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Titratables: AKA “drips”

Titratables: AKA “drips”. “Titrated medications are added to a specific volume of fluid and then adjusted to infuse at the rate at which the desired effect is obtained.” Morris, Calculate with Confidence. You must consider. Compatibilities Y-site , solution/additive Hospital protocol

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Titratables: AKA “drips”

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  1. Titratables: AKA “drips” • “Titrated medications are added to a specific volume of fluid and then adjusted to infuse at the rate at which the desired effect is obtained.” Morris, Calculate with Confidence

  2. You must consider • Compatibilities • Y-site, solution/additive • Hospital protocol • Calculations • Flow rates for maintenance fluids are ordered in mL/hr • Anything on an infusion pumpis mL/hr.

  3. Calculations • Medications (drips) are ordered in drug /hour or drug/min. • mg, mcg, units, etc.  Calculate into ml/hr

  4. Dr Order: Heparin 1000 units/hr IV • Must know • Amount of drug in the bag • Volume of fluid in the bag • This gives you concentration (amt of drug per 1 mL)

  5. Programming Pumps • How fast do I run the pump to deliver the right dose? • How much drug is my patient receiving?

  6. Programming the Pump • Insulin drip for diabetic ketoacidosis • 100 units regular insulin in 200 ml NS • Sliding scale every 2 hours according to fingerstick BG 300 – 350 give 6 units/hr BG 250 – 299 give 4 units/hr BG 200 – 249 give 2 units/hr < 200 hold for 1 hr and recheck Q2 h

  7. Medication ProtocolsStanding orders • Start drip at ____ • If this happens, then do this • Check [lab] every ____ hours.

  8. Infusions by Weight Drug is ordered per hour or per minute per kilogram (kg) of body weight Dr Order: Dopamine 3 mcg/kg/min (We will do the math in class)

  9. Documentation • MARs • IV Flow sheets • Lab flow sheets • I & 0

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