Nursing Dosage Calculations - Example Problems 6-9 - @LevelUpRN

Level Up RN
19 Aug 201907:27
EducationalLearning
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TLDRThe video script offers a comprehensive guide to intravenous (IV) pump calculations, essential for nursing professionals. It covers various scenarios, including determining pump rates, calculating infusion hours for specific volumes, and managing drop factors for non-pump IV setups. The script also addresses the cumulative fluid intake from multiple infusions over a 24-hour period, highlighting the importance of precision in medical calculations to ensure patient safety.

Takeaways
  • 📝 For an IV pump administering 1000ml over 6 hours, the rate is calculated by dividing the volume (1000ml) by the time (6 hours), resulting in 166.67ml/hr, rounded to 167ml/hr.
  • 🕒 When calculating IV pump duration, divide the volume of fluid (e.g., 500ml) by the pump rate (e.g., 125ml/hr) to find the hours needed for infusion.
  • 💧 In scenarios without an IV pump, use the drop factor provided (e.g., 12gtt/ml) to calculate the drops per minute required for a certain infusion volume and time period.
  • ⏱️ To find drops per minute, multiply the volume (e.g., 500ml over 4 hours) by the drop factor and divide by the number of minutes in an hour (60).
  • 🔢 For patients receiving multiple IV fluids, calculate the total volume for each infusion separately over a 24-hour period and sum them up for the total fluid intake.
  • 🌡️ A patient receiving normal saline at 50ml/hr for 24 hours will receive a total of 1200ml of fluids.
  • 💊 For antibiotics given at specific intervals, such as every 8 or 12 hours, calculate the total volume infused over a 24-hour period by multiplying the volume of the antibiotic by the number of doses.
  • 📊 Practice and understand various IV calculations to ensure accuracy and patient safety, as these are common topics in nursing exams.
  • 👩‍🏫 The speaker emphasizes the importance of getting math questions right on nursing exams to save points for more challenging questions that are difficult for everyone.
  • 📚 The video script provides a variety of IV pump calculation problems, highlighting the need for nursing students to be proficient in these calculations.
  • 💻 Encourage viewers to leave comments with additional problems or questions for further clarification and support in understanding IV calculations.
Q & A

  • What is the total volume of IV fluid ordered for patient #6?

    -The total volume of IV fluid ordered for patient #6 is 1000 milliliters.

  • How long is the infusion supposed to run for patient #6?

    -The infusion for patient #6 is supposed to run over a period of six hours.

  • What is the calculated pump rate for patient #6's IV fluid in ml/hr?

    -The calculated pump rate for patient #6's IV fluid is 166.67 ml/hr, rounded to the nearest whole number, which is 167 ml/hr.

  • How many hours will it take for 500ml to infuse at a rate of 125ml/hr?

    -At a rate of 125ml/hr, it will take four hours for 500ml to infuse.

  • What is the drop factor mentioned in the scenario for patient #8?

    -The drop factor mentioned for patient #8 is 12 drops per milliliter.

  • How many drops per minute should be delivered to the patient in scenario #8?

    -In scenario #8, 25 drops per minute should be delivered to the patient.

  • What is the total amount of normal saline the patient in scenario #9 is receiving per hour?

    -The patient in scenario #9 is receiving 50 milliliters of normal saline per hour.

  • How often is the first antibiotic infused in scenario #9 and how much fluid does it contain?

    -The first antibiotic in scenario #9 is infused every eight hours and it contains 100 milliliters of fluid.

  • How often is the second antibiotic infused in scenario #9 and how much fluid does it contain?

    -The second antibiotic in scenario #9 is infused every 12 hours and it contains 50 milliliters of fluid.

  • What is the total amount of IV fluids the patient in scenario #9 will receive in a 24-hour period?

    -The total amount of IV fluids the patient in scenario #9 will receive in a 24-hour period is 1600 milliliters.

  • Why is it important to get the math questions right on nursing school exams?

    -It is important to get the math questions right on nursing school exams because they are often easier to score points on compared to the more complex and unpredictable questions. Saving points for those more challenging questions can improve the overall score on the exam.

  • What does the instructor suggest if there are additional types of problems not covered in the video?

    -The instructor suggests leaving a comment if there are additional types of problems not covered in the video, as they are willing to create more content to help ensure understanding of the material.

Outlines
00:00
📚 IV Pump Calculations

The first paragraph discusses the process of calculating IV pump rates. It begins with an example of calculating the infusion rate for 1000ml of fluid over six hours, resulting in a rate of 167ml/hr after rounding. The paragraph continues with a second example, where it calculates the time required to infuse 500ml at a rate of 125ml/hr, which is determined to be four hours. The third example in this section deals with drop factor calculations for a 500ml normal saline infusion over a four-hour period with a 12gtt/ml drop factor, resulting in a delivery rate of 25 drops per minute. The paragraph emphasizes the importance of accurate calculations and unit conversions in IV therapy.

05:05
📈 Total IV Fluid Calculation for Multiple Infusion

The second paragraph focuses on calculating the total IV fluids a patient receives over a 24-hour period when given multiple infusions. It details the calculation process for normal saline infusion at 50ml/hr for 24 hours, resulting in 1200ml. The paragraph also covers the calculation for two different antibiotics given at 100ml and 50ml respectively, at intervals of every eight and 12 hours. The total fluid calculation for the antibiotics sums up to 400ml. By adding all the calculated amounts, the patient is determined to receive a total of 1600ml of IV fluids in a 24-hour period. The paragraph concludes by emphasizing the importance of mastering these calculations for nursing school exams and encourages viewers to ask for further clarifications or additional examples in the comments section.

Mindmap
Keywords
💡IV pump
An IV pump is a medical device that delivers fluids and medications into a patient's body intravenously at a controlled rate. In the video, the calculation of the pump rate in ml/hr is a critical skill for managing patient care, ensuring the correct dosage is administered over a specified period, such as 1000ml over six hours.
💡ml/hr
Milliliters per hour (ml/hr) is a unit of measurement used to express the rate at which IV fluids are administered to a patient. This rate is crucial for healthcare professionals to calculate accurately to ensure proper medication delivery and avoid potential medical issues.
💡rounding
Rounding is a mathematical process used to approximate a number to the nearest whole number. In the context of the video, rounding is essential to provide a practical and usable rate for the IV pump, making it easier to set and monitor the infusion without dealing with fractions or decimals.
💡drop factor
Drop factor refers to the number of drops per milliliter in an IV setup. It is a crucial concept in administering precise amounts of medication or fluids without an electronic pump. Understanding and calculating the drop factor is vital for manual IV therapy management.
💡normal saline
Normal saline is a sterile solution of 0.9% sodium chloride (salt) in water, which is isotonic to human blood. It is commonly used in medical settings for fluid replacement and electrolyte balance. In the video, normal saline is mentioned as part of the IV fluid calculations for patient care.
💡antibiotics
Antibiotics are medications used to treat bacterial infections. In the healthcare setting, they are often administered intravenously to ensure rapid and effective delivery to the patient's system. The video emphasizes the importance of calculating the total IV fluids a patient receives, including antibiotics from multiple infusions.
💡infusion
Infusion refers to the process of introducing a fluid, such as medication or nutrients, into a patient's bloodstream through a vein. The video focuses on the calculations necessary for managing different types of infusions, whether it's a continuous drip or intermittent administration.
💡calculations
Calculations in this context refer to the mathematical processes required to determine the correct rates and amounts of IV fluids and medications for patients. These calculations are crucial for healthcare professionals to ensure accurate and safe administration of treatments.
💡nursing school exams
Nursing school exams are assessments that nursing students must pass to demonstrate their knowledge and skills in the field of nursing. These exams often include questions on various topics, such as math questions related to medication and fluid administration, which are the focus of the video.
💡practice questions
Practice questions are exercises or problems that are used to help individuals learn and apply new concepts or skills. In the video, the presenter goes over various practice questions related to IV pump calculations to help viewers understand and master the necessary math skills for their nursing careers.
💡total IV fluids
Total IV fluids refer to the cumulative amount of fluids a patient receives through intravenous therapy over a specific period, such as 24 hours. This total is important for healthcare professionals to track to ensure proper hydration and medication delivery, as well as to avoid fluid overload.
Highlights

IV pump calculations are discussed in detail, providing valuable knowledge for healthcare professionals.

A method for calculating pump rate in ml/hr is explained, which is essential for administering correct IV fluid dosages.

The importance of rounding to the nearest whole number in IV calculations is emphasized to avoid potential errors.

A step-by-step guide on calculating the time required for a specific volume of IV fluid to infuse is provided.

The concept of drop factor calculations is introduced, which is crucial for manual IV fluid administration.

A clear explanation on converting between different units of measure in IV therapy, such as drops per minute, is given.

A comprehensive example is presented on calculating the total IV fluids a patient receives from multiple infusions over 24 hours.

The necessity of mastering math questions for nursing school exams is highlighted, as they can significantly impact overall scores.

The video series aims to help nursing students understand and solve complex IV calculations to avoid common mistakes.

The presenter encourages viewers to ask questions and provide feedback for further clarification and additional content.

A variety of practice questions are covered to ensure a well-rounded understanding of IV pump calculations.

The video series focuses on not only theoretical knowledge but also practical applications in real-life nursing scenarios.

The presenter's goal is to help nursing students save points on easy questions, allowing them to focus on more challenging ones.

The transcript provides a detailed breakdown of each calculation, making it easier for learners to follow and understand.

The importance of accurate IV fluid administration is stressed, as it directly affects patient care and safety.

The video content is designed to be engaging and helpful, aiming to clarify often misunderstood aspects of IV therapy.

Transcripts

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