METRIC UNITS The basic units of measurement are the metre (for length), the gram (for mass) and the litre (for capacity [fluid volume]). The common metric units are set out below. Largest Smallest Each prefix denotes a particular amount of the basic unit. Mega M Kilo K 1,000,000 basic unit 1,000 milli m 1 1,000 micro 1 1,000,000 millimetre (mm) milligram (mg) millilitre (mL) microgram (g or mcg) Examples Kilometre (km) Kilogram (kg) metre (m) gram (g) Litre (L) Megawatt (MW) What’s great about the units above is that there is a linking factor of 1000 between a metric unit and the metric unit next to it. 1 Kg = 1000 g 1 Km = 1000m 1 KL = 1000 L 1 mg = 1000 g 1 mm = 1000 m 1 mL = 1000 L 1 g = 1000 mg 1 m = 1000 mm 1 L = 1000 mL 1 Kg = 1000 g 1 Kg = 1000 1 Kg = 1000 x 1000 x 1000 = 1,000,000,000 g x 1000 = 1,000,000 mg Tucked in between Litres (L) and millilitres (mL) are two other units you will come across in Nursing. They are the decilitre (dL) and the centilitre (cL). L dL ( 110 th of a Litre) cL ( 1100 th of a Litre) mL There is a linking factor of 10 between each of the above and the unit next to it. 1 L = 10 dL 1 L = 100 cL 1 L = 1000 mL 1 dL = 10 cL 1 dL = 100 mL Unitec: H:\Te Puna Ako Learning Centre\Maths and Statistics Resources\updated\Metric Units.doc 1 cL = 10 mL METRIC UNIT CONVERSIONS You may need to do metric unit conversions with drug calculations or with rates. In both cases you need to know : What metric unit you have initially and which unit you want to convert to Whether you are converting from a Bigger unit (B) to a Smaller unit (S) or the other way round How many of the smaller units make up the bigger unit If converting from a Bigger unit to a Smaller unit, you are multiplying so move the decimal point to the Right by how many zeroes there are in the multiplier, i.e. BSR If converting from a Smaller unit to a Bigger unit, you are dividing so move the decimal point to the Left by how many zeroes there are in the divisor, i.e. SBL EXAMPLES 1. How many micrograms (mcg) in 2.8 mg? Remember mcg is the same as g converting from mg to mcg bigger to smaller so BSR 1 mg = 1000 mcg so move decimal point three places to the right (since 1000 has three zeroes) 2.8 mg = 2800. g which is 2800 g 2. 965 dL is equivalent to how many mL? converting from dL to mL bigger to smaller so BSR 1 dL = 100 mL so move the decimal point two places to the right 965 dL = 965. dL = 96500. mL which is 96500 mL 3. How many grams in 750 g ? converting mcg to g smaller to bigger so SBL 1g = 1,000,000 mcg so move the decimal point six places to the left 750 mcg = 750. mcg = .000750 g Unitec: H:\Te Puna Ako Learning Centre\Maths and Statistics Resources\updated\Metric Units.doc METRIC CONVERSIONS IN RATES 4. Convert 6.6 L/min to mL/min. (Here you have to convert 6.6 L to mL) converting from L to mL bigger to smaller so BSR 1 L = 1000 mL so move decimal point three places to the right 6.6 L = 6600. mL = 6600 mL So 6.6 L/min = 6600 mL/min. 5. Change 350 mcg/dL into mg/dL. (You have to convert 350 mcg to mg) converting from mcg to mg smaller to bigger so SBL 1 mg = 1000 mcg so move the decimal point three places to the left 350 mcg = 350. mcg = .350 mg (which can be written as 0.35 mg) So 350 mcg/dL = 0.35 mg/dL METRIC CONVERSIONS IN DRUG CALCULATIONS It is easier to convert bigger units to smaller units. 6. 0.5 mg of Neocytamen is prescribed. 250 mcg/mL is available… convert 0.5 mg to mcg bigger to smaller so BSR 1 mg = 1000 mcg so move the decimal point three places to the right 0.5 mg = 0 500. mcg = 500 mcg. You can now think of the problem as: “ 500 mcg of Neocytamen is prescribed. 250 mcg/mL is available…” 7. Lasix 1 g is prescribed. 20 mg/mL is available… convert 1 g to mg bigger to smaller so BSR 1 g = 1000 mg so move the decimal point three places to the right 1. g = 1 000. mg. The problem now becomes: “ Laxin 1000 mg is prescribed. 20 mg/mL is available…” Unitec: H:\Te Puna Ako Learning Centre\Maths and Statistics Resources\updated\Metric Units.doc 8. How much solute is required to make 1 L of 5% glucose? Remember 5% means 5 g/100mL so we need to convert 1L to mL. After the procedure as before we find that 1 L = 1000 mL and the problem can now be re-phrased more simply as: “How much (what mass/weight of) solute is required to make 1000 mL of solution if 5 g of solute is required for 100 mL?” EXERCISE 1 1 2 3 Change to milligrams 4g 8.7 g 0.69 g Change to grams 6000 mg 865 mg 70 mg Change to milligrams 825 mcg 750 mcg 65 mcg Change to millilitres 2L 30 L 1.5 L Change to Litres 4000 mL 10000 mL 625 mL 4 5 6 0.02 g 0.035 g 0.006 g 5 mg 7259 mg 95 mg 95 mcg 10 mcg 5 mcg 4.5 L 1.6 L 2.24 L 359 mL 95 mL 60 mL 7 8 0.655 g 4.28 g 2 mg 125 mg 200 mcg 30 mcg 0.8 L 0.75 L 5 mL 2 mL EXERCISE 2 Change to grams Change to millilitres Change to centilitres Change to decilitres Change to milligrams 1 3 Kg 3L 85 mL 8.3 L 2g 2 3 4 6.5 Kg 500 mg 2000 mg 25 cL 600 dL 3.1 dL 6 dL 0.5 L 0.2 mL 0.9 L 63 cL 0.75 cL 2 Kg 0.43 g 0.825 Kg 5 6 7 45 mg 100 mcg 24000 mcg 0.45 cL 0.25 L 0.075 cL 0.09 dL 1.8 L 512 mL 806 mL 0.1 mL 437 cL 125 mcg 8 mcg 0.035 g 8 6000000 mcg 546 cL 0.04 L 6000 mL 10.4 mcg ANSWERS EXERCISE 1 1) 2) 3) 4) 5) 6) 7) 8) mg 4000 8700 690 20 35 6 655 4280 g 6 0.865 0.07 0.005 7.259 0.095 0.002 0.125 mg 0.825 0.75 0.065 0.095 0.01 0.005 0.2 0.03 EXERCISE 2 mL 2000 30000 1500 4500 1600 2240 800 750 L 4 10 0.625 0.359 0.095 0.06 0.005 0.002 1) 2) 3) 4) 5) 6) 7) 8) g 3000 6500 0.5 2 0.045 0.0001 0.024 6 mL 3000 250 60000 310 4.5 250 0.75 5460 Unitec: H:\Te Puna Ako Learning Centre\Maths and Statistics Resources\updated\Metric Units.doc cL 8.5 60 50 0.02 0.9 180 51.2 4 dL 83 9 6.3 0.075 8.06 0.001 43.7 60 mg 2000 2000000 430 825000 0.125 0.008 35 0.0104