How do you calculate NTG infusion?
Initially, 0.25 to 0.5 mcg/kg/minute continuous IV infusion. Titrate by 1 mcg/kg/minute IV every 15 to 20 minutes as tolerated. The usual dosage range is 1 to 5 mcg/kg/minute.
How is nitroglycerin titration calculated?
The calculation for the origi- nal infusion of 10 mcg/minute is 10 x 0.3 = 3 ml/hour. You’d calculate the titrations like this: 5 x 0.3 = 1.5 ml/hour (5 mcg/minute) 15 x 0.3 = 4.5 ml/hour (15 mcg/minute) 20 x 0.3 = 6 ml/hour (20 mcg/minute) …and so on.
How do you calculate drip rate?
To calculate the drops per minute, the drop factor is needed. The formula for calculating the IV flow rate (drip rate) is total volume (in mL) divided by time (in min), multiplied by the drop factor (in gtts/mL), which equals the IV flow rate in gtts/min.
How do you calculate epinephrine drip?
The most common way to mix the infusion is to add 1mg of Epinephrine to 1L of D5W or normal saline. This gives you a concentration of 1 mcg/ml. So if you have a 100 kg patient who is bradycardic and hypotensive after a cardiac arrest, and you are going to start at 0.1 mg/kg/min what is your drip rate?
When do you start nitroglycerin drip?
For pre-hospital use begin the nitroglycerin drip at 10 mcg/min and increase by 10 mcg/min at 5 minute intervals if chest pain persists and systolic blood pressure remains above 100 mmHg. c. If titrating nitroglycerin for Pulmonary Edema / CHF, titrate until systolic BP is 120 mmHg or below.
What is IV nitroglycerin used for?
Nitroglycerin injection is used to treat hypertension (high blood pressure) during surgery or to control congestive heart failure in patients who have had a heart attack. It may also be used to produce hypotension (low blood pressure) during surgery.
When do you use nitroglycerin drip?
What is the standard drip rate?
In general, standard (macrodrip) administration sets have a drip factor of 10, 12, 15, or 20 gtt/ml (drops per milliliter). For a microdrip (minidrip) set, it’s 60 gtt/ml.
How many drops is 60 ml per hour?
Reference Chart of Drops per Minute
IV Tubing Drop Factor | Desired Hourly Rate: ML / HR | |
20 | 175 | |
---|---|---|
10 DROP/ML | 3 | 30 |
15 DROP/ML | 5 | 44 |
20 DROP/ML | 6 | 60 |
When should you start an epinephrine drip?
Epinephrine is used for profound refractory hypotension, ventricular fibrillation, VT, PEA, and asystole. It is the first drug of choice for cardiac arrest. The patient is transferred to the ICU, and the hospitalist in the ICU orders an epinephrine drip to start at 2 mcg/min. The patient is 90 kg and 5 feet 4 inches.
Why is vasopressin not titrated?
All in all, vasopressin has been shown to be as safe as norepinephrine at lower doses and remains a key component of the vasopressor toolbox. Vasopressin is not titrated to clinical effect as are other vasopressors and could be thought of more as a replacement therapy and treatment of relative vasopressin deficiency.
When is IV nitroglycerin used?
Is there a free drip rate table calculator?
(If drug was not available in the drop down list above, add it here.) Looking for a handheld version? Looking for a free version of this calculator for your palm or pocket pc?
How to calculate the drip rate for an IV drip?
The algorithm of this IV drip rate calculator applies the flow rate formulas explained below: -If the time is expressed in minutes then the drip rate will be: IV Drip rate = ( Volume to be given in ml * Drop factor in gtts/min)/Time in minutes -In case the time is specified in hours then the flow rate will be:
How often should I increase my nitroglycerin drip rate?
If pain continues, increase the drip rate by 10 mcg/min every 5 minutes until pain resolves or systolic BP falls below 100 mmHg. D. Maximum dose is 200 mcg/min.
How to calculate the rate of levophed drip?
You start a Levophed drip on your hypotensive client. You start at 3 mcg/min. There is 4 mg of Levophed in 500 mL D5W. The patient weighs 56 kg. What is the rate in mL/hr? 2. Your patient with chest pain is started on Nitroglycerin. The drip is going at 3 mL/hr. There is 50 mg of NTG in 250 mL of NS.