Presentation is loading. Please wait.

Presentation is loading. Please wait.

Basic Pharmaceutical Measurements and Calculations

Similar presentations


Presentation on theme: "Basic Pharmaceutical Measurements and Calculations"— Presentation transcript:

1

2 Basic Pharmaceutical Measurements and Calculations
Chapter 5 Basic Pharmaceutical Measurements and Calculations

3 Learning Objectives Describe four systems of measurement commonly used in pharmacy, and be able to convert units from one system to another. Explain the meanings of the prefixes most commonly used in metric measurement. Convert from one metric unit to another (e.g., grams to milligrams). Convert Roman numerals to Arabic numerals.

4 Learning Objectives Distinguish between proper, improper, and compound fractions. Perform basic operations with fractions, including finding the least common denominator; converting fractions to decimals; and adding, subtracting, multiplying, and dividing fractions.

5 Learning Objectives Perform basic operations with proportions, including identifying equivalent ratios and finding an unknown quantity in a proportion. Convert percents to and from fractions and ratios, and convert percents to decimals. Perform elementary dose calculations and conversions. Solve problems involving powder solutions and dilutions. Use the alligation method.

6 SYSTEMS OF PHARMACEUTICAL MEASUREMENT
Metric System Common Measures Numeral Systems

7 BASIC MATHEMATICS USED IN PHARMACY PRACTICE
Fractions Decimals Ratios and Proportions

8 COMMON CALCULATIONS IN THE PHARMACY
Converting Quantities between the Metric and Common Measure Systems Calculations of Doses Preparation of Solutions

9 SYSTEMS OF PHARMACEUTICAL MEASUREMENT
Metric System Common Measures Numeral Systems

10 Measurements in the Metric System
(a) Distance or length (b) Area (c) Volume

11 Système International Prefixes
Table 5.1 Système International Prefixes Prefix Meaning micro- one millionth (basic unit × 10–6, or unit × 0.000,001) milli- one thousandth (basic unit × 10–3, or unit × 0.001) centi- one hundredth (basic unit × 10–2, or unit × 0.01) deci- one tenth (basic unit × 10–1, or unit × 0.1) hecto- one hundred times (basic unit × 102, or unit × 100) kilo- one thousand times (basic unit × 103, or unit × 1000)

12 Common Metric Units: Weight
Table 5.2 Common Metric Units: Weight Basic Unit Equivalent 1 gram (g) 1000 milligrams (mg) 1 milligram (mg) 1000 micrograms (mcg), one thousandth of a gram (g) 1 kilogram (kg) 1000 grams (g)

13 Common Metric Units: Length
Table 5.2 Common Metric Units: Length Basic Unit Equivalent 1 meter (m) 100 centimeters (cm) 1 centimeter (cm) 0.01 m 10 millimeters (mm) 1 millimeter (mm) 0.001 m 1000 micrometers or microns (mcm)

14 Common Metric Units: Volume
Table 5.2 Common Metric Units: Volume Basic Unit Equivalent 1 liter (L) 1000 milliliters (mL) 1 milliliter (mL) 0.001 L 1000 microliters (mcL)

15 Measurement and Calculation Issues
Safety Note! It is extremely important that decimals be written properly. An error of a single decimal place is an error by a factor of 10.

16 Common Metric Conversions
Table 5.3 Common Metric Conversions Conversion Instruction Example kilograms (kg) to grams (g) multiply by 1000 (move decimal point three places to the right) 6.25 kg = 6250 g grams (g) to milligrams (mg) 3.56 g = 3560 mg milligrams (mg) to grams (g) multiply by (move decimal point three places to the left) 120 mg = g

17 Common Metric Conversions
Table 5.3 Common Metric Conversions Conversion Instruction Example liters (L) to milliliters (mL) multiply by 1000 (move decimal point three places to the right) 2.5 L = 2500 mL milliliters (mL) to liters (L) multiply by (move decimal point three places to the left) 238 mL = L

18 Apothecary Symbols Table 5.4 Э ℨ ℥ ℔ or # Volume Weight minim grain gr
Unit of measure Symbol Unit of measure Symbol minim grain gr fluidram fℨ scruple Э fluidounce f ℥ dram pint pt ounce quart qt pound ℔ or # gallon gal

19 Apothecary System: Volume
Table 5.5 Apothecary System: Volume Measurement Unit Equivalent within System Metric Equivalent 1 ♏ 0.06 mL 16.23 ♏ 1 mL 1 fℨ 60 ♏ 5 mL (3.75 mL)* 1f ℥ 6 fℨ 30 mL (29.57 mL)† 1 pt 16 f ℥ 480 mL 1 qt 2 pt or 32 f ℥ 960 mL 1 gal 4 qt of 8 pt 3840 mL * In reality, 1 fℨ contains 3.75 mL; however that number is usually rounded up to 5 mL or one teaspoonful †In reality, 1 f℥, contains mL; however, that number is usually rounded up to 30 mL.

20 Apothecary System: Weight
Table 5.5 Apothecary System: Weight Measurement Unit Equivalent within System Metric Equivalent 1 gr 65 mg gr 1 g 1 Э 20 gr 1.3 g 1 ℨ 3 Э or 60 gr 3.9 g 1 ℥ 8 ℨ or 480 gr 30 g (31.1 g) 1 # 12 ℥or 5760 gr 373.2 g

21 Measurement and Calculation Issues
Safety Note! For safety reasons, the use of the apothecary system is discouraged. Use the metric system instead.

22 Avoirdupois System Table 5.6 1 gr (grain) 65 mg 1 oz (ounce) 437.5 gr
Measurement Unit Equivalent within System Metric Equivalent 1 gr (grain) 65 mg 1 oz (ounce) 437.5 gr 30 g (28.35 g)* 1 lb (pound) 16 oz or 7000 gr 1.3 g * In reality, an avoirdupois ounce actually contains g; however, we often round up to 30 g. It is common practice to use 454 g as the equivalent for a pound (28.35 g × 16 oz/lb = g/lb, rounded to 454 g/lb).

23 Household Measure: Volume
Table 5.7 Household Measure: Volume Measurement Unit Equivalent within System Metric Equivalent 1 tsp (teaspoonful) 5 mL 1 tbsp (tablespoonful) 3 tsp 15 mL 1 fl oz (fluid ounce) 2 tbsp 30 mL (29.57 mL)* 1 cup 8 fl oz 240 mL 1 pt (pint) 2 cups 480 mL* 1 qt (quart) 2 pt 960 mL 1 gal (gallon) 4 qt 3840 mL * In reality, 1 fl oz (household measure) contains less than 30 mL; however, 30 mL is usually used. When packaging a pint, companies will typically present 473 mL, rather than the full 480 mL, thus saving money over time.

24 Household Measure: Weight
Table 5.7 Household Measure: Weight Measurement Unit Equivalent within System Metric Equivalent 1 oz (ounce) 30 g 1 lb (pound) 16 oz 454 g 2.2 lb 1 kg

25 Measurement and Calculation Issues
Safety Note! New safety guidelines are discouraging use of Roman numerals.

26 Comparison of Roman and Arabic Numerals
Table 5.8 Comparison of Roman and Arabic Numerals Roman Arabic ss 0.5 or 1/2 L or l 50 I or i or i 1 C or c 100 V or v 5 D or d 500 X or x 10 M or m 1000

27 Terms to Remember metric system meter gram liter

28 BASIC MATHEMATICS USED IN PHARMACY PRACTICE
Fractions Decimals Ratios and Proportions

29 Fractions When something is divided into parts, each part is considered a fraction of the whole.

30 Fractions When something is divided into parts, each part is considered a fraction of the whole. If a pie is cut into 8 slices, one slice can be expressed as 1/8, or one piece (1) of the whole (8).

31 Fractions of the Whole Pie

32 Fractions If we have a 1000 mg tablet, ½ tablet = 500 mg

33 Terminology fraction a portion of a whole that is represented as a ratio

34 Fractions Fractions have two parts,

35 Fractions Fractions have two parts, Numerator (the top part)

36 Fractions Fractions have two parts, Numerator (the top part)
Denominator (the bottom part)

37 Terminology numerator the number on the upper part of a fraction

38 Terminology denominator the number on the bottom part of a fraction

39 Fractions A fraction with the same numerator and same denominator has a value equivalent to 1. In other words, if you have 8 pieces of a pie that has been cut into 8 pieces, you have 1 pie.

40 Discussion What are the distinguishing characteristics of the following? proper fraction improper fraction mixed number

41 Remember The symbol > means “is greater than.”
The symbol > means “is less than.”

42 Terminology proper fraction a fraction with a value of less than 1
a fraction with a numerator value smaller than the denominator’s value

43 Terminology improper fraction a fraction with a value of larger than 1
a fraction with a numerator value larger than the denominator’s value

44 Terminology mixed number a whole number and a fraction

45 Adding or Subtracting Fractions
When adding or subtracting fractions with unlike denominators, it is necessary to create a common denominator.

46 Adding or Subtracting Fractions
When adding or subtracting fractions with unlike denominators, it is necessary to create a common denominator. This is like making both fractions into the same kind of “pie.”

47 Terminology common denominator
a number into which each of the unlike denominators of two or more fractions can be divided evenly

48 Remember Multiplying a number by 1 does not change the value of the number. Therefore, if you multiply a fraction by a fraction that equals 1 (such as 5/5), you do not change the value of a fraction.

49 Guidelines for Finding a Common Denominator
Examine each denominator in the given fractions for its divisors, or factors.

50 Guidelines for Finding a Common Denominator
Examine each denominator in the given fractions for its divisors, or factors. See what factors any of the denominators have in common.

51 Guidelines for Finding a Common Denominator
Examine each denominator in the given fractions for its divisors, or factors. See what factors any of the denominators have in common. Form a common denominator by multiplying all the factors that occur in all of the denominators. If a factor occurs more than once, use it the largest number of times it occurs in any denominator.

52 Example 1 Find the least common denominator of the following fractions
Step 1. Find the prime factors (numbers divisible only by 1 and themselves) of each denominator. Make a list of all the different prime factors that you find. Include in the list each different factor as many times as the factor occurs for any one of the denominators of the given fractions. The prime factors of 28 are 2, 2, and 7 (because ). The prime factors of 6 are 2 and 3 (because ). The number 2 occurs twice in one of the denominators, so it must occur twice in the list. The list will also include the unique factors 3 and 7; so the final list is 2, 2, 3, and 7.

53 Example 1 Find the least common denominator of the following fractions
Step 2. Multiply all the prime factors on your list. The result of this multiplication is the least common denominator.

54 Example 1 Find the least common denominator of the following fractions
Step 3. To convert a fraction to an equivalent fraction with the common denominator, first divide the least common denominator by the denominator of the fraction, then multiply both the numerator and denominator by the result (the quotient). The least common denominator of 9⁄28 and 1⁄6 is 84. In the first fraction, 84 divided by 28 is 3, so multiply both the numerator and the denominator by 3.

55 Example 1 Find the least common denominator of the following fractions
In the second fraction, 84 divided by 6 is 14, so multiply both the numerator and the denominator by 14.

56 Example 1 Find the least common denominator of the following fractions
The following are two equivalent fractions:

57 Example 1 Find the least common denominator of the following fractions
Step 4. Once the fractions are converted to contain equal denominators, adding or subtracting them is straightforward. Simply add or subtract the numerators.

58 Multiplying Fractions
When multiply fractions, multiply the numerators by numerators and denominators by denominators.

59 Multiplying Fractions
When multiply fractions, multiply the numerators by numerators and denominators by denominators. In other words, multiply all numbers above the line; then multiply all numbers below the line.

60 Multiplying Fractions
When multiply fractions, multiply the numerators by numerators and denominators by denominators. In other words, multiply all numbers above the line; then multiply all numbers below the line. Cancel if possible and reduce to lowest terms.

61 Discussion What happens to the value of a fraction when you multiply the numerator by a number?

62 Discussion What happens to the value of a fraction when you multiply the numerator by a number? Answer: The value of the fraction increases.

63 Discussion What happens to the value of a fraction when you multiply the denominator by a number?

64 Discussion What happens to the value of a fraction when you multiply the denominator by a number? Answer: The value of the fraction decreases.

65 Discussion What happens to the value of a fraction when you multiply the numerator and denominator by the same number?

66 Discussion What happens to the value of a fraction when you multiply the numerator and denominator by the same number? Answer: The value of the fraction does not change because you have multiplied the original fraction by 1.

67 Multiplying Fractions
Dividing the denominator by a number is the same as multiplying the numerator by that number.

68 Multiplying Fractions
Dividing the numerator by a number is the same as multiplying the denominator by that number.

69 Dividing Fractions To divide by a fraction, multiply by its reciprocal, and then reduce it if necessary.

70 Terms to Remember fraction numerator denominator proper fraction
improper fraction mixed number

71 The Arabic System The Arabic system is also called the decimal system.

72 Terminology Arabic numbers
The numbering system that uses numeric symbols to indicate a quantity, fractions, and decimals. Uses the numerals 0, 1, 2, 3, 4, 5, 6, 7, 8, 9.

73 The Arabic System The decimal serves as the anchor.
Each place to the left of the decimal point signals a tenfold increase. Each place to the right signals a tenfold decrease.

74 Decimal Units and Values

75 Terminology place value
the location of a numeral in a string of numbers that describes the numeral’s relationship to the decimal point

76 Terminology leading zero
a zero that is placed to the left of the decimal point, in the ones place, in a number that is less than zero and is being represented by a decimal value

77 Decimals A decimal is a fraction in which the denominator is 10 or some multiple of 10. Numbers written to the right of decimal point < 1. Numbers written to the left of the decimal point > 1

78 Example 2 Multiply the two given fractions.

79 Terminology decimal a fraction value in which the denominator is 10 or some multiple of 10

80 Remember Numbers to the left of the decimal point are whole numbers.
Numbers to the right of the decimal point are decimal fractions (part of a whole).

81 Decimal Places

82 Decimals Adding or Subtracting Decimals
Place the numbers in columns so that the decimal points are aligned directly under each other. Add or subtract from the right column to the left column.

83 Decimals Multiplying Decimals Multiply two decimals as whole numbers.
Add the total number of decimal places that are in the two numbers being multiplied. Count that number of places from right to left in the answer, and insert a decimal point.

84 Decimals Dividing Decimals
Change both the divisor and dividend to whole numbers by moving their decimal points the same number of places to the right. divisor: number doing the dividing, the denominator dividend: number being divided, the numerator If the divisor and the dividend have different number of digits after the decimal point, choose the one that has more digits and move its decimal point a sufficient number of places to make it a whole number.

85 Decimals Dividing Decimals
3. Move the decimal point in the other number the same number of places, adding zeros at the end if necessary. Move the decimal point in the dividend the same number of places, adding a zero at the end.

86 Decimals Dividing Decimals 1.45 ÷ = 0.4

87 Decimals Rounding Decimals Rounding numbers is essential for accuracy.
It may not be possible to measure a very small quantity such as a hundredth of a milliliter. A volumetric dose is commonly rounded to the nearest tenth. A solid dose is commonly rounded to the hundredth or thousandth place, pending the accuracy of the measuring device.

88 Decimals Rounding to the Nearest Tenth
Carry the division out to the hundredth place If the hundredth place number ≥ 5, + 1 to the tenth place If the hundredth place number ≤ 5, round the number down by omitting the digit in the hundredth place 5.65 becomes becomes 4.2

89 Decimals Rounding to the Nearest Hundredth or Thousandth Place
= 3.84 = 41.27 = 0.393 = 4.111

90 Decimals Rounding the exact dose 0.08752 g
. . . to the nearest tenth: 0.1 g . . . to he nearest hundredth: 0.09 g . . . to the nearest thousandth: g

91 Discussion When a number that has been rounded to the tenth place is multiplied or divided by a number that was rounded to the hundredth or thousandth place, the resultant answer must be rounded back to the tenth place. Why?

92 Discussion When a number that has been rounded to the tenth place is multiplied or divided by a number that was rounded to the hundredth or thousandth place, the resultant answer must be rounded back to the tenth place. Why? Answer: The answer can only be accurate to the place to which the highest rounding was made in the original numbers.

93 Decimals In most cases, a zero occurring at the end of a digits is not written. Do not drop the zero when the last digit resulting from rounding is a zero. Such a zero is considered significant to that particular problem or dosage.

94 Numerical Ratios Ratios represent the relationship between
two parts of the whole one part to the whole

95 Numerical Ratios Written with as follows: 1:2 “1 part to 2 parts” ½
3:4 “3 parts to 4 parts” ¾ Can use “per,” “in,” or “of,” instead of “to”

96 Terminology ratio a numerical representation of the relationship between two parts of the whole or between one part and the whole

97 Numerical Ratios in the Pharmacy
1:100 concentration of a drug means . . .

98 Numerical Ratios in the Pharmacy
1:100 concentration of a drug means . . . . . . there is 1 part drug in 100 parts solution

99 Proportions An expression of equality between two ratios.
Noted by :: or = 3:4 = 15:20 or 3:4 :: 15:20

100 Terminology proportion an expression of equality between two ratios

101 Proportions If a proportion is true . . .
product of means = product of extremes 3:4 = 15:20 3 × 20 = 4 × 15 60 = 60

102 Proportions product of means = product of extremes a:b = c:d
b × c = a × d

103 Proportions in the Pharmacy
Proportions are frequently used to calculate drug doses in the pharmacy. Use the ratio-proportion method any time one ratio is complete and the other is missing a component.

104 Terminology ratio-proportion method
a conversion method based on comparing a complete ratio to a ratio with a missing component

105 Rules for Ratio-Proportion Method
Three of the four amounts must be known. The numerators must have the same unit of measure. The denominators must have the same unit of measure.

106 Steps for solving for x Calculate the proportion by placing the ratios in fraction form so that the x is in the upper-left corner.

107 Steps for solving for x Calculate the proportion by placing the ratios in fraction form so that the x is in the upper-left corner. Check that the unit of measurement in the numerators is the same and the unit of measurement in the denominators is the same.

108 Steps for solving for x Calculate the proportion by placing the ratios in fraction form so that the x is in the upper-left corner. Check that the unit of measurement in the numerators is the same and the unit of measurement in the denominators is the same. Solve for x by multiplying both sides of the proportion by the denominator of the ratio containing the unknown, and cancel.

109 Steps for solving for x Calculate the proportion by placing the ratios in fraction form so that the x is in the upper-left corner. Check that the unit of measurement in the numerators is the same and the unit of measurement in the denominators is the same. Solve for x by multiplying both sides of the proportion by the denominator of the ratio containing the unknown, and cancel. Check your answer by seeing if the product of the means equals the product of the extremes.

110 Remember When setting up a proportion to solve a conversion, the units in the numerators must match, and the units in the denominators must match.

111 Example 3 Solve for x.

112 Example 3 Solve for x.

113 Example 3 Solve for x.

114 Percents Percent means “per 100” or hundredths.
Represented by symbol % 30% = 30 parts in total of 100 parts, 30:100, 0.30, or

115 Terminology percent the number of parts per 100; can be written as a fraction, a decimal, or a ratio

116 Discussion If you take a test with 100 questions, and you get a score of 89%, how many questions did you get correct?

117 Discussion If you take a test with 100 questions, and you get a score of 89%, how many questions did you get correct? Answer: 89 89:100, 89/100, or 0.89

118 Percents in the Pharmacy
Percent strengths are used to describe IV solutions and topically applied drugs. The higher the % of dissolved substances, the greater the strength.

119 Percents in the Pharmacy
A 1% solution contains . . . 1 g of drug per 100 mL of fluid Expressed as 1:100, 1/100, or 0.01

120 Percents in the Pharmacy
A 1% hydrocortisone cream contains . . . 1 g of hydrocortisone per 100 g of cream Expressed as 1:100, 1/100, or 0.01

121 Safety Note! The higher the percentage of a dissolved substance, the greater the strength.

122 Percents in the Pharmacy
Multiply the first number in the ratio (the solute) while keeping the second number unchanged, you increase the strength. Divide the first number in the ration while keeping the second number unchanged, you decrease the strength.

123 Equivalent Values Percent Fraction Decimal Ratio 45% 0.45 45:100 0.5%
0.005 0.5:100

124 Converting a Ratio to a Percent
Designate the first number of the ratio as the numerator and the second number as the denominator. Multiply the fraction by 100%, and simply as needed.

125 Remember Multiplying a number or a fraction by 100% does not change the value.

126 Converting a Ratio to a Percent
5:1 = 5/1 × 100% = 5 × 100% = 500% 1:5 = 1/5 × 100% = 100%/5 = 20% 1:2 = 1/2 × 100% = 100%/2 = 50%

127 Converting a Percent to a Ratio
Change the percent to a fraction by dividing it by 100.

128 Converting a Percent to a Ratio
Change the percent to a fraction by dividing it by 100. Reduce the fraction to its lowest terms.

129 Converting a Percent to a Ratio
Change the percent to a fraction by dividing it by 100. Reduce the fraction to its lowest terms. Express this as a ratio by making the numerator the first number of the ratio and the denominator the second number.

130 Converting a Percent to a Ratio
2% = 2 ÷ 100 = 2/100 = 1/50 = 1:50 10% = 10 ÷ 100 = 10/100 = 1/10 = 1:10 75% = 75 ÷ 100 = 75/100 = 3/4 = 3:4

131 Converting a Percent to a Decimal
Divide by 100% or insert a decimal point two places to the left of the last number, inserting zeros if necessary. Drop the % symbol.

132 Remember Multiplying or dividing by 100% does not change the value because 100% = 1.

133 Converting a Decimal to a Percent
Multiply by 100% or insert a decimal point two places to the right of the last number, inserting zeros if necessary. Add the the % symbol.

134 Percent to Decimal 4% = ÷ 100% = 0.04 15% = ÷ 100% = 0.15 200% = ÷ 100% = 2 Decimal to Percent 0.25 = 25% 0.25 × 100% = 25% 1.35 = 135% 1.35 × 100% = 135% 0.015 = 1.5% × 100% = 1.5%

135 Terms to Remember common denominator least common denominator decimal
leading zero ratio proportion percent

136 COMMON CALCULATIONS IN THE PHARMACY
Converting Quantities between the Metric and Common Measure Systems Calculations of Doses Preparation of Solutions

137 COMMON CALCULATIONS IN THE PHARMACY
Converting Quantities between the Metric and Common Measure Systems

138 Example 4 How many milliliters are there in 1 gal, 12 fl oz?
According to the values in Table 5.7, 3840 mL are found in 1 gal. Because 1 fl oz contains 30 mL, you can use the ratio-proportion method to calculate the amount of milliliters in 12 fl oz as follows:

139 Example 4 How many milliliters are there in 1 gal, 12 fl oz?

140 Example 4 How many milliliters are there in 1 gal, 12 fl oz?

141 Example 4 How many milliliters are there in 1 gal, 12 fl oz?

142 Example 5 A solution is to be used to fill hypodermic syringes, each containing 60 mL, and 3 L of the solution is available. How many hypodermic syringes can be filled with the 3 L of solution? From Table 5.2, 1 L is 1000 mL. The available supply of solution is therefore

143 Determine the number of syringes by using the ratio-proportion method:
Example 5 How many hypodermic syringes can be filled with the 3 L of solution? Determine the number of syringes by using the ratio-proportion method:

144 Example 5 How many hypodermic syringes can be filled with the 3 L of solution?

145 Example 5 How many hypodermic syringes can be filled with the 3 L of solution?

146 Example 6 You are to dispense 300 mL of a liquid preparation
Example 6 You are to dispense 300 mL of a liquid preparation. If the dose is 2 tsp, how many doses will there be in the final preparation? Begin solving this problem by converting to a common unit of measure using conversion values in Table 5.7.

147 Example 6 If the dose is 2 tsp, how many doses will there be in the final preparation?
Using these converted measurements, the solution can be determined one of two ways. Solution 1: Using the ratio proportion method and the metric system,

148 Example 6 If the dose is 2 tsp, how many doses will there be in the final preparation?

149 Example 6 If the dose is 2 tsp, how many doses will there be in the final preparation?

150 Example 7 How many grains of acetaminophen should be used in a Rx for 400 mg acetaminophen?
Solve this problem by using the ratio-proportion method. The unknown number of grains and the requested number of milligrams go on the left side, and the ratio of 1 gr 65 mg goes on the right side, per Table 5.5.

151 Example 7 How many grains of acetaminophen should be used in the prescription?

152 Example 7 How many grains of acetaminophen should be used in the prescription?

153 Example 8 A physician wants a patient to be given 0
Example 8 A physician wants a patient to be given mg of nitroglycerin. On hand are tablets containing nitroglycerin 1/150 gr. How many tablets should the patient be given? Begin solving this problem by determining the number of grains in a dose by setting up a proportion and solving for the unknown.

154 Example 8 How many tablets should the patient be given?

155 Example 8 How many tablets should the patient be given?

156 Example 8 How many tablets should the patient be given?

157 Example 8 How many tablets should the patient be given?

158 Example 8 How many tablets should the patient be given?

159 COMMON CALCULATIONS IN THE PHARMACY
Calculations of Doses active ingredient (to be administered)/solution (needed) = active ingredient (available)/solution (available

160 Measurement and Calculation Issues
Safety Note! Always double-check the units in a proportion and double- check your calculations.

161 Example 9 You have a stock solution that contains 10 mg of active ingredient per 5 mL of solution. The physician orders a dose of 4 mg. How many milliliters of the stock solution will have to be administered?

162 Example 9 How many milliliters of the stock solution will have to be administered?

163 Example 9 How many milliliters of the stock solution will have to be administered?

164 Example 10 An order calls for Demerol 75 mg IM q4h prn pain
Example An order calls for Demerol 75 mg IM q4h prn pain. The supply available is in Demerol 100 mg/mL syringes. How many milliliters will the nurse give for one injection?

165 Example 10 How many milliliters will the nurse give for one injection?

166 Example 10 How many milliliters will the nurse give for one injection?

167 Example 11 An average adult has a BSA of 1
Example 11 An average adult has a BSA of 1.72 m2 and requires an adult dose of 12 mg of a given medication. If the child has a BSA of 0.60 m2, and if the proper dose for pediatric and adult patients is a linear function of the BSA, what is the proper pediatric dose? Round off the final answer.

168 Example 11 What is the proper pediatric dose?

169 Example 11 What is the proper pediatric dose?

170 Example 11 What is the proper pediatric dose?

171 Example 11 What is the proper pediatric dose?

172 COMMON CALCULATIONS IN THE PHARMACY
Preparation of Solutions powder volume = final volume – diluent volume

173 Example 12 A dry powder antibiotic must be reconstituted for use
Example A dry powder antibiotic must be reconstituted for use. The label states that the dry powder occupies 0.5 mL. Using the formula for solving for powder volume, determine the diluent volume (the amount of solvent added). You are given the final volume for three different examples with the same powder volume.

174 Example 12 Using the formula for solving for powder volume, determine the diluent volume.

175 Example 12 Using the formula for solving for powder volume, determine the diluent volume.

176 Example 13 You are to reconstitute 1 g of dry powder
Example 13 You are to reconstitute 1 g of dry powder. The label states that you are to add 9.3 mL of diluent to make a final solution of mg/mL. What is the powder volume?

177 Example 13 What is the powder volume?
Step 1. Calculate the final volume. The strength of the final solution will be 100 mg/mL.

178 Example 13 What is the powder volume?

179 Example 13 What is the powder volume?

180 Example 13 What is the powder volume?

181 Measurement and Calculation Issues
Safety Note! An injected dose generally has a volume greater than 0.1 mL and less than 1 mL.

182 Example Dexamethasone is available as a 4 mg/mL preparation; an infant is to receive 0.35 mg. Prepare a dilution so that the final concentration is 1 mg/mL. How much diluent will you need if the original product is in a 1 mL vial and you dilute the entire vial?

183 Example How much diluent will you need if the original product is in a 1 mL vial and you dilute the entire vial?

184 Example 14 How much diluent will you need if the original product is in a 1 mL vial and you dilute the entire vial?

185 Example How much diluent will you need if the original product is in a 1 mL vial and you dilute the entire vial?

186 Example 15 Prepare 250 mL of dextrose 7
Example 15 Prepare 250 mL of dextrose 7.5% weight in volume (w/v) using dextrose 5% (D5W) w/v and dextrose 50% (D50W) w/v. How many milliliters of each will be needed?

187 Example 15 How many milliliters of each will be needed?
Step 1. Set up a box arrangement and at the upper-left corner, write the percent of the highest concentration (50%) as a whole number.

188 Example 15 How many milliliters of each will be needed?
Step 2. Subtract the center number from the upper-left number (i.e., the smaller from the larger) and put it at the lower-right corner. Now subtract the lower-left number from the center number (i.e., the smaller from the larger), and put it at the upper-right corner.

189 Example 15 How many milliliters of each will be needed?

190 Example 15 How many milliliters of each will be needed?

191 Example 15 How many milliliters of each will be needed?

192 Example 15 How many milliliters of each will be needed?

193 Example 15 How many milliliters of each will be needed?

194 Example 15 How many milliliters of each will be needed?

195 Example 15 How many milliliters of each will be needed?

196 Example 15 How many milliliters of each will be needed?

197 Example 15 How many milliliters of each will be needed?

198 Example 15 How many milliliters of each will be needed?

199 Example 15 How many milliliters of each will be needed?

200 Terms to Remember power volume (pv) alligation

201 Discussion Visit and look under Miscellaneous to find legal summaries of the following cases. Describe the decision and explain how this decision affects pharmacy technicians. a. J.C. vs. Osco Drug b. P.H. vs. Osco Drug

202 Discussion What activities of the pharmacy technician require skill in calculations?


Download ppt "Basic Pharmaceutical Measurements and Calculations"

Similar presentations


Ads by Google