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Learning Objectives: In whatever setting, the order must be read and interpreted

exactly so the correct medication and its dosage can be


At the end of the topic, the student should be able to: provided for patient safety. Before dispensing the
prescription or medication order, the pharmacist’s
responsibility is to evaluate the prescription or medication
1. Recognize the format and components of
order for appropriateness. This includes ensuring the
traditional prescriptions, e-prescriptions, and
correct drug, dose and dosage form, frequency, route of
typical institutional medication orders;
administration, duration of therapy, and indication.
2. Differentiate the structure and contents of
Additionally, the patient’s profile is evaluated for
prescriptions and medication orders;
therapeutic duplication, drug allergies, drug–disease state
interactions, and drug–drug interactions, and laboratory
3. Interpret correctly standard abbreviations and data are reviewed, if available. This process helps ensure
symbols on prescriptions and medication orders; that the benefits of the therapy are maximized and the
potential for harm is minimized.
4. Apply knowledge of basic pharmaceutical Latin in
interpreting common abbreviations and symbols
A prescription may call for a pre-fabricated dosage form
used in prescriptions and medication orders; and
(e.g., tablet) or it may call for multiple components and
require compounding by a pharmacist. We will discuss
5. Evaluate a prescription and medication order by prescriptions for pre-fabricated dosage forms in the
identifying errors, omissions, and error-prone succeeding section. In the meantime, prescriptions
abbreviations, symbols, and dose designations requiring compounding include the name and quantities of
each ingredient, the form into which they are to be
Parts of Prescriptions and Medication Orders prepared (e.g., syrup, capsules), and directions for patient
use. A separate discussion for drug dosage forms will be
Medications are ordered by a physician either on a conducted in the laboratory component of this course.
written prescription for the patient to take to a pharmacy for
dispensing, or as a medication order in a patient medical
record.  Types of Drugs

By definition, a prescription is an order of medication  Prescription (or Ethical) Drugs


issued by a physician, dentist, or other properly licensed
medical practitioner. A prescription designates a specific
These are pharmaceutical products or drug preparations
medication and dosage to be prepared by a pharmacist
that are to be dispensed only upon written order of a
and administered to a particular patient.
validly-registered licensed physician, dentist, or
veterinarian for the management or treatment of a
A prescription may be written on preprinted prescription condition or disease.
form (traditional prescriptions) or transmitted to a pharmacy
by computer (e-prescription), telephone, or facsimile (fax).
A typical pre-printed prescription form contains the  Non-prescription (or Over-the-Counter) Drugs
traditional symbol ℞ (meaning "recipe," "take thou," or
"you take"), name, address, telephone number, and other These are pharmaceutical products or drug preparations
pertinent information regarding the prescriber. Blank areas that can be dispensed even without the written order of a
are used by the prescriber to provide patient information, validly-registered licensed physician, dentist, or
the medication desired, and directions for use. veterinarian for the prevention or symptomatic relief of
minor or self-limiting ailments.
In hospitals and other institutions, the forms are somewhat
different and are referred to as medication orders. A  Dangerous Drugs
medication order may be written (paper) or transmitted
electronically. These refer to either prohibited drugs or regulated drugs,
which require a special prescription form, the use of which
A prescription or medication order for an infant, child, or an is monitored by the Dangerous Drugs Board
elderly person may include the age, weight, and/or body
surface area (BSA) of the patient. This information is
applicable in dose calculation.
Generic Prescribing address, date of the prescription, and the patient’s age if
the patient is a child. Dating prescriptions is important
In the Philippines, a medication needs to be prescribed because prescriptions must be filled within 12 months of
using its generic name pursuant to the provisions writing, except with controlled substances or scheduled
of Republic Act No. 6675 (also known as the "Generics Act medications. Furthermore, the refilling of the prescription is
of 1988"). A generic name  (or generic terminology) is dependent on the date. Medication orders typically contain
the the identification of drugs and medicines by their similar information that would be included on a prescription.
scientifically and internationally recognized active
ingredients or by their official generic name as determined Medication Verification and Evaluation of Errors and
by the Bureau of Food and Drugs (now, Food and Drug Omissions
Administration) of the Department of Health. Likewise,
generic drugs are those which are not covered by patent It is the responsibility of the pharmacist to ensure that each
protection and which are labeled solely by their prescription and medication order received is correct in its
international non-proprietary or generic name. In contrast, form and content, is appropriate for the patient being
a brand name is the proprietary name given by the treated and is subsequently filled, labeled, dispensed, and
manufacturer to distinguish its product from those of administered accurately. In essence, each medication
competitors.  should be:

Implementing rules and regulations for generic prescribing  Therapeutically appropriate for the patient
and generic dispensing are listed in the Administrative  Prescribed at the correct dose
Order No. 62, series of 1989. Generic prescribing refers  Dispensed in the correct strength and dosage
to prescribing of drugs or medicines using their generic form
name(s) or generic terminology. Generic dispensing, on the
 Correctly labeled with complete instructions for
other hand, refers to dispensing the patient’s/buyer’s
the patient or caregiver
choice from among generic equivalents; i.e., the
 For the patient in a hospital or other health care
medications have same active ingredient/s, same dosage
facility, each medication must be administered to
form, and same strength of the drug.
the correct patient, at the correct time, and by the
correct rate and route of administration
To further promote generic prescribing and generic
dispensing, the new Republic Act No. 9502 (also known as
Medication Verification
the "Universally Accessible Cheaper and Quality Medicines
Act of 2008") amended Section 6 ("Who Shall Use Generic
Terminology") of RA 6675: Medication verification is the term used when there is a
process in place to assure the above categories. It is
performed initially through the careful reading, filling
There shall appear prominently on the label of a generic
(including calculations), checking, and dispensing of the
drug the following statement: THIS PRODUCT HAS THE
prescription or medication order. The process often is
SAME THERAPEUTIC EFFICACY AS ANY OTHER
enhanced by technologies, as the computer matching of a
GENERIC PRODUCT OF THE SAME NAME. SIGNED:
drug package bar code with the prescription order and/or
BFAD.
by matching the drug’s bar code to a patient’s coded wrist
band in a patient care facility (termed bedside medication
You will discuss more about generic prescribing and verification).
generic dispensing in your other courses: Dispensing
1 and Dispensing 2. Errors and Omissions

Components of Prescriptions and Medication Orders To ensure such accuracy, the pharmacist is obliged to
review each prescription (both traditional and e-
The five major components are the superscription (the Rx prescription) and medication order in a step-by-step
or ℞ symbol), inscription (the medication manner to detect errors and omissions. If there is any
prescribed), subscription (instruction/s to the question regarding a prescription or medication order, the
pharmacist), signa (instruction/s to the patient), and pharmacist must seek clarification from the prescriber.
the signature of the prescriber. Aside from these parts, a
prescription also has to contain the preprinted name of the
physician or group of physicians, the address and phone
number. This should also include the patient’s name,
Among the items that the pharmacist should check for the
correct reading and interpretation of a prescription or
medication order are as follows: Tamper-Resistant Prescriptions and e-Prescriptions

 Prescriber information Tamper-Resistant Prescriptions


 Date of the order and its currency to the request
for filling To prevent unauthorized copying, modification, or
 Patient identification information and, if pertinent counterfeiting of prescriptions, tamper-resistant pads have
to dose determination, the patient's age, weight, been developed. The tamper-resistant qualities of these
and/or other parameters prescription forms are accomplished through the use of:
 Drug prescribed, including dose, preparation
strength, dosage form, and quantity
 security paper;
 Clarity of any abbreviations, symbols, and/or
 erase-resistant paper;
units of measure
 thermochromic ink (which results in the
 Clarity and completeness of directions for use by
appearance of the word "VOID" on photocopies);
the patient or caregiver
and/or
 Refill and/or generic substitution authorization
 imbedded holograms
(not applicable in the Philippines)
 Need for special labeling, such as expiration
date, conditions for storage, and foods and/or
other medications not to take concomitantly
 A listing of the ingredients and quantities for Electronic Health Record
orders to be compounded
https://www.youtube.com/watch?
Once the prescription or medication order is filled and the v=n1L4nKdYr6E#action=share
label prepared, before dispensing, the pharmacist should
make certain of the following:
An electronic health record (EHR) is a digital version of a
 The filled prescription or medication order patient's paper chart. EHRs are real-time, patient-centered
contains the correct drug, strength, dosage form, records that make information available instantly and
and quantity. Placing a medication's indication (or securely to authorized users. 
use) on the prescription label has been shown to
be of benefit in understanding of the use of their An EHR can contain a patient's: 
medication for some patients, particularly older
patients and those taking multiple medications.  medical history;
 The pharmacy-imprinted serial number on the  diagnoses;
label matches that on the order.  medications;
 The label has the name of the correct patient and  treatment plans;
physician; the correct drug name, quantity, and
 immunization dates;
strength; the name or initials of the pharmacist
 allergies; 
who filled the order; and the number of refills
remaining. Additional label information and/or  radiology images; and
auxiliary labels may be required.  laboratory and test results

It is important that the instructions for use by the patient be Integrated EHR systems allow doctors, nurses,
clearly understood. This may require that the pharmacist pharmacists, and other health care providers to
add words of clarity to the labeled instructions. appropriately access, and securely share a patient's vital
medical information electronically—with the intent of
improving the speed, quality, safety, and cost of patient
To appreciate the significance of medication verification in
care. In the hospital and in other institutional settings, these
the professional duty of a pharmacist, watch The
systems include computerized physician order entry
Pharmacist on
(CPOE) by which a physician can order medications and
Netflix: https://www.netflix.com/ThePharmacist. Watch its
provide other instructions for a patient's care.
official trailer below:
with times, thus, making it suitable for use in medical fields.
Many of the abbreviations and acronyms in prescriptions
e-Prescribing/e-Prescriptions have Latin origins. An understanding of the Latin origin of
many pharmaceutical terminologies will somehow help you
to be more familiar with such.
https://www.youtube.com/watch?
v=aJ2jUO59wps#action=share
Examples
Electronic prescribing (e-prescribing) is the computer-to-
computer transfer of prescription information between 1. M. ft. ung. Mixandmakeanointment.
authorized prescribers, pharmacies, intermediaries, and
payers under nationally accepted standards. In the 2. Ft. supp. no. xii Make12suppositories.
inpatient or outpatient setting, a medication order for a
patient is entered into an automated data entry system as a 3. M. ft. cap. d.t.d. no. xxiv Mixandmakecapsules
personal computer or a hand-held device loaded with e-
prescribing software and sent to a pharmacy as an e- Examples
prescription. When an e-prescription is received in the
pharmacy, then, it is printed out.
1. Caps. i. q.i.d. p.c. et h.s. Take 1 capsule 4 times a day
after each meal andatbedtime.
https://youtu.be/kRb-Nj63l4E
2. Gtt. ii o.d. q.d. a.m. Instill 2 drops in the right eye every
day in the morning.
Benefits of e-Prescriptions
3. Tab. ii stat; tab. 1 q. 6 h. x 7 d.
Among the advantages cited for e-prescriptions over
traditional paper prescriptions are: PracticeExercises Interpret the following Subscriptions
from prescriptions.
 reduced errors due to prescription legibility;
1. M. et ft. susp. 1 g/tbsp. Disp. 60 mL
 concurrent software screens for drug allergies
and drug interactions;
 integrated information exchange between health 2. M. et ft. caps. DTD xlviii
care providers; 
 reduced incidence of altered or forged 3. M. ft. iso. sol. Disp. 120 mL.
prescriptions; 
 efficiency for both prescriber and pharmacist; 4. Ft. cap. #1 DTD no. xxxvi N.R.
and 
 convenience to the patient, whose prescription 5. Disp. supp. rect. no. xii
would likely be ready for pick-up upon arrival at
the pharmacy. Interpret the following Signas from prescriptions.

https://youtu.be/h9gwAOL7UJE 1. Instill 2 gtts o.u. bid x 7 days


Problems with e-Prescriptions
2. Take 1-2 tabs p.o. q4h prn pain
https://youtu.be/HoWKlcliHTA
3. Apply crm top to aa qid prn itchiness
Introduction to Pharmaceutical Latin
4. Take 1 cap po pc
Many English words, such as are commonly used, are
5. Instill 1 gtt a.s. q2h ATC wa ud
derived from Latin, as well as a large number of medical
and scientific terms. The Italian, French, Spanish, and
Portuguese languages are taken from the same source.
Because Latin is a “dead” language, it is seldom changing
Latin: The Eternal Language 

https://youtu.be/6ZJ0fzr1ajg

https://youtu.be/_6eYkDhH61Y

The Latin Alphabet

Vowels in Latin
Vowel Sound Latin Example (
a a ad (up to), aqua (water), tabletta (tablet)
e e ex modo prescripto (as directed), et (and)
i Í or j fiat (make), pulvis (powder), maior (major)
o ō or ŏ ōs  (bone), ŏs (mouth)
u  ū cum (with), capsula (capsule), emulsum (emulsion)
y i or j syrupus (syrup)

https://youtu.be/LwtgvwJljto

Unusual Consonants in Latin


Consonant Sound
c s acetum, picis, colocynthis, caecum, coelum, cibos
c sh species, glaciale
c k camphora, oculus, nocte
ch k charta
g j vegetabilis, digitalis, hydrargyrum
g g gargarisma, gummifer, glycyrrhyza

https://youtu.be/0oWWOJW3948

Latin Diphthongs
Diphthong Sound
ae e or é aurio laeva (left ear), guttae (drops)
au au auris (ear), aurio dextra (right ear)
ei ei
eu eu leukemia, prescriptio seu ordinario
oe e or ö oedema, pharmacopoea

Latin Numbers

https://youtu.be/8sY8ykRXAZs

Latin Nouns
Latin nouns have three genders (i.e., masculinum, feminimum, and neutrum); five basic cases, which determine what function
the noun serves in the sentence (i.e., nominativus, genetivus, dativus, accussativus, and ablativus); and
two numerals (singularis and pluralis). The Latin language also has five declensions (groups of nouns that form their cases the
same way; i.e., use the same suffix).

 Cases

1. Nominativus (nominative) - subject


2. Genetivus (genitive) - possession (e.g., of + noun)
3. Dativus (dative) - indirect object (e.g., for + noun)
4. Accusativus (accusative) - direct object
5. Ablativus (ablative) - by, with, or from + noun
6. Vocativus (vocative) - used only in addressing/calling someone

 Declension

A declension is a group of nouns that form their cases the same way, i.e., use the same suffix. In what declension a noun is
defined we recognize by the suffix of the Genetivus.

1. First Declension - suffix: –ae


2. Second Declension - suffix: –i
3. Third Declension - suffix: –is
4. Fourth Declension - suffix: –us
5. Fifth Declension - suffix: –ei

Some examples of the first and second declension will be discussed in the synchronous lecture.
The amounts of the ingredients in a prescription, although commonly represented by symbols, are regularly in the accusative
case, since they are the direct object of the verb recipe (take).

1. of waters 2. pills (nom.) 3. drops (acc.) 4. by wax 5. with myrrh


SecondDeclension

a. masculinum (masculine gender) and have a suffix –us (or–er) in nominativus, and the suffix–iin genetivus; or b. neutrum
(neuter gender) and have a suffix –um in nominativus and the suffix–iin genetivus − e.g. calamus (reed), magister (teacher), puer
(boy), cibus (food, meal), extractum (extract), syrupus (syrup), linimentum (liniment), emplastrum (plaster), vinum (wine)

The accusative case is also used with the prepositions ad (to), ante (before), in (in, into, on), post (after), per (by),
and contra (against).

https://youtu.be/TaUkjl-VHig

Roman Numerals, Abbreviations, and Symbols in Prescriptions and Medication Orders

Use of Roman Numerals in Prescriptions

Roman numerals commonly are used in prescription writing to designate quantities, as the (1) quantity of medication to be
dispensed and/or (2) quantity of medication to be taken by the patient per dose.

In prescriptions, capital or lowercase letters may be used. Dotting the lowercase "i" or placement of a horizontal line above the "i"
with the dot atop serves to avoid misinterpretation. A "j" may be used as the final "i" in a sequence (e.g., viij). Additional
examples can be found in your textbook.

When Roman numerals are used, the tradition of placing the numerals after the term or symbol generally is followed (e.g.,
capsules no. xxiv; fluid ounces xij).

Use of Abbreviations and Symbols

Although reduced by the transition to e-prescribing, the use of abbreviations remains on prescriptions and medication orders. As
mentioned before, many prescription abbreviations are derived from the Latin through its historical use in medicine and
pharmacy, whereas others have evolved through prescribers' use of writing shortcuts. A list of some of these abbreviations is
presented in Table 4.3 of your textbook. You can also supplement this with those in the Glossary of Latin Abbreviations Used in
the Prescriptions here: https://bit.ly/3gN1SIz. 

Unfortunately, medication errors can result from the misuse, misinterpretation, and illegible writing of abbreviations and through
the use of ad hoc, or made up, abbreviations. The use of a controlled vocabulary, a reduction in the use of abbreviations, care in
the writing of decimal points, and the proper use of leading and terminal zeros have been urged to help reduce medication
errors.

Error-Prone Abbreviations, Symbols and Dose Designations


Abbreviations and symbols are common in prescriptions and medication orders. As a result, the Joint Commission (formerly
the Joint Commission on Accreditation of Healthcare Organizations , or JCAHCO) requires healthcare organizations to develop
an approach to standardizing abbreviations, acronyms, and symbols, as well as to create a list of those that should not be used.
You can access the Official "Do Not Use" list by the Joint Commission by clicking this link: https://tinyurl.com/y4hchgpl.

Likewise, the Institute for Safe Medication Practices (ISMP) has published a comprehensive list of symbols, abbreviations, and
dose designations that lead to harmful medication errors called ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose
Designations. Aside from the list that is uploaded for your reading, you may also access the recommendations of ISMP
at https://tinyurl.com/y2kjef64.

Among the specific recommendations to help reduce medication errors arising from poorly written, illegible, or misinterpreted
prescriptions and medication errors are the following:

 A whole number should be shown without a decimal point and without a terminal zero (e.g., express 4 milligrams as 4
mg and not as 4.0 mg).
 A quantity smaller than one should be shown with a zero preceding the decimal point (e.g., express two tenths of a
milligram as 0.2 mg and not .2 mg).
 Leave a space between a number and the unit (e.g., 10 mg, and not 10mg).
 Use whole numbers when possible and not equivalent decimal fractions (e.g., use 100 mg and not 0.1 g).
 Use the full names of drugs and not abbreviations (e.g., use phenobarbital and not PB).
 Use USP designations for units of measure (e.g., for grams, use g and not Gm or gms; for milligrams, use mg and not
mgs or mgm).
 Spell out "units" (e.g., use 100 units and not 100 u or 100 U since an illegible U may be misread as a zero, resulting in
a 10-fold error, i.e., 1000). The abbreviation I.U., which stands for "International Units" should be spelled out, so it is
not interpreted as I.V., meaning "intravenous."
 Certain abbreviations that could be mistaken for other abbreviations should be written out (e.g., write "right eye" or "left
eye" rather than use o.d. or o.l., and spell out "right ear" and "left ear" rather than use a.d., or a.l.).
 Spell out "every day," rather than use q.d.; "every other day," rather than q.o.d.; "four times a day," rather than q.i.d.;
and "three times a week," rather than t.i.w. to avoid misinterpretation.
 Avoid using d for "day" or "dose" because of the profound difference between terms, as in mg/kg/day versus
mg/kg/dose.
 Integrate capital or "tall man" letters to distinguish between "look-alike" drug names, such as hydrOXYZINE and
hydrALAZINE, and DIGoxin and DESoxyn.
 Amplify the prescriber's directions on the prescription label when needed for clarity (e.g., use "Swallow one (1) capsule
with water in the morning" rather than "one cap in a.m.").
Examples Translate the following Latin words/phrases 5. Before meals
in English.
6. Let myrrh be given.
1. syrupos

2. emulsorum
DosageForms
3. vinis
1. Acidum Ac. Acid
4. Addeacetum.
2. Aqua Aq. Water
5. Recipeaquam et vinum.
3. Creta Creta Chalk
6. Linimentumdetur.
4. Decoctus Decoct. Decoction
Translate the following English words/phrases into
Latin. 5. Emplastrum Emp. Plaster

1. of syrup 6. Extractum Ext. Extract

2. plasters (nom.) 9. Infusio Inf. Infusion

3. of liniments 10. Linimentum Lin. Liniment

4. Take squill and vinegar. 11. Lotion Lotio Lotion


12. Mistura Mist. Mixture • Statistical data from basic research and clinical
13. Oleum Ol. Oil
drug studies

14. Pilula Pil. Pill Numbers and Numerals


15. Pulvis Pulv. Powder
Number - a total quantity, or amount, of units
16. Saccharum Sacch. Sugar Numeral - a word or sign, or a group of words,
signs, expressing a number
17. Solutio Sol. Solution

18. Spiritus Spts. Spirit Kinds of Numbers

19. Suppositorium Supp. Suppository 1. Natural (orwhole) number,orinteger, e.g., 549


20. Syrupus Syr. Syrup 2. Fraction, or subdivision of a whole number,
21. Tabletta Tab. Tablet e.g., 4/7

22. Tinctura Tr. Tincture 3. Mixed number, consisting of a whole number


plus a fraction, e.g., 3 7/8
23. Unguentum Ung. Ointment

24. Vinum Vin. Wine Kinds of Numbers

1. Abstract (or pure) number – a number taken


by itself, without application to anything concrete
Pharmaceutical Calculations
2. Concrete (or denominate) number – a number
the area of study that applies the basic principles that designates a quantity of objects or units of
of mathematics to the preparation and safe and measure, such as 4 grams, 8 ounces, or 12
effective use of pharmaceuticals grains
Scope of Pharmaceutical Calculations “Numbers of different denominations have no
encompasses calculations performed by numeric connection with each other and cannot
pharmacists in traditional as well as in be used together in
specialized practice settings and within anydirectarithmeticaloperation.”
operational and research areas in industry, Types of Numerals
academia, and government
1. Arabic (Decimal) System – any number can be
• Chemical and physical properties of drug expressed with only 10 figures: a zero and nine
substances and pharmaceutical ingredients digits (1, 2, 3, 4, 5, 6, 7, 8, 9) in which different
• Pharmaceutical productd evelopment values are assigned to the digits according to the
• Prescriptions and medication orders including place they occupy in a row; the central place in
drug dosage, dosage regimens, and patient the row is identified by a decimal point
adherence to medication treatment plans
• Biological activity and rates of absorption, bodily 2. Roman System – uses a few letters of the
distribution, metabolism, and excretion alphabet in a simple “positional” notation
indicating adding to or subtracting from a
succession of bases extending from 1 through 5, Two or more letters express a quantity that is the
10, 50, 100, and 500 to 1000 sum of the values remaining after the value of
each smaller letter has been subtracted from that
Review of a following greater letter.
1. Write numbers 1 to 10 in Roman numerals.
Roman Systemof Notation - used in pharmacy
2. Write numbers 10, 20, …, 90, 100 in Roman only occasionally in prescriptions:
numerals.
1. To designate the number of dosage units
3. Write numbers 200, 300, …, 900, 1000 in prescribed (e.g., capsulesno.C)
Roman numerals. 2. To indicate the quantity of medication to be
administered (e.g.,teaspoonfulsii)
4. Write 19, 49, 99, 499, and 999 in Roman 3. In rare instances in which the common or
numerals. apothecaries’ systems of measurement are used
(e.g.,grainsiv).
Review
Interpret the quantity in each of these phrases • On prescriptions, physicians tend to use
taken from prescriptions: capitals except for the letter i, which they dot for
the sake of clarity; they may use j for a final i.
1. Caps. no. xlv • Following the Latin custom, they put the symbol
2. Gtts. Ij for the denomination first and the Roman
3. Tabs. no. xlviii numeral second (e.g., gr iv).
4. Pil. no. lxiv • Dates are customarily expressed in capitals.
5. Pulv. no. xvi
6. Caps. no. lxxxiv PracticeExercises2-1
Interpret thequantities in the following
Roman System of Notation prescriptions:
ss = ½ ℞
Zinc Oxide parts v
I or i = 1
Wool Fat parts xv
V or v = 5
Petrolatum parts lxxx
X or x = 10
L or l = 50 Disp.℥iv
C or c = 100 Sig. Apply.
D or d = 500
M or m = 1000 PracticeExercises2-2
Interpret thequantities in the following
Two or more letters express a quantity that is the prescriptions:

sum of their values if they are successively equal
Dilaudid gr iss
or smaller in value.
Ammonum Chloride gr xl
Syrup ad ℥vi Example: Reduce 36/2880 to its lowest
Sig. ʒ ss pro tuss. terms.

Common and Decimal Fractions Review


CommonFractions - portions of a whole, If 3 fl. oz. of a liquid mixture are to
expressedat 1/3, 7/8, and so forth contain 1/24 fl. oz. of ingredient A, 1/4 fl.
oz. of ingredient B, and 1/3 fl. oz. of
1. Proper fraction – if the numerator is smaller ingredient C, how many fluidounces of
than the denominator; value is less than 1 ingredient D are required?

2. Improper fraction – if the numerator is greater  Before performing any arithmetical


than the denominator; value is greater than 1 operation involving fractions, reduce
every mixed number to an improper
fraction.
 When performing an operation involving
Review a fraction and a whole number, express
In preparing batches of a formula, a pharmacist (or at least visualize) the whole number
used ¼ ounce, 1/12 ounce, 1/8 ounce, and 1/6 as a fraction having 1 for its
ounce of a chemical. Calculate the total quantity denominator.
of chemical used.
Decimal Fractions - a fraction with a denominator
Calculating with Common Fractions of 10 or any power of 10 and is expressed
decimally rather than as a common fraction
 Multiplying the numerator increases the
value of a fraction, and multiplying the 1. To convert a common fraction to a decimal
denominator decreases the value, but fraction: Divide the denominator into the
when both numerator and denominator numerator.
are multiplied by the same number, the
value does not change. 2. To convert a decimal fraction to a common
fraction: Express the decimal fraction as a ratio
Example: Reduce the fractions ¾, 4/5, and reduce.
and 1/3 to a common denominator.
PracticeProblem2-4
 Dividing the numerator decreases the 1. How many 0.000065-gram doses can be made
value of a fraction, and dividing the from 0.130 gram of a drug?
denominator increases the value, but
when both numerator and denominator 2. The literature for a pharmaceutical product
are divided by the same number, the states that 26 patients of the 2,103 enrolled in a
value does not change. clinical study reported headache after taking the
product. Calculate (a) the decimal fraction and
(b) the percentage of patients reporting this
adverse response?

Scientific (Exponential) Notation


ExponentialNotation - very large or very small
numbers are expressed as powers of 10

Examples:
Express the following in exponential notation:
121
1,210,000
0.0121
0.00000121

Ratio, Proportion, and Variation


Ratio - the relative magnitude of two quantities
Proportion - the expression of equality of two
ratios:
a: b= c: d a : b :: c : d 𝑎 𝑏=𝑐 𝑑

Variation - inverse relationships, i.e., twice the


cause, half the effect

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