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.

000 .9) . 000.2678 drops / min 10) 15. 00. 000.

908 2991..947 .757.

23:908 .250 2:83998094.074:7   .

  2.

23 .

90.745#.90 745#.4:20411:/32 '1:/ 809.

23:908  0  2  .

    /7458 .

23 .

3 8 47/070/   2 9 8 8:550/  2.80  !0307.07.

 2 /480 /034830 8 8:550/  2.0  /034830 8 47/070/  2 '! .1907 34 70854380 94 .  2 4 2.3 2  4: 300/ 94 .

3 2  4: 300/ 94 . 2 4 2.0 .

7430847/070/ 2'!4.07  23:908 988:550/ 2. 24/.

9.2.324:300/94..5.:2'94.. 2 42.439..9 .0  7 4447/078241'.:2   2.0.38 2841'.9039 980:70.9.9 4:.

328.704:4394/7. 8730 .:5394.2 4 2.

 7 0044/47/078   41 .

. .07  4:78 &83 .74 9:-0 /75 809 41 998.\$ 94 -0 31:80/ 4.

2 4 2.3 998.

/:89 4:7 ' 809 94 /0.079  -8 394 8 .23  4: .07  43.

3 %0 /7: ..9039 8 .7-08  2 41   247530 6 147 4:7 5. 57010/ 8730 ...-0 3 .439.33  2 41 247530.089 5. 7  5708.

.2 4 2.7/ .3 2209078 41 247530 84:/ 4: /8.

07 4:78 13/90147.9039300/8 2411:/4. %05.90 .

. /7:  847/070/147.5.903903  83897039412.

.

.-041/7:  8 23 2..23 %0897039 .:.  %0/7:300/894-0/:90/3 241\$  ....9090/7458.

2..03 974:.237.74 /75809 .9094-0.

  43.28 .079 394.347.

38078         2 2  2 2 998 .

23  8 2 2.

4:7 .

  /7458.

23       .