Last update: 4/21/04
CLIP FORM TO BACK OF IV CARD
EPOPROSTENOL (FLOLAN©) Pharmacy Resource
CALCULATION FORM
MATERIALS:


Epoprostenol (Flolan)
Sterile Diluent for Flolan
Empty 150 mL viaflex bag
0.5mg (500,000ng) or 1.5 mg (1,500,000ng) vials
2 x 50 mL / vial = 100 mL
CALCULATIONS:
Step 1: Confirm rate ordered for epoprostenol ______ng/kg/min. Rate may be a range but can determine stable rate. (A)
Step 2: Confirm patient’s actual body weight _______kg (B)
Step 3: Calculate dose per hour (A) _____ ng/kg/min x 60 minutes x (B) ______kg= ______ng/hr (C)
Step 4: Multiply ( C ) _____ ng/hr x 8 hours to calculate quantity needed in each bag ______ng/bag (D)
Step 5: Divide (D) ______ ng/bag by 100 mL = Dilution necessary _______ng/mL in bag (E)
(Round to nearest dilution as listed below)
3000 ng/mL
OR
5000 ng/mL
OR
10,000 ng/mL
OR
15,000 ng/mL
OR
30,000 ng/mL (double*)
PROCEDURE:
Reconstitution and Dilution Instructions
Step 1: Final concentration bag required from above
Step 2: Vial size selected (circle one)
___________ng/mL (F)
0.5 mg
1.5 mg
Step 3: Dissolve contents of one vial with 5 mL of STERILE DILUENT for FLOLAN. Label vial with final concentration.
100,000 nanograms /mL for 0.5 mg vial
OR
300,000 nanograms /mL for 1.5 mg vial
Step 4:

For 3000ng/mL bag dilution, withdraw 3 mL of 100,000 nanog/mL solution OR 1 mL of 300,000 nanog/mL
solution and add sufficient STERILE DILUENT for FLOLAN to make a total of 100 mL in a150 mL viaflex bag.

For 5000ng/mL bag dilution, withdraw 5 mL of 100,000 nanog/mL solution OR 1.7 mL of 300,000 nanog/mL
solution and add sufficient STERILE DILUENT for FLOLAN to make a total of 100 mL in a150 mL viaflex bag.

For 10,000ng/mL bag dilution withdraw 3.3 mL of 300,000 nanog/mL solution and add sufficient STERILE
DILUENT for FLOLAN to make a total of 100 mL in a 150 mL viaflex bag.

For 15,000ng/mL bag dilution, withdraw 5 mL of 300,000 nanog/mL solution and add sufficient STERILE
DILUENT for FLOLAN to make a total of 100 ml in a150 mL viaflex bag.

For 30,000ng/mL bag dilution, withdraw 10 mL of 300,000 nanog/mL solution (requires 2 vials) and add
sufficient STERILE DILUENT for FLOLAN to make a total of 100 ml in a150 mL viaflex bag.
RPh signature #1:
RPh signature #2
If rate changes (increase or decrease) such that a new dilution is required, PLEASE fill out a new calculation form and affix to IV card.
SEE REVERSE SIDE FOR FLOW RATE CHARTS or calculate as
(Infusion rate in ml/hr_______ = [Dose (ng/kg/min)(A)_________ x wt (kg) (B)__________ x 60 minutes] / final conc. (ng/ml)(F)]
Last update: 4/21/04
Infusion Rates for FLOLAN
at a Concentration of 3000 ng/mL
Patient
Weight
(kg)
Infusion Rates for FLOLAN
at a Concentration of 5000 ng/mL
Dose or Drug Delivery Rate (ng/kg per minute)
2
4
6
8
10
12
14
Patient
Weight
(kg)
16
Dose or Drug Delivery Rate (ng/kg per minute)
2
4
Infusion Delivery Rate (mL/hr)
6
8
10
12
14
16
Infusion Delivery Rate (mL/hr)
30
1.2 2.4 3.6 4.8 6.0 7.2 8.4
9.6
30
-- 1.4 2.2 2.9 3.6 4.3 5.0
5.8
40
1.6 3.2 4.8 6.4 8.0 9.6 11.2
12.8
40
1.0 1.9 2.9 3.8 4.8 5.8 6.7
7.7
50
2.0 4.0 6.0 8.0 10.0 12.0 14.0
16.0
50
1.2 2.4 3.6 4.8 6.0 7.2 8.4
9.6
60
2.4 4.8 7.2 9.6 12.0 14.4 16.8
19.2
60
1.4 2.9 4.3 5.8 7.2 8.6 10.1
11.5
70
2.8 5.6 8.4 11.2 14.0 16.8 19.6
22.4
70
1.7 3.4 5.0 6.7 8.4 10.1 11.8
13.4
80
3.2 6.4 9.6 12.8 16.0 19.2 22.4
25.6
80
1.9 3.8 5.8 7.7 9.6 11.5 13.4
15.4
90
3.6 7.2 10.8 14.4 18.0 21.6 25.2
28.8
90
2.2 4.3 6.5 8.6 10.8 13.0 15.1
17.3
100
4.0 8.0 12.0 16.0 20.0 24.0 28.0
32.0
100
2.4 4.8 7.2 9.6 12.0 14.4 16.8
19.2
Infusion Rates for FLOLAN
at a Concentration of 15,000 ng/mL
Infusion Rates for FLOLAN
at a Concentration of 10,000 ng/mL
Patient Weight
(kg)
Dose or Drug Delivery Rate (ng/kg per
minute)
4
6
8
10
12
14
Patient Weight
(kg)
Dose or Drug Delivery Rate (ng/kg per
minute)
4
16
6
8
10
12
14
16
Infusion Delivery Rate (mL/hr)
Infusion Delivery Rate (mL/hr)
40
1.0
1.4
1.9
2.4
2.9
3.4
3.8
40
--
1.0
1.3
1.6
1.9
2.2
2.6
50
1.2
1.8
2.4
3.0
3.6
4.2
4.8
50
--
1.2
1.6
2.0
2.4
2.8
3.2
1.0
1.4
1.9
2.4
2.9
3.4
3.8
60
1.4
2.2
2.9
3.6
4.3
5.0
5.8
60
70
1.7
2.5
3.4
4.2
5.0
5.9
6.7
70
1.1
1.7
2.2
2.8
3.4
3.9
4.5
80
1.9
2.9
3.8
4.8
5.8
6.7
7.7
80
1.3
1.9
2.6
3.2
3.8
4.5
5.1
1.4
2.2
2.9
3.6
4.3
5.0
5.8
1.6
2.4
3.2
4.0
4.8
5.6
6.4
90
2.2
3.2
4.3
5.4
6.5
7.6
8.6
90
100
2.4
3.6
4.8
6.0
7.2
8.4
9.6
100