A client has an IV order to receive 1000 mLs each twelve hour shift (0730- 1930). At
1130 the IV is 150 mLs ahead of schedule. What is the readjusted hourly infusion rate to
ensure the client receives the ordered the amount?

To determine the readjusted hourly infusion rate, follow these steps:

1. **Initial total infusion amount**: The client is ordered to receive **1000 mL** over 12 hours, which would give an initial hourly infusion rate:

   \[
   \text{Initial rate} = \frac{1000 \, \text{mL}}{12 \, \text{hours}} = 83.33 \, \text{mL/hour}
   \]

2. **Time passed**: By 1130, the infusion has been running for **4 hours** (from 0730 to 1130).

3. **Amount infused by 1130**: In 4 hours, the amount that should have been infused is:

   \[
   \text{Amount scheduled} = 83.33 \, \text{mL/hour} \times 4 \, \text{hours} = 333.32 \, \text{mL}
   \]

4. **Amount actually infused by 1130**: Since the IV is 150 mL ahead of schedule, the actual amount infused is:

   \[
   \text{Amount infused} = 333.32 \, \text{mL} + 150 \, \text{mL} = 483.32 \, \text{mL}
   \]

5. **Amount remaining**: The total remaining volume to be infused is:

   \[
   \text{Remaining volume} = 1000 \, \text{mL} - 483.32 \, \text{mL} = 516.68 \, \text{mL}
   \]

6. **Time remaining**: The time left from 1130 to 1930 is **8 hours**.

7. **Readjusted hourly rate**: To ensure the client receives the full 1000 mL in the remaining time, the new infusion rate should be:

   \[
   \text{New rate} = \frac{516.68 \, \text{mL}}{8 \, \text{hours}} = 64.59 \, \text{mL/hour}
   \]

### Conclusion:
The readjusted hourly infusion rate should be **64.59 mL/hour** to ensure the client receives the total 1000 mL by 1930.

---

Would you like more details or have any questions on the calculations?

Here are some related questions:

1. What happens if the IV falls behind schedule?
2. How do you calculate infusion rates for different durations?
3. Can you calculate hourly rates if the order is in drops per minute instead of mL/hour?
4. How do you account for changes in the patient's condition affecting infusion?
5. How do you adjust for shorter or longer shifts?

**Tip**: Always double-check the remaining volume and time to avoid under- or over-infusion when adjusting rates.

A client has an IV order to receive 1000 mLs each twelve-hour shift (0730-1930). At 1130, the IV is 150 mLs ahead of schedule. What is the readjusted hourly infusion rate to ensure the client receives the ordered amount?

Learn how to calculate the readjusted infusion rate for IV therapy. A client has an IV order of 1000 mL per 12-hour shift, but the IV is 150 mLs ahead of schedule by 1130. This problem covers key calculations related to rate adjustment, including rate formulas and step-by-step breakdowns. Suitable for Grades 9-12 or nursing students.

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