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Pharmaceutical Calculations Guide
Pharmaceutical Calculations Guide
Jasvir Samra
Priyanka Dahele
Anoushka Walia
Preface
This book has been created to guide
students of all years through their
calculation assessments.
4 ACCURACY OF MEASUREMENT
9 CONCENTRATIONS
14 DILUTIONS
19 FORMULATION PREPARATION
23 DOSING
28 DISPLACEMENT
31 MOLAR CALCULATIONS
35 FLOW RATES
PHARMACY CALCULATIONS
UNITS
1
PHARMACY CALCULATIONS
EXAMPLE 1:
Convert 485765 micrograms to grams.
Step 1:
Convert to milligrams first.
First to milligrams by dividing by 1000
485765
= 485.765 m g
1000
Step 2:
Then convert to grams by dividing by 1000
485.765
= 0.485765 g
1000
Tip:
You can speed up this process by compounding the calculations
from both steps 1 and 2, and dividing by 1000000 instead.
485765
= 0.485765 g
1000000
EXAMPLE 2:
Convert 3.4 pints into litres (conversion factor: 1 L= 1.76 pints).
2
PHARMACY CALCULATIONS
Step 1:
First we need to set up proportions. We know that 1 L = 1.76 pints
and x litres = 3.4 pints.
x 1
=
3.4 1.76
3.4
x = = 1.93 L
1.76
3
PHARMACY CALCULATIONS
ACCURACY OF MEASUREMENT
ROUNDING NUMBERS
If the last figure is less than 4, the whole number will be rounded
down to the next lowest factor of the stated degree of accuracy. As
an example, 73 will be rounded down to the nearest 10 becoming 70.
4
PHARMACY CALCULATIONS
EXAMPLE:
In order to add 182 and 2847 we can round each number before
adding them together:
SIGNIFICANT NUMBERS
Therefore, in this example, the 00 are two figures which are not
significant whilst the 1 and 9 are significant figures.
EXAMPLE 1:
A bottle or oral suspension contains 0.07 L of liquid to the nearest
0.01 L. How many significant figures are there in this
measurement?
5
PHARMACY CALCULATIONS
EXAMPLE 2:
The number 123 000 is stated to the nearest hundred. How many
significant figures in this number?
EXAMPLE 1:
Correct 18 726 to 3 s.f. = 18 700
EXAMPLE 2:
Correct 71 263 to 3 s.f. = 71 300
EXAMPLE 3:
Correct 0.00753 to 2 s.f. = 0.0075
6
PHARMACY CALCULATIONS
EXAMPLE 1:
The European Pharmacopeia states that erythromycin ethyl
succinate (EES) should contain no more than 6.0% water
determined on 0.450 g by semi-micro determination of water and
not more than 0.7% of sulphated ash determined on 2.0 g.
What are the limits on the weights of erythromycin for the
determination of water?
First let us consider the weight which is being referred to; 0.450 g.
As stated previously, the precision of the required weighing is
indicated by the number of significant figures.
7
PHARMACY CALCULATIONS
limits can be found by calculating 90% and 110%, the values for
10% more and 10% less than the stated weight.
EXAMPLE 2:
An operator found that a 1.04 g sample of EES contained 0.0079 g
of sulphated ash. Is this acceptable?
8
PHARMACY CALCULATIONS
CONCENTRATIONS
9
PHARMACY CALCULATIONS
EXAMPLE 1:
How many milligrams of aluminium acetate are required to
prepare 500 mL of a 0.14% w/v solution?
Step 1:
0.14% w/v solution can also be written as 0.14 g in 100ml product.
This means that each 100ml of vehicle contains 0.14 g aluminium
acetate.
Step 2:
Whilst maintaining this ratio, we can calculate that we would have
0.7 g aluminium acetate in 500 ml product.
0.14 g in 100 ml
0.7 g in 500 ml
Step 3:
Convert 0.7 g into mg,
10
PHARMACY CALCULATIONS
Example 2:
What is the amount of potassium permanganate in 300 mL of a 1 in
25 solution?
Step 1:
A 1 in 25 solution means 1 g in 25 ml of solution.
Step 2:
Whilst maintaining this ratio, we can calculate that we would have
12 g potassium permanganate in 300ml solution.
1 g in 25 ml
12 g in 300 ml
Example 3:
You are required to make 100 mL of double strength chloroform
water. Single strength chloroform water is made up of 1 part
chloroform water concentrate + 39 parts water. What volume of
water in mL is needed to make the required solution?
Step 1:
The question is asking us about double strength chloroform water,
whilst giving us the concentration of single strength solution. We
already know that single strength chloroform water comes in the
strength of 1 in 40, and so double would come in the strength of 1 in
20.
11
PHARMACY CALCULATIONS
Step 2:
After this slight adjustment, we would need to multiply out by 5, as
20 multiplied by 5 gives us the required 100ml of solution.
Step 3:
Knowing that we require 5ml of concentrate in 100ml of product, it
would mean we have 95ml of water in this final solution, as:
# 100 − 5 = 95 ml
EXAMPLE 4:
Rectogesic® rectal ointment (glyceryl trinitrate 0.4 %) is applied to
the anal canal for the treatment of anal fissures. 1 application is 2.5
cm in length and contains 1.5 mg of glyceryl trinitrate.
How many applications are contained in a 30 g tube of Rectogesic®
rectal ointment?
Step 1:
0.4% w/w glyceryl trinitrate means 0.4 g glyceryl trinitrate in 100 g
product. This would mean we would have 0.12 g glyceryl trinitrate
in the 30 g tube of Rectogesic® rectal ointment
12
PHARMACY CALCULATIONS
Step 2:
We now know we have 0.12g drug in our 30g tube. We want to know
how many applications of 1.5mg (0.0015g) we can obtain from this.
13
PHARMACY CALCULATIONS
DILUTIONS
# C1.V1 = C2.V2
C= concentration
V= volume
EXAMPLE 1:
How many mLs of a 0.6% w/v stock solution are required to make
2L of a 0.06% solution, using water as the solvent?
14
PHARMACY CALCULATIONS
V1 = ?
C1 = 0.6%
V2 = 2000 mL
C2 = 0.06%
(V1)(0.6) = (2000)(0.06)
V1(0.6) = 120
15
PHARMACY CALCULATIONS
EXAMPLE 2:
What is the new concentration of a 750 mL, 50% v/v dextrose
solution that is diluted to 1500 mL with water?
V1 = 750 mL
C1 = 50% v/v
V2 = 1500 mL
C2 = ?
(750)(50) = (1500)(C2)
16
PHARMACY CALCULATIONS
EXAMPLE 3:
What is the final % v/v of a solution if 400 mL of 30% v/v solution
is added to 200 mL of 40% v/v solution?
When the two volumes are added together the final volume of
product becomes 600 mL. It is necessary to work out the amount of
active ingredient in each of the two separate volumes in order to
calculate the total present in the final volume of 600 mL.
CONCENTRATED WATERS
17
PHARMACY CALCULATIONS
EXAMPLE 1:
How much concentrated rose water should you use to
produce 440 mL of single-strength rose water?
EXAMPLE 2:
How much water needs to be added to 50 mL of concentrated
peppermint water to produce double-strength peppermint water?
18
PHARMACY CALCULATIONS
FORMULATION PREPARATIONS
Tip:
The different ingredients of the formulae must be kept in ratio at all
times. Checking the ratios match in the same way before and after
quantity conversion is a good way to accuracy check your
calculations.
Example 1:
A prescription requires 200mL of Chalk Mixture, Paediatric BP.
The formula is:
Chalk 20g
Tragacanth powder
2g
Syrup
100ml
19
PHARMACY CALCULATIONS
Step 1:
The formulae provided to us is for a quantity of 1000ml, as water is
added in order to make the preparation up to 1000ml.
Step 2:
It can be seen that we must divide the total formulae, of 1000ml
quantity, by 5 in order to obtain our prescribed amount of 200ml.
We must also divide the quantity of every ingredient by 5.
Step 3:
Divide every ingredient by 5
MASTER PRESCRIBED
Chalk 20 4
Tragacanth powder
2 0.4
cinnamon water,
4 0.8
concentrated
syrup
100 20
chloroform water,
500 100
double strength
water for
1000 200
preparation
20
PHARMACY CALCULATIONS
EXAMPLE 2:
Find the quantities of ingredients needed to produce 50g of
product using the formula (given in parts):
calamine 2 parts
Total 50 parts
Step 1:
We can calculate that the total parts of the formulae is 40 parts.
Step 2:
After calculating this, it would be preferable to convert this
formulae into one with a total of 50 parts. This would make the
further calculations easier, as it would mean 1 part would equal 1g.
(50 parts in a 50g quantity)
Total 50 parts
21
PHARMACY CALCULATIONS
EXAMPLE 3:
Find the amount of ingredients required to make 50g of the
following formulation:
calamine
6% w/w
liquid paraffin
7% w/w
Step 1:
Looking at the formulae, we can see that all the quantities have
been given in % w/w. We know that this means g in 100g, and
therefore, we know how much of each ingredient would be found in
a 100g preparation.
calamine
6g in 100g
liquid paraffin
7g in 100 g
Tip:
Note that when ‘to’ is stated, this means that the formulation is
made up to the specified quantity using this ingredient. Therefore,
in this question, when we have ‘yellow soft paraffin to 100% w/w’,
this indicates we require only 87g of yellow soft paraffin to
22
PHARMACY CALCULATIONS
Step 2:
We know how much is required in 100g, and we need to calculate
the quantities in 50g. We therefore need to simply half the
quantities we have.
calamine
3g in 150g
liquid paraffin
3.5g in 50 g
Tip:
When being asked a question about % quantities, this would be the
same as assuming the total formulae is equal to 100 parts, and that
1% is equal to 1 part.
23
PHARMACY CALCULATIONS
Dosing calculations are one of the most common questions you will
come across in pharmacy practice and as such is an important skill
to master.
Abbreviation Definition
OD, BD, TDS, QDS Once daily, twice daily, three times daily,
four times daily
EOD Every other day
ON/Nocte At night
OM In the morning
Mitte/Rx Give/Take
AC Before food
PC After food
Amp Ampoule
Gtt Drops
24
PHARMACY CALCULATIONS
Month 28 days
Inf. Infusion
Single strength 1 in 40
Double strength 2 in 40
Triple Strength 3 in 40
EXAMPLE 1:
You are presented with a prescription for one month supply of
Microgynon tablets, OD from day 1 to 4, BD from day 5 to 24 and
OD for the rest of the month. How many tablets do you dispense
and supply to the patients?
Step 1:
OD from day 1 to 4 = 1 tablet per day for 4 days
Step 2:
BD from day 5 to 24: = 2 tablets per day for 20 days
Step 3:
OD from day 25 to 28: = 1 tablet per day for 4 days
25
PHARMACY CALCULATIONS
Step 4:
Total up the tablets
Tip:
Be systematic and write down each step. Remember, a ‘month’ is
always 28 days.
EXAMPLE 2:
A patient has been prescribed Otravine nasal spray, two puffs in
each nostril twice a day on alternate days and other days one puff
in each nostril twice a day. If there is 240 puffs in one Otravine
nasal spray, how long does one nasal spray last?
Step 1:
Day 1: 2 puffs 2 times daily 2 (for both nostrils) = 8 puffs
Day 2: 1 puff 2 times daily 2 (for both nostrils) = 4 puffs
Step 2:
Finally, we would need to divide the total puffs of the product by
the number days
EXAMPLE 3:
Mr Thompson brings in a prescription: 200 mg of ibuprofen
suspension BD 2/52. What volume of 250 mg/ 5 mL ibuprofen
suspension would you dispense?
Step 1:
We would first need to work out the volume of suspension per dose.
26
PHARMACY CALCULATIONS
We know the weight of the ibuprofen we want per dose, but we want
to find out the volume:
200 250
# =
x 5
5 × 200
x# = = 4 m l
250
Step 2:
We first need to determine how much to dispense. We do this by
first calculating the number of doses required:
# × 28 = 112 m l
4
EXAMPLE 4:
The doctor has prescribed oral ranitidine 6 mg/kg/day in two
divided doses, to treat reflux oesophagitis in a 1 year old child, who
weighs 10 kg. You are going to dispense 75 mg/5 mL oral solution.
What volume of the oral solution would the child receive at each
dose?
27
PHARMACY CALCULATIONS
Step 1:
We would first calculate total quantity of drug prescribed to the
child.
# × 10 = 60 m g /d a y
6
Step 2:
The question states the drug was prescribed dose, so:
Step 3:
Finally, the question requires us to calculate the volume of 75mg/
5mL oral solution needed to be administered to the child per dose.
30mg/2mL
28
PHARMACY CALCULATIONS
DISPLACEMENT
29
PHARMACY CALCULATIONS
Example 1:
Calculate the required volume of water for injections required to
produce 1mL of an injection containing 10mg diamorphine.
Example 2:
Drug X has a displacement volume of 0.07mL/5mg. Calculate the
volume of KCl needed to produce 1mL of injection containing 5mg
of drug X.
30
PHARMACY CALCULATIONS
Example 3:
68 mL of water is needed to produce 100mL of a mixture
containing 250mg of drug X in every 5mL dose. Calculate the
displacement volume for a quantity of powder equivalent to the
250mg dose of drug X.
If there is 250mg in each 5mL dose, 100mL has 20-times this – that
is to say, 5,000mg.
Example 4:
What volume of diluent is needed such that, when added to 80mg
of drug X, it produces a concentration of 4mg/mL. The
displacement volume of drug X is 0.5mL/40mg.
31
PHARMACY CALCULATIONS
MOLAR CALCULATIONS
Example 1:
Calculate the molecular weight of aspirin, given that the empirical
formula of aspirin is C9H8O4. Atomic weights: C= 12, H=1, O=16.
Step 1:
Molecular weights are expressed in grams and are calculated as the
sum of all the atomic weights of the individual atoms in a molecule.
So first, we multiply each atomic weight by the number of atoms of
that element in the molecule.
Carbon: 9×12=108 g
Hydrogen: 8 ×1=8 g
Oxygen: 4 ×16=64 g
Step 2:
Then we can calculate the sum of the atomic weights of all the
atoms present in order to give us the molecular weight.
108+8+64=180 g
Tip:
These two steps can be combined. However if one does not have a
calculator it is easier to break it up into two stages as it leaves less
room for error.
32
PHARMACY CALCULATIONS
Example 2:
The empirical formula of ferrous fumarate is C4H2FeO4. Calculate
the weight of ferrous fumarate that will give 100 mg of iron. Atomic
weights: C= 12, H=1, O=16, Fe=56.
Step 1:
First calculate the molecular formula of ferrous fumarate.
12×4+1×2+56×1+16×4=170
Step 2:
Secondly, we must convert 100 mg into grams so that all of the
weights are in the same units.
100 mg ÷1000=0.1 g
Step 3:
Then we can set up the equations. We know there is 56 g of iron in
170 g of ferrous fumarate. However, we require 0.1 g of iron in an
unknown (x) mass of ferrous fumarate. This gives us the equation:
56/170 = x/0.1
Step 4:
Finally, we can solve for x by rearranging the equation above.
x= 56/170 * 0.1
x=0.033 g
33
PHARMACY CALCULATIONS
Example 3:
Calculate the amount (in moles) of sodium chloride that is
required to make 50 mL of a 0.25 molar solution. What mass of
sodium chloride salt would be required to make this solution?
(Atomic masses: Cl =35.5 g, Na=23 g)
Step 1:
First we set up the equations. We want the final solution to have a
molar concentration of 0.25. It is important to remember that molar
means moles per litre, so 0.25 molar solution is 0.25 moles in 1 litre
or 0.25 in 1000 ml. We also know the required volume of the final
solution, 50 mL, but the moles is unknown (x)
0.25 moles/1000 ml = x / 50 ml
12.5/1000 = x
x = 0.0125 moles
35.5 + 23 = 58.5
Step 3:
Finally, in order to calculate the mass of sodium chloride we
multiply the moles by the molecular mass.
34
PHARMACY CALCULATIONS
0.0125 ×58.5=0.73
Tip:
The diagram below may be useful in visualising the
relationship between amount (moles), mass and molecular
mass.
M n
Where:
• m = mass in grams
• n = amount in moles
35
PHARMACY CALCULATIONS
EXAMPLE 1:
Mr Jones is a 54 year old man, weighing 70 kg. He has been
prescribed IV sodium valproate at a dose of 30 mg/kg to be
administered over 5 minutes. The sodium valproate injection that
will be used contains 100 mg/mL.
Step 1:
Firstly, we would need to work out the total quantity of drug that
has been prescribed to Mr Jones. He has been prescribed 30 mg/kg.
We therefore would multiply his weight of 70kg by 30mg.
30 x 70 = 2100mg
36
PHARMACY CALCULATIONS
Step 2:
The question is asking us for the rate of infusion of drug into Mr
Jones in mL/min. We therefore need to calculate the volume
required to carry out the infusion.
This can be done using the quantity of drug calculated above, and
the information provided to us about the nature of the sodium
valproate injection being used.
Step 3:
Finally, the question is asking about the rate of infusion over a 5
minute period in ml/min.
EXAMPLE 2:
20 mL of Addiphos solution and 10 mL of multivitamin infusion
are added to 500 mL of glucose 5% solution. The resultant solution
37
PHARMACY CALCULATIONS
Step 1:
Firstly, we would need to calculate the total volume of the infusion
solution:
Step 2:
As we have been given an administration time of 4 hours, but a
infusion rate of dops/ml, we would then need to convert the
administration time into minutes also.
Step 3:
The administration set is calibrated to 20 drops/mL. Therefore we
need to convert our total volume into ml:
Step 4:
We have been asked to calculate the rate of infusion in drops per
minute, over the administration time provided. We can do this by
dividing the total volume,in drops, by the total time of infusion in
minutes.
38
PHARMACY CALCULATIONS
100600/240 = 44.17
EXAMPLE 3:
A 56-kg female patient requires amphotericin by IV infusion at a
dose of 250 micrograms/kg. The concentration of the final
solution must not be more than 100 micrograms/mL. A vial of
amphotericin contains 50 mg.
Step 1:
Firstly, we would need to calculate the total dose of drug prescribed
to the patient. We can do this multiplying the dose of 250
micrograms/kg by the patient’s weight of 56kg.
Step 2:
The question then asks to calculate the volume of IV solution
required by the patient if the solution contains the maximum
concentration of 100 mcg/ml.
39
PHARMACY CALCULATIONS
14000/100 = 140ml
Step 3:
The question then asks the rate of infusion in ml/min, to deliver
140ml of the infusion solution in 2.5 hours.
Step 4:
Lastly, The total volume to contain the amphotericin at a
concentration of 100 micrograms/mL needs to be calculated.
We would need to convert 50mg into mcg.
40
PHARMACY CALCULATIONS
Tip;
This question may seem confusing, as only 140ml of infusion
solution is required for administration. Although, this question is
concerned with the preparation of the infusion solution, in the
scenario where only vials containing 50mg of drug compound are
available. Of this prepared solution, only 140ml of the prepared
solution will be administered to the patient.
EXAMPLE 4:
Phenytoin has a recommended dose of 18 mg/kg of body weight to
be infused at a rate not exceeding 50 mg/minute. Assume that the
patient is a woman weighing 50 kg. The prescriber would like an
infusion volume of 100mL and a dose rate of 25mg/minute.
How much 0.9% saline would be required to make up the injection
to 100ml and what is the flow rate per minute?
Step 1:
Firstly, we would need calculate the total dose of drug being
administered to our patient.
900/50 = 18 ml
41
PHARMACY CALCULATIONS
Step 3:
We are then required to calculate the flow rate per minute. The
prescriber would like a dose rate of 25mg/min, and so we will need
to calculate the volume of infusion solution which contains 25mg of
Phenytoin. We know that in our prepared solution, we have a total
of 900mg in 100ml.
EXAMPLE 5:
The required dose of furosemide by slow IV infusion is 50 mg at a
rate not exceeding 4 mg/minute. Furosemide injection contains
10mg furosemide in 1mL.
Step 1:
Firstly, we are asked for the volume of Furosemide injection
required. The Furosemide injections contain 10mg in 1ml.
Therefore:
Step 2:
We are then asked to calculate the infusion rate in ml/minute.
42
PHARMACY CALCULATIONS
Step 3:
Lastly, to calculate the infusion rate, we need to divide the
administered 5ml of drug solution by the infusion time calculated
of 12.5 minutes.
43
PHARMACY CALCULATIONS
44