
METHOD 3
Question:
Dose calculation for Morphine in child weighing 3 kg.
Dose is 20 microgram/kg/hour and you are given 1 ml
ampoule containing 10 mg of Morphine. Use 0.9% Normal
Saline if required for dilution.
Calculation:
Dose of Morphine=20 microgram/kg/hour
Weight=3 kg
Amount of Morphine required=3X20=60 microgram/hour
In 1 ampoule, 1 ml contains 10 mg or, 10,000 microgram of Morphine
So, 0.6 ml contains 6,000 microgram of Morphine
Now, take 0.6 ml Morphine in a syringe and add 99.4 ml
Normal Saline to make it 100 ml.
In it 1 ml contains=6,000/100=60 microgram of Morphine
Now, take this 100 ml Morphine solution in a Syringe
driver and set it at a rate of 1 ml/hr.
Child is 3kg
Dose is: 20mcg/kg/hour
So, the required dose is- 60mcg/hour
For 24 hour- 60x24= 1440 mcg
The 1ml morphine ampoule contains 10mg= 10000 mcg
As we require only 1440 mcg out of this 10000 mcg,
hence to be DILUTED-
METHOD 1-add 1ml of morphine to 9ml of Normal Saline to make a solution of 10 ml which has a FINAL
conc. of 1000mcg/ml.
then take 1.44 ml of this solution which is = 1440 mcg .
this is required for a period for 24 hours at a rate of 1ml/hour.
eventually add 22.56 ml of NS to make it 24 ml ( which now has a conc. of 60mcg/ml ).
METHOD 2- Add 1ml ( containing 10mg=10000mcg ) to 99ml of NS.
This make a dilution of 100mcg/ml.
required quantity is 1440 mcg for the 24 hour,
hence take 14.4 ml of this solution
and add 9.4 ml of NS to make a 24 ml solution ( this now has a conc. of 60mcg/ml ).
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