NursingPlex

    Conversions and Rounding

    The numbers you need memorized, and three ways to set up any problem

    Dosage Calculation

    Metric

    1 kg= 1,000 g
    1 g= 1,000 mg
    1 mg= 1,000 mcg
    1 L= 1,000 mL
    1 mL= 1 cc (write "mL", not "cc")

    Moving down a step (bigger unit → smaller unit): × 1,000. Moving up: ÷ 1,000.

    Household and weight

    1 kg= 2.2 lb
    1 lb= 16 oz
    1 in= 2.54 cm
    1 tsp= 5 mL
    1 tbsp= 15 mL (3 tsp)
    1 fl oz= 30 mL
    1 cup= 240 mL (8 oz)

    Temperature

    °F = (°C × 9/5) + 32

    °C = (°F − 32) × 5/9

    Check yourself: 37°C = 98.6°F; 38°C = 100.4°F.

    Rounding rules (common exam rules)

    • Round only the final answer, not each step.
    • Volumes >1 mL: nearest tenth (2.46 → 2.5 mL).
    • Volumes <1 mL: nearest hundredth (0.756 → 0.76 mL): use a 1 mL syringe.
    • Tablets: whole, or half only if scored.
    • Drops per minute: whole number. Weight in kg: nearest tenth.
    • Always a leading zero (0.5 mg); never a trailing zero (5 mg, not 5.0 mg).
    • Follow any rounding instruction in the question.

    Three ways to set up a problem

    Example: order amoxicillin 500 mg; available 250 mg per 5 mL.

    Formula

    Desired ÷ Have × Quantity
    500 ÷ 250 × 5 mL = 10 mL

    Ratio–proportion

    250 mg : 5 mL = 500 mg : x mL
    250x = 2,500 → x = 10 mL

    Dimensional analysis

    500 mg × (5 mL ÷ 250 mg) = 10 mL
    Units you don't want cancel out.

    Pick one method and use it every time. Check the units first: convert the order and the supply to the same unit before calculating.

    Practice

    1. 154 lb = ___ kg
    2. 0.25 mg = ___ mcg
    3. 38.5°C = ___ °F
    4. 102.2°F = ___ °C
    5. 2 tbsp = ___ mL

    Answers

    1. 154 ÷ 2.2 = 70 kg
    2. 0.25 × 1,000 = 250 mcg
    3. 38.5 × 9/5 + 32 = 101.3°F
    4. (102.2 − 32) × 5/9 = 39°C
    5. 2 × 15 = 30 mL

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