IV Flow Rate (GTT) Calculator
Understanding How to Calculate GTT Rate
In clinical nursing and medical settings, the GTT rate (drops per minute) is a critical calculation used to ensure intravenous (IV) fluids are administered at the correct speed when an electronic infusion pump is not available. Calculating the flow rate manually ensures patient safety and therapeutic efficacy.
The Standard GTT Calculation Formula
To calculate the drop rate, you need three specific pieces of information: the total volume to be infused, the time over which it should be infused, and the drop factor of the IV tubing. The formula is as follows:
Key Variables Explained
- Total Volume (mL): The amount of fluid prescribed (e.g., 500 mL, 1000 mL).
- Time (Minutes): The duration of the infusion. If the order is in hours, you must multiply by 60 to convert it to minutes.
- Drop Factor (gtt/mL): This is the number of drops it takes to equal 1 mL of fluid. This is determined by the specific IV administration set. Common macro-drip factors are 10, 15, or 20 gtt/mL. Micro-drip sets are always 60 gtt/mL.
Step-by-Step Calculation Example
Suppose a physician orders 1,000 mL of Normal Saline to be infused over 8 hours. You are using a macro-drip set with a drop factor of 15 gtt/mL.
- Step 1: Convert time to minutes. 8 hours × 60 minutes = 480 minutes.
- Step 2: Multiply Volume by Drop Factor. 1,000 mL × 15 gtt/mL = 15,000 drops.
- Step 3: Divide by total minutes. 15,000 / 480 minutes = 31.25 gtt/min.
- Step 4: Round to the nearest whole number. The final rate is 31 drops per minute.
Common Drop Factors and Uses
| Tubing Type | Drop Factor | Typical Use Case |
|---|---|---|
| Macro-drip | 10, 15, 20 gtt/mL | Routine adult infusions and boluses. |
| Micro-drip | 60 gtt/mL | Pediatric patients or high-precision medications. |
Clinical Tips for Success
Always double-check your math before adjusting the manual roller clamp. When counting drops at the bedside, use a watch with a second hand and count the drops for a full 60 seconds to ensure the most accurate flow rate. If a patient changes position, re-check the drip rate as gravity and catheter position can affect the flow speed.