Conversion Factor1
Conversion Factor1
● 8 oz = 240 mL = 1 glass
● 1 cc = 1 mL
Time
min ← hr ( x by 60 ) min → hr ( ÷
● 2 pints = 1 qt
by 60 )
Conversions
Before mastering drug dosage formula, you should first learn how to convert the commonly
used units of measurements in drug preparation. It is essential so you will not get lost
between drug calculations as physicians commonly order a medication available in a
different preparation.
The most common conversion factors you will use for drug dosage calculations are the
following:
The desired dosage is the ordered dosage of the physician while the stock strength is the
amount of drug present in each tablet. Stock strength is also known as stock dose.
Exa
mple
● The physician orders 1,500 mg of calcium carbonate for the patient. The drug is
available in 250 mg tablets. How many tablets should be given to the patient?
1,500 mg ÷ 250 mg = 6
tablets
● 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
2,000 mg ÷ 500 mg = 4
tablets
The desired dosage is the ordered dosage of the physician. The stock strength is the
amount of drug present in the preparation while the stock volume is the amount of the
solution where the drug is diluted.
Exa
mple
● 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?
0.5 mg x 10 mL =
5 mL
It is easy to calculate the running rate of IV fluids in terms of mL per hour or mL per
minute:
Exam
ples
● Start venoclysis with D5 0.9 NaCl 1 L to be infused for 16 hours. How many mL
of the IV fluid should you infuse per hour?
1 L ÷ 16 hours = mL per
hour
● 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
The total IV volume is the amount of IV fluid to be infused while time is the duration of how
long the IV fluid should be infused in terms of minutes.
The drop factor is the “drops per milliliter” delivered to the patient and it depends on the
macrodrip used for the infusion. The common drop factors used in different hospitals are
10, 15 and 20.
Exam
ples:
● The physician orders to start venoclysis with D5 0.3 NaCl 1 L solution. The IV fluid
will be infused for 14 hours and the drop factor of the macrodrip used is 20. It should
be regulated to how many drops per minute?
[Total IV volume ÷ time (minute) ] x drop factor = drops per
minute
● 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?
Calculating for the remaining time of infusion for a certain IV fluid is possible with the
following formula:
Exa
mple
● You see that your patient has D5 0.9 NaCl IV infusion at 400 mL level. It is
regulated to run for 22 drops per minute using a macrodrip set with drop factor 20. How
many minutes are remaining before you are due to change the IV fluid?
[Volume remaining (in mL) ÷ drops per minute] x drop factor = minutes
remaining
[Volume remaining (in mL) ÷ drops per minute] x drop factor = minutes
remaining
[Volume remaining (in mL) ÷ drops per minute] x drop factor = minutes
remaining