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UNIT 4
The Metric System
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Key Terms
• Gram
• Liter
• Meter
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Metric System
• First proposed in 1670 by Gabriel Mouton
• Adopted in 1801 by French National
Assembly
• Official standard for scientific and industrial
measurement in 92% of world
• Measured in units of 10
• Utilizes concept of decimal point
(continues)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Metric System
• Provides simple, flexible, accurate way to
measure length, volume, and weight
• Medication dosages may be
– In micrograms
– In milligrams
– In grams
– Per kilogram of body weight
(continues)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Metric System
• Volume of medication may be in
– Milliliters
– Cubic centimeters
• Other measurements
– BP measured in millimeters of mercury (mm Hg)
– Wound and lesion size measured in centimeters
– Organs measured in grams
(continues)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Metric System
• Laboratory results measured in:
– Micrograms
– Milligrams
– Grams per deciliter
– Units per liter
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Basic Rules
• Whole numbers designated by Arabic
numbers
• Decimal fractions used for numbers less
than 1
• Prefixes written in lowercase
• Abbreviations are same for singular or
plural
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Metric System
• Uses 14 prefixes
• Each prefix based on multiple of 10
• Medical field uses seven most common
prefixes
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Metric Prefixes
Micro- One millionth
Milli- One thousandth
Centi- One hundredth
Deci- One tenth
Deka- Ten
Hecto- One hundred
Kilo- One thousand
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Fundamental Units
Meter Length
Liter Volume
Gram Mass/Weight
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Length
• Meter is fundamental unit of length
– 1 meter = 39.37 inches or 3.28 feet
– 1 inch = approximately 2.5 centimeters
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Length
Meter (m) Length
1 millimeter (mm) 0.001 meter
1 centimeter (cm) 0.01 meter
1 decimeter (dm) 0.1 meter
1 meter (m) 1 meter
1 dekameter (dam) 10 meters
1 hectometer (hm) 100 meters
1 kilometer (km) 1,000 meters
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Volume
• Liter is fundamental unit of volume
– 1 liter = 1.056 quarts
– 1 liter = 0.26 gallon
– 1 liter = 2.1 pints
– 1 mL = 1 cc
(continues)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Volume
• Liter is fundamental unit of volume (cont’d)
– Amount of space occupied by 1 milliliter is equivalent to
1 cubic centimeter
– 1 mL water = 1 g in weight
– 15 mL = 1 tablespoon
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Volume
Liter (L) Volume
1 milliliter (mL) 0.001 liter
1 centiliter (cL) 0.01 liter
1 deciliter (dL) 0.1 liter
1 liter (L) 1 liter
1 dekaliter (daL) 10 liters
1 hectoliter (hL) 100 liters
1 kiloliter (kL) 1,000 liters
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Weight
• Gram is fundamental unit of solids, mass, or
weight
– 1 cc or 1 mL of water = 1 g
– 1 g = approximately 15 grains
– 1 g = 0.035 oz
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Weight
Gram (g) Weight
1 milligram (mg) 0.001 gram
1 centigram (cg) 0.01 gram
1 decigram (dg) 0.1 gram
1 gram (g) 1 gram
1 dekagram (dag) 10 grams
1 hectogram (hg) 100 grams
1 kilogram (kg) 1,000 grams
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Common Equivalents
• 2 ½ cm = 1 inch
• 1,000 mL or cc = 1 liter
• 1,000 mcg = 1 mg
• 1,000 mg = 1 g
• 1,000 g = 1 kg
• 1 kg = 2.2 lb
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Conversions
• Set up proportion using metric equivalents
• Assign x as value of unknown factor
• Solve proportion as learned in Unit 3
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Moving the Decimal
• If converting from larger to smaller,
multiply by decimal value of smaller unit
(move decimal right)
• If converting from smaller to larger, divide
by decimal value of smaller unit (move
decimal left)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Dosage Based on Body Weight
• Some medications are ordered as mg/kg
• Weight of patient must be expressed in kg
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Calculating Dose
• Convert weight to kg
• Calculate dosage based on weight
• Determine number of doses per day
• Calculate amount of medication per dose

Pharmacology Easy approach to Nursing Students.ppt

  • 1.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. UNIT 4 The Metric System
  • 2.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Key Terms • Gram • Liter • Meter
  • 3.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric System • First proposed in 1670 by Gabriel Mouton • Adopted in 1801 by French National Assembly • Official standard for scientific and industrial measurement in 92% of world • Measured in units of 10 • Utilizes concept of decimal point (continues)
  • 4.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric System • Provides simple, flexible, accurate way to measure length, volume, and weight • Medication dosages may be – In micrograms – In milligrams – In grams – Per kilogram of body weight (continues)
  • 5.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric System • Volume of medication may be in – Milliliters – Cubic centimeters • Other measurements – BP measured in millimeters of mercury (mm Hg) – Wound and lesion size measured in centimeters – Organs measured in grams (continues)
  • 6.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric System • Laboratory results measured in: – Micrograms – Milligrams – Grams per deciliter – Units per liter
  • 7.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Basic Rules • Whole numbers designated by Arabic numbers • Decimal fractions used for numbers less than 1 • Prefixes written in lowercase • Abbreviations are same for singular or plural
  • 8.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric System • Uses 14 prefixes • Each prefix based on multiple of 10 • Medical field uses seven most common prefixes
  • 9.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Metric Prefixes Micro- One millionth Milli- One thousandth Centi- One hundredth Deci- One tenth Deka- Ten Hecto- One hundred Kilo- One thousand
  • 10.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Fundamental Units Meter Length Liter Volume Gram Mass/Weight
  • 11.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Length • Meter is fundamental unit of length – 1 meter = 39.37 inches or 3.28 feet – 1 inch = approximately 2.5 centimeters
  • 12.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Length Meter (m) Length 1 millimeter (mm) 0.001 meter 1 centimeter (cm) 0.01 meter 1 decimeter (dm) 0.1 meter 1 meter (m) 1 meter 1 dekameter (dam) 10 meters 1 hectometer (hm) 100 meters 1 kilometer (km) 1,000 meters
  • 13.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Volume • Liter is fundamental unit of volume – 1 liter = 1.056 quarts – 1 liter = 0.26 gallon – 1 liter = 2.1 pints – 1 mL = 1 cc (continues)
  • 14.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Volume • Liter is fundamental unit of volume (cont’d) – Amount of space occupied by 1 milliliter is equivalent to 1 cubic centimeter – 1 mL water = 1 g in weight – 15 mL = 1 tablespoon
  • 15.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Volume Liter (L) Volume 1 milliliter (mL) 0.001 liter 1 centiliter (cL) 0.01 liter 1 deciliter (dL) 0.1 liter 1 liter (L) 1 liter 1 dekaliter (daL) 10 liters 1 hectoliter (hL) 100 liters 1 kiloliter (kL) 1,000 liters
  • 16.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Weight • Gram is fundamental unit of solids, mass, or weight – 1 cc or 1 mL of water = 1 g – 1 g = approximately 15 grains – 1 g = 0.035 oz
  • 17.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Weight Gram (g) Weight 1 milligram (mg) 0.001 gram 1 centigram (cg) 0.01 gram 1 decigram (dg) 0.1 gram 1 gram (g) 1 gram 1 dekagram (dag) 10 grams 1 hectogram (hg) 100 grams 1 kilogram (kg) 1,000 grams
  • 18.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Common Equivalents • 2 ½ cm = 1 inch • 1,000 mL or cc = 1 liter • 1,000 mcg = 1 mg • 1,000 mg = 1 g • 1,000 g = 1 kg • 1 kg = 2.2 lb
  • 19.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Conversions • Set up proportion using metric equivalents • Assign x as value of unknown factor • Solve proportion as learned in Unit 3
  • 20.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Moving the Decimal • If converting from larger to smaller, multiply by decimal value of smaller unit (move decimal right) • If converting from smaller to larger, divide by decimal value of smaller unit (move decimal left)
  • 21.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Dosage Based on Body Weight • Some medications are ordered as mg/kg • Weight of patient must be expressed in kg
  • 22.
    Copyright © 2011Delmar, Cengage Learning. ALL RIGHTS RESERVED. Calculating Dose • Convert weight to kg • Calculate dosage based on weight • Determine number of doses per day • Calculate amount of medication per dose