More Complicated Problems Answers

Below are the answers to the problems on the previous page.

  1. Give Heparin 500 units IV per hour. The IV solution contains 20,000 units per 1000 ml D5W. A micro drip set is to be used (60 gtts/ml).

    A. First - determine how much solution to give per hour by setting up a proportion
    If
    20,000 units
    Then
    500 units
    1,000 ml
    x ml
    20,000 x = 500,000
    500,000 ÷ 20,000 = 25 ml


    B.
    Now - calculate the IV drip rate using the same formula as before. (Remember the IV set delivers 60 gtts/ml)
               
     
    25 ml
    X
    60 gtts/ml
    =
    25 gtts/minute
     
    60 minutes

    Give 1,000,000 units of Ampicillin IV in 2 hours. The drug comes from the pharmacy with 5,000,000 units in 1000ml D5W. A 15 drop IV set is to be used.

    A. First - determine how much solution to give per hour by setting up a proportion
               
     
    If
    5,000,000 units
    Then
    1,000,000 units
     
     
    1,000 ml
    x ml
     
     
     
     
    5,000,000 x = 10,000,000,000
     
     
     
     
    5,000,000 ÷ 10,000,000,000 = 200 ml
     


    B.
    Now - calculate the IV drip rate using the same formula as before. (A 15 gtts/ml IV set is being used.)
               
     
    200 ml
    X
    15 gtts/ml
       
     
    120 minutes
       
     
       
     
    3,000 ÷ 120 = 25 gtts/minute
       


  2. Give 40 mEq of potassium chloride IV over 8 hours. The solution available contains 80 mEq in 1000 ml of D5W. The IV set delivers 10 gtts/ml.


    A. First - determine how much solution to give per hour by setting up a proportion
    If
    80 MEq
    Then
    40 MEq
    1,000 ml
    x ml
    80 x = 40,000
    40,000 ÷ 80 = 500 ml


    B.
    Now - calculate the IV drip rate using the same formula as before. (A 15 gtts/ml IV set is being used.)
    500 ml
    X
    10 gtts/ml
    480 minutes
    5,000 ÷ 480 = 10.41 or 10 gtts/minute
    (the fraction is not rounded up)