- During your 0800 – 1800 shift, Mr. Mamaril is under your care. You receive a medication order to administer 500.mL of 2/3 & 1/3 over 8.hours. You begin infusion at 0800 using a 500 mL IV bag, and a delivery set calibrated to.25 gtt/mL.
Show all calculations.
- a) What is the prescribed flow rate (mL/hr)? / 2
At 1400, there is 240.mL TBA.
- b) Is the IV on time, ahead or behind, and by how much (mL)? /
- c) What is the new flow rate (mL/hr)?
- d) What is the new drip rate (gtt/min)? / 3
You arrive for your 1600 – midnight shift, and Mr. Yazdanian is undergoing IV therapy using RL w/ 20.mEq.KCl/L @.70.mL/hr. When you arrive at 1600, there is 625.mL remaining in the IV bag. The IV drop factor is 30.gtt/mL.
Show all calculations.
- a) What volume of fluid is required for your shift? / 3
At 2200, there is 245.mL TBA.
b) Is the IV on time, ahead or behind, and by how much? / 4
c) What is the new flow rate (mL/hr)? / 3
d) Calculate the variance. / 2
e) Is it safe to adjust the flow rate? If not, then name two things that you must do before adjusting the flow rate. / 2
You are working a shift from 1200 to 2000 and Mrs.Mamaril is under your care. Her IV prescription for ½N/S is scheduled to begin at 1300. The prescriber has ordered 800 mL of ½N/S to run at 85 mL/hr. You begin infusion at 1300 using a 500 mL IV bag and an IV set calibrated to 10 gtt/mL.
Show all calculations.
a) What is the prescribed drip rate? / 3
b) At what time do you expect the IV bag to run empty? / 4
At 1500, the IV bag is half empty.
c) Is the IV on time, ahead or behind, and by how much? / 4
- d) What is the new flow rate? / 4
e) What is the new drip rate? / 3
Ms. Shaw is undergoing N/G replacement therapy and she is under your care during your 0900 – 1700 shift. You have been provided with the following orders.
Primary IV: ½NS @ 70 mL/hr.
Replace half of N/G drainage with D5W over 2 hours at the beginning of each 8-hour shift via separate IV line.
Shift report:
½NS: 330 mL
D5W: 175 mL
N/G drainage: 260 mL
Show all calculations.
a) What volume of ½NS do you require over the course of your shift? / 3
b) At what time do you expect the IV bag of ½NS to run empty? / 4
c) What volume of D5W do you require over the course of your shift? / 2
d) At what rate will you administer D5W? / 2
e) How much D5W will remain in the IV bag at 1100? / 2
You are working a shift from 0700 to 1500, and Mr. Persaud is under your care. He is undergoing nasogastric aspiration with the following orders.
Primary IV: D5NS @.95.mL/hr.
Replace nasogastric drainage with RL over 3 hours at the beginning of each 8-hour shift via IV piggy-back.
Shift report:
D5NS: 825 mL
RL: 425 mL
N/G drainage: 185 mL
Show all calculations.
a) What volume of D5NS is required over the course of your shift? / 3
b) At what time will you begin infusing primary IV fluid? / 1
c) At what rate will you administer D5NS? / 3
d) At what rate will you administer RL? / 2
e) How much primary IV fluid will remain in the IV bag at 1400? / 3
You are working a shift from 1600 to midnight. Your patient, Ms. Rodriguez, is undergoing N/G replacement therapy with the following orders.
Primary IV: NS at 45 mL/hr
Replace N/G drainage with D10W over the first 3 hours of each shift via separate, secondary IV line.
Shift report:
NS: 270 mL
D10W: 100 mL
N/G drainage: 120 mL
Show all calculations.
a) At what time do you expect the primary IV bag to run empty? / 3
b) How much additional NS will you require over the course of your shift? / 2
c) At what time do you expect the secondary IV bag to run empty? / 3
d) How much additional D10W will you require over the course of your shift? / 2
