with insight into this?
God help me - forgive me here, but I'm confused as to how pharmacy is subtracting a time (30 minutes) from a RATE in mL/hr. You can't subtract unlike units! Having worked as a pharmacy tech, I can tell you THEY are also very wrong!
And the instructor is also frightening me.
Infusing 250 mLs over 90 minutes gives you 166 - 167 mL/hr. And if you have any doubts about your own sanity in this (I know it's easy to get yourself confused, God knows I've done it enough to this point - this threw me so for a loop I found myself recalculating 250 mL/hr over 2 hours - regardless of what planet this pharmacy thinks it's on, that's 125 mL/hr, and you can't take time off of a rate), program an automatic infusion pump and let it tell you the answer.
Someone should hang that tech - or even the RPh - by their toes with IV tubing. For HOURS.
Edited to add - OMG - they've calculated 125 mL/hr, HALVED that to get THAT rate over 30 minutes, and then ADDED 62.5 mL/hr to 125 mL/hr.
That's the 187.5.
No one doing that calculation on the pharmacy/instructor's end has BOTHERED to reverse it, and see if you do that, you'd be INFUSING MORE FLUIDS THAN WHAT YOU HAVE ON HAND
- you'd be infusing 375 mL over a two-hour period - mathematically impossible if you only have 250 mLs in the bag
YIKES YIKES YIKES!!!!