Calhoun Community College

EMS Program

 

Medication Administration worksheet 3

 

 

1.)    The doctor orders you to administer a lidocaine drip to a 125 kg patient that was resuscitated from cardiac arrest at 2 mg/min.  You add 2 g of lidocaine to a 500 ml bag of normal saline.  Using a 60 gtt/ml administration set, what would be your drip rate in ml/hr?

 

Rate (in gtt/min) =  (2 mg/min) (500 ml) (60 gtt/ml)  =  30 gtt/min

                                                 2000 mg

 

 

Rate (in ml/hr) = (30 gtt/min) (60 min/1hour) (1ml/60 gtt) = 30ml/hr

 

 

2.)    You decided to establish a dopamine drip on a 120 kg patient in cardiogenic shock.  You start by mixing 800 mg of dopamine into a 500 cc bag of normal saline.  Using a 60 gtt/ml administration set, what would be the drip rate if you start your drip at 5 mcg/kg/min?

 

Rate (in gtt/min) = (5 mcg/kg/min) (500 ml) (120 kg) (60 gtt/ml)  =  22.5 gtt/min

                                                      (800 000 mcg)                                     (23 gtt/min)

 

 

3.)    What is the concentration of your dopamine drip in mcg/ml from question #2?

 

Concentration (in mcg/ml) =   800 000 mcg  = 1600 mcg/ml

                                                    500 ml   

 

4.)    The physician orders you to initiate an epinephrine drip on a patient in severe bradycardia refractory to dopamine, atropine and TCP.  The patient weighs 70 kg.  You start by mixing the 2 mg of epinephrine into 500 cc of normal saline.  The doctor ordered you to start the infusion at 10 mcg/min.  What is your initial drip rate in gtt/min?

 

 

Rate (in gtt/min) = (10 mcg/min) (500 ml) (60 gtt/ml)  = 150 gtt/min

                                                    2000 mcg

 

5.)    The doctor orders you to administer 2 L of LR to a dehydrated patient.  How many ml/hr should you set the pump to deliver if the fluid is ordered to be delivered over 4 hours and you only have one IV site.

 

Rate (in ml/hr) =  2000 ml =  500 ml/hr

                             4 hours