How to calculate and manage constant rate infusions The Veterinary Nurse


How to calculate and manage constant rate infusions The Veterinary Nurse

Calculators for Emergency and Anesthetic drugs, Constant Rate Infusions (CRI), IV Fluid Rates, Chocolate Toxicity, Calorie requirements for dogs and cats and Unit conversion (including Weight, Temperature, Body Surface Area, mg to ug, cc's to ounces's, cm's to inches).


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How to Calculate Dosages* Formula 1By convention, the dosage for many CRI drugs is given as µg/kg/min. The calculations can be confusing since most drugs are available in concentrations of mg/ml and are delivered at a fluid rate of ml/hr. The following formula allows the clinician to "plug in" the numbers and solve for the number of milligrams.


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A constant rate infusion/manually controlled infusion (CRI/MCI) of analgesic drugs is a simple and effective means of improving patient comfort. Various formulations can be used as a constant rate infusion; the protocol chosen depends on the patient and the degree of pain experienced or anticipated.


How to calculate and manage constant rate infusions The Veterinary Nurse

First convert pounds into kilograms by dividing pounds by 2.2 (there are 2.2 pounds per kilogram): 11 pounds/ 2.2 pounds per kg (pounds cancel out) = 5 kg Now take the kg and multiply by the dose: 5kg X 2 mg/kg/day (kg cancel out) = 10 mg/day Now divide by the number of hours in a day (24) to get the per hour rate:


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Practical How to calculate and manage constant rate infusions Megan Brashear Published Online: 31 Jul 2015 https://doi.org/10.12968/vetn.2015.6.6.354 Share Abstract A constant rate infusion (CRI) is a medication continuously administered to a patient and is used to maintain consistent plasma levels of that medication.


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Now you can! Calculate one of several lidocaine/ketamine cocktails for convenient anesthesia customized for each patient. If you like the Constant Rate Infusion Calculator you'll love the VIN Suite of Calculators and Conversion tables. Use MyCalculations to save, print, compare and share results from different visits.


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Summary Equipment and medications that can be used for constant rate infusion are growing in popularity in small animal practices. This means the veterinary nurse will need to be able to calculate these accurately and efficiently to avoid accidental over or underdose.


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Learn how to calculate a constant rate infusion (CRI) of a drug that has been added a patient's maintenance fluids. A clinical example is provided demonstrating the medical math used to determine the volume of drug to be added to a fluid bag for effective delivery of the CRI within the patient's maintenance fluids.


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A constant rate infusion (CRI) is a medication continuously administered to a patient and is used to maintain consistent plasma levels of that medication. CRIs are commonly administered to patients to achieve appropriate levels of pain management, blood pressure management, sedation, anaesthesia, electrolyte supplementation, insulin, and liquid nutrition via a feeding tube.


How to calculate and manage constant rate infusions The Veterinary Nurse

A constant rate infusion/manually controlled infusion (CRI/MCI) of analgesic drugs is a simple and effective means of improving patient comfort. Various formulations can be used as a constant rate infusion; the protocol chosen depends on the patient and the degree of pain experienced or anticipated.


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A constant rate infusion/manually controlled infusion (CRI/MCI) of analgesic drugs is a simple and effective means of improving patient comfort. Various formulations can be used as a constant rate infusion; the protocol chosen depends on the patient and the degree of pain experienced or anticipated.


How to calculate and manage constant rate infusions The Veterinary Nurse

Formula 2. A quick-and-easy formula that allows the clinician to convert directly from the drug dosage in μg/kg/min to mg requires that a standard volume of 250 ml be administered at a standard rate of 15 ml/hr. Drug dosage ( g/kg/min) BW (kg) = μ × no. mg to add to 250 ml base solution at a rate of 15ml/hr. c o n t i n u e s.


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Calculating CRI Doses Imagine that you have a 10 kg dog in need of a 10 ug/kg/min CRI of lidocaine. The concentration of lidocaine is 20 mg/ml. How can you use this information to treat your patient? First, multiply the dose by the dog's weight, like you would do if calculating any other drug dosage.


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These routes would include delivery by transdermal, subcutaneous, intramuscular, intra-articular and intravenous. Intravenous administration of analgesic agents may be timed to be given intermittently or by constant rate infusion.


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A constant rate infusion (CRI) is prepared to give a patient a continuous dose of drug in intravenous (IV) fluids. This method is advantageous for administering continuous pain management or for drugs with a short half life, as the drug is maintained at effective plasma concentrations for the duration of the CRI ( Creedon et al, 2012 ).


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CONSTANT RATE INFUSION FORMULAS M DWV/(R 16.67) × where = milligrams of drug to add to base solution = dosage of drug in μg/kg/min = body weight in kg = volume of base solution in milliliters = fluid rate in mL/h 16.67 = conversion factor To determine the appropriate R if dosage is adjusted, the formula would be R = D(adjusted)WV/(M × 16.67) 2.