Medication Bolus
Published (updated: ).

Scenario: The on-line physician orders you to administer 80 mg of Lasix IV. On hand you have 100 mg in 10 cc’s. How many cc’s would you administer to give the ordered dose?
This is a pretty easy problem if you a little algebra to solve the problem. Of course you could use a formula to solve this problem, but that is not what you are here for; a formula is useless when you can’t find or remember it. To solve this problem, let’s look at the information we already have.
Q. You are ordered to administer 300 cc/hr of NS. You are using a 20 drop set.
A. 100 drops per minute300 cc’s x 20 drop set (or 20 drops = 1 cc)
_____________________________________________ = 100 drops per minute
60 minutesQ. You are ordered to administer 300 cc’s of NS in 30 minutes. You are using a 20 drop set.
A. 200 drops per minute300 cc’s x 20 drop set (or 20 drops = 1 cc)
_____________________________________________ = 200 drops per minute
30 minutes
or You could multiply the answer from the first question times 2 since the
same amount is given in half the time (same amount of fluid in half the
time = twice the number of drops)Q. You are ordered to administer 10 cc/kg to a patient that weighs 220 pounds. You are using a 20 drop set.
How many cc’s of fluid will you administer.A. Real simple: First: Convert the pounds to kilograms
220/2.2 = 100 kgSecond: Multiply the number of kg times the number of cc/kg ordered by the physician.
100 kg x 10 cc = 1000 ccQ. You are ordered to administer 100 cc/hr. You are using a 60 drop set.
A. 100 drops per minute100cc x 60 drop set (or 60 drops = 1 cc)
__________________________________________ = 100 drops per minute60 minutes
or
100 cc x 60 drop set 100 cc x 1 drop set
_______________________ _______________________ = 100
60 minutes 1 minute