First off, as the question is worded, I agree with everyone else that it's 2100cc/hr. And like everyone else, that's a ton of hypotonic fluid.

However, Epi is not dosed in that way. In drip form, it starts at 1mcg/min and can go to 10mcg/min. Even at 1mcg/min with 2mcg/ml concentration, it would come out to 30cc/hr. I don't know how she can up with 0.43ml/hr. And that part doesn't make sense either. I don't know of any pump, save for babies, that will run something less than 5cc/hr.

And, I rarely see epi in 500cc bags, it's usually in 250cc, at a 4mcg/ml dose, unless they are double concentrating.

This post was edited on 3/16/14 at 11:28 pm

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Posted by lsunurse

Member since Dec 2005

129037 posts

Posted on 3/16/14 at 11:22 pm to pleading the fifth

quote:
but not for delivery of pressors or other meds

Def not. It would take forever to actually reach the pt. Was just pointing out one situation where you would use a lower rate.

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Posted by WylieTiger

Member since Nov 2006

12997 posts

Posted on 3/16/14 at 11:23 pm to Isabelle

quote:
Macro = 21 drops per ml
Micro= 60 drops per ml

And there is the key!

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Posted by puffulufogous

New Orleans

Member since Feb 2008

6376 posts

Posted on 3/16/14 at 11:39 pm to Isabelle

quote:
I don't think the question is flawed. If the question is asked as it was written here, it is missing information. On the other hand maybe it isn't missing information. That type of drug would have to be delivered via micro delivery system and knowing this makes it a very easy problem.

Sorry but I have never run an epi drip on a 70kg person with micro drip tubing. Regardless that would only make a difference in calculating gtts/min. In this example it wouldn't matter the size of the tubing as they are asking for ml/hr. We have already arrived at the conclusion that 2100ml/hr is the correct rate. Everyone realizes that that is a ridiculous answer, as is the answer given on the handout .43ml/hr. Both infusion rates are preposterous, just like giving 1mcg/kg/min of epi when it is always dosed mcg/min. Giving 1mcg/kg/min to a 70kg person results in 4.2mg/hr, which is also dumb.

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Posted by Mizzoufan26

Vacaville CA

Member since Sep 2012

17239 posts

Posted on 3/16/14 at 11:44 pm to puffulufogous

quote:
Sorry but I have never run an epi drip on a 70kg person with micro drip tubing. Regardless that would only make a difference in calculating gtts/min. In this example it wouldn't matter the size of the tubing as they are asking for ml/hr. We have already arrived at the conclusion that 2100ml/hr is the correct rate. Everyone realizes that that is a ridiculous answer, as is the answer given on the handout .43ml/hr. Both infusion rates are preposterous, just like giving 1mcg/kg/min of epi when it is always dosed mcg/min. Giving 1mcg/kg/min to a 70kg person results in 4.2mg/hr, which is also dumb.

And people say that when someone comes here to post. "I Just cut my thumb off, what should I do"
or "I feel like I'm having a heart attack, what should I do?" That they are dumb.

Not so with this kind of medical knowledge on the board!

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Posted by ellishughtiger

70118

Member since Jul 2004

21135 posts

Posted on 3/16/14 at 11:58 pm to Isabelle

quote:
Isabelle

I don't think the question is flawed. If the question is asked as it was written here, it is missing information. On the other hand maybe it isn't missing information. That type of drug would have to be delivered via micro delivery system and knowing this makes it a very easy problem.

Can someone switch her name to TheRealLSUNURSE, please.

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Posted by Volvagia

Fort Worth

Member since Mar 2006

51914 posts

Posted on 3/17/14 at 2:48 am to couv1217

quote:
Fiance is very smart. Graduated from Loyola with a 4.0. She's in nursing school but is having problems figuring this problem out. Need your help.

These don't add up given the problem listed.....

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