Calculating IV Drip Rates

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Welcome to this video tutorial on calculating IV drip rates. When you have an order for an IV infusion, it is the nurse’s responsibility to make sure the fluid will infuse at the prescribed rate. IV fluids may be infused by gravity using a manual roller clamp or dial-a-flow, or infused using an infusion pump.

Microdrip and Macrodrip

Regardless of the method, it is important to know how to calculate the correct IV flow rate. When calculating the flow rate, determine which IV tubing you will be using (microdrip or macrodrip), so you can use the proper drop factor in your calculations. The drop factor is the number of drops in 1 mL of solution, and is printed on the IV tubing package.

Macrodrip and microdrip refers to the diameter of the needle where the drop enters the drip chamber.

On the left side, a needle with a single large drop of liquid is labeled "macrodrip," and on the right side, a needle with three small drops of liquid is labeled "microdrip"

Macrodrip tubing delivers 10 to 20 gtts/mL and is used to infuse large volumes or to infuse fluids quickly. Microdrip tubing delivers 60 gtts/mL and is used for small or very precise amounts of fluid, as with neonates or pediatric patients.

If you simply need to figure out the mL per hour to infuse, take the total volume in mL, divided by the total time in hours, to equal the mL per hour. For example, if you have 1,000 mL NS to infuse over 8 hours, take 1,000 divided by 8, to equal 125 mL/hr. To calculate the drops per minute, the drop factor is needed. The formula for calculating the IV flow rate (drip rate) is total volume (in mL) divided by time (in min), multiplied by the drop factor (in gtts/mL), which equals the IV flow rate in gtts/min.

Example 1

Let’s try an example. The provider has ordered 1,000 mL Lactated Ringers to infuse over 8 hours. You have a macrodrip tubing with a drop factor of 15 gtts/mL. Calculate how many gtts/min to set as the IV flow rate.

Using the formula, 1,000 mL divided by 8 times 60 (since we have 8 hours times 60 min/hr), then multiply by 15 gtts/min to equal 31.2, rounded to 31 gtts/min.

Here’s a tip: when the IV tubing is microdrip, 60 gtts/mL, the drops per min will be the same as the mL per hour. For example, you have 500 mL to infuse over 12 hours with a microdrip set. The total volume (500 mL) divided by the total time in hours (12) equals 41.6, rounded to 42 mL per hour. The drops per minute would be calculated as total volume, divided by time (in minutes), multiplied by the drop factor of 60 gtts/min, which also equals 41.6, rounded to 42 drops per minute.

Example 2

Let’s look at an example of an IV piggyback medication.

Ancef 1 gm in 100 mL normal saline to be infused over 30 minutes. You have macrodrip tubing with a drop factor of 10 gtts/mL. Calculate how many gtts/min to set as the IV flow rate.

Use the formula, with 100 mL divided by 30 min, multiplied by 10 gtts/min, which equals 33.3, rounded to 33 gtts/min. If you need to set this up on an IV infusion pump, use the formula, volume (mL) divided by time (min), multiplied by 60 min over 1 hour, this equals the IV flow rate in mL/hr. Using this formula, 100 mL divided by 30 min, times 60 min in 1 hr, equals 199.9, rounded to 200 mL/hr.

Once the infusion has started, monitor closely to be sure it is infusing at the correct rate and check the patient’s IV site for signs of infiltration or inflammation.

Thank you for watching this video about calculating IV drip rates!

Frequently Asked Questions

Q

What is an IV drip rate?

A

An IV drip rate is a way of describing the rate of an intravenous infusion based on the number of drops (gtt) that are administered to the patient per minute. This is influenced by the type of the tubing (microdrip or macrodrip), the total volume that is required to be infused, and the time over which the infusion is ordered to run.

Q

What is an IV drop factor?

A

An IV drop factor reflects the specific size of the drops of IV fluid that the tubing set creates. This is a predetermined number based on the tubing required and available to administer the medication. Tubing can be either microdrip or macrodrip.

Q

What is the difference between a microdrip and macrodrip IV tubing?

A

Microdrip IV tubing creates extremely small drip sizes for medications that are potent and must be carefully administered and/or for patient populations that are highly sensitive to large doses of medications (namely, neonatal and pediatric patients). The microdrip drip factor is generally estimated at 60 gtt/mL.

Macrodrip IV tubing is the more standard tubing type, and has larger drops of fluid than microdrip tubing. The macrodrip drip factor is generally somewhere between 10 to 20 gtt/mL.

Q

How do you calculate an IV drip rate?

A

IV drip rate is calculated by this simple formula: IV Drip Rate (gtt/min) = Total Volume (mL)/Time (min) x Drop Factor (gtt/mL)

This equation can also be rearranged to calculate the time required for an infusion, when provided the volume to be infused, the drip rate, and the drop factor.

Critical to perform prior to completing this formula is any conversions required, such as fluid volume provided in liters converted to milliliters, or time for infusion provided in hours converted to minutes.

 

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by Mometrix Test Preparation | This Page Last Updated: February 17, 2022