Wednesday, January 23, 2013

CALCULATION OF INTRAVENOUS INFUSION RATES


STEP 1:
Determine the amount of fluid that will be administered per unit of time (usually 60 minutes or 1 hour).
Example: 1000 ml./8 hours = 125 ml./hr

STEP 2:
Identify the type of drip chamber that is on the IV administration set.
Alaris sets: 20 drops/ml.
Macro Drip: 10 or 15 drops/ml., (varies with the manufacturer). Drip rate for the chamber is marked on the IV set box. Baxter (formerly Travenol) macro drip sets deliver 10 drops per ml.
Micro Drip: 60 drops/ml.
STEP 3:
To calculate infusion rate, multiply amount to be infused per period of time (from step 1) by the drip rate (from step 2).
Example: How many drops per minute should be administered to deliver 125 ml/hr. using an Alaris drip set (20 drops per ml.)?
    Amount to be administered: 125 ml
    Administration time (in minutes): 60 min
    Drip chamber size: 20 drops/ml
    125 ml./60 min. X 20 drops/ml = 41.7 drops per minute
    Answer: 42 drops per minute to deliver 125 ml. in 60 minutes using an Alaris drip chamber.
TABLE 1: Frequently Used Infusion Rates (ml/hr)

 

Infusion Time
250.0 ml
500.0 ml
1000.0 ml
4 hrs
6 hrs
8 hrs
10 hrs
12 hrs
24 hrs
62.0 ml/hr
  41
31
25
20
10
125.0 ml/hr
83
62
50
41
21
250.0 ml/hr
166
125
100
83
42

TABLE 2: Frequently Used Drip Rates (drops per minute)

Administration
Set drop size
Infusion Rate (ml/hr)
41
83
100
125
166
250
60 drops/ml
20 drops/ml
15 drops/ml
10 drops/ml
41
14
10
7
83
26
21
13
100
32
25
16
125
42
31
21
166
54
41
27
250
82
62
41

(Quantities are in drops per minute to deliver infusion rate)

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