Dosage calculation

IV drip rate calculation (gtt/min)

When an IV runs by gravity instead of a pump, you count drops per minute. The drip rate depends on the volume, the time in minutes, and the tubing's drop factor (gtt/mL) printed on the package - commonly 10, 15, 20 (macrodrip) or 60 (microdrip).

The formula

gtt/min = (Volume mL ÷ Time min) × Drop factor (gtt/mL)

How to solve it

  1. Convert the infusion time to minutes.
  2. Set up the flow rate (mL ÷ min) and multiply by the drop factor (gtt ÷ mL).
  3. Cancel mL so only gtt/min remains, then solve.
  4. Round to a whole drop - you cannot count a fraction of a drop.

Common mistakes

  • Leaving time in hours instead of converting to minutes.
  • Using the wrong drop factor for the tubing on hand.
  • Reporting a decimal drip rate instead of rounding to whole drops.
Safety check: Microdrip tubing (60 gtt/mL) makes gtt/min equal to mL/hr - a useful check, not a shortcut to skip the setup.

Worked examples

See it solved

An order reads: infuse 1000 mL of D5 1/2 NS over 12 hours by gravity. The tubing drop factor is 20 gtt/mL.

Volume1000 mL
Time12 hr
Drop factor20 gtt/mL

What is the drip rate in gtt/min?

Answer: 28 gtt/min

Step-by-step solution

1. Start from the flow rate and multiply by the drop factor
( 1000 mL ÷ 720 min ) × ( 20 gtt ÷ 1 mL )
2. Cancel mL and solve
= ( 1000 × 20 ) ÷ 720 gtt/min
= 27.78 gtt/min
3. Round to whole drops (you cannot count part of a drop)
27.78 gtt/min ≈ 28 gtt/min
= 28 gtt/min

An order reads: infuse 1000 mL of lactated Ringer's over 6 hours by gravity. The tubing drop factor is 15 gtt/mL.

Volume1000 mL
Time6 hr
Drop factor15 gtt/mL

What is the drip rate in gtt/min?

Answer: 42 gtt/min

Step-by-step solution

1. Start from the flow rate and multiply by the drop factor
( 1000 mL ÷ 360 min ) × ( 15 gtt ÷ 1 mL )
2. Cancel mL and solve
= ( 1000 × 15 ) ÷ 360 gtt/min
= 41.67 gtt/min
3. Round to whole drops (you cannot count part of a drop)
41.67 gtt/min ≈ 42 gtt/min
= 42 gtt/min

An order reads: infuse 500 mL of D5W over 6 hours by gravity. The tubing drop factor is 10 gtt/mL.

Volume500 mL
Time6 hr
Drop factor10 gtt/mL

What is the drip rate in gtt/min?

Answer: 14 gtt/min

Step-by-step solution

1. Start from the flow rate and multiply by the drop factor
( 500 mL ÷ 360 min ) × ( 10 gtt ÷ 1 mL )
2. Cancel mL and solve
= ( 500 × 10 ) ÷ 360 gtt/min
= 13.89 gtt/min
3. Round to whole drops (you cannot count part of a drop)
13.89 gtt/min ≈ 14 gtt/min
= 14 gtt/min