Base hospital 2003 fall recerts
Download
1 / 23

Base Hospital 2003 Fall Recerts. - PowerPoint PPT Presentation


  • 57 Views
  • Uploaded on

Base Hospital 2003 Fall Recerts. Medical Math and Drug Calculations. mg/kg/min. ml/cc. Milligrams. Milligrams. Kilograms. Making Sence of Medical Math. Milliliters. gtts/min. mg. mg. Kilograms. gtts/min. mg/kg/min. ml/cc. mg. Milligrams. mg/kg/min. gtts/min. mg/kg/min.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Base Hospital 2003 Fall Recerts.' - chaka


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Base hospital 2003 fall recerts

Base Hospital2003 Fall Recerts.

Medical Mathand Drug Calculations


mg/kg/min

ml/cc

Milligrams

Milligrams

Kilograms

Making Sence

of

Medical Math

Milliliters

gtts/min

mg

mg

Kilograms

gtts/min

mg/kg/min

ml/cc

mg

Milligrams

mg/kg/min

gtts/min

mg/kg/min

ml/cc

Kilograms

Milliliters

Kilograms

gtts/min

Kilograms

ml/cc

mg/kg/min

ml/cc

mg

Milliliters

Milligrams

gtts/min

gtts/min

Kilograms

Milliliters

ml/cc

Milliliters

mg

Milligrams

mg


Pre post course math
Pre/Post Course Math

  • Overall well done

  • Some problems were found in the Precourse

    • Paramedics did not show their work, therefore it was hard to determine the problem.


  • You are encouraged to use the formulas supplied. If you have your own method and it works for you, do it your way.


Where will I apply medical math?? only if you intend on using them in your practice.


How much to administer
HOW MUCH TO ADMINISTER only if you intend on using them in your practice.

WANT

---------- = AMOUNT TO ADMINISTER

HAVE


WANT only if you intend on using them in your practice.

  • Protocols I.e. 0.3mg Epi. 1:1,000 SC

  • Verbal Orders by patch phone

  • Written Orders on Patient chart


HAVE only if you intend on using them in your practice.

  • Concentration of the Drug

    • Nitro, Salbutamol, Glucagon, Lidocaine, etc.

  • Contents of the IV Bag

  • Amount in a given Ampoule or Vial


Weight vs volume
Weight vs. Volume only if you intend on using them in your practice.

REMEMBER

Weight and Volume

are not the same thing

Weight is the amount of a drug -5.0mg of Ventolin

Volume is the amount of fluid the drug is dissolved in - 2.5 ml nebule


Have = Concentration only if you intend on using them in your practice.

Weight

Concentration =

Volume


Concentration

mol/L only if you intend on using them in your practice.

G/L

G% or %

mg%

Eq/L

m/Eq/L

mg/ml

mcg/ml

moles per litre

grams per litre

grams/100mL

mg per 100 mL

equivalents/ L

milliequivalents per litre

milligrams/millilitre

micrograms/millilitre

Concentration


Concentration only if you intend on using them in your practice.

Reduce the Volume to 1 ml which will make the math easier

mg/ml

100 mg in 20 ml =

5 mg/ml

250 mg in 100 ml =

2.5 mg/ml

60 mg in 15 ml =

4 mg/ml


Injection - ml only if you intend on using them in your practice.

Amount Ordered

= Amount to Administer (ml)

Concentration

0.3 mg

50 mg

= 10 ml

= 0.3 ml

5 mg/ml

1 mg/ml

0.3 mg

1.25 mg

= 0.625 ml

= 0.12 ml

5mg/2ml

5 mg/2.5ml


Infusion - ml/min only if you intend on using them in your practice.

= Amount to Administer (ml/min)

Amount Ordered

Concentration

20 mcg/min

1 mcg/min

=

= 0.1 ml/min

200 mcg/ml

10 mcg/ml

15 mg/min

3 mg/min

= 3 ml/min

= 0.3 ml/min

5 mg/ml

10 mg/ml


Infusion gtt/min only if you intend on using them in your practice.

Amount Ordered

X drip factor

=Amount to Administer (gtt/min)

Concentration

20 mcg/min

= 0.1ml/min

= 6 gtt/min

x 60 gtt/ml

200 mcg/ml

15 mg/min

3 mg/min

= 180gtt/min

= 18gtt/min

5 mg/ml

10 mg/ml


Weight Based Infusion only if you intend on using them in your practice.

Amount Ordered

x Weight Factor

=Amount to administer (ml/min)

Concentration

10 mcg/kg/min

x 80 kg

= 1ml / min

800 mcg/ml

If drop/ minute are required multiply by drop factor

= 60 gtt/min

x 60 gtt/ml


Single strength dopamine chart

mcg/kg only if you intend on using them in your practice.

800

400

200

100

50

gtts

60

30

15

7.5

3.75

Single Strength Dopamine Chart


Double strength dopamine chart

mcg/kg only if you intend on using them in your practice.

1600

800

400

200

100

50

gtts

60

30

15

7.5

3.75

1.875

Double Strength Dopamine Chart


Using the chart system
Using the Chart System only if you intend on using them in your practice.

1. Estimate the patients weight in kg and round to nearest 10’s.

2. Multiply the (weight) x (order).

3. Use chart to add up drip rate.

4. Run IV at approximate rate or use an infusion pump.


Iv concepts
IV concepts only if you intend on using them in your practice.

Two concepts:

1. Flow rate: the rate at which IV fluid is given.

2. The drip factor: the number of drops per mL determined by the administration set.


Infusion ml hr
Infusion = ml/hr only if you intend on using them in your practice.

Calculate the drip rate when the

Physician Orders - 400 ml/hr

using a 10 gtts/ml drip set

400 ml/hr x 10 gtts/ml

4000 gtts/hr ÷ 60 min/hr

66.67 gtts/min ÷ 60 sec/min

= 1 gtt/sec


Remember
REMEMBER only if you intend on using them in your practice.

WANT

---------- = AMOUNT TO GIVE

HAVE

  • The WANT may get more complicated involving time or patient weight.

  • The HAVE is in your possession and may change in concentration depending on service supplies.


Questions
Questions? only if you intend on using them in your practice.


ad