The physician ordered Vancomycin (vancomycin hydrochloride) 500 mg IVPB every 24 hours. The medication was placed in 100 mL of D5W to infuse over 60 minutes. What is the correct volume for infusion and rate for infusion on the infusion pump that has a microdrip tubing?
A) Secondary volume: 100 mL; Secondary rate: 100 mL
B) Secondary volume: 500 mL; Secondary rate: 10 gtt/mL
C) Secondary volume: 100 mL; Secondary rate: 60 minutes
D) Secondary volume: 500 mL; Secondary rate: 60 minutes

Question

Quizplus · Accepted Answer

An infusion pump can be used for intravenous piggyback (IVPB). The order reads "medication was placed in 100 mL of D5W to infuse over 60 minutes." The nurse would enter two pieces of information into the pump: the total number of milliliters to be infused (100 mL) and the number of milliliters per hour. The infusion pump always uses a microdrip tubing (60 gtt/mL). Therefore, the pump will deliver 100 mL/hour. You can also use this formula to estimate milliliters per hour: total number of milliliters ordered/Number of hours to run. Therefore, 100 mL/1 hour (60 minutes) = 100 mL/hour. The secondary volume is 100 mL, and the secondary rate is 100 mL/hour. The pump interrupts the primary IV to administer the IVPB over 1 hour and then resumes the primary flow. The other choices are not correctly written orders or settings.

The Physician Ordered Vancomycin (Vancomycin Hydrochloride) 500 Mg IVPB Every