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Body Surface Area: Drug Dose (Drug Dose Ordered) X (BSA in M

This document discusses several methods for calculating drug dosages based on factors like body surface area, weight, and age. It outlines three steps for calculating dosage based on body weight: converting pounds to kilograms, determining the drug dose per weight by multiplying, and using formulas to calculate the dose. Formulas are provided for calculating dosages based on body surface area, as a percentage of an adult dose, and for pediatric patients using Fried's rule, Clark's rule, and Young's rule. Methods are also described for preparing parenteral drug solutions and calculating intravenous fluid administration rates.

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PewDiePie Junior
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522 views

Body Surface Area: Drug Dose (Drug Dose Ordered) X (BSA in M

This document discusses several methods for calculating drug dosages based on factors like body surface area, weight, and age. It outlines three steps for calculating dosage based on body weight: converting pounds to kilograms, determining the drug dose per weight by multiplying, and using formulas to calculate the dose. Formulas are provided for calculating dosages based on body surface area, as a percentage of an adult dose, and for pediatric patients using Fried's rule, Clark's rule, and Young's rule. Methods are also described for preparing parenteral drug solutions and calculating intravenous fluid administration rates.

Uploaded by

PewDiePie Junior
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BODY SURFACE AREA

Drug dose= (Drug dose ordered) X (BSA in m2)


BSA: determined by where the person’s height and weight interact in
the nomogram scale
Body Weight
Three steps:
 Step One: convert pound to kilograms if necessary
 Step two: determine the drug dose per body weight by
multiplying
Client’s dose per day = drug dose x body weight
 Step three: follow with the basic formula or ratio and proportion
method to calculate drug dose

BODY SURFACE AREA


Drug dose= (Drug dose ordered) X (BSA in m2)
BSA: determined by where the person’s height and weight interact in
the nomogram scale

BODY WEIGHT
Three steps:
 Step One: convert pound to kilograms if necessary
 Step two: determine the drug dose per body weight by
multiplying
Client’s dose per day = drug dose x body weight
• Step three: follow with the basic formula or ratio and
proportion method to calculate drug dose

BASIC FORMULA
𝐷 (𝐷𝑒𝑠𝑖𝑟𝑒𝑑)
𝑥 𝑉 (𝑉𝑒ℎ𝑖𝑐𝑙𝑒) = 𝐴 (𝐴𝑚𝑜𝑢𝑛𝑡 𝑡𝑜 𝑔𝑖𝑣𝑒)
𝐻 (𝐻𝑎𝑣𝑒)

RATIO AND PROPORTION


Known Desire
𝐻 ∶ 𝑉 ∶: 𝐷 ∶ 𝑋
Means
Where: extremes
H= drug on hand (available)
V= vehicle or drug form
D= desired dose (as ordered)
X= unknown amount to give
:: = Stands for “as” or “equal to”
PEDIATRIC DRUG CALCULATIONS
 Pediatric Dosage per Body weight: (follow basic
formula)
 Pediatric Dosage per Body Surface Area –
(follow the same formula for BSA)
 Pediatric Dosage from Adult Dosage

𝑆𝑢𝑟𝑓𝑎𝑐𝑒 𝑎𝑟𝑒𝑎 (𝑚2 )


𝑃𝑒𝑑𝑖𝑎𝑡𝑟𝑖𝑐 𝑑𝑜𝑠𝑎𝑔𝑒 = 𝑥 𝐴𝑑𝑢𝑙𝑡 𝐷𝑜𝑠𝑒
1.73 𝑚2

PEDIATRIC DRUG CALCULATIONS


FRIED’s RULE
′
𝑖𝑛𝑓𝑎𝑛𝑡 ′ 𝑠 𝑎𝑔𝑒 𝑖𝑛 𝑚𝑜𝑛𝑡ℎ𝑠
𝑐ℎ𝑖𝑙𝑑 𝑠 𝑑𝑜𝑠𝑒 = 𝑥 𝐴𝑑𝑢𝑙𝑡 𝑑𝑜𝑠
150

CLARK’S RULE
𝑤𝑒𝑖𝑔ℎ𝑡 (𝑙𝑏𝑠)
𝑐ℎ𝑖𝑙𝑑 ′ 𝑠 𝑑𝑜𝑠𝑒 = 𝑥 𝐴𝑑𝑢𝑙𝑡 𝑑𝑜𝑠𝑒
150

YOUNG’S RULE
𝑎𝑔𝑒 𝑜𝑓 𝑐ℎ𝑖𝑙𝑑
𝑐ℎ𝑖𝑙𝑑′ 𝑠 𝑑𝑜𝑠𝑒 = 𝑥 𝐴𝑑𝑢𝑙𝑡 𝑑𝑜𝑠𝑒
𝑎𝑔𝑒 𝑜𝑓 𝑐ℎ𝑖𝑙𝑑 + 2

PARENTERAL DOSAGE OF DRUGS

PREPARATION OF SOLUTIONS AND CALCULATIONS OF


DOSAGES EXPRESSED IN RATION AND PERCENT

𝑫 (𝒔𝒕𝒓𝒆𝒏𝒈𝒕𝒉 𝒐𝒇 𝒅𝒆𝒔𝒊𝒓𝒆𝒅 𝒔𝒐𝒍𝒖𝒕𝒊𝒐𝒏)


𝑨𝒎𝒐𝒖𝒏𝒕 𝒐𝒇 𝒔𝒐𝒍𝒖𝒕𝒆 = 𝒙 𝑸 (𝒒𝒖𝒂𝒍𝒊𝒕𝒚 𝒐𝒇 𝒅𝒆𝒔𝒊𝒓𝒆𝒅 𝒔𝒐𝒍𝒖𝒕𝒊𝒐𝒏)
𝑯 (𝒔𝒕𝒓𝒆𝒏𝒈𝒕𝒉 𝒐𝒇 𝒔𝒐𝒍𝒖𝒕𝒆 𝒐𝒏 𝒉𝒂𝒏𝒅)
CALCULATION OF IV FLUIDS
 METHOD 1
𝑎𝑚𝑜𝑢𝑛𝑡 𝑜𝑓 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛
1. = 𝑚𝑙/ℎ𝑟
ℎ𝑜𝑢𝑟𝑠 𝑡𝑜 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑒𝑟
𝑚𝑙
ℎ𝑜𝑢𝑟 𝑚𝑙
2. = 𝑚𝑖𝑛
60 𝑚𝑖𝑛
3. ml/ min x drops per ml of IV set = gtts/min
 METHOD 2
𝑎𝑚𝑜𝑢𝑛𝑡 𝑜𝑓 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛
1. = 𝑚𝑙/ℎ𝑟
ℎ𝑜𝑢𝑟𝑠 𝑡𝑜 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑒𝑟
𝑚𝑙
𝑥 𝑑𝑟𝑜𝑝𝑠 𝑝𝑒𝑟 𝑚𝑙 (𝐼𝑉 𝑠𝑒𝑡)
ℎ𝑟
2. = 𝑔𝑡𝑡𝑠/𝑚𝑖𝑛
60 𝑚𝑖𝑛𝑢𝑡𝑒𝑠
 METHOD 3
𝑔𝑡𝑡𝑠
𝑎𝑚𝑜𝑢𝑛𝑡 𝑜𝑓 𝑓𝑙𝑢𝑖𝑑 𝑥 (𝐼𝑉 𝑠𝑒𝑡) 𝑔𝑡𝑡𝑠
𝑚𝑙
1. 𝑚𝑖𝑛 =
ℎ𝑜𝑢𝑟𝑠 𝑡𝑜 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑒𝑟 𝑥 (60) 𝑚𝑖𝑛
ℎ𝑟
(Hourly Volume)
60𝑚𝑖𝑛
𝑑𝑟𝑜𝑝𝑠/ min 𝑥
ℎ𝑟 = 𝑚𝑙/ℎ𝑟
𝑑𝑟𝑜𝑝𝑠
𝑑𝑟𝑜𝑝 𝑓𝑎𝑐𝑡𝑜𝑟 ( )
𝑚𝑙

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