I have been a medic for three years, I just got a new job and I am studying for tests. This is hands down the essayist method I have learned. Thank you!!!
Damn I remember watching this 4 years ago to get ready for national registry, this helped so much! I’m here as a review now been a paramedic for 4 years. Thank you!
All iv got to say is this is the best video iv ever seen on TH-cam. By far the simplest and fastest way . I literally have watched so many TH-cam videos on how people do this so many different ways and it got so confusing. Thank all of you. That was awesome.
This is Great!!! I Became a medic in 1982 and finally found a quick way to "do the math". I used the clock for Lidocain but now see how it work for everything. THANK YOU!
Seriously man, this video has saved my ass and made drip calculations so much more easier for me, simply because of this video alone. Thank you. We need more people who approaching teaching moments like this in the medical field.
I am studying for my national registry exam and i have struggled with drip rates from the beginning. After watching countless videos and looking through several books this is the first thing that has made sense. I just wanted to say thank you.
This video just saved this medic students ass. Thank you so much for the info, it is MUCH appreciated . I'm now watching it over and over to make sure it sticks.
Holy moly... I start first shift as a medic on the third and was nervous about dopamine! This video helped me tons thank you for (re)teaching and posting!
He just confused her. He originally said 400 and when she answered he gave her a crazy look and repeated the the question he asked but he said 200 instead. LOL
Thank You very much. I had seen the clock method and could read it if it was already set up, but now I can set it up myself! I also respect what you said about practicing so that it is easily done at 2am!
I was taught by an instructor (who hates math) on how to calculation a dopamine drip, w/o converting to kg, in 2 mins and it blew my mind. As long as the COH is 1600mcg/mL & you start at 5 mcg (as usual). Take the patient weight, lets say 233 lbs, drop the last digit so it becomes 23, minus 3 so it now becomes 20. You would deliver 20 mcg/min or 1 gtt q 3 seconds. The calculation hes trying to do (80 kg or 176 lbs w/ 5 mcg order) can be done in a min. 176 > Drop the last digit > becomes 17 > then minus 3 > 14 (you would round to 15 > so 1 gtt q 4 seconds (but since his COH is 800 mcg/min you would half the seconds > 1 gtt q 2 seconds). Easier
3:28 He confused her. Because now he's doubling up a 250ml to a 500ml, so a 200mg but he says "if I multiply my fluid by 2 to get to 1000. But he's now talking about a 2x 250ml. So that's why she got confused.
Great for my arsenal of knowledge. So when you have 400mg of Dopamine, into 500 ml of NS. You double the NS to get 1000ml, you also double the Dopamine to get 800mcg. I don't understand how the mg get turned into mcg, can someone explain that?
Question. When he says that is doubling the amount of solution, he is just doing that to get the concentration of the drug right? Or he is actually using that concentration in a 1000ml bag?
If using a 60 gtt administration set, 60 gtts would be at the top of the clock, and that many drops equals one ml. (60 gtt/ml) So you need to correlate how much drug is in each ml of fluid, and then you will know how much drug is in a fraction of each ml of fluid. If you have 800 mcg per ml, you have 800 mcg for every 60 gtts, or 400 mcg for every 30 gtts. Basically, you really need to look up "lidocaine clock" or "dopamine clock," see the illustration and practice drawing it on paper. After its understood it can be done in your head without paper.
Leslie Lee it's just to plug into, it has nothing to do with actual time. 12-3-6-9 etc . Since you'll be using a 60 ggts set 60 sec equal a min, I was taught every time you read (min at the end you will use the clock [for example: 2-20 mcg/kg/min]. And once you get the top number whether 800-1600 mcg/mL it will never change . The only change will be in pts weight 80 kg or what ever 80*5=400 You clock reads 1600 at the top 800 at the bottom 1200 to the left and 400 to the right . Inside never changes either, remember you are using 60 drop set so 60 ggts for a dose of 1600 , 30 for 800, 45 for 1200, and 15 for 400. 80*5 = 400 now look at the clockwork 400 mcg/ml at 15 ggts/min It's better understood when illustrated .. for me at least
Matthew Chalupnicek Matthew Chalupnicek it's just to plug into, it has nothing to do with actual time. 12-3-6-9 etc . Since you'll be using a 60 ggts set 60 sec equal a min, I was taught every time you read (min at the end you will use the clock [for example: 2-20 mcg/kg/min]. And once you get the top number whether 800-1600 mcg/mL it will never change . The only change will be in pts weight 80 kg or what ever 80*5=400 You clock reads 1600 at the top 800 at the bottom 1200 to the left and 400 to the right . Inside never changes either, remember you are using 60 drop set so 60 ggts for a dose of 1600 , 30 for 800, 45 for 1200, and 15 for 400. 80*5 = 400 now look at the clockwork 400 mcg/ml at 15 ggts/min It's better understood when illustrated .. for me at least Hope you understand what I mean
200 mg Dopa in 250 ml SS= 200 mg X 4= 800 mic. 80 Kg x 5mic (doses). 400 mic/min X 60 gtt/ml(Drop factor)/ 800mic/ml (concentration on the bag)=30 gtt/ml or 30 ml/h.
SoFNuTT because the volume on hand (250ml or 500ml of NS ) and DD. I was taught just do 1600 for the top of the clock and you'll have 800 at the bottom , and with that you'll take care of both 800 or 1600 mcg/mL
Dopamine has a dose range depending on what effects are desired. In this case he chose a dose of "5." Its given as mcg/kg/min. So his example was to give 5 mcg per kg per min. The pt weight was 80 kg, therefore 5 x 80 = 400 mcg per minute.
+MyWatcher101 yeah so starting at 5mcg/kg/min so from about 5-15 you get cardiac inotropic and chronotropic effects impacting the strength and speed of cardiac conduction. Over 20mcg/kg/min youll start getting vasopressor effects that could raise your BP. Anytime youre prehospital though, most protocols will say to start at 5mcg/kg/min and titrate to effect per Medical Control.
David Drummond your just adding meds to saline so the dose of mcg of your meds are the same the saline just give you a ratio to use the drip longer. 400mcg of anything put in 250 ml of saline is still 400mcg of that med
That made more sense to me then the last 5 months of medic school!
No joke!
I have been a medic for three years, I just got a new job and I am studying for tests. This is hands down the essayist method I have learned. Thank you!!!
Whoever said “I’m putting it on TH-cam !” Must be protected at all cost. Thank you so much.
Hahahaha... seriously
Damn I remember watching this 4 years ago to get ready for national registry, this helped so much! I’m here as a review now been a paramedic for 4 years. Thank you!
He is VERY patient!
Great vid!!
All iv got to say is this is the best video iv ever seen on TH-cam. By far the simplest and fastest way . I literally have watched so many TH-cam videos on how people do this so many different ways and it got so confusing. Thank all of you. That was awesome.
This is Great!!! I Became a medic in 1982 and finally found a quick way to "do the math". I used the clock for Lidocain but now see how it work for everything. THANK YOU!
Seriously man, this video has saved my ass and made drip calculations so much more easier for me, simply because of this video alone. Thank you. We need more people who approaching teaching moments like this in the medical field.
I am studying for my national registry exam and i have struggled with drip rates from the beginning. After watching countless videos and looking through several books this is the first thing that has made sense. I just wanted to say thank you.
This 7 minutes and 12 seconds to turn me into a drip calculation master. Thank you and thank the Medic who let this vid happen.
This video just saved this medic students ass. Thank you so much for the info, it is MUCH appreciated . I'm now watching it over and over to make sure it sticks.
Yes this guy is good. That made it clear for me. Tell home thank you.
This was great‼️
Holy moly... I start first shift as a medic on the third and was nervous about dopamine!
This video helped me tons thank you for (re)teaching and posting!
OMG, freaken love this guy. Thanks so much!!!!
I had to watch this 3 times but wow it makes so much sense
I still watch this before any test!!
He just confused her. He originally said 400 and when she answered he gave her a crazy look and repeated the the question he asked but he said 200 instead. LOL
he started the whole conversation over 😂 go look at it
Still the best video around ! Get requests for it all the time 😁❤
Thank You very much. I had seen the clock method and could read it if it was already set up, but now I can set it up myself! I also respect what you said about practicing so that it is easily done at 2am!
Thank you so much!
Seriously made my life easier. Pat, you the man!
Patrick is the mannnn!! Thanks for that advice brother
Just buy it premixed solves the problem
Like Kool-aid packets!!!!
U saved me in 4mins!!!!! Genius
You are AOK brother. Thank You !
Thank you this helped out a lot.
I was taught by an instructor (who hates math) on how to calculation a dopamine drip, w/o converting to kg, in 2 mins and it blew my mind. As long as the COH is 1600mcg/mL & you start at 5 mcg (as usual). Take the patient weight, lets say 233 lbs, drop the last digit so it becomes 23, minus 3 so it now becomes 20. You would deliver 20 mcg/min or 1 gtt q 3 seconds. The calculation hes trying to do (80 kg or 176 lbs w/ 5 mcg order) can be done in a min. 176 > Drop the last digit > becomes 17 > then minus 3 > 14 (you would round to 15 > so 1 gtt q 4 seconds (but since his COH is 800 mcg/min you would half the seconds > 1 gtt q 2 seconds). Easier
Great job. Thanks!
3:28 He confused her. Because now he's doubling up a 250ml to a 500ml, so a 200mg but he says "if I multiply my fluid by 2 to get to 1000. But he's now talking about a 2x 250ml. So that's why she got confused.
God bless u ..thanx so much
So glad mines comes pre-mixed. Lol
Great for my arsenal of knowledge. So when you have 400mg of Dopamine, into 500 ml of NS. You double the NS to get 1000ml, you also double the Dopamine to get 800mcg. I don't understand how the mg get turned into mcg, can someone explain that?
Nice Job !! 1984 Medic says this works
Can anybody explain how they calculated drops ?
Question. When he says that is doubling the amount of solution, he is just doing that to get the concentration of the drug right? Or he is actually using that concentration in a 1000ml bag?
Clever!
what does he mean by top of the clock?
If using a 60 gtt administration set, 60 gtts would be at the top of the clock, and that many drops equals one ml. (60 gtt/ml) So you need to correlate how much drug is in each ml of fluid, and then you will know how much drug is in a fraction of each ml of fluid. If you have 800 mcg per ml, you have 800 mcg for every 60 gtts, or 400 mcg for every 30 gtts. Basically, you really need to look up "lidocaine clock" or "dopamine clock," see the illustration and practice drawing it on paper. After its understood it can be done in your head without paper.
Leslie Lee it's just to plug into, it has nothing to do with actual time. 12-3-6-9 etc . Since you'll be using a 60 ggts set 60 sec equal a min, I was taught every time you read (min at the end you will use the clock [for example: 2-20 mcg/kg/min]. And once you get the top number whether 800-1600 mcg/mL it will never change . The only change will be in pts weight 80 kg or what ever 80*5=400
You clock reads 1600 at the top 800 at the bottom 1200 to the left and 400 to the right . Inside never changes either, remember you are using 60 drop set so 60 ggts for a dose of 1600 , 30 for 800, 45 for 1200, and 15 for 400.
80*5 = 400 now look at the clockwork 400 mcg/ml at 15 ggts/min
It's better understood when illustrated .. for me at least
What if you use a 1000L bag? Do you just multiply the mgs x 1?
Great explanation Pat!!!! You need to teach classes ;)
so i get the way you find the concentration (ie. 200mg/250ml bag = 400mcg/mL),
but what's the reasoning behind the clock. What am I looking for there?
Matthew Chalupnicek Matthew Chalupnicek it's just to plug into, it has nothing to do with actual time. 12-3-6-9 etc . Since you'll be using a 60 ggts set 60 sec equal a min, I was taught every time you read (min at the end you will use the clock [for example: 2-20 mcg/kg/min]. And once you get the top number whether 800-1600 mcg/mL it will never change . The only change will be in pts weight 80 kg or what ever 80*5=400
You clock reads 1600 at the top 800 at the bottom 1200 to the left and 400 to the right . Inside never changes either, remember you are using 60 drop set so 60 ggts for a dose of 1600 , 30 for 800, 45 for 1200, and 15 for 400.
80*5 = 400 now look at the clockwork 400 mcg/ml at 15 ggts/min
It's better understood when illustrated .. for me at least
Hope you understand what I mean
is there a video I can refer to because, like you said, I also learn better when I see it laid out. Cheers
awesome
Dumb question (Start school in January) why do you go to 1000? Just because of the Miligram to microgram conversion?
It's the way this method can be used
Us medics are lazy so we find the easiest solution to the question
where is the 30 gtts/min coming from?
200 mg Dopa in 250 ml SS= 200 mg X 4= 800 mic. 80 Kg x 5mic (doses). 400 mic/min X 60 gtt/ml(Drop factor)/ 800mic/ml (concentration on the bag)=30 gtt/ml or 30 ml/h.
why is he using a concentration of 800mcg/mL?
SoFNuTT because the volume on hand (250ml or 500ml of NS ) and DD.
I was taught just do 1600 for the top of the clock and you'll have 800 at the bottom , and with that you'll take care of both 800 or 1600 mcg/mL
you lost me at 5:03.... what do you mean by start @ 5?????
Dopamine has a dose range depending on what effects are desired. In this case he chose a dose of "5." Its given as mcg/kg/min. So his example was to give 5 mcg per kg per min. The pt weight was 80 kg, therefore 5 x 80 = 400 mcg per minute.
+MyWatcher101 yeah so starting at 5mcg/kg/min so from about 5-15 you get cardiac inotropic and chronotropic effects impacting the strength and speed of cardiac conduction. Over 20mcg/kg/min youll start getting vasopressor effects that could raise your BP. Anytime youre prehospital though, most protocols will say to start at 5mcg/kg/min and titrate to effect per Medical Control.
so I am confused? you keep saying 200 mcg and 400mcg but there is 1000 mcg to 1 mg. so wouldn't it be 200mg is 200,000 mcg??
David Drummond your just adding meds to saline so the dose of mcg of your meds are the same the saline just give you a ratio to use the drip longer. 400mcg of anything put in 250 ml of saline is still 400mcg of that med
Shit I kept taking 400/250 = 1.6 X 1000 (place holder for mcg in a mg) to get the top 🤣
So 5x80kgx60/800mcg= 30
Medic school!! Ahhh
This shit is confusing as hell. Just use mcg ordered x kg x min (60) / 1600 = Boom! You're welcome. (For Dopamine)
Who is this guy??? Start a TH-cam channel PLEASE.
This guy makes it much more confusing.
rude