Example #3: Say the dosage strength is 300 mg per 3 mL and the Bottle contains 3 Fl Oz of medication . As a result, we must divide each ingredient in the formula by 5 – meaning the formula is now prepared to 200mL rather than 1,000mL. Explore all of our doctor-created interview prep in one place. 6 percent of 75g is 4.5g. Outlines Introduction Metric Conversions MG/KG Dose Conversion Flow Infusion Rates 3. The rationale for assessing calculation skills according to Keele is as follows: “It is very important that doctors are able to use simple maths to solve problems during their work. Formulations are recipes that can be found in pharmaceutical literature, such as the Martindale. As such, formulations form one of the many backbones of pharmacy calculations. When taking a pharmacy calculation exam, always take your time. When reducing formula – always double check you got the correct ratio. Calculate the number of tablets or capsules to administer 4. By convention, this means there are 5 g of the drug in every 100 mL. Those who qualify for the UCAT special educational needs [UCATSEN] test will be given extra time on the day. This particular calculation would be considered to be a high-risk calculation because it has multiple stages in which errors can be introduced, and because of the small dosage involved and the conversion required between different units of measurement (NPSA, 2009b). How much do you know about medical ethics? For example: By modifying the proposed recipe, we can create medicines of different amounts and volumes. Should I take BMAT in September or November? How Much Do You Know About Studying Abroad? The basic formula is: Quantity of Drug Available Unknown Dose on Hand Doctor s Order × _ _ _ = _ _ ' _ 1. Water to 10mL becomes water to 600mL of medicine. It’s best, though, to secure the correct answer from the outset – approaching the question with a methodical, non-rushed approach that delivers the result you set out to achieve. Sometimes product formula are expressed as parts rather than as quantities. You should practice these timed. Therefore, 50g – 2.5g = 47.5g of yellow soft paraffin. You’ll find that formulations are quite straightforward, at least when compared to other topics in pharmaceutical calculations. When reducing formula – always double check you got the correct ratio. One way to tackle these types of questions is to set up a simple equation where X is the variable you are trying to find. CHAPTER 15 Dosage Calculation Using the Formula Method Objectives After reviewing this chapter, you should be able to: 1. from grams to kilograms and three places to the right every time you move down a unit e.g from grams to milligrams. The percentage of ingredients can be used to produce a formula and, from there, the ingredients in a known amount of product can be calculated. The formula is listed as follows: The recipe we have prepares for 1,000mL, but the prescription asks for 200mL. Incorrect calculations can have very serious consequences for patient safety. Calculate the volume to administer for medications in… This guide is not intended to be exhaustive, but the underlying principles remain the same. Please enter username and password bellow! The decimal point moves three places to the left for every unit you move up (e.g. A pharmacist has been handed a prescription that asks for 200mL of chalk mixture, pediatric BP. There are no trick questions and the answers are all realistic.”. Keele also give more information about what you can expect during the test: “…the questions on the interview day will all be related to clinical scenarios, although no clinical knowledge is required to answer the questions..”, “…Simple calculators may be used and these will be supplied.”, “..TThe clinical maths test consists of 20 maths questions to be completed in 30 minutes. A formula can be expressed as a percentage – commonly seen in ointments and creams, for example. The multiplication difference here is 3 (300L divided by 100 parts – we now have a relationship between both: We need 15L of wood naphtha and 285L of spirit to produce 300L of (IMS) BP. How much of each ingredient is needed to produce 300L? One way to tackle these types of questions is to set up a simple equation where X is the variable you are trying to find. First, we need to add the parts – (95 + 5 = 100) – and relate this to the 300L required. Drug calculations 1. Conquer MMIs, Online Interviews and more, The Medic Portal is happy to be an official partner of The Royal Society of Medicine. Nonetheless, if you are embarking on your pharmacy career as an undergraduate, you need to start somewhere. For example: You are asked … Get the best MMI training, live online, Turn medical school interviews into offers! Once we understand how many parts there are what the final ingredient total needs to be, it becomes a matter of basic multiplication. By rushing, you carry the risk of applying the incorrect divisor and undermining the end result. In IMS, both ingredients are liquids so the parts must be v/v. By the same method, there is 3g of salicyclic and, by subtraction both values from 75g, there must be 92.5 grams of white soft paraffin. Therefore we have introduced a maths test to ensure that students accepted to study medicine are able to undertake the type of calculation needed…”. Read on to learn what the drug dosage calculation formula is and how to use it. Which medicine course type would you suit? By rushing, you carry the risk of applying the incorrect divisor and undermining the end result. 4. Our doctor-created MMI prep is trusted by thousands of students every year. Most likely, you will have time at the end of the exam to review your answers. 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If the doctor orders 0.6 g, how much liquid will you give? Example calculations of dose based on BSA • A useful equation for the calculation of dose based on BSA is: • Patient’s dose = Patient’s BSA (m2) x Drug dose (mg) 1.73 m2 • If the adult dose of a drug is 100 mg, calculate the approximate dose for a child with a … This is more so in a pediatric patient, or calculating doses of infusions used in critical care like Dopamine, Dobutamin, Nitroglycerin, Lidocaine, etc. It is useful when the units of measurement are alike. %PDF-1.2 %���� You prescribe a patient 1 g of paracetamol. An example of this type of question is given below: You are asked to give a patient 10 g of the drug WondaDrug. Some questions below may reference British or European formulation standards, but the underlying principles behind each answer remain the same – regardless of geography. Resultantly you are administering 10mg of lidocaine to the patient. Modifying formulations to meet a prescriptive need is a basic, yet fundamental skill that the aspiring pharmacist must have. A: 5% means there are 5 g of WondaDrug in every 100 mL. These five examples go some way toward building the knowledge-base you need to tackle formulation questions. The syringe contains 100 mg in 2 ml. First, we need to recognize that 75g is the equivalent of “to 100%”. In clinical practice one of the most useful type calculations to know how to perform is converting between units.