|
![]() |
Pharmacological Math Computation Skills
Drug dosage calculations are a critical part of patient care. They involve more than one measurement system and must be performed accurately to prevent errors and harm. Nurses must understand basic math skills to perform drug calculations. These include learning how to do conversions and knowing a calculation method you are comfortable with. Dosage Calculations
Dosage calculations are the process of determining how much medication is required for the patient. These skills are crucial for safe nursing care and can be mastered with practice. Medications can be given in different forms including liquid, powder, tablets, capsules, and injections. You can calculate dosages for each of these different drugs by using a formula. Typically, you will calculate the amount of medication you need by multiplying the medicine concentration (mg/ml) by the dose. However, there are times when you will need to calculate by dividing the dose by the medicine concentration, such as with some fluid drugs. Medication Errors
Medication errors are a major problem in the health care system. They are estimated to occur in hospitals, pharmacies, and patient homes at rates between 2%-33% (Patient Safety Network, 2018). Medication error statistics show that nurses account for a significant percentage of these errors. These errors can be a result of improper preparation, inaccurate dosage calculations, and incorrectly written prescriptions. A good way to avoid medication errors is to ensure you know what drugs you are administering and how to calculate the proper dose. This includes knowing the drug name, how much the medicine should be taken, and whether the drug is a single or multiple dose. Basic math skills, including working with fractions and mixed numbers, ratios, and proportions are important for calculating medication safely. You can also learn to do conversions between different units of measurement and use a calculation method you are comfortable with. Medication Costs
Prescription medications are a crucial part of medical care, but they can be costly. Many people have to pay for their prescriptions out of pocket. There are ways to lower medication costs, such as negotiating or regulating prices with drug manufacturers. Other strategies include outcome-based reimbursement, pricing transparency, reference pricing, and benefit plan modifications. One of the most common methods to control drug costs is to negotiate with drug companies for discounts and rebates. However, pharmaceutical companies may not disclose all of their pricing information. Some governments have also adopted price controls to limit the cost of prescription drugs. These regulations include the federal upper limit (FUL) for Medicaid and the maximum allowable cost (MAC) of a pharmacy. The United States spends a lot of money on prescription drugs, making it the most expensive country in the world. Compared to other countries, our drug prices are 5 percent to 117 percent higher. Medication Safety
Each year, more than one million visits to hospital emergency departments are attributed to adverse drug events. Learning about medication safety can reduce and even prevent these harmful incidents. The ability to calculate medications safely is an important skill that nurses can use in a variety of clinical settings. It is especially helpful when a nurse needs to verify a drug dosage. Medication safety professionals should be able to use basic math calculations and have an understanding of the usual adult and pediatric dosages for each drug. This can help ensure accurate calculation results and reduce medication errors. Many medical offices rely on the expertise of pharmacists to assist with identifying and correcting prescription mistakes. This receptivity can be a benefit to patient safety, but it also poses challenges for pharmacists. The ambulatory setting is a complex environment that combines the role of prescriber, office nurse, and pharmacist. This creates a triad of roles that requires careful coordination and communication to ensure safe practices. |