{"id":3474,"date":"2023-02-16T22:30:36","date_gmt":"2023-02-16T22:30:36","guid":{"rendered":"https:\/\/blog.georgiaemsacademy.com\/?p=3474"},"modified":"2023-03-14T02:13:49","modified_gmt":"2023-03-14T02:13:49","slug":"medication-bolus","status":"publish","type":"post","link":"https:\/\/blog.georgiaemsacademy.com\/?p=3474","title":{"rendered":"Medication Bolus"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.georgiaemsacademy.com\/wp-content\/uploads\/2023\/02\/H6102101.JPG.jpg\" alt=\"\" class=\"wp-image-3493\" width=\"478\" height=\"359\"\/><\/figure>\n\n\n\n<p>Scenario: The on-line physician orders you to administer 80 mg of Lasix IV. On hand you have 100 mg in 10 cc&#8217;s. How many cc&#8217;s would you administer to give the ordered dose?<\/p>\n\n\n\n<p>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&#8217;t find or remember it. To solve this problem, let&#8217;s look at the information we already have.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote\"><p>Q.&nbsp; You are ordered to administer 300 cc\/hr of NS. You are using a 20 drop set.<br>A.&nbsp; 100 drops per minute<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 300 cc&#8217;s&nbsp; x&nbsp; 20 drop set (or 20 drops = 1 cc)<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _____________________________________________&nbsp;&nbsp;&nbsp;&nbsp; =&nbsp;&nbsp;&nbsp; 100 drops per minute<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 60 minutes<\/p><p>Q.&nbsp; You are ordered to administer 300 cc&#8217;s of NS in 30 minutes. You are using a 20 drop set.<br>A.&nbsp; 200 drops per minute<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 300 cc&#8217;s&nbsp; x&nbsp; 20 drop set (or 20 drops = 1 cc)<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _____________________________________________&nbsp;&nbsp;&nbsp;&nbsp; =&nbsp;&nbsp; 200 drops per minute<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 30 minutes<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; or&nbsp;&nbsp; You could multiply the answer from the first question times 2 since the<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; same amount is given in half the time (same amount of fluid in half the<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; time = twice the number of drops)<\/p><p>Q.&nbsp; You are ordered to administer 10 cc\/kg to a patient that weighs 220 pounds. You are using a 20 drop set.<br>&nbsp;How many cc&#8217;s of fluid will you administer.<\/p><p>A.&nbsp; Real simple:&nbsp; First: Convert the pounds to kilograms<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 220\/2.2&nbsp; =&nbsp; 100 kg<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Second:&nbsp; Multiply the number of kg times the number of cc\/kg ordered by the physician.<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 100 kg x 10 cc&nbsp; =&nbsp; 1000 cc<\/p><p>Q.&nbsp; You are ordered to administer 100 cc\/hr. You are using a 60 drop set.<br>A.&nbsp; 100 drops per minute<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 100cc&nbsp; x&nbsp; 60 drop set (or 60 drops = 1 cc)<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; __________________________________________&nbsp;&nbsp; =&nbsp; 100 drops per minute<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; 60 minutes<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; or<\/p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 100&nbsp; cc&nbsp;&nbsp; x&nbsp; 60 drop set&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 100&nbsp; cc&nbsp;&nbsp; x&nbsp; 1 drop set<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _______________________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _______________________&nbsp;&nbsp;&nbsp;&nbsp; =&nbsp;&nbsp; 100<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 60 minutes&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1 minute<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Scenario: The on-line physician orders you to administer 80 mg of Lasix IV. On hand you have 100 mg in 10 cc&#8217;s. How many cc&#8217;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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[27],"tags":[109],"_links":{"self":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/3474"}],"collection":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3474"}],"version-history":[{"count":3,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/3474\/revisions"}],"predecessor-version":[{"id":3494,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/3474\/revisions\/3494"}],"wp:attachment":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}