5. A patient requires 4 mg of Morphine IV.
Morphine is available as 10mg/ml. How many
mls will you draw up?
Please answer questions 1-3
6. Metric Conversions
Metric weights and measurements involve a
step-by-step conversion from one unit to
another.
With weight we often convert to smaller (and
more numerous units) thus:
Kg ------gm ------mg ------mcg
grams milligrams micrograms
7. Metric Conversions
Each of these steps involves the heavier unit
being multiplied by 1000 to bring up the
number of the smaller units for the same
weight.
8. Metric Conversions
Kg → g 1kg X 1000 = 1000 gm
g →mg 1g X 1000 = 1000 mg
= 1000 mcg1mg X 1000mg → mcg
9. Metric Conversions
If we are converting from a lighter unit to a
heavier unit we move the decimal point three
places to the left for each conversion.
10. Metric Conversions
If we are converting from a lighter unit to a
heavier unit we move the decimal point three
places to the left for each conversion
11. Metric Conversions
mcg → mg 1000 mcg /1000 = 1mg
mg →gm 1000mg / 1000 = 1 gm
= 1kg1000gm / 1000gm → kg
13. Metric Conversions
If we are moving across two conversions we
repeat the process twice.
For example from grams to micrograms
3gm converted to micrograms
Step one:
= 3 x 1000 = 3000mg
Step two:
3000mg x 1000 = 3,000,000mcg
17. MG/KG Dose Conversion
Often we need to check the dose of a drug or
solution that is based on the patient’s weight.
We multiply the prescribed mg dose by the kg
weight of the patient
21. Flow Infusion Rates
To obtain the hourly rate, divide the volume of
fluid to be infused by the number of hours
fluid to be infused over.
Eg: a 1000ml infused over 12 hours
1000/12 = 83.3 ml / hr
23. Flow Infusion Rates
Fluids are infused using a giving set, requiring a “drop per
minute” rate.
The giving sets are:
Standards IV Set = delivers 20 drops per ml.
Micro giving set = delivers 60 drops per ml.
Drop per minutes: total fluid in ml X giving set calibration
total hours X 60 mins
24. Flow Infusion Rates
A patient is prescribed Sodium Chloride 1000ml
to be infused over an 8-hour period. A standard
giving set is being used. Calculate the drops per
minute.
1000 X 20 = Drops per mins
8 X 60