Hilary Jones...Drummer

 

"...the character of the nurse is as important as the knowledge she possesses." ~Jarvis, 1996

 

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"Nursing is an art: and if it is to be made an art, it requires an exclusive devotion as hard a preparation, as any painter's or sculptor's work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God's spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts." Florence Nightingale.
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Online music for your listening pleasure.

Dosage

IV rate mL/hr
dose available
mL available
mcg/min

Example

A patient is on a norepinephrine drip infusing at 56 cc/hr.  There is no titration table table at the bedside.  The IV bag is labeled 32 mg norepinephrine in 500cc Dextrose 5%.  How many mcg/min is the patient receiving?  Use the example below to see how to solve this problem with the calculator.

rate = 56mL/hr
dose available = 32mg
mL available = 500mL

Doesn't work, just an example

With the calculator, we see the patient is recieving 60 mcg/min of norepinephrine.  This is a higher than recommended dose!!!

Formula

In this example, first determine how many milligrams/hour is being delivered by the IV pump.  The rate of the IV pump (mL/hr) is divided by the volume of the IV bag (mL available), then multiply this result by the total amount of medication (mg) in the IV bag.

      rate      
mL available

x dose available

becomes

 56mL/hr 
500mL

x 32mg

which = 3.58 mg/hr

Next, after the milligrams/hour has been determined, use the next formula to convert from milligrams/hour to mcg/min.

  mg  
60min

x 1000

becomes 

 3.58mg 
60min

x 1000

which is 59.7 mcg/min (yikes!)


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