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re: Calling LSUNURSE, other nurses, or mathematicians
Posted on 3/16/14 at 11:21 pm to couv1217
Posted on 3/16/14 at 11:21 pm to couv1217
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.
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
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.
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!
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.
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!
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.
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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