Drip Rate Calculator Mcg/kg/min

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IV Drip Rate Calculator (mcg/kg/min)

Calculate infusion pump settings and flow rates for weight-based medication.

10 gtts/mL (Macro) 15 gtts/mL (Macro) 20 gtts/mL (Macro) 60 gtts/mL (Micro/Peds)
Please enter valid positive numbers for all fields.
Infusion Pump Rate: 0 mL/hr
Manual Drip Rate: 0 gtts/min
Concentration: 0 mcg/mL
Total Dose per Hour: 0 mg/hr
function calculateDripRate() { // Get values from DOM var weight = parseFloat(document.getElementById('ptWeight').value); var dose = parseFloat(document.getElementById('dose').value); var drugMg = parseFloat(document.getElementById('drugAmount').value); var volMl = parseFloat(document.getElementById('bagVolume').value); var dropFactor = parseFloat(document.getElementById('dropFactor').value); var errorDiv = document.getElementById('errorDisplay'); var resultDiv = document.getElementById('resultBox'); // Reset display errorDiv.style.display = 'none'; resultDiv.style.display = 'none'; // Validation if (isNaN(weight) || weight <= 0 || isNaN(dose) || dose <= 0 || isNaN(drugMg) || drugMg <= 0 || isNaN(volMl) || volMl <= 0) { errorDiv.style.display = 'block'; return; } // Logic // 1. Calculate Concentration in mcg/mL // First get mg/mL, then multiply by 1000 to get mcg/mL var concentrationMgPerMl = drugMg / volMl; var concentrationMcgPerMl = concentrationMgPerMl * 1000; // 2. Calculate Total Dose needed per minute (mcg/min) var doseMcgPerMin = dose * weight; // 3. Calculate Flow Rate in mL/min var flowRateMlPerMin = doseMcgPerMin / concentrationMcgPerMl; // 4. Calculate Flow Rate in mL/hr (Pump setting) var flowRateMlPerHour = flowRateMlPerMin * 60; // 5. Calculate Drop Rate (gtts/min) for manual gravity // Formula: (mL/hr * drop factor) / 60 var gttsPerMin = (flowRateMlPerHour * dropFactor) / 60; // 6. Calculate total mg per hour (for reference) var mgPerHour = (doseMcgPerMin * 60) / 1000; // Display Results document.getElementById('resMlHr').innerHTML = flowRateMlPerHour.toFixed(1) + " mL/hr"; document.getElementById('resGtts').innerHTML = Math.round(gttsPerMin) + " gtts/min"; document.getElementById('resConc').innerHTML = concentrationMcgPerMl.toFixed(0) + " mcg/mL"; document.getElementById('resTotalDose').innerHTML = mgPerHour.toFixed(2) + " mg/hr"; resultDiv.style.display = 'block'; }

Understanding the IV Drip Rate (mcg/kg/min) Calculation

In critical care environments, precise medication delivery is paramount. Many potent vasoactive drugs, such as Dopamine, Dobutamine, Epinephrine, and Norepinephrine, are dosed based on the patient's body weight and time. The standard unit for these calculations is micrograms per kilogram per minute (mcg/kg/min).

This calculator bridges the gap between the ordered dose (what the doctor prescribes) and the machine settings (what the nurse programs into the pump).

Note: 1 mg = 1,000 mcg. Correct unit conversion is the most critical step in preventing medication errors.

The Formula Behind the Calculator

To convert a weight-based dose into an infusion rate (mL/hr), the calculation follows these logical steps:

  1. Determine Total Dose Required per Minute:
    Patient Weight (kg) × Ordered Dose (mcg/kg/min) = Total mcg/min
  2. Determine Drug Concentration:
    (Total Drug (mg) ÷ Total Volume (mL)) × 1000 = Concentration in mcg/mL
  3. Calculate Infusion Rate:
    Total mcg/min ÷ Concentration (mcg/mL) = mL/min
    mL/min × 60 = mL/hr (Pump Setting)

Example Calculation

Let's assume a clinical scenario involving Dopamine:

  • Patient Weight: 75 kg
  • Ordered Dose: 5 mcg/kg/min
  • IV Bag: 400 mg of Dopamine in 250 mL D5W

Step 1: Calculate required mcg/min.
75 kg × 5 mcg/kg/min = 375 mcg/min.

Step 2: Calculate concentration.
(400 mg ÷ 250 mL) = 1.6 mg/mL.
1.6 mg/mL × 1,000 = 1,600 mcg/mL.

Step 3: Calculate rate.
375 mcg/min ÷ 1,600 mcg/mL = 0.234 mL/min.
0.234 mL/min × 60 min = 14.1 mL/hr.

Why Drop Factor Matters

While most modern hospitals use electronic infusion pumps (measured in mL/hr), manual flow regulation using gravity requires calculating the drop rate (gtts/min). The "Drop Factor" refers to how many drops the tubing set generates per milliliter of fluid.

  • Microdrip (60 gtts/mL): Used for pediatrics or precise, slow infusions.
  • Macrodrip (10, 15, or 20 gtts/mL): Used for rapid fluid resuscitation or general adult IVs.

Common Medications Dosed in mcg/kg/min

This calculator is commonly used for:

  • Dopamine: Typically 2-20 mcg/kg/min. Used for hemodynamic support.
  • Dobutamine: Typically 2-20 mcg/kg/min. Used for heart failure.
  • Norepinephrine (Levophed): Often 0.01-3 mcg/kg/min (though sometimes dosed in mcg/min).
  • Nitroprusside (Nipride): 0.3-10 mcg/kg/min. Used for hypertensive crisis.

Disclaimer: This tool is for educational and verification purposes only. Always double-check calculations with hospital protocols and approved medical devices before administering medication.

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