Infusion Rate Calculation
Set the infusion pump to 30 mL/hr to deliver 30 µg/hr of octreotide from a 500 µg/500 mL bag.
Calculation Method
The concentration of your octreotide infusion is:
- 500 µg octreotide in 500 mL = 1 µg/mL
To deliver 30 µg/hr at a concentration of 1 µg/mL:
- 30 µg/hr ÷ 1 µg/mL = 30 mL/hr
Verification
This calculation follows standard pharmaceutical dosing principles where:
- Infusion rate (mL/hr) = Desired dose (µg/hr) ÷ Concentration (µg/mL)
- 30 µg/hr ÷ 1 µg/mL = 30 mL/hr
Clinical Context
This 30 µg/hr dose falls within the typical range for octreotide continuous infusions. The FDA labeling for Sandostatin indicates that octreotide is administered via continuous IV infusion for various indications 1. Research demonstrates that octreotide infusions at 30 µg/hr have been studied in portal hypertension models 2, and continuous infusions ranging from 5-30 µg/kg/day are used in pediatric congenital hyperinsulinism 3.
Double-check your calculation at the bedside and verify the concentration on the bag label before initiating the infusion.