Ateneo De Naga University
Naga City
                                            College of Nursing
Review on Drug Calculations (SDL)
Renie Serrano
Formulas
a. Calculating tablet dosages.
        Example:
        The patient is ordered to have 2 g of potassium chloride. The drug is available in 500 mg tablets.
        How many tablets should be given?
        Convert 2 g to mg = 2 x 1,000 = 2,000 mg
        Desired dosage ÷ stock strength = number of tablets
        2,000 mg ÷ 500 mg = 4 tablets
b. Calculating mixtures and solutions
        - Desired dosage ÷ stock strength x stock volume = amount of solution to be given
        Example:
        The physician orders 375 mg of cefuroxime for the patient. The drug is available in 750 mg vial.
        You plan to dilute it in 10 mL of sterile water. How much should you give to your patient?
        [Desired dosage ÷ stock strength] x stock volume = amount of solution to be given
        [375 mg ÷ 750 mg] x 10 mL = amount of solution to be given
        0.5 mg x 10 mL = 5 mL
c. Calculating IV rate -ml/per and minute
        - Total IV volume ÷ time (hour or minute) = mL per hour or minute
        Example:
                                Ateneo De Naga University
                                               Naga City
                                           College of Nursing
Review on Drug Calculations (SDL)
Renie Serrano
        You are going to start IV infusion with Plain Lactated Ringer’s Solution 1 L. By regulating it for 11
        hours, how much fluid are you going to infuse per minute?
        Total IV volume ÷ time (hour or minute) = mL per minute
        1 L ÷ 11 hours = mL per minute
        [1 L x 1,000] ÷ [11 hours x 60] = mL per minute
        1,000 mL÷ [11 hours x 60] = mL per minute
        1,000 mL ÷ 660 = 1.5 mL per minute
d. Calculating IV rate- drops per minute
        - [Total IV volume ÷ time (minute)] x drop factor = drops per minute
        Example:
        You are going to regulate D5 0.9 NaCl 500 mL solution for 7 hours. The macrodrip used has 15-
        drop factor. You should regulate the IV fluid for how many drops per minute?
        [Total IV volume ÷ time (minute) ] x drop factor = drops per minute
        [500 mL ÷ 7 hours] x 15 = drops per minute
        [500 mL ÷ {7 hours x 60}] x 15 = drops per minute
        [500 ÷ 420] x 15 = drops per minute
        1.19 x 15 = 17 to 18 drops per minute
e. Calculating IV rate-remaining time of infusion
        - [Volume remaining (in mL) ÷ drops per minute] x drop factor = minutes remaining
        Example:
        A patient has 350 mL of Plain 0.9 NaCl solution as IV infusion regulated at 20 drops per minute.
        Drop factor 10 was used for the patient’s macrodrip set. Considering the IV fluid level of the
        patient, for how many minutes will it run?
                              Ateneo De Naga University
                                            Naga City
                                        College of Nursing
Review on Drug Calculations (SDL)
Renie Serrano
       [Volume remaining (in mL) ÷ drops per minute] x drop factor = minutes remaining
       [350 mL ÷ 20] x 10 = minutes remaining
       17.5 x 10 = 175 minutes or 3 hours