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Chapter 5
Medical Math
Importance of Math
• Frequently used in health care
• Requires 100% accuracy
• Errors can have dire consequences
Math Anxiety
• Common problem
• Impedes performance
• Can be overcome
• False beliefs versus reality
Question
• True or False:
– If a person currently has problems with math, it
can be assumed that it will always be a
problem.
Answer
• False
• Math anxiety
– Learned behavior
– Can be overcome
Basic Calculations
• Whole numbers
– Add
– Subtract
– Multiply
– Divide
Decimals
• Expressed in units of ten
• Placement values
• Zero used before decimal point if number
begins to right of decimal point
Decimal Placement Values
Working with Decimals
• Placement of decimal
– Add
– Subtract
– Multiply
– Divide
Fractions
• Represents part of a whole
• Numerator
• Denominator
Fraction – Comparison of Parts
Working with Fractions
• Add
• Subtract
• Multiply
• Divide
• Improper fractions
• Reducing fractions
Percentages
• Expresses whole or part of a whole
• Whole expressed as 100% (percent)
• Convert to decimal
– Then perform calculation
Ratios
• Show relationships between numbers or
like values
• Compare presence of one value to another
• Frequently used to express strength of
solution
Converting Decimals, Fractions, and
Percentages
• Decimal to fraction
• Decimal to percentage
• Fraction to decimal
• Fraction to percentage
Converting Decimals, Fractions, and
Percentages
• Percentage to decimal
• Percentage to fraction
• Percentage to ratio
• Ratio to percentage
Question
• True or False:
– ¾, 75%, and 0.75 are all equivalent.
Answer
• True
• ¾
– Fraction
– If converted to percentage = 75%
– If converted to decimal = 0.75
Rounding Numbers
• What does it mean?
– Round up
– Round down
Question
• What is 2.346 rounded to the nearest
tenth?
A. 2
B. 2.3
C. 2.35
Answer
• B. 2.3
• 2.346 rounded to nearest tenth = 2.3
• 2.346 rounded to nearest whole number =
2
• 2.346 rounded to nearest hundredth = 2.35
Solving with Proportions
• Statement of equality between two ratios
• Used for converting from one unit to
another
• Steps for solving problems
Estimating
• Anticipate results
• Determine if answer is reasonable
• Calculate approximate answer
• Helps prevent errors
Question
• If the order is to give 2 grams of a
medication and you have 1,000 milligram
tablets, how many tablets would you give?
A. ½ tablet
B. 2 tablets
C. 4 tablets
Answer
• B. 2 tablets
• 1 gram = 1,000 milligrams
– 2 grams = 2,000 milligrams or 2 tablets
• ½ tablet = 500 milligrams
– 0.5 grams (too little)
• 4 tablets = 4,000 milligrams
– 4 grams (too much)
Military Time
• 24-hour clock
• No a.m. or p.m.
• Avoids errors
• 12th
hour = noon
• 24th
hour = midnight
Question
• True or False:
– The military time of 1600 is the same as 6 p.m.
traditional time.
Answer
• False
• 1600 = 4 p.m.
• 6 p.m. would be 1800 military time
Military Clock
Roman Numerals
• Arabic versus Roman numerals
• All numbers from seven key numerals
– I, V, X, L, C, D, and M
Roman Numerals Rules
• If smaller numeral is in front of larger
numeral, it is subtracted
• If smaller numeral is after larger numeral, it
is added
• If same numeral is repeated, they are
added
• Limit to three the number of times numeral
is placed next to itself
Question
• How would 43 be written in Roman
numerals?
A. XLIII
B. XXXXIII
C. XXXI
Answer
• A. XLIII
• XLIII = 43
• XXXXIII incorrect
– Same numeral cannot be placed next to itself
more than three times
• XXXI = 31
Angles
• Comparison to reference plane
• Using angles in health care
• Measured in units
– Degrees
Angles
Systems of Measurement
• Three systems
– Distance
• Length
– Capacity
• Volume
– Mass
• Weight
Systems of Measurement
• Nomenclature
– Method of naming
• Need to convert between systems
Household System
• Used in U.S.
• Nomenclature for distance/length
• Nomenclature for capacity/volume
• Nomenclature for mass/weight
• Common equivalents
• How to convert
Question
• Which of the following is a capacity/volume
unit in the household system?
A. Inch
B. Pound
C. Ounce
Answer
• C. Ounce
– Also measurement of mass/weight
• Inch = measurement of distance/length
• Pound = measurement of mass/weight
Metric System
• Used in Europe
• More accurate
• Easier to use
• Based on unit of ten
• Convert units by moving decimal
• Common prefixes
Metric System
• Nomenclature for distance/length
• Nomenclature for capacity/volume
• Nomenclature for mass/weight
Question
• How many centimeters are there in one
meter?
A. 10
B. 100
C. 1000
Answer
• B. 100
• Meter
– Base unit for distance/length in metric system
– Centi = 1/100
– 1 meter = 100 centimeters
Apothecary System
• Oldest and least used
• Nomenclature for capacity/volume
• Nomenclature for mass/weight
• Common equivalents
• How to convert
• Roman numerals and abbreviation for half
Converting Systems
• Why converting between systems is
needed in health care
• Common equivalencies between systems
• Equivalencies frequently not exact
• Steps to convert
Question
• A patient reports drinking 8 ounces (oz)
of water. What is this in milliliters (mL)?
A. 80 mL
B. 120 mL
C. 240 mL
Answer
• C. 240 mL
• 1 oz = 30 mL
– 8 oz = 240 mL
Medication Safety
• Characters that cause over 50% of error
misidentifications:
• l/1
• O/0
• Z/2
• 1/7
Temperature Conversion
• Fahrenheit (F) used in U.S.
• Celsius (C) used in Europe
• Boiling point and freezing point
comparisons
• Converting between Celsius and Fahrenheit
readings
Temperature Scales
Question
• True or False:
37 degrees C is a normal reading.
Answer
• True
• 37 degrees C = 98.6 degrees F
– Normal reading

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Chapter 14 Nutrition Intervention and Diert-Drug InteractionsChapter 14 Nutrition Intervention and Diert-Drug Interactions
Chapter 14 Nutrition Intervention and Diert-Drug Interactions
 
Chapter 13 Nutrition and care Assessment
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Chapter 15 Staff Food Safety Training
Chapter 15 Staff Food Safety TrainingChapter 15 Staff Food Safety Training
Chapter 15 Staff Food Safety Training
 
Chapter 14 Food Safety Regulation and Standards
Chapter 14 Food Safety Regulation and StandardsChapter 14 Food Safety Regulation and Standards
Chapter 14 Food Safety Regulation and Standards
 
Chapter 13 Integrated Pest Management
Chapter 13 Integrated Pest ManagementChapter 13 Integrated Pest Management
Chapter 13 Integrated Pest Management
 
Chapter 12 Cleaning and Sanitizing
Chapter 12 Cleaning and SanitizingChapter 12 Cleaning and Sanitizing
Chapter 12 Cleaning and Sanitizing
 
Chapter 11 Safe Facilities and Equipment
Chapter 11 Safe Facilities and EquipmentChapter 11 Safe Facilities and Equipment
Chapter 11 Safe Facilities and Equipment
 
Chapter 10 Food Safety Management Systems
Chapter 10 Food Safety Management SystemsChapter 10 Food Safety Management Systems
Chapter 10 Food Safety Management Systems
 
Chapter 9 The Flow of Food Service
Chapter 9 The Flow of Food ServiceChapter 9 The Flow of Food Service
Chapter 9 The Flow of Food Service
 
Chapter 8 The Flow of Food Preparation
Chapter 8 The Flow of Food PreparationChapter 8 The Flow of Food Preparation
Chapter 8 The Flow of Food Preparation
 
Chapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food StorageChapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food Storage
 

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