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math calculations with Tamiflu oral suspension

Calculate the total quantity and the total days supply for the following Rx:
Tamiflu 12mg/mL
sig: 4 mL bid x5d
disp: 40
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The doctor has prescribed the brand-name drug Tamiflu 12mg/mL oral suspension. Each bottle has 25 mL
The sig says: take 4 mL by mouth twice daily for 5 days
The total days supply is 5 days as stated by the doctor.
The quantity prescribed by the doctor is 40 mL, but there is no way for the pharmacist to dispense exactly 40mL
If 1 bottle = 25 mL, then 2 bottles = 50 mL
So, the total quantity to be dispensed will have to be 50 mL
In this case, the pharmacist will have to dispense 2 bottles.
Now, the pharmacist may want to change the sig directions:
take 4 mL by mouth twice daily for 5 days and then discard the remainder.
Calculate the total quantity and the total days supply for the following Rx:
Tamiflu susp
30 mg bid x 5days
QS
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The doctor has prescribed the brand-name drug Tamiflu 12mg/mL oral suspension.
The sig says: take 30 mg by mouth twice daily for 5 days
Notice that we need to convert 30 mg into mL because this medicine is in a liquid form.
The ratio is 12mg/mL and notice that 12mg/mL is the same as 1mL/12mg
x / 30 mg = 1 mL / 12 mg
x = (30 * 1) / 12
x = 2.5 mL
The new sig will say: take 2.5 mL by mouth twice daily for 5 days
The patient will take 2.5 * 2 * 5 which means that the patient will take a total of 25mL
Then, the total quantity to be dispensed is 25 mL
In this case, the pharmacist will dispense one bottle of 25 mL
The total days supply is 5 days as stated by the doctor.
Calculate the total quantity and the total days supply for the following Rx:
Tamiflu 60mg/5mL
#2oz
1 tsp po bid 0RF
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The doctor has prescribed 2 oz of Tamiflu oral suspension.
Now, we need to convert 2 oz into mL
1 fluid ounce = 30 mL and therefore 2 oz = 60 mL
So, the quantity is 60 mL, but each bottle of Tamiflu has 25 mL
Then, there is no way for the pharmacist to dispense exactly 60 mL
If 1 bottle = 25 mL, then 3 bottles = 75 mL
So, the total quantity to be dispensed will be 75 mL
In this case, the pharmacist will have to dispense 3 bottles of Tamiflu
The sig says: take 1 teaspoonful by mouth twice daily
In other words, the patient will take 1 * 5 * 2 which is 10mL per day.
So, the total days supply will be 75mL divided by 10mL which is 7 days.
It is worth noting that Tamiflu 60mg/5mL is the same as Tamiflu 12mg/mL
Notice that the doctor has given no refill.
Calculate the total quantity and the total days supply for the following Rx:
Tamiflu 60/5
45mg po bid x 5d
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The doctor has prescribed Tamiflu 60mg/5mL oral suspension.
The sig says: take 45 mg by mouth twice daily for 5 days
Since this is a suspension, we need to convert 45mg into mL
Notice that 60mg/5mL is the same as 5mL/60mg
x / 45 mg = 5 mL / 60 mg
x = (45 * 5) / 60
x = 3.75 mL
The new sig will say: take 3.75 mL by mouth twice daily for 5 days
The patient will take 3.75 * 2 * 5 which is 37.5mL
So, the quantity is 37.5mL, but each bottle of Tamiflu has 25 mL
Then, there is no way for the pharmacist to dispense exactly 37.5 mL
If 1 bottle = 25 mL, then 2 bottles = 50 mL
So, the total quantity to be dispensed will be 50 mL
In this case, the pharmacist will have to dispense 2 bottles of Tamiflu 12mg/mL
It is worth noting that Tamiflu 60mg/5mL is the same as Tamiflu 12mg/mL
The total days supply is 5 days as stated by the doctor.
The pharmacist may want to change the sig directions:
take 3.75 mL by mouth twice daily for 5 days and then discard the remainder.





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