I guess a good place to start is the basics.
The formulae for calculating medication doses are obviously a little different from each other depending on what type of medication is to be given (oral or parenteral) or if it’s an IV infusion requiring rate calculation. For this post, I’ll just cover the basic formula for tablets. It works the same way for other oral medications too, such as liquids.
The basics: a/b x c = d
It’s often presented like this: dose ordered/stock on hand x volume = dose to administer
But what dose that mean? If it’s a tablet, it goes like this (for example):
Doctor has ordered 50mg of Medication X, so that goes in ‘a’ or ‘dose ordered’.
Stock on hand is 25mg tablets of Medication X, so that goes in ‘b’ or ‘stock on hand’.
Volume in this instance is ‘tablets’ in ‘c’.
Now it looks like this: 50mg/25mg x tablets = dose to administer
so we divide the 25 into 50, getting 2, so 2 x tablets = 2 tablets
If the dose ordered had been 62.5mg, it would look like this: 62.5/25 x tab = dose, therefore 2.5 tablets.
Practicing the maths can be tricky sometimes, but the basic formula stays the same. Once you master the formula and understand the concept, it’s just the maths.
In nursing school, we were taught the
10 ‘Rights’ of Medication Administration
1. Right patient
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right context
7. Right allergies
8. Right education
9. Right consent
10. Right documentation