IV Drip Rate Calculation: Drops per Minute by Gravity
Drops per minute equals the volume in mL multiplied by the drop factor (gtt/mL printed on the tubing), divided by the time in minutes. Round to a whole number, because you cannot count part of a drop.
The Formula
From a pump rate: gtt/min = mL/hr × drop factor ÷ 60.
How to work it out
- 1 Find the drop factor on the tubing package: 10, 15 or 20 gtt/mL for macrodrip, 60 gtt/mL for microdrip.
- 2 Put the time into minutes. 8 hours is 480 minutes.
- 3 Multiply volume by drop factor, divide by minutes.
- 4 Round to the nearest whole drop. Then count drops for 15 seconds and multiply by four to check the chamber.
Worked Examples
Order: 1,000 mL over 8 hours by gravity. Tubing drop factor 15 gtt/mL. Drops per minute?
- 8 hours is 480 minutes.
- 1,000 mL × 15 gtt/mL ÷ 480 min = 31.25.
- Round to 31 gtt/min.
Answer: 31 gtt/min
An IV is running at 125 mL/hr. The pump fails and you switch to tubing with a 20 gtt/mL drop factor. Drops per minute?
- 125 mL/hr × 20 gtt/mL = 2,500 gtt/hr.
- 2,500 ÷ 60 min = 41.67.
- Round to 42 gtt/min.
Answer: 42 gtt/min
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Common Mistakes
- Leaving the time in hours
Drops are counted per minute. 1,000 × 15 ÷ 8 gives 1,875, which is drops per hour. Divide by 480 minutes instead.
- Drop factor upside down
The drop factor multiplies the volume. Dividing by it gives a tiny, wrong answer.
- Forgetting the drop factor altogether
Volume over minutes is mL per minute. Multiply by the tubing's gtt/mL to get drops.
Questions Students Ask
What is a microdrip set?
Tubing with a 60 gtt/mL drop factor. With microdrip, gtt/min equals mL/hr, which is a handy check.
Why round to a whole number?
Because you count whole drops in the chamber. 31.25 drops a minute is not something you can set.
Keep practicing in lesson 10: Gravity Drip Rate (gtt/min)
Fresh numbers every time. Ten correct answers finish the lesson. The practice round and the first five problems of lesson 1 are free.
Open lesson 10