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Medication Dosage and Intravenous Calculation: Dimensional Analysis
Medication Dosage and Intravenous Calculation: Dimensional Analysis
Dr Musa
Learning objective
Solve simple problems by using Dimensional Analysis.
Identify some common units of measurement and their
abbreviations.
Construct unit fractions from equivalences.
Convert a quantity expressed with a single unit of
measurement to an equivalent quantity with another
single unit of measurement.
Convert a quantity expressed as a rate to another rate.
Solve complex problems using Dimensional Analysis.
• Using the dimensional analysis format to solve oral dosage
problems
• Using the dimensional analysis format to solve parenteral dosage
problems
• Using the dimensional analysis format to solve problems of
intravenous flow rate in drops per minute
• Using the dimensional analysis format to solve problems involving
administration of medications in units per hour
• Using the dimensional analysis format to solve problems involving
administration of medications in milligrams per minute, micrograms
per minute, and micrograms per kilogram per minute
• Using the dimensional analysis format to solve pediatric and
obstetrical dosage problems
Terms
• GIVEN QUANTITY:
Doctor’s order
Dosage to be given
Beginning point of the problem
• WANTED QUANTITY:
What you desire
Answer to the problem
• UNIT EQUIVALENCY:
Value of equivalencies between two different units
• CONVERSION FACTORS:
Unit Equivalent expressed in fraction
Help to cancel out unwanted units from the problem
• UNIT PATH:
Series of conversions necessary to achieve the answer to the
problem
• UNIT:
A dimension that is given to a number
Mathematical foundation for
dimensional analysis
• Concept 1:
• when a non zero quantity is divided by the
same amount the result is 1
• Concept 2:
• When a quantity is multiply by 1, the quantity
is unchanged
• There is more than one way to set up a dimensional
analysis equation. You can begin with:
the given quantity (desired dose)
A unit equivalent who has a unit similar to the numerator
unit of the wanted quantity (x).
• There are four ways to set up the equation. No matter
which fraction placement you use, the equation is
designed for multiplication and cancellation. Three of
the following examples start with the given quantity,
and one starts with the wanted quantity. One problem
will be used to demonstrate each of the four
approaches.
METHODS
In both methods identify the dimensions of the wanted
Quantity:
• SEQUENTIAL:
The conversion factors are place in the Unit Path such that the
dimensions sequentially cancels those adjacent to them. Begin
with either
Given quantity
A unit equivalence with one of its units similar to the numerator unit of the
wanted quantity
• RANDOM:
The conversion factors are randomly place in the Unit Path such
that the dimensions may cancels those away from to them. Begin
with either
Given Quantity
Wanted Quantity
EXAMPLE
• The physician has ordered 500mL D5W with 5units
oxytocin intravenously. Begin at 5mU/min and then
increase by 5mU every 30minutes until active labor is
achieved. Maximum dose is 30mU/min.
a. Calculate the IV rate (ml/hr) for the beginning infusion
b. Calculate the IV drip rate for the beginning infusion.
c. What is the maximum IV rate the Pitocin infusion may
be set for?
d. What is the maximum IV drip rate the Pitocin infusion
may be set for?
Sequential Method 1
𝑑𝑟𝑜𝑝𝑠
• Identify the Wanted Quantity and Unit↔ 𝑚𝑖𝑛
• Identify the Unit Equivalencies and Conversion Factors write them as Unit equivalencies
5𝑈 = 500𝑚𝑙; 1U = 1000mU; 20drops = ml; 1hr = 60min; 30mIU = min
30𝑚𝑈
• Identify the Given Quantity with Unit↔ 𝑚𝑖𝑛
• Create a unit paths
𝑑𝑟𝑜𝑝𝑠
Write dimensions of wanted quantity as Conversion factor to begin the equation:
𝑚𝑖𝑛
𝑑𝑟𝑜𝑝𝑠
Write an equals to: =
𝑚𝑖𝑛
𝑑𝑟𝑜𝑝𝑠 30𝑚𝑈
Write the given Quantity as Conversion Factor: =
𝑚𝑖𝑛 𝑚𝑖𝑛
Add the rest of Unit Equivalencies as multiples of Conversion factors so that one of the Unwanted Unit of
𝑑𝑟𝑜𝑝𝑠 30𝑚𝑈
the preceding variable is cancelled out by an Unwanted unit of the succeeding variable: = ×
1𝑈 500𝑚𝑙 20𝑑𝑟𝑜𝑝𝑠 𝑚𝑖𝑛 𝑚𝑖𝑛
× ×
1000𝑚𝑈 5𝑈 𝑚𝑙
This process continue until all the Unwanted units are cancelled out leaving only the desire(Wanted
dimension ie the Dimensions of Wanted Quantity)
5𝑚𝐼𝑈 𝑚𝑙
=
𝑚𝑖𝑛 ℎ𝑟
5𝑚𝐼𝑈 1𝑢𝑖𝑛𝑡 𝑚𝑙
× 1000𝑚𝐼𝑈 =
𝑚𝑖𝑛 ℎ𝑟
𝑚𝑙 5𝑚𝐼𝑈
=
ℎ𝑟 𝑚𝑖𝑛
𝑚𝑙 5𝑚𝐼𝑈 1𝑢𝑖𝑛𝑡
= × 1000𝑚𝐼𝑈
ℎ𝑟 𝑚𝑖𝑛
500𝑚𝑙 𝑚𝑙
=
5𝑢𝑛𝑖𝑡 ℎ𝑟
500𝑚𝑙 1𝑢𝑛𝑖𝑡 𝑚𝑙
× =
5𝑢𝑛𝑖𝑡 1000𝑚𝐼𝑈 ℎ𝑟
𝑚𝑙 500𝑚𝑙
=
ℎ𝑟 5𝑢𝑛𝑖𝑡
𝑚𝑙 500𝑚𝑙 1𝑢𝑛𝑖𝑡
= ×
ℎ𝑟 5𝑢𝑛𝑖𝑡 1000𝑚𝐼𝑈
5𝑚𝐼𝑈 𝑚𝑙
=
𝑚𝑖𝑛 ℎ𝑟
5𝑚𝐼𝑈 500𝑚𝑙 𝑚𝑙
× =
𝑚𝑖𝑛 5𝑢𝑛𝑖𝑡 ℎ𝑟
𝑚𝑙 5𝑚𝐼𝑈
=
ℎ𝑟 𝑚𝑖𝑛
𝑚𝑙 5𝑚𝐼𝑈 500𝑚𝑙
= ×
ℎ𝑟 𝑚𝑖𝑛 5𝑢𝑛𝑖𝑡
500𝑚𝑙 𝑚𝑙
=
5𝑢𝑛𝑖𝑡 ℎ𝑟
500𝑚𝑙 5𝑚𝐼𝑈 𝑚𝑙
× =
5𝑢𝑛𝑖𝑡 𝑚𝑖𝑛 ℎ𝑟
𝑚𝑙 500𝑚𝑙
=
ℎ𝑟 5𝑢𝑛𝑖𝑡
𝑚𝑙 500𝑚𝑙 5𝑚𝐼𝑈
= ×
ℎ𝑟 5𝑢𝑛𝑖𝑡 𝑚𝑖𝑛