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Math Calculations for Pharmacy Technicians - E-Book

Math Calculations for Pharmacy Technicians - E-Book

Robert M. Fulcher | Eugenia M. Fulcher

(2013)

Additional Information

Book Details

Abstract

Written for pharmacy technicians, and addressing the competencies developed by the American Society of Health-System Pharmacists (ASHP), Math Calculations for Pharmacy Technicians, 2nd Edition helps you learn to calculate drug dosages safely and accurately. A practical worktext format covers everything from basic math skills to reading and interpreting labels and physicians' orders, introducing key calculation and conversion concepts and then providing hundreds of problems so you can practice and master the material. Other vital topics include conversions between the various measurement systems, reconstituting liquid medications, and calculating medications based on a patient's age or body weight. Written by experienced pharmacist Robert Fulcher and educator Eugenia Fulcher, Math Calculations for Pharmacy Technicians helps you learn calculation skills and develop the competencies needed by pharmacy technicians.

  • Learning objectives and definitions of key words begin each chapter.
  • Pretests in each chapter allow readers to assess their current knowledge of specific topics.
  • Step-by-step examples make it easy to learn and remember how to do equations and use formulas.
  • Hundreds of practice problems provide practice with calculations, conversions, and measurements.
  • Actual drug labels accompany examples and problems, for real-world experience with the information you will see in pharmacy practice.
  • Business Math for Pharmacy Technicians chapter introduces the calculations needed in retail pharmacy settings.
  • Body system icons appear next to medication names to help you associate different drugs with their respective disorders and body systems.
  • Points to Remember boxes make it easy to learn and remember key information.
  • Review of Rules sections in each chapter summarize the rules and methods for performing equations.
  • Chapter reviews provide a quick summary of the key concepts in each chapter.
  • Posttests in each chapter allow you to assess how well you have learned the material.
  • A comprehensive posttest includes 50 questions that assess your knowledge of all major topics covered in the book.
  • Helpful study tools also include an answer key for odd-numbered problems and a comprehensive glossary.
  • Updated content meets ASHP requirements and features new topics such as powder volume and compounding problems, formulas for reducing and enlarging medications, and opportunities to write out prescription label directions.
  • Tech Note boxes offer helpful advice on real-life situations you may encounter in the pharmacy.
  • Tech Alert boxes warn against common pharmacy and medication errors that could impact patients' safety.
  • Additional prescription and practice exercises give you valuable experience with translating physician directions into patient instructions.

Table of Contents

Section Title Page Action Price
Front cover cover
Inside front cover ifc1
Half title page i
Evolve page ii
Math Calculations for Pharmacy Technicians, 2/e iii
Copyright page iv
Dedication v
Contributors and Reviewers vii
Preface ix
Organization of Material x
Chapter Features x
Ancillaries xiii
Instructor Ancillaries Available on Evolve xiii
Student Ancillaries Available on Evolve xiv
Special Note xiv
Acknowledgements xv
Table of Contents xvii
I Introduction and Basic Math Skills 1
1 Assessment of Mathematical Calculation Skills Needed for Pharmacy Technicians 1
Objectives 1
Key Words 1
The Need for a Pharmacy Technician to Have Mathematical Skills 4
Interpreting the Abbreviations Used in Medical Language 5
Routes of Administration 5
Frequency of Administration 6
Forms of Administration 6
Measurements of Medication 6
General Abbreviations 7
What Are Your Basic Math Skills? 8
Self-Test of Proficiency in Basic Math Skills 8
Directions 8
Basic Math Skills Proficiency Self-Test 8
2 Review of Basic Mathematical Skills 11
Objectives 11
Key Words 11
Introduction 15
Whole Numbers 15
What Is a Whole Number? 15
Adding and Subtracting Whole Numbers 16
Multiplying Whole Numbers 17
Dividing Whole Numbers 18
Fractions 21
What Is a Fraction? 21
Reducing Fractions to the Lowest Term 28
Adding and Subtracting Fractions 31
Finding Common Denominators 31
Multiplying Fractions 35
Dividing Fractions 35
Decimals 38
What Is a Decimal? 38
Comparing Decimals 41
Rounding Decimals 41
Adding and Subtracting Decimals 42
Multiplying Decimals 45
Dividing Decimals 47
Percentages 49
Converting a Decimal to a Percentage 49
Converting Percentage to a Decimal 50
Converting a Fractional Percentage to a Decimal 51
Converting a Fraction to a Percentage 52
Converting a Percentage to a Fraction 54
Ratios 55
Expressing Numbers as Ratios 55
Expressing Ratios as Proportions 57
Quantities 62
Determining the Percentage of a Quantity 62
Review of Rules 71
Fractions 71
Decimals 72
Ratio, Proportion, and Percentages 72
Estimating of Answers 73
II Measurements Used in Health Care and Conversions among Measurement Systems 75
3 Conversion of Clinical Measurements of Numbers, Time, and Temperature 75
Objectives 75
Key Words 75
Introduction 78
Arabic Numbers And Roman Numerals 78
Roman Numeral Use 78
Converting Arabic Numbers to Roman Numerals 79
Converting Roman Numerals to Arabic Numbers 80
Conversion Between 12-Hour And Universal (Military Or 24-Hour) Time 81
Conversion Between Fahrenheit And Celsius Temperature 84
Converting Fahrenheit Temperature to Celsius Temperature 85
Converting Celsius Temperature to Fahrenheit Temperature 85
Alternate Formula for Converting between Celsius and Fahrenheit 85
Review of Rules 92
Roman Numerals and Arabic Numerals 92
Military Time and 12-Hour Time 92
Celsius and Fahrenheit Temperature 92
4 Comparisons of Measurement Systems 93
Objectives 93
Key Words 93
Introduction 95
Household Or U.S. Customary System 96
Using Ratio and Proportion for Finding Equivalency with Household System 98
Using Fractional Method for Finding Equivalency in Household Measurements 99
Metric System of Measurement 103
Converting from Larger Metric Numbers to Smaller Metric Numbers 106
Converting from a Smaller Metric Number to a Larger Metric Number 107
Using a Mnemonic to Convert Within the Metric System 108
Apothecary System Of Measurement 111
Review 114
Review of Rules 118
Steps for Solving the Unknown Using Proportion 118
Steps for Solving the Unknown Using Fractions and Cross-Multiplication 118
Rules for Calculating Equivalents within the Metric System 119
Rules for Using the Metric Mnemonic for Conversions 119
Rules for Using the Apothecary System 119
5 Conversions among Measurement Systems 120
Objectives 120
Key Words 120
Introduction 122
Using Ratio and Proportion for Conversion of Units 123
Using Dimensional Analysis for Converting Among Units 124
Conversions Between Household and Apothecary Systems 127
Conversions Between Household and Metric Units 131
Conversions Between Metric and Apothecary Systems 136
Putting It All Together—Metric, Household, and Apothecary Measurements and Their Conversions 140
Review 141
Review of Rules 145
Rules of Conversion among Measurement Systems Using Ratio and Proportion 145
Rules for Using Dimensional Analysis to Solve Conversions 145
III Medication and Prescription Orders and Their Calculations 147
6 Interpretation of Medication Labels and Orders 147
Objectives 147
Key Words 147
Introduction 155
What Does a Prescription Indicate? 155
What Is a Medication Order? 164
What Does a Medication Label Indicate? 168
Using Units and Milliequivalents as Measurements for Dosage 175
Review 181
Review of Rules 192
Interpreting Medication Labels and Orders 192
7 Calculation of Solid Oral Doses and Dosages 194
Objectives 194
Key Words 194
Introduction 198
Calculating Solid Oral Medication Doses 199
Calculating Medications Using Ratio and Proportion 200
Calculating Medications Using Dimensional Analysis 202
Calculating Medications Using the Formula Method 203
Calculating Solid Medications Among Different Measurement Systems 214
Ratio and Proportion Method 215
Dimensional Analysis Method 216
Formula Method 216
Calculate Total Dosages Of Medication From Physician’s Orders 219
Patient Safety When Calculating Doses And Dosages 223
Review 223
Review of Rules 234
Calculating Solid Oral Medications 234
8 Calculate Doses of Oral and Parenteral Liquid Medications 235
Objectives 235
Key Words 235
Introduction 243
Calculation Of Oral Liquid Medications 243
Calculating Oral Liquid Medications Using Ratio and Proportion 245
Calculating Oral Liquid Medications Using Dimensional Analysis 247
Calculating Oral Liquid Medications Using the Formula Method 248
Using a Medication Cup and Oral Syringe to Measure Oral Liquid Medications 249
Calculating Parenteral Medications In Vials And Ampules 261
Review 278
Review of Rules 292
Calculating Parenteral Medications 292
9 Reconstitution of Powders or Crystals into Liquid Medications 294
Objectives 294
Key Words 294
Introduction 302
Reconstitution of Powders into Liquid Medications 302
Basic Principles of Reconstitution 308
Review 319
Review of Rules 329
Reconstitution of Powdered Medications 329
IV Special Medication Calculations 331
10 Calculation of Medications for Special Populations Based on Body Weight and Patient Age 331
Objectives 331
Key Words 331
Introduction 344
Calculating Medication Doses By Body Weight 344
Use Of Clark’s Rule For Pediatric Dosage 349
Calculating Dosage Using Body Surface Area 359
Calculation Of Medications For Pediatric Patients Based On Age 368
Fried’s Rule 369
Young’s Rule 369
Review 371
Review of Rules 383
Calculation of Medication Doses Based on Age or Weight 383
11 Calculation of Medications Measured in Units, Milliequivalents, and Percentages of Concentration 384
Objectives 384
Key Words 384
Introduction 399
Calculating Dosages in Unit and Milliequivalent Measurements 399
Calculating Antibiotics Measured in Units 399
Calculating Insulin Doses in Units 409
Calculating Anticoagulant Doses in Units 423
Calculating Medications Measured in Milliequivalents 432
Interpreting Medication Dosage in Percentage and Ratio Strength 441
Review 445
Review of Rules 460
Calculations of Medications Measured in Units and Milliequivalents 460
Interpreting Medications in Percentage and Ratio Concentrations 460
12 Calculation of Medications Used Intravenously 461
Objectives 461
Key Words 461
Introduction 471
Interpreting Amounts of Solutes in Intravenous Fluids 472
Calculating Intravenous Flow Rates in Drops Per Minute 481
Calculating Intravenous Infusion Times 490
Review 501
Review of Rules 513
Interpreting the Amounts of Solutes in Intravenous Fluids 513
Calculating Intravenous Flow Rates in Drops per Minute 513
Calculating Intravenous Infusion Times 514
13 Calculation of Mixtures from Stock Medications 515
Objectives 515
Key Words 515
Introduction 519
Interpreting Solution Labels and Calculating Solutions In Percentages 520
Calculating Weight-in-Weight Solutions 520
Calculating Weight-in-Volume Solutions 521
Calculate Volume-in-Volume Solutions 522
Calculate the Amount of Drug and Solvent 522
Reducing and Enlarging Ordered Preparations 524
Interpreting Solution Labels and Calculating Medication In Ratio Dosages 529
Calculating The Dilution of Stock Solutions 533
Calculating Medication Dilutions Using Alligation 539
Diluting Stock Medications Using Strengths In Percentage, Fractions, and Ratios 542
Review 547
Review of Rules 552
Interpreting Solution Labels 552
Calculating the Amount of Solute and Solvent 552
Calculating the Dilution of Stock Solutions 552
Calculating Medication Dilutions Using Alligation 552
14 Interpreting Physicians’ Orders for Dosages 554
Objectives 554
Introduction 560
Preparing Medications When The Quantity For Dispensing Is Unknown 560
Calculating The Number of Medication Doses In A Given Container 571
Determining The Length Of Time A Prescription Will Last 581
Review 591
Review of Rules 602
Preparing Medications When the Quantity for Dispensing Is Unknown 602
Calculating the Number of Medication Doses in a Given Container 602
Determining the Length of Time a Prescription Will Last 602
V Business Math 603
15 Business Math for Pharmacy Technicians 603
Objectives 603
Key Words 603
Introduction 606
Overhead Expenses 607
Depreciation 607
Markup Of Prescriptions 609
Percentage of Markup 610
Discounts 611
Gross Profit 613
Net Income 614
Insurance Reimbursement 616
Dispensing Fees 616
Average Wholesale Price 616
Capitation 620
Inventory Management 621
Inventory Turnover Rate 625
Daily Cash Report 626
Review of Rules 633
Calculation of Annual Depreciation 633
Overhead Expenses 633
Markup of Prescriptions 633
Percentage of Markup 633
Profit or Loss 633
Discounts 633
Insurance Reimbursements 634
Daily Cash Report 634
Appendices 635
Answer Key 635
Chapter 1 635
Bibliography 653
Credits 654
Chapter 3 654
Chapter 4 654
Chapter 6 654
Chapter 8 654
Glossary 657
Index 661
A 661
B 661
C 661
D 662
E 662
F 662
G 663
H 663
I 663
K 663
L 663
M 663
N 665
O 665
P 665
Q 666
R 666
S 666
T 666
U 667
V 667
W 667
Y 667
Z 667
Inside back cover ibc1
Comprehensive Posttest e1
Comprehensive Posttest Answer Key e37
Answer Key e41
Chapter 1 e41