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Pharmacology

IV Drip Rate Calculations for the NREMT

Master the gtts per minute formula and infusion pump calculations with clear examples.

March 4, 2025

The Drip Rate Formula

Drops per minute equals the volume to be infused times the drop factor, divided by the time in minutes. A macrodrip set typically delivers 10 or 15 gtts/mL, while a microdrip set delivers 60 gtts/mL. Always confirm the drop factor on the packaging.

Worked Example

To infuse 1,000 mL over 4 hours with a 10 gtts/mL set, multiply 1,000 by 10 to get 10,000, then divide by 240 minutes. The answer is about 42 gtts per minute. With a microdrip set, the drops per minute in mL/hr equals the mL/hr rate.

Medication Infusions

For a dopamine drip, first calculate the dose in mcg/min or mcg/kg/min, convert to mg if needed, then divide by the concentration. Take your time and estimate to see if the answer is plausible. Verify with your partner before starting any infusion.

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