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Discussion on Tildren administration
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New Member:
andiesue
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Posted on Friday, Jun 5, 2009 - 11:28 am:
I last wrote and asked a question about tildren administration. I need to clear up one more thing. The article states that it should be 1 mg.kg by slow IV infusion. What exactly does slow mean? Does my vet need an infusion pump (which he does NOT have) or can he count the DrOps per second? How many DrOps per second? Approximately how long would it take to administer 10 vials?
Thank you so much for your help!
Andrea Boggs
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Member:
corinne
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Posted on Friday, Jun 5, 2009 - 12:37 pm:
Andrea, until Dr O writes back, there are informational inserts from the Pharm companies that accompany each medication, human or animal. The vet will be able to obtain medication infusion rates for IV administration from the insert provided. Without IV Infusion pumps you can set a rate at DrOps per minute by regulating the roller on the IV tubing. The vet will be familiar with how to set the rate without a pump. Even though IV pumps are pretty standard in human and vet practice clinic settings everyone who administers IV medication is taught how to control IV rates without machines, as you can't always depend on having one on hand or there may be no electricity available. As for the rate of administration for infusion of the 10 vials that can only be determined once DrOps per minute is determined. Typically meds from vials are injected into a bag of base solution, unless they are to be given IV push over a matter of minutes. Hope that helps a bit. Good luck!
v/r
Corinne
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Moderator:
DrO
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Posted on Saturday, Jun 6, 2009 - 9:31 am:
Andrea, the precautions subtopic addresses rates of perfusion associated with complications, you should go slower than that and simple drip systems will work fine.
DrO
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New Member:
andiesue
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Posted on Sunday, Jun 7, 2009 - 7:32 pm:
Thank you Corinne and Dr. O for your info. The pamphlet that comes with the Tildren is in French, so I'm out of luck there. I'm sorry I'm being obtuse, but I reread and reread the article and the only rate of perfusion I can find says "slow" The precautions stated that there was trouble with administration under 15 minutes. So, if I understand you correctly, the rate of perfusion would be longer than 15 minutes for all 10 vials--right? Sorry to be so much trouble, but I need to have this done right. To one vet "slow" might mean 4 hours, to another 20 minutes. Is there any way you can help me out with DrOps per second?
Andie
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Moderator:
DrO
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Posted on Monday, Jun 8, 2009 - 8:03 am:
Andrea the DrOps per second will depend on the volume of dilution and the size of the DrOps on the IV set, there are several sizes available. Your veterinarian will be able to figure this all out.
I don't know if anyone knows what a optimal rate of administration is but currently it has been noted that there is an increase rate of complications when the recommended dosage is administered quicker than 15 minutes.
DrO
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