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Body Surface Area Drug Calculations

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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 we…

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  • Body Surface Area Calculations
  • Pediatric Drug Calculations
  • Calculation of IV Fluids

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

BODY SURFACE AREA Drug dose= (Drug dose ordered)
PEDIATRIC DRUG CALCULATIONS  Pediatric Dosage
CALCULATION OF IV FLUIDS  METHOD 1 1. 𝑎𝑚𝑜𝑢𝑛𝑡 𝑜𝑓 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 ℎ𝑜𝑢𝑟𝑠 𝑡𝑜 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑒𝑟 = 𝑚𝑙/ℎ𝑟

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