Calhoun Community College

EMS Program

 

Drug Calculation Worksheet #3 Answer Key

 

1.)    The physician orders you to administer a lidocaine drip to a patient that weighs 100 kg.  Your lidocaine comes packaged in 2g/5cc.  You are using a 1 L bag of normal saline.  The ordered dose is 2 mg/min.  Using a 60 drop administration set, what is your rate in drops per minute?

 

Rate (in gtt/min) = (1000 ml) (2 mg/min) (60gtt/ml) =  60 gtt/min

                                              (2000 mg)

                                                                  NOTE:  Not a weight based calculation

 

2.)    What is your rate in ml/hour?

 

 

Rate (in ml/hr) = (60 gtt/min) (60 min/hr) (1ml/60gtt) = 60 ml/hr

                                         

 

3.)    What the concentration of your newly prepared drip that you should write on the bag in mg/ml?

 

Concentration = (2000 mg) = 2 mg/ml

                            (1000 ml)

 

4.)    What is the concentration of the drip in mcg/ml?

 

Concentration = (2 000 000 mcg) = 2000 mcg/ml

                                (1000 ml)

 

5.)    What would the drip rate be if you used a 10 drop set instead of a 60 drop set?

 

New Rate (in gtt/min) = (1000 ml) (2 mg/min) (10 gtt/ml) = 10 gtt/min

                                                        (2000mg)

 

 

6.)    The doctor orders you to administer a dobutamine drip to a patient that is hypotensive and showing signs of pulmonary edema.  The patient weighs about 120 kg.  The doctor orders you to administer 10 mg/kg/min using a microdrip administration set.  You add 400 mg of dobutamine to a 250 cc bag.  What is your initial administration rate in drops per minute?

 

Rate (in gtt/min) = (250 cc) (10 mg/kg/min) (120 kg) (60 gtt/cc) = 45 gtt/min

                                                      (400 000 mg)

 

7.)    What is the concentration of your drip in mcg/ml?

 

Concentration = (400 000 mcg) = 1600 mcg/ml

                                (250 cc)

 

8.)    What would be the rate if you used a 10 drop set for your dobutamine drip?

 

New Rate = (250 cc) (10 mg/kg/min) (120 kg) (10 gtt/cc) = 7.5 gtt/min ~ 8 gtt/min

                                                      (400 000 mg)

 

9.)    What is the concentration of the dobutamine drip in mg/ml?

 

Cocentration (in mg/ml) = (400 mg) =  1.6 gtt/min ~ 2 gtt/min

                                            (250 ml)