Replace Calculations in the Medical History

Aug 6th, 2022
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How to Replace Calculations in the Medical History

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okay in this lesson here we are going to further our discussion on fluid management by taking a quick look at the subject of maintenance fluid and more specifically the calculation to determine a patients needs now this calculation has actually been requested many times including from one of our patreon members so i wanted to do a quick review over the topic here so lets get started and talk about our maintenance fluid [Music] all right you guys welcome back to another video lesson from icu advantage again my name is eddie watson and my goal is to try and give you guys the confidence to succeed in the icu by taking these complex critical care subjects and really breaking them down and making them easy to understand i hope that im able to do just that for you guys and if i am then make sure you subscribe to this channel to continue to get great critical care content such as this video here when you do make sure you hit that bell icon and select all notifications that way you never mi

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Accurate pharmacy calculations prevent medical errors; underdosing a patient may lead to inadequate treatment, and overdosing a patient may lead to drug toxicity.
Three primary methods for calculation of medication dosages exist; Dimensional Analysis, Ratio Proportion, and Formula or Desired Over Have Method. We are going to explore the Ratio-Proportion Method, one of these three methods, in more detail.
The four methods as mentioned for drug calculations are (1) basic formula, (2) ratio and proportion, (3) fractional equation, and (4) dimensional analysis (factor labeling).
The first step is to find out what volume contains 1mg (4/500) and then multiply it by how many mg you want (200). The easy way to remember this is the famous nursing equation: What you want, over what youve got, times what its in In this instance: 200mg x 4ml / 500mg = 1.6ml.
Drug dosage calculations are required when the amount of medication ordered (or desired) is different from what is available on hand for the nurse to administer. Formula: Amount DESIRED (D) Amount on HAND (H) X QUANTITY (Q) = Y (Tablets Required)
Accurate pharmacy calculations prevent medical errors; underdosing a patient may lead to inadequate treatment, and overdosing a patient may lead to drug toxicity.
Micrograms to nanograms (ng) = mcg x 1,000; Litres (L) to millilitres (ml) = L x 1,000.To convert smaller units to larger the smaller is divided: Grams to kilograms = g/1,000; Milligrams to grams = mg/1,000; Micrograms to milligrams = mcg/1,000; Nanograms to micrograms = ng/1,000; Millilitres to litres = ml/1000.
To convert larger units to smaller the larger is multiplied: Kilograms (kg) to grams (g) = kg x 1,000; Grams to milligrams (mg) = g x 1,000; Milligrams to micrograms (mcg) = mg x 1,000; Micrograms to nanograms (ng) = mcg x 1,000; Litres (L) to millilitres (ml) = L x 1,000.
A basic formula, solving for x, guides us in the setting up of an equation: D/H x Q = x, or Desired dose (amount) = ordered Dose amount/amount on Hand x Quantity.

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