Dosage calculation

IV flow rate calculation (mL/hr)

An IV pump is programmed in milliliters per hour. To find the rate, divide the total volume to be infused by the time in hours. It is the most common IV calculation on the floor.

The formula

mL/hr = Volume (mL) ÷ Time (hr)

How to solve it

  1. Identify the total volume (mL) and the total time (hr).
  2. Divide volume by time.
  3. Round to a whole mL/hr the pump can be set to.

Common mistakes

  • Mixing minutes and hours - the time here must be in hours.
  • Rounding too early and losing accuracy on longer infusions.
Safety check: Double-check the ordered volume and time against the bag and the MAR before programming the pump.

Worked examples

See it solved

An order reads: infuse 500 mL of D5W over 3 hours using an IV pump.

Volume500 mL
Time3 hr

What rate (mL/hr) should the pump be set to?

Answer: 167 mL/hr

Step-by-step solution

1. Divide the volume by the time in hours
500 mL ÷ 3 hr
= 166.67 mL/hr
2. Round to a whole mL/hr the pump can be set to
166.67 mL/hr ≈ 167 mL/hr
= 167 mL/hr

An order reads: infuse 1000 mL of lactated Ringer's over 1.5 hours using an IV pump.

Volume1000 mL
Time1.5 hr

What rate (mL/hr) should the pump be set to?

Answer: 667 mL/hr

Step-by-step solution

1. Divide the volume by the time in hours
1000 mL ÷ 1.5 hr
= 666.67 mL/hr
2. Round to a whole mL/hr the pump can be set to
666.67 mL/hr ≈ 667 mL/hr
= 667 mL/hr

An order reads: infuse 50 mL of 0.9% normal saline over 1 hour using an IV pump.

Volume50 mL
Time1 hr

What rate (mL/hr) should the pump be set to?

Answer: 50 mL/hr

Step-by-step solution

1. Divide the volume by the time in hours
50 mL ÷ 1 hr
= 50 mL/hr
2. Round to a whole mL/hr the pump can be set to
50 mL/hr ≈ 50 mL/hr
= 50 mL/hr