Growing Up With Us... © A Newsletter For Those Who Care For Children Volume 19, Issue 8 CALCULATING PEDIATRIC PERIPHERAL IV FLOW RATES August 2013 Editor-in-Chief: Mary Myers Dunlap, MAEd, RN BEHAVIORAL OBJECTIVES AFTER READING THIS NEWSLETTER THE LEARNER WILL BE ABLE TO: 1. Discuss implications for the healthcare professional related to fluid maintenance of children. 2. Calculate select IV infusion flow rates. Fluid balance is usually self-regulated through thirst. Additional fluids may also be indicated to replace fluid deficit due to dehydration, and possibly more fluid to replace abnormal ongoing losses, such as from diarrheal stools and drain sites. Fluids can be lost through a variety of means, such as through blood loss, urination and bowel elimination, as well as through the skin and the respiratory tract. The amount and types of these losses may vary with the age and size of the child, as well as certain conditions. For example, fluid requirements may be increased during surgery and decreased for the child who has increased intracranial pressure. Establishing and maintaining a balance of fluid volumes and electrolyte compositions in the fluid compartments, intracellular and extracellular, is essential to health. Fluid and electrolyte balance are closely interrelated. For example, when bodily fluid volume increases, as is often the case in heart failure (HF), serum sodium (Na) levels will decrease, causing hyponatremia. Changes in the level of solute concentration, as occurs in various types of IV solutions, influence the movement of fluid and electrolytes between the fluid compartments. Major disturbances in fluid and electrolyte balance can rapidly alter cardiovascular, neurologic, and neuromuscular functions. Administration of IV fluids is the primary method of correcting fluid and electrolyte imbalances. Intravenous fluid must be given as ordered by the physician, the prescribed IV solution at a specific rate, neither too fast, nor too slow. Thanks to infusion pump technology, is it really necessary to know how to calculate and count drops of an IV infusion? Yes! What happens in a situation when the pump fails and/or in an emergency situation when the IV tubing has to be removed from the pump? What if you are in a practice setting where infusion pumps are not available or there are not enough available? What if there is an emergency and the IV pump battery fails? Infusion pumps can fail, as can all electronic equipment. With many of the newer pumps the potential for free flow of solution has been minimized by design features of the pump and or its tubing. However, all nurses need to know how to calculate IV drip infusions. Hanging a bag of IV fluid is considered administration of a medication. Healthcare professionals must follow the “rights” of medication administration – the right patient is receiving the IV, the right drug (IV solution and/or additive) is being infused, the right dose (the infusion time), the right route (peripherally, centrally), and at the right time (500 mL NS in 8 hours), as well as the right documentation and the right reason. Healthcare professionals must be knowledgeable of the rate at which an IV is infusing. When an IV infusion pump is used, calculating the ml/hr is often required. Regardless of whether an infusion device is used or not, healthcare professionals should also know the drops per minute infusing. This is good practice and what the prudent nurse would do (if a problem occurs and legal action is taken). This newsletter will review calculation of peripheral IV flow rates and implications for the healthcare professional. CALCULATING INFUSION RATES The size of IV drops is regulated by the type of IV set being used, which is calibrated in gtts/mL. Unfortunately, not all sets (and their drop size) are the same. Each hospital typically uses at least two sizes of infusion sets, the standard, or macrodrip set, calibrated at 10, 15, or 20 gtts/ml, which is used for older children and adult IV administrations; and a mini, or microdrip set, calibrated at 60 gtts/ml, which is used when more exact measurements are needed, for example, to infuse medications, or in critical care and pediatric infusions. The gtts/ml calibration of each IV set is clearly printed on each tubing package. The first step in calculating flow rate is to identify the drop factor, the gtts/ml calibration, of the set to be used for infusion. The order for the patient’s IV should include the type of IV solution prescribed, as well as the infusion time. For example, to hydrate an older child, the order is written as “LR 1 liter over 12 hours.” Therefore, the infusion time is 1 liter over 12 hours. Remember, “keep vein open” (KVO) or “wide open” are not appropriate orders because they do not specify a rate of flow. Copyright © 2013 Growing Up With Us, Inc. All rights reserved. Page 1 of 4 The specific rate may be measured as ml/hour or drops/min. To control or adjust the flow rate only drops per minute are used. To calculate the flow rate, one formula is as follows: Volume (total) x Drop factor (gtts/ml) = Flow rate (gtts/min) Time (in minutes) Volume (ml/hr) x Drop factor (gtts/ml) = Flow rate (gtts/min) 60 Example 1000 ml IV D5W is ordered over 12 hours using regular tubing (15 gtts/ml). How many drops per minute are needed to be delivered? LR 1 liter is ordered over 12 hours using regular tubing (15 gtts/ml). How many drops per minute should be delivered? Using the formula above: 1000 ml ÷ 12 (ml/hr) x 15 gtts/ml = Flow rate (gtts/min) 60 1000 (total volume) x 15 gtts/ml = Flow rate (gtts/min) 720 (12 x60) Let’s try a calculation using a mini-dropper (60 gtts/ml) with this formula: 1000 x 15 = 15000 = 20.83 (21) gtts/min 720 Volume (ml/hr) x Drop factor (gtts/ml) = Flow rate (gtts/min) 60 This formula is useful when small-volume flow rates are used. An IV medication of 100 ml is to be infused Example in 40 min using a set calibrated at 15 gtts/mL. What is the flow rate? 1 liter of LR is to be infused at 30 ml per hour. The IV set delivers 60 gtts/ml. What is the correct rate of flow? Example Calculate the gtts/min to be infused: 100 (total volume) x 15 gtts/mL = Flow rate (gtts/min) 40 100 x 15 = 1500 = 37.5 (38) gtts/min 40 The answer can also be obtained by using ratios and proportions: 100 mL:40 min = X mL:1 min (100 mL = X mL = 100 x 40x = 2.5 40 min 1 min 83 x 15 = 1245 = 20.7 (21) gtts/min 60 Example 30 (ml/hr) x 60 gtts/ml = 30 gtts/min 60 Let’s try another calculation using tubing that delivers 10 gtts/ml. The order reads: “Over the next 4 hours, infuse 200 ml of D5W.” The set is calibrated to deliver 20 Example gtts/ml. In drops per minute, what is the flow rate? Volume (ml/hr) x Drop factor (gtts/ml) = Flow rate (gtts/min) 60 200 ÷ 4 (ml/hr) x 20 gtts/ml = Flow rate (gtts/min) 60 The set delivers 15 gtt/mL. 2.5 mL x 15 = 37.5 gtts/min Let’s try a calculation using tubing that delivers 10 gtts/ml. The order reads: “Over the next 4 hours, infuse 500 ml D5W. Add 20 MEq of KCL to solution. In drops per minute, what is the flow rate? Note: In this example, the KCL adds minimal volume and doesn’t need to be considered in your calculation of the flow rate. Example Volume (total) x Drop factor (gtts/ml) = Flow rate (gtts/min) Time (in minutes) 500 ml (volume) x 10 (gtts/ml) = Flow rate (gtts/min) 60 x 4 = 240 (minutes) 5000 = 20.8 (21) gtts/min 240 When an IV is ordered to infuse in more than 1 hour, this formula can still be used. However, to keep the numbers you are working with as small as possible, it is best to add a preliminary step and determine the ml/hr the ordered volume will represent. 60 will be the denominator, since there are 60 minutes in an hour. 50 x 20 = 1000 = 16.6 (17) gtts/min 60 Regulating IV fluid is an ongoing process from the time that an IV infusion is started until it is completed. Depending on the facility's guidelines and patient condition, hourly checks of an IV should include assessing and documenting the IV flow rate, the IV site, the patient’s response to the IV, how much fluid has infused, and how much fluid remains to be infused. An upcoming newsletter will discuss types of IV solutions with related nursing implications, as well as assessment of fluid overload and fluid deficit. Growing Up With Us, Inc. PO Box 481810 • Charlotte, NC • 28269 GUWU Testing Center www.growingupwithus.com/quiztaker/ Phone: (919) 489-1238 Fax: (919) 321-0789 Editor-in-Chief: Mary M. Dunlap MAEd, RN E-mail: editor@growingupwithus.com Website: www.growingupwithus.com Copyright © 2013 Growing Up With Us, Inc. All rights reserved. Page 2 of 4 Name:_____________________________________________________ Date:___________________________________ Employee ID#:____________________________________________ Unit:____________________________________ POPULATION/AGE-SPECIFIC EDUCATION POST TEST GROWING UP WITH US... Caring For Children August 2013 Competency: Demonstrates Age-Specific Competency by correctly answering 9 out of 10 questions related to Calculating Pediatric Peripheral IV Flow Rates. CALCULATING PEDIATRIC PERIPHERAL IV FLOW RATES 1. The prudent pediatric nurse does not need to calculate the flow rate, in gtts/min, if an infusion pump is being used. a. True b. False 2. Changes in the level of solute concentration, as occurs in various types of IV solutions, influence the movement of fluid and electrolytes between the fluid compartments. a. True b. False 3. Identify the calibration in gtts/mL on this IV tubing package. a. b. c. d. more information is needed. 15 60 70 4. An IV of 150 mL is to infuse in 1 hr using a set calibrated at 60 gtts/mL. How many gtts/min is the flow rate? a. b. c. d. 15 25 38 150 5. An IV of 1000 mL is ordered to infuse in 5 hrs using a set calibrated at 10 gtts/mL. How many gtts / min should infuse? a. b. c. d. 8 33 83 200 Copyright © 2013 Growing Up With Us, Inc. All rights reserved. Page 3 of 4 Name:_____________________________________________________ Date:___________________________________ Employee ID#:____________________________________________ Unit:____________________________________ POPULATION/AGE-SPECIFIC EDUCATION POST TEST GROWING UP WITH US... Caring For Children CALCULATING PEDIATRIC PERIPHEAL IV FLOW RATES 6. Over the next 4 hours, 500 ml of D5W with 20 MEq KCL is to be infused using tubing that delivers 15 gtts/ml. What is the flow rate? a. b. c. d. 20 31 38 125 7. The above IV infusion was started at 9:30 a.m. If the fluid is infusing as ordered, at 11:30 a.m, 250 mL should remain to be infused. a. True b. False 8. An IV medication of 60 ml is ordered to infuse in 30 min. The set calibration is 20 gtts/mL. Calculate the gtts/min flow rate. a. b. c. d. 3 20 30 40 9. 75 mL of a medication is to be administered in 50 min using a set calibrated at 10 gtts/mL. How many gtts/min will infuse? a. b. c. d. 13 15 30 38 10. An IV order written as “KVO” as well as, “wide open”, doesn’t specify the flow rate and should, therefore, not be carried out until there is clarification of the specific flow rate from the ordering physician. a. True b. False Copyright © 2013 Growing Up With Us, Inc. All rights reserved. Page 4 of 4