2. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions © Cardiff University Calculating: Hourly rates Drops per minute

3. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions.  Must be prescribed Usually prescribed in volumes of: 1 litre = 1000 ml 500 ml 250 ml 100 ml 50 ml Sodium Chloride 0.9% 1 Litre 100 200 300 400 500 600 700 800 900

4. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions Prescribed on the back of the In-patient Medication Administration Record

5. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions

6. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions 30/04/09 1400 hrs Sodium Chloride 0.9%1000 mlI/V8 hrs

7. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 1. Calculating the number of ml / hour xxxx Xxxx Xxxxx xxxxx xxx Xxxxxx 500 xxxxxx xxxx xxx xxxx Xxxx Xxxxxx - 125 98 xxxxx xxx 1 23 4 56 7 89 0. xxxx 1 litre to be infused over 8 hours (1 litre = 1000ml) (1 litre = 1000ml) 1000 ml over 8 hours 1000 ml over 8 hours = 1000 ml over 1 hour = 1000 ml over 1 hour 8 = 125 ml/hr = 125 ml/hr

8. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute 125 ml/hr = how many drops per hour? Depends on: a) Type of fluid being infused b) Type of administration set being used

9. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions = = = 1ml Clear fluids Standard administration set 20 drops in 1ml Blood Blood administration set 15 drops in 1ml Clear fluids Micro administration set 60 drops in 1ml 20 drops 15 drops 60 drops

10. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions Bxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx GB Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx FR DE IT ES NL SE NO DK RN C€ 08K22V353 2013/10 2 Latex ! LOT Solution Administration Set Non air vented – Filter 15µ - Pump/Gravity Non-pyrogenic. Do not use if protectors are loose or missing GB 20 H2O=1ml ± 0.1ml

11. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions Uhs MAXI SET Double Chamber Blood Infusion set C€ 0088 Tubing 4mm diameter 150cm length Instructions for use: Description xxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxx Xxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx LOT Description A sterile single use blood administrations set with 200 micron filter, designed for the administration of blood and blood products. The drip count is as follows: 15 drops blood = 1 ml (approx) 20 drops distilled water = 1 ml (approx) The priming volume of this set with filter chamber full and the drip Chamber one third full is 45 ml (approx) Instructions for use xxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxx Xxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Precautions xxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxx Warnings xxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxx XXXXXXXXXX xxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxx

12. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd. Intravenous Infusions Alaris® SE Pump Signature Edition® Infusion System xxxxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxx Xxxxxxxxxxx xxxxxxxxxxx Xxxxxxxxxxx Xxxxxxxxxxxx Xxxxxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxx REF 72303 20 ≈ 24ml 254 cm 100 in 15 µm Latex DEHP P xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx 20 Do not administer blood or blood products through filter

13. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute 125 ml/hr = how many drops per hour? a) Type of fluid being infused---- Clear fluid b) Type of administration set being used---- Standard For clear fluids, a standard administration set delivers fluid at a rate of 20 drops per millilitre

14. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 1. Calculating the number of ml / hour 1 litre Normal Saline 0.9%to be infused over 8 hours 1000 ml over 8 hours 1000 ml over 8 hours = 1000 ml over 1 hour = 1000 ml over 1 hour 8 = 125 ml/hr = 125 ml/hr

15. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute The Calculation: 125 ml/hr clear fluids via standard administration set 125 ml per hour = 125 x 20 drops per hour Clear fluids Standard administration set 20 drops in 1ml 20 drops = 1ml = 125 x 20 drops per minute 60 = 42 drops per minute = 125 x 20 60 1 3 = 125 3 20 60 Divide by 3

16. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 1. Calculating the number of ml / hour 250 ml Glucose 5% to be infused over 5 hours 250 ml over 5 hours 250 ml over 5 hours = 250 ml over 1 hour = 250 ml over 1 hour 5 = 50 ml/hr = 50 ml/hr

17. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute The Calculation: 50 ml/hr clear fluids via micro administration set 50 ml per hour = 50 x 60 drops per hour Clear fluids Micro administration set 60 drops in 1ml = 1ml = 50 x 60 drops per minute 60 = 50 drops per minute = 50 x 60 60 1 1 = 50 1 60 Divide by 1 60 drops

18. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 1. Calculating the number of ml / hour 450ml of whole blood to be infused over 3 hours 450 ml over 3 hours 450 ml over 3 hours = 450 ml over 1 hour = 450 ml over 1 hour 3 = 150 ml/hr = 150 ml/hr

19. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute The Calculation: 150 ml/hr whole blood via blood administration set 150 ml per hour = 150 x 15 drops per hour = 1ml = 150 x 15 drops per minute 60 = 37½ drops per minute = 38 dpm = 150 x 15 60 1 4 = 150 4 15 60 Divide by 4 Blood Blood administration set 15 drops in 1ml 15 drops

20. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. Step 2. Calculating the drops per minute Clear fluidsStandard set 20 drops/ml divide by 3 Clear fluidsMicro set 60 drops/ml divide by 1 BloodStandard set 15 drops/ml divide by 4

21. Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Intravenous Infusions. The End