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Answers xvii Conversion of dosages to mL/hour Sometimes it may be necessary to convert a dose (mg/min) to an infusion rate (mL/hour) viagra jelly 100mg without a prescription impotence new relationship. Conversion of mL/hour back to a dose 48 You have dopexamine 50mg in 50mL and the rate at which the pump is running is 21 mL/hour cheap viagra jelly 100mg without prescription erectile dysfunction when pills don't work. There have been numerous articles highlighting the poor performance of various healthcare professionals discount viagra jelly online erectile dysfunction treatment in kuwait. The vast majority of calculations are likely to be relatively straightforward and you will probably not need to perform any complex calculation very often buy 100mg eriacta with amex. It is difficult to explain why people find maths difficult cheap kamagra soft 100 mg on line, but the best way to overcome this is to try to make maths easy to understand by going back to first principles cheap 160mg super p-force oral jelly mastercard. Maths is just another language that tells us how we measure and estimate, and these are the two key words. It is vital, however, that any person performing dose calculations using any method, formula or calculator can understand and explain how the final dose is actually arrived at through the calculation. Working from first principles and using basic arithmetical skills allows you to have a ‘sense of number’ and in doing so reduces the risk of making mistakes. However, this is not to say that calculators should not be used – calculators can increase accuracy and can be helpful for complex calculations. The main problem with using a calculator or a formula is the belief that it is infallible and that the answer it gives is right and can be taken to be true without a second thought. This infallibility is, to some extent, true, but it certainly does not apply to the user; the adage ‘rubbish in equals rubbish out’ certainly applies. An article that appeared in the Nursing Standard in May 2008 also highlighted the fact that using formulae relies solely on arithmetic and gives answers that are devoid of meaning and context. The article mentions that skill is required to: extract the correct numbers from the clinical situation; place them correctly in the formula; perform the arithmetic; and translate the answer back to the clinical context to find the meaning of the number and thence the action to be taken. How can you be certain that the answer you get is correct if you have no ‘sense of number’? You have no means of knowing whether the numbers have been entered correctly – you may have entered them the wrong way round. For example, if when calculating 60 per cent of 2 you enter: 100 60 × instead of 60 100 You would get an answer of 3. Another advantage of working from first principles is that you can put your answer back into the correct clinical context. You may have entered the numbers correctly into your formula and calculator and arrived at the correct answer of 1. For example: 1 You have: 200mg in 10mL From this, you can easily work out the following equivalents: 100mg in 5mL (by halving) 50mg in 2. If your answer means that you would need six ampoules of an injection for your calculated dose, then common sense should dictate that this is not normal practice (see later: ‘Checking your answer – does it seem reasonable? Using it will enable you to work from first principles and have a ‘sense of number’. The rule works by proportion: what you do to one side of an equation, do the same to the other side.

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