General Principles of Calculations




2. One advantage of performing a calculation involving units is that they may be multiplied and divided in much the same way as numbers or algebraic symbols. If the same unit appears in both the numerator and denominator, they will cancel each other. For example,

equation


The traveler can go to the butcher and ask for 900 grams of beef to get approximately the 2 pounds needed.


Computations involving units will always require some knowledge of different systems of measurement and intersystem conversions (Chapter 2 and Appendix 1)


Perform the operations indicated:



A.

B.

C.


Solutions.



A. 300 mL

B. 70 kg

C. 5 tablets



3. How many fluid ounces are there in 1/2 qt of Scotch whiskey? (1 qt = 32 fluidounces)



Solution. 16 fluidounces


CALCULATIONS


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4. Sometimes, the relationship between the units given and the units desired is not known. Say, for example, that we wish to convert 17 ft to meters. Although we do not know the number of feet in 1 m, we do know that 1 m = 39.4 in. and 1 ft = 12 in. We may therefore first convert feet to inches and then inches to meters. But rather than treat our problem as two separate parts, we may set it up as follows:

equation


The first fraction converts feet to inches; the second converts inches to meters. Notice that all units except for meters cancel out There is no change in the value of the length represented by “17 ft.” This technique may be extended to any number of successive conversions.


How many fluidounces are there in 1.75 liters (L)? (1L = 1000 mL; 1 fluidounce = 29.6 mL)



Solution. 59.1 fluidounces


CALCULATIONS


equation




5. If a mercury barometer reads 30.3 in., what is the pressure in atmospheres (atm)? (1 in. = 2.54 cm; 1 atm = 76 cm)


Solution. 1.01 atm


CALCULATIONS


equation


DIMENSIONAL ANALYSIS



6. Calculations in pharmacy may be performed by dimensional analysis, a method that involves the understanding of placing the ratios of the data and the equivalence between the units in a way that like units will cancel out and only the desired terms will be left. This method provides one single expression that takes the place of multiple calculation steps, reducing the opportunity for error.

A clear view of this method is shown through the following example.


A pharmacist wants to know how many inhalers should be dispensed to a patient to provide a 60 day supply of beclomethasone. The recommended dose is 168 μg twice daily. The commercial inhaler delivers 42 μg per metered dose and contains 200 inhalations.


equation


Thus, 3 inhalers must be dispensed.


Now, try to do the next problem using dimensional analysis.


A drug is administered as a single daily dose of 10 mg/kg. How many milliliters of a 10 mL vial containing 100 mg per milliliter would be administered to a patient weighing 154 lb? (1 kg = 2.2 lb)



Solution. 7 milliliters


CALCULATIONS


equation




7. Practice your dimensional analysis skills with the following problems.


A. If the adult dose of a solution is 0.2 mL/kg of body weight to be administered once daily, how many teaspoonfuls (tsp) should be administered to a person weighing 220 lb? (1 kg = 2.21b, 1 tsp = 5 mL)


B. An antibiotic provides 25,000 units of activity in each 250 mg tablet. How many total units would a patient receive by taking four tablets a day for 10 days?


C. A medication order calls for 500 mL of D5W/NS solution to be infused over 6 hours using an administration set that delivers 15 drops per milliliter. How many drops per minute should be delivered to the patient?


Solutions.



A. 4 tsp

B. 1,000,000 units

C. 21 drops/min

RATIO



8. It is very common to use ratio and its practical application (proportion) in dosage calculations. Ratio provides a comparison between two like quantities and may be expressed in several different ways (quotient, fraction, percentage, decimal). Traditionally, for example, if a comparison is made between 2 and 10, the ratio between these numbers would be expressed as 2:10 or , and would be read as 2 to 10.

Because a ratio is a quotient, it is regulated by the same rules used for common fractions, for example:


The two terms may be multiplied or divided by the same number, e.g., the ratio 2 : 10 (or ) will not change if both terms are multiplied by 2. The ratio will become 4:20 or .


Two ratios with the same value and their cross products are equivalent, e.g., and 2 × 10 = 5 × 4.


PROPORTION



9. Proportion represents the equality between two ratios. You are probably familiar with this method, and the problems that follow should present no difficulty. A brief review is provided in case you have forgotten. Remember to write all units and to make certain that the expressions on opposite sides of the equal signs have the same units.

Try to solve the following problems, using proportion, before verifying your answers.



A.


B. If 127 paper clips weigh 1.5 oz, how many paper clips will weigh lb? (1 lb = 16 oz)


C. An analytical instrument that is in constant use needs a new battery every 73 days. How many batteries will be required for a year?


Solutions.



A.

B.

C.



10. For a review of proportion, analyze the next examples and try to solve the practice problems that follow. If you don’t need the review, skip ahead to frame 14.

Proportions are useful in those situations where two properties are directly related to each other. For example, if a drug costs 5¢ per gram, 2 g will cost 10¢. The two properties, cost and amount of drug, are directly related to each other. If the quantity of drug is increased five times, the cost will increase five times. If the amount of drug is cut in half, the cost will be halved also. If we wanted to know the cost of 12.5 g of this drug, we could write


equation


This equation states, “If 1 g of a drug costs 5¢, then 12.5 g will cost j.” Notice that the same units are found on both sides of the equality. The ratio on the left describes the known relationship between the related properties. The ratio on the right describes the unknown situation. The two ratios are equal to each other because there is a fixed relationship between cost and weight.


One sodium bicarbonate tablet contains 300 mg of the drug; we wish to find the number of tablets that will contain 1500 mg of sodium bicarbonate. Which of the following proportions will lead to the correct solution? Why are the others not correct?



A.

B.

C.


Solution. C is correct. The ratio on the left describes the known information; that on the right, the unknown situation. Both ratios have the same units. A is incorrect because the same units do not appear in both sides of the equality (tablets/mg do not equal mg/tablet). B is incorrect because the first ratio states that 1500 mg are found in each tablet (1500 mg and 300 mg are reversed). Although the units appear to be correct, the numbers have been jumbled.




11. To solve a proportion,

equation


we make use of the fact that the product of the first and last terms or the extremes (a and d) is equal to that of the two central terms or the means (b and c). That is, a × d = c × b. To return to our problem,


equation


A formula for 42 capsules (caps) calls for 300 mg of a drug. Using proportion, find how many milligrams of the drug would be needed to make 24 capsules.



Solution. 171 mg


CALCULATIONS


equation




12. If 12.0 g of a powder occupy 7.00 mL, how many milliliters will be taken up by 150 g?


Solution. 87.5 mL


CALCULATIONS


equation




13. If a chemical costs $14 per kilogram, how many kilograms could be purchased for $128?



Solution. 9.14 kg


CALCULATIONS


equation


ESTIMATION: ROUNDING AND POWER-OF-10 NOTATION



14. Because of the importance of accuracy in performing calculations, it’s a good idea to check all results. You might think that this is unnecessary, since calculators are in such widespread use. One problem with calculating machines is that we tend to take their results for granted, without thinking about them. An error in entering data is liable to go unnoticed just because we have so much confidence in the infallibility of these machines. For safety’s sake, it is necessary to check every calculation in some way, to make sure that the result is reasonable.

One kind of check is particularly useful in preventing errors of large magnitude such as misplacement of the decimal point. The method to which we are referring is mat of estimation, using rounded values. The first step in this process is to round all values to one figure. The figure is kept as it appears in the original number if the figure following it is 4 or less. The single figure is promoted to the next higher number if it is followed by a 5 or higher number. For example,


4.27 rounded to one figure is 4
0.37 rounded to one figure is 0.4
3508 rounded to one figure is 4000
0.00949 rounded to one figure is 0.009


Round the following to one figure:



A. 72

B. 0.08294

C. 0.452

D. 0.75

E. 820


Solutions.



A. 70

B. 0.08

C. 0.5

D. 0.8

E. 800



15. Before attempting to obtain the exact solution to a problem, estimate the answer. After solving the problem, compare the exact solution with the estimate. Unless they are reasonably close to each other, both should be recalculated. Unfortunately, it is necessary to know how to do the problem in order to come up with an estimate. It is therefore possible to “solve” a problem incorrectly and to have that wrong answer check against the estimate. Estimation is helpful in preventing errors and will give an idea of the order of magnitude of a calculated value but is not infallible. The estimated answer is found by rounding off the quantities involved in the calculation to one figure and then computing the result.

A formula for 42 capsules calls for 180 mg of sucrose. To estimate the amount of sucrose per capsule, round 42 capsules to 40 capsules and 180 mg to 200 mg:


equation


(The exact answer is 4.28 mg per capsule.)


A certain tablet contains 32.5 mg of phenobarbital. Estimate the number of milligrams of phenobarbital in 24 tablets.



Solution. 600 mg


CALCULATIONS


equation


The exact answer is 780 mg. You may think that 600 mg is rather a poor estimate, but it is good enough to tell you that your answer is in the ballpark. Certainly, if you were to solve the problem and come up with an answer of 78 mg or 7800 mg, you would realize that an error had been made.




16. A liquid costs $3.27 per pint. Estimate the cost of 418 pints.


Solution. $1200.


CALCULAITONS


× 400 pt = $1200. (The exact answer is $1366.86.)




17. It is often convenient to use power-of-10 notation in calculations. You should already be familiar with this way of writing numbers. In “standard notation” a number is expressed as the product of a multiplier between 1 and 10 inclusive, and a power of 10. The number in example B, below, is in standard notation. As a review, try the following examples.


A. 102 =

B. 5.7 × 10−3 =

C. 60 × 106 =

D. 3 × 101 =

E. 70,000 = 7 × 10?

F. 0.02 = 2 ×

G. 20 = 2 ×

H. 103 × 102 =

I.

J.

K. 101 × 10−3 =

L. (3 × 102) × (2 × 103) =

M.

N. (3.83 × 103) − (2.6 × 102) =


Solutions.



A. 100

B. 0.0057

C. 60,000,000

D. 30

E. 4

F. 10−2

G. 101

H. 105
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Jun 24, 2016 | Posted by in PHARMACY | Comments Off on General Principles of Calculations

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