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RenuviaMD® · AllyOS

IV Drip & Dose Calculator

Fast chairside reference for licensed nursing staff. Decision-support — verify against the order & pump.   → Full stack builder

Drip rate

Time from a set rate

Dose & concentration

Osmolarity quick note

Peripheral limit ≈ 900 mOsm/L. Above it: larger bag, lower dose, slower rate, or central access.
Base fluids: 0.9% NS ≈ 308 · Lactated Ringer's ≈ 273 mOsm/L.
Hyperosmolar drivers: high-dose Vitamin C, Calcium Chloride (also vesicant), amino acids, NAD+, dextrose. Low volume + high dose = higher osmolarity — prefer a larger bag.
Final osmolarity is an estimate — verify against the compounding reference.

Rate floors & chairside gates (quick reference)

NAD+ rate-sensitive — 250 mg over ≥ 2 hr first session (90–120 min if tolerant); 500 mg over ≥ 3–4 hr. Start 2 mg/min, titrate to 4–5 mg/min only if asymptomatic at 30 min. Dedicated bag only — never co-mixed.
Magnesium — infuse the Mg portion over ≥ 15 min minimum (rapid push → flushing, hypotension, AV block). Calcium Gluconate 1 g IV slow is the antidote for Mg toxicity.
Vitamin C — ≤ 0.5 g/min for 5–10 g. CARD-VC verbal screen required for 6.1–10 g (incl. G6PD); G6PD-deficient → cap 2 g or decline. > 10 g out of wellness scope.
Glutathione IV push only — post-drip, 1–2 min, via Y-port after line flush. Never in the bag, never with Vit C (redox), never piggyback/slow infusion. Ceiling 1,200 mg.
Calcium — Gluconate preferred peripherally; never in the Vit C bag (precipitate). Hold if digoxin/cardiac glycoside. Calcium Chloride is a vesicant — central preferred.
GFE Gate-0 — valid GFE (< 12-mo), patient cleared, standing orders authorize the act, FORM-02 done this visit — before chair assignment or compounding.
Values mirror the locked AllyOS IV module (MASTER-MENU). Not in the module → verify against primary sources.
Educational clinical decision-support for licensed professionals — not medical or legal advice, prescribing authorization, or a medical-director relationship. Always verify calculations against the signed order and the infusion pump. No PHI. © 2026 RenuviaMD® Compliance Division.