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Instructions on how to calculate the number of drops per minute for intravenous fluid infusions using the given prescription and infusion time, as well as the calibration of the iv tubing. The example demonstrates the calculation for a liter of normal saline infused over 9 hours with a drop factor of 15.
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Caproiu & Hall, 2000
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Many intravenous fluids are frequently ordered on the basis of mL/hr. The size of the drops is regulated by the size of the IV tubing. IV tubings are calibrated in gtt/ mL and this calibration is needed to calculate the flow rate.
The type of tubing is usually 10, 15, or 20 gtt to equal 1 mL in standard microdrip sets, and 60 gtt to equal 1 mL in mini or microdrip sets. The calibration, in gtt/ mL is clearly printed on each IV package. To calculate the numnber of drops per minute the nurse needs to know the prescribed medication over the prescribed infusion time, and the drop factor of the device. Example: One liter of Normal Saline is charted over 9 hours. The drop factor is 15. Calculate the number of drops per minute. What is given?
What is asked: Number of drops to be infused per minute Use conversion factors 1,000 mL = 1 L 1h = 60 minutes Start in the numerator with the units you are looking for and use dimensional analysis.
Cross cancel same units and multiply the numerators and the denominators. The result will be:
15 gtt 1 L 1 hr 1,000 mL 1 mL 9 hr 60 min 1 L
15 gtt 1 mL
28 drops min
Because drops need to be a whole number the answer will be