Final answer:
To calculate the new flow rate, divide the remaining volume by the remaining time and multiply by the drop factor. The new flow rate will be 450 gtt/min. Since it exceeds the maximum adjustment limit, you should contact the prescriber.
Step-by-step explanation:
To calculate the new flow rate, we first need to determine the total volume of the solution that needs to be infused. Based on the information given, after 6 hours, 600 mL remain to be infused, so the total volume is 1200 mL - 600 mL = 600 mL. The remaining infusion time is 10 hours - 6 hours = 4 hours.
We can use the formula:
New flow rate (gtt/min) = Remaining volume (mL) / Remaining time (hours) x Drop factor (gtt/mL)
Plugging in the values:
New flow rate = 600 mL / 4 hours x 30 gtt/mL = 450 gtt/min
Since the new flow rate exceeds the maximum adjustment limit of 20% of the original rate (60 gtt/min), you should contact the prescriber to discuss the situation and determine the appropriate course of action.