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Nursing Tutorials & Reviews for Nursing Students & Medical Assistants

Systems of Measurement

Systems of Measurement

Metric Equivalencies for Weight

1 kilogram

= 1000 g

1 gram

= 1000 mg

1 miligram

= 1000 mcg

 

 

When converting within the metric system, you can simply move the decimal point three places to the left or right, depending whether you are changing to a larger or smaller unit of measure. The method I have found useful is to consider the alphabet:

The letter L represents larger unit, the letter S represent smaller unit. To convert from large to small, the decimal moves three places in the direction you move from L to S, or to the right. Example 1 illustrates that move. To convert from a smaller unit to a larger one, the decimal moves three places in the direction you move from S to L, or to the left. Example 2 illustrates that move.

Example 1: change 200mg to mcg

200 mg goes to 200,000mcg

Example 2: change 200mg to g

200. 0 mg goes to 0.2 g

Metric Abbreviations for Volume

liter

L

milliliter

mL

Metric Equivalencies for Volume

1000 mL

= 1 L

The Apothecary System uses grains, drams and ounces as units of weight. Lowercase Roman numerals are used when amounts are greater than one; fractions are used when amounts are less than one. The abbreviation precedes the amount, for example, grains x or grains 1/150. One-half may be expressed as ss, thus: iiiss = 3 1/2.

Apothecary Abbreviations

grain

gr

dram

dr

ounce

oz

 

Equivalencies that should be memorized when converting from apothecary to metric are:

 

Apothecary & Metric Equivalencies

1 ounce

30 mL

1 dram

4 mL

1 grain

60 mg

 

Household measures are commonly used to measure medications at home. Abbreviations and equivalencies follow.

Equivalencies

 

Household Measure

Abbreviation

Metric Measure

Apothecary Measure

1 cup

C

1 C = 240 mL

= 8 oz

1 tablespoon

T (tbs)

1 T = 15 mL

 

1 teaspoon

t (tsp)

1 t = 5 mL

 

drop

gtt

depends on size of drop

 

pound

lb

2.2 lb = 1 kg

1 lb = 16 oz

 

The Five Rights of Medication Administration

The Five Rights

Remember the five rights: The minimum standard of practice for medication administration is checking the “five rights” to provide patient safety.

Do I have the right drug?
Do I have the right patient?
Do I have the right dose?
Do I have the right time?
Do I have the right route?

Now add to this the sixth right...the right to refuse!

The 3 Checks

The Three Checks Prior to Administration of Medications

·         taking off shelf

·         taking out medication

·         putting back on shelf
 

US Liquid Measurements and Metric Fluid Measures

U.S. Liquid                                                                             Metric

1 drop (gtt)                                                                    = .06 milliliter (ml)

15 drops (gtts)                                                               = 1 milliliter (ml)

1 teaspoon (tsp)                                                             = 5 milliliters (ml)

1 tablespoon (Tbsp)                                                        = 15 milliliters (ml)

1 ounce (oz)                                                                  = 30 milliliters (ml)

1 cup (c)                                                                       = 240 milliliters (ml)

1 pint                                                                            = 480 milliliters (ml)

1 quart                                                                          = 960 milliliters (ml)

4 cups (c)                                                                      = 960 milliliters (ml)

Conversion Table

WEIGHTS AND MEASURES CONVERSION TABLE

METRIC WEIGHT MEASURE

 

1 Kilogram (Kg) = 100 grams (Gm) 1 Gram (Gm)

1 Gram (Gm) = .001kilogram (Kg)

1 Gram = 1000 milligrams (mg)

1 Milligram (mg) = .001 gram (Gm)

1 Milligram = 1000 Microgams (mcg)

1 Microgram (Mcg) = .001 Milligram (mg)

 

METRIC FLUID MEASURE

 

1 Liter (L) = 1000 milliters (ml)

1 Milliliter (ml) = .001 liter (L)

1 Milliliter (ml) = 1 cubic centimeter

APOTHECARY WEIGHT TO METRIC SYSTEM

1 grain (gr)  = .065 gram = 60 milligrams  (sometimes considered to be 64 to 65 milligrams)

 

WEIGHT CONVERSION

1 kg = 2.2 lbs

Basic Formula, flow rates, & infusion time Review

Basic Formula

 

Desired Dose  x   VolumeDose on Hand   = VolumeDesired Dose     

Dose on Hand   

 

or

 

D  x V = A

H

  

 

Flow Rates (gtt/min)

 

 

Flow Rate    =    Total Volume (mL) x Set Calibration (gtt/mL)

                                              Time (min)

 

 

Flow Rate = mL/hr ¸ Division Factor

 

Division Factor = 60 ¸ calibration

 

 

Infusion Time

 

 

Infusion Time  =  Total Volume to be Infused

                             mL/hr being infused

 

 

 Infusion Time = Total Volume to Infuse  ÷       gtt / min        x  60 mi

                                                               Set calibration