How do you maintain med drip rates on your truck

[crotchitymedic1986]

You do get a cookie and a gold star. Good job

 

[crotchitymedic1986]

Since I brought it up, if you have forgotten how to do a dopamine drip calculation, the easiest way to get a dead-accurate calculation is to multiply everything togther and then divide by the concentration:

So if you want to administer 10mcgs to a 100kg pt, and you have an 800mcg concentration:

10 x 100 x 60 / 800 = 75gtts

 

[Jon]

That is great... except for the math-challenged providers.

I can do that - but many of my partners look at me as if I'm crazy when I ask them to double check my numbers. That's why I write everything out when I do drip rates.

 

[traumateam1]

That is great... except for the math-challenged providers.

I can do that - but many of my partners look at me as if I'm crazy when I ask them to double check my numbers. That's why I write everything out when I do drip rates.

Yup... that'd be me.

 

[crotchitymedic1986]

I am one of those math challenged people: you can buy a pocket calculator for $1.00 -- if you have a computer/internet on your truck, you have a free calculator.

 

[Jon]

I am one of those math challenged people: you can buy a pocket calculator for $1.00 -- if you have a computer/internet on your truck, you have a free calculator.

Right. But that still doesn't let your partner check your numbers.

You started this thread talking about using a pump or dial-a-flow to prevent errors... then you propose a method that makes what you are doing more difficult for you to double-check yourself or to have your partner double-check you - do you want to take a shortcut, or do what is best for your patient?

 

[JPINFV]

So if you want to administer 10mcgs to a 100kg pt, and you have an 800mcg concentration:

10 x 100 x 60 / 800 = 75gtts

-5 for not including units... dimensional analysis for the win.

 

[ffemt8978]

My posts are not coming through for some reason. Most of the things we do in the name of employee or patient safety are to prevent events that rarely happen, but are catastrophic when they do occur.

No one has answered the dopamine drip calculation question I posted.

You may want to check out this thread that explains why...
http://www.emtlife.com/showthread.php?t=10598

 

[crotchitymedic1986]

two separate issues Jon.

1. Whether you have a pump or not, you need to be able to calculate the drip rate. And as you mentioned, you then need to double check it. My method does not stop you from looking at your field guide or preprinted dosage chart. If you prefer your partner to doublecheck, they can calculate with their method and you can compare. But my method gives you the exact dosage, not a guestimation.

2. Once you have calculated that drip, it then needs to go on a pump to insure the patient gets that dosage.

Again, there is a reason why hospitals use pumps, and that is a much more controlled environment. If not using a pump was a safe alternative, hospitals wouldnt waste money on the pumps.

 

[remote_medic]

wow, go to work for a 24 hour shift and look what happens...

 

[marineman]

Back to the talk a few pages ago here's a cot we're trialing. Power cot that has a display of pt's weight in kg

http://www.monstermedic.com/Products/Powermed-X.aspx

 

[tydek07]

We carry pumps for long-distance transfers... we do not use them for lidocaine or dopamine drips and such for short distance transport to the ER. I see nothing wrong with using you noggin' and getting the correct rate going by drips