Drug Administration: By: Robi Evert A. Tiamzon, RN, MAN

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Drug

Administration
By: Robi Evert A. Tiamzon, RN, MAN
10 RIGHTS IN DRUG
ADMINISTRATION

1. Right Client
2. Right Drug
3. Right Dose
4. Right Time
5. Right Route
6. Right Assessment
7. Right Documentation
8. Client’s Right to Education
9. Right Evaluation
10. Client’s Right to Refuse
Calculating the mL to be given

 There is a very simple mathematical equation


to calculate the mL to be given:

(D/S) x Q
Medication Calculations
Example: Phenergan is ordered 12.5 mg. It is
supplied 25 mg/ 2 mL. How many mL will you
need to give?

 (12.5mg/ 25 mg) x 2 mL
 0.5 mg x 2 mL
 1 mL
EXERCISES

 Amiodarone is ordered 150 mg IVP


over 10 minutes. It is supplied 200
mg/ 10 mL. How many mL will you
need to give?
 Lasix is ordered 40 mg IVP.
It is supplied 100 mg/ 3 mL.
How many mL will you need
to give?
IV Drip Rate Calculation:

 Amount of fluid (X) drip factor


------------------------------------ = gtts/min.
hours to administer (x) 60
Drip Rates

A physician orders 500 mL LR


to be infused over 2 hours. You
have a 15 gtt IV tubing set.
How many gtts/ minute will you
give?
 You have started an IV of 0.9%
Sodium Chloride and a physician
request that you give 150 mL/ hr.
You are using a 20 gtt IV tubing
set. How many gtts/ minute will you
give?
Dobutamine Drip

 Drip of 2.5 – 10 mcg/kg/min is equivalent to


8-60 mgtts/min for a 50 kg patient.

 Formula:
mgtts/min = (drip mcg x BW in kg)/16.6
DOPAMINE

 A patient with bradycardia is to receive


5 mcg/kg/min. Your premixed
Dopamine is 1600 mcg/mL and you
have a 60 gtt IV tubing set. Your patient
weighs 175 Lbs. How many gtts/
minute will you give?
Dopamine Drip

 Drip of 2.5 – 10 mcg/kg/min is equivalent to


9-38 mgtts/min for a 50 kg patient.

 Formula:
mgtts/min = (drip mcg x BW in kg)/13.3
DOBUTAMINE

A hypotensive patient is to receive


10 mcg/kg/min. You have 400 mg
of Dobutamine and 250 mL
D5Water, along with a 60 gtt set.
Your patient weighs 220 Lbs. How
many gtts/ minute will you give?
THANK YOU!

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