Abbreviations
• cc- cubic centimeter • DD- Desired Dose • gm- gram • gtt- drop/drops • IM- Intramuscular • IO- Intraosseous • IV- Intravenous • IVP- Intravenous Push

• Kg- Kilogram • L- Liter • mcg- microgram • mEq- milliequivalant • mg- milligram • mL- milliliter • μg- microgram • μgtt- micro drop

0 Kg = 3000000.000 mg 3. • If going from smaller value to larger value.000. MG. = 3. = 3.0 Kg = 30000000 00.000. 3. MCG To convert if going from large value to smaller value.KG. G. move the decimal point 3 places to the left for each conversion. move the decimal point 3 places to the right for each conversion. g = 3000 g 3.000 mcg .0 Kg = 3000.000.

2 = Lbs.m. if you need to convert Kg to Lbs: • Kg x 2.There are two methods that may be used to convert pounds to Kg: • Lbs./ 2) –10% = Kg Therefore./ 2. . or • (Kg x 2) + 10% = Lbs. rule-(Lbs.2 = Kg • 3 a.

5 cc = .5 mL • 400 cc = 400 mL . Therefore: • 1 mL= 1 cc • 500 mL= 500 cc • .A mLand a cc have the same value.

1 Gram (g) = 1000 mg 1 milligram (mg) = 1000 micrograms (mcg) 1 micrograms (mcg) = 1000 nanograms (ng) 1 Litre (l) = 1000 millilitres (ml) .

Weights and Measures Metric system Apothecary system Common Household system .

Metric system Basic Units • Meter (m) • Gram (g. l) . Gm) • Liter (L.

*kilo (k) = 1.000 x less *micro (mc. μ) = 1.000.000 x more hecto = 100 x more deca = 10 x more 1 deci = 10 x less *centi (c) = 100 x less *milli (m) = 1.000 x less .

0 grain = 60 mg) Volume 1 dram = 60 grains (= 4 ml) (1 ounce = 30 ml) .Apothecary Weight 480 grains = 1 oz 12 oz = 1 lb (1.

Household Tablespoon (T. tbs) 1 T = 15 ml Teaspoon (t. tsp) 1 t = 5 ml Drop (gtt) 60 gtts = 1 tsp .

Desired Dose The amount of a particular medication to be administered The symbol “/” stands for per .

4 mg is the Desired Dose .Desired dose A patient with chest pains needs to be given 4 mg of Morphine Sulfate for Chest Pains.

PAEDIATRIC DOSAGES Fried’s rule Infant’s dose (<1 y) = infant’s age (in mo) / 150 * average adult dose Young’s rule Child’s dose (1 – 12 y) = child’s age (in y) / child’s age (in yrs) + 12 * average adult dose .

Calculating the mL to be given • There is a very simple mathematical equation to calculate the mL to be given: (D/H) x Q • Dose you want to give (mg/mcg) • What do you Have it supplied in (mg/mcg) • What Quantity does it come in (mL) .

then replace it with the 25 ml .Drip Rates First. so that the concentration will remain the same originally calculated.containing to 1 g of Lidocaine. • For example. remember that you are going to be mixing a medication into fluids. The volume will still be 500. first withdraw 475 mLof fluid from your IV bag. and you will mix 1 g in your 500 mL IV bag. . you must first withdraw the amount of fluid from the IV bag that you will be replacing with the medication. if Lidocaine comes 1 g/ 25 mL.

it means the number of millilitres of fluid to administer over 1 hour. .Flow Rate Flow Rate = Total Volume ordered / Number of hours i.e.

Drip rates (mLx gttfactor) / minutes Example: 500 mL using 15 gtt set over 1 hour. (500 x 15) / 60 = 125 ml/min .

125 ml * 15 / 60 = 31.25 drops / min .Drop Rate Drop Rate = volume of fluid in ml * IV fluid set / minutes i.e.

How many mL will you need to give? 2) Adenosine is ordered 12 mg IVP after no response to a 6 mg dose. It is supplied 25 mg/ 2 mL.Exercise 1) Phenergan is ordered 12. How many mL will you need to give? .5 mg. Adenosine is supplied 12 mg/4 mL.

It is supplied 200 mg/ 10 mL. How many mLs are you going to draw up into a syringe? . You have a 5 mLvial that contains 10 mgs of Valium. (10mg/5mL). How many mL will you need to give? 4) Dr. Koolorders 2 mg of Valium IV to a patient with seizure activity.3) Amiodarone is ordered 150 mg IVP over 10 minutes.

how many gtts/min will you adjust your IV set to deliver? 6) Convert 176 lbs into kgs .5) Dr. Using a Macro tube drip set of 15gtts/mL. Feelgoodorders 2 L of D5W1/2NS to be infused over 4 hours.

The drug available in a prefilled syringe containing 10 mg of morphine/ml. how many millimeters of morphine should you discard. .M.7) Mr X prescribes 4 mg of I. morphine q3h for your patient’s chest pain.

find the flow rate.8) The patient needs 1000 ml of fluid over 8 hours. .

9) A drug “C” is ordered for a patient weighing 50 kgs in strength of 3 mcg / kg / min. The drug needs to be diluted in 40 ml of NS. . The strength available of drug “C” is 420 mg in 10 ml vial. Calculate the drops / min rate to be given through a macro-drip set.

5 Kg into Nanograms.10 ) Convert 1. .

Answers 1) 1 ml 2) 4 ml 3) 7.6 ml 8) 125 ml/hour .5 ml 4) 1 ml 5) 125 gtts /min 6) 80 kgs 7) 0.

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