# Clinical Calculation 5th Edition

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Clinical Calculation 5th Edition
Appendix B from the book – Pages Appendix E from the book – Pages Scientific Notation and Dilutions Significant Digits Graphs

Appendix B – Conversion between Celsius and Fahrenheit Temperatures
Although digital thermometers are replacing the old fashion thermometers these days, but as health care provider you should be able to convert between the Celsius and Fahrenheit and vise versa.

Comparing different thermometers
The ones we are concern are Celsius ( C ) and Fahrenheit ( F )

Converting Fahrenheit to Celsius
32F = _________________C

Converting Fahrenheit to Celsius
212F = _________________C

Converting Fahrenheit to Celsius
100F= _________________C

Converting Fahrenheit to Celsius
28F = ________________C

Converting Celsius to Fahrenheit
50 C = _________________ F

Converting Celsius to Fahrenheit
500 C = _________________ F

Converting Celsius to Fahrenheit
250 C = _________________ F

Appendix E – Twenty-four hour clock
Twenty-four hour clock is for documenting medication administration, specially with use of computerized MARs. Rules: To convert from traditional to 24-hours: 1:00am and 12:00noon – delete the colon and proceed single digit number with a zero Between 12noon and 12 midnight – add 12hours to the traditional time. To convert from 24-fours clock to traditional: Between 0100and 1200-replace colon and drop zero proceeding single digit numbers Between 1300 and 2400-subtract 1200 (12 hours) and replace the colon.

1:00 am    2:00 am    3:00 am    4:00 am    5:00 am    6:00 am    7:00 am    8:00 am    9:00 am :00 am :00 am noon    1:00 pm    2:00 pm    3:00 pm    4:00 pm    5:00 pm    6:00 pm    7:00 pm    8:00 pm    9:00 pm :00 pm :00 pm midnight

24-Hour Clock Conversion Table 12hr Time 24hr Time
Example: on the hour Example: 10 minutes past 24 Hour Clock AM / PM 0100 1:00 AM 0010 12:10 AM 0200 2:00 AM 0110 1:10 AM 0300 3:00 AM 0210 2:10 AM 0400 4:00 AM 0310 3:10 AM 0500 5:00 AM 0410 4:10 AM 0600 6:00 AM 0510 5:10 AM 0700 7:00 AM 0610 6:10 AM 0800 8:00 AM 0710 7:10 AM 0900 9:00 AM 0810 8:10 AM 1000 10:00 AM 0910 9:10 AM 1100 11:00 AM 1010 10:10 AM 1200 12 Noon 1110 11:10 AM 1300 1:00 PM 1210 12:10 PM 1400 2:00 PM 1310 1:10 PM 1500 3:00 PM 1410 2:10 PM 1600 4:00 PM 1510 3:10 PM 1700 5:00 PM 1610 4:10 PM 1800 6:00 PM 1710 5:10 PM 1900 7:00 PM 1810 6:10 PM 2000 8:00 PM 1910 7:10 PM 2100 9:00 PM 2010 8:10 PM 2200 10:00 PM 2110 9:10 PM 2300 11:00 PM 2210 10:10 PM 2400 12:00 PM 2310 11:10 PM 24-Hour Clock Conversion Table 12hr Time                24hr Time 12 am (midnight)      0000hrs 1 am                         0100hrs 2 am                         0200hrs 3 am                         0300hrs 4 am                         0400hrs 5 am                         0500hrs 6 am                         0600hrs 7 am                         0700hrs 8 am                         0800hrs 9 am                         0900hrs 10 am                       1000hrs 11 am                       1100hrs 12 pm (noon)            1200hrs 1 pm                         1300hrs 2 pm                         1400hrs 3 pm                         1500hrs 4 pm                         1600hrs 5 pm                         1700hrs 6 pm                         1800hrs 7 pm                         1900hrs 8 pm                         2000hrs 9 pm                         2100hrs 10 pm                       2200hrs 11 pm                       2300hrs

Converting traditional clock to 24-hour clock
Examples: 12 Midnight = 12:00 AM = 0000 = 2400 12:35 AM = 0035 11:20 AM = 1120 12:00PM = 12:00 Noon = 1200 12:30 PM = 1230 4:45 PM = 1645 11:50 PM = 2350 Midnight and Noon "12 AM" and "12 PM" can cause confusion, so we prefer "12 Midnight" and "12 Noon".

Converting 24 Hour Clock to AM/PM traditional
Examples: 0010 = 12:10 AM 0040 = 12:40 AM 0115 = 1:15 AM 1125 = 11:25 AM 1210 = 12:10 PM 1255 = 12:55 PM 1455 = 2:55 PM 2330 = 11:30 PM

Scientific Notation Scientists have developed a shorter method to express very large numbers. This method is called scientific notation. Scientific Notation is based on powers of the base number 10. The number 123,000,000,000 in scientific notation is written as : The first number 1.23 is called the coefficient. It must be greater than or equal to 1 and less than 10. The second number is called the base . It must always be 10 in scientific notation. The base number 10 is always written in exponent form. In the number 1.23 x 1011 the number 11 is referred to as the exponent or power of ten.

To write a number in scientific notation:
To write 123,000,000,000 in scientific notation: Put the decimal after the first non-zero digit and drop the zeroes. 1.23 In the number 123,000,000,000 The coefficient will be 1.23 To find the exponent count the number of places from the decimal to the end of the number. 1011 In 123,000,000,000 there are 11 places. Therefore we write 123,000,000,000 as: X 1011 Exponents are often expressed using other notations. The number 123,000,000,000 can also be written as: 1.23 E+11 or as 1.23 X 10^11

Scientific Notation For small numbers we use a similar approach. Numbers less smaller than 1 will have a negative exponent. A millionth of a second ( sec) is: Put the decimal after the first non-zero digit and drop the zeroes 1.0 (in this problem zero after decimal is place holder) To find the exponent count the number of places from the decimal to the end of the number has 6 places in scientific notation is written as: Exponents are often expressed using other notations. The number can also be written as: 1.0 E-6 or as 1.0^-6

Fun Do you know this number, 300,000,000 m/sec.?
It's the Speed of light ! Do you recognize this number, kg. ? This is the mass of a dust particle!

Now it is your turn. Express the following numbers in their equivalent scientific notational form:
123,876.3 1,236,840. 4.22 9.10

Now it is your turn. Express the following numbers in their equivalent standard notational form:
566.3 123,000. 70,020,000 0.918 7.18 80,000

Dilutions Understanding how to make dilutions is an essential skill for any scientist. This skill is used, for example, in making solutions, diluting bacteria, diluting antibodies, etc. It is important to understand the following:      - how to do the calculations to set up the dilution      - how to do the dilution optimally      - how to calculate the final dilution

Volume to volume dilutions describes the ratio of the solute to the final volume of the diluted solution. To make a 1:10 dilution of a solution, you would mix one "part" of the solution with nine "parts" of solvent (probably water), for a total of ten "parts." Therefore, 1:10 dilution means 1 part + 9 parts of water (or other diluent).

Serial dilutions

Serial dilutions - 1 mL 1 mL 1 mL 1 mL Original solution 9mL 9mL 9mL

Serial dilutions - 0.1 mL 1 mL 1 mL 1 mL Original solution 9.9 mL 9mL

Serial dilutions - 1 mL 1 mL 1 mL 1 mL Original solution 2mL 2 mL 2mL

Build Dilution ratio of 1:16 using 4 water blanks provided
3 mL 3 mL 3 mL 3 mL 3 mL 3 mL 3 mL 3 mL Original solution

Build Dilution ratio of 1:104 using 4 water blanks
1 mL 1 mL 1 mL 1 mL 9 mL 9 mL 9 mL 9 mL Original solution

Build Dilution ratio of 1:104 using 3 water blanks
0.1 mL 1 mL 1 mL 9.9 mL 9 mL 9 mL Original solution

Build Dilution ratio of 1:104 using 2 water blanks provided
0.1 mL 0.1 mL 9.9 mL 9.9 mL Original solution

Build Dilution ratio of 1:27 using water blanks provided
5 mL 5 mL 5 mL 10 mL 10 mL 10 mL Original solution

N Serial dilutions - 1 mL 1 mL 1 mL 1 mL 1 mL # of bacteria found
Original solution 9mL 9mL 9mL 9mL N EXPECTED NUMBER OF BACTERIA IN ORIGINAL SOLUTION

N Serial dilutions - 0.1 mL 1 mL 1 mL 1 mL 5 mL # of bacteria found
Original solution 9mL 9mL 9mL 9mL N EXPECTED NUMBER OF BACTERIA IN ORIGINAL SOLUTION

N Serial dilutions - 0.1 mL 0.1 mL 0.1 mL 0.1 mL 2 mL
# of bacteria found Original solution 9.9mL 9.9mL 9.9mL 9.9mL N EXPECTED NUMBER OF BACTERIA IN ORIGINAL SOLUTION

Significant Digits The number of significant digits in an answer to a calculation will depend on the number of significant digits in the given data When are Digits Significant? Non-zero digits are always significant. Thus, 22 has two significant digits, and 22.3 has three significant digits. With zeroes, the situation is more complicated: Zeroes placed before other digits are not significant; 0.046 has two significant digits. Zeroes placed between other digits are always significant; 4009 kg has four significant digits. Zeroes placed after other digits but behind a decimal point are significant; 7.90 has three significant digits. Zeroes at the end of a number are significant only if it is followed by a decimal point or underlined emphasized on the precision: 8300 has two significant digits 8300. has four significant digits 8300 has three significant digits

Example: Identify number of significant digits
27.4 18.045 7600 7600. 0.4003 4003 40030 400.30 40300

Operation using significant digits
Adding and subtracting – add and subtract as you normally do. For the final solution the number of decimal places (not significant digits) in the answer should be the same as the least number of decimal places in any of the numbers being added or subtracted. . Add the following problem (two decimal places) (one decimal place) (four decimal place) 7.7 (one decimal place)

17.142 has 3 numbers after the decimal points
Example - How precise can the answers to the following be expressed to? has 3 numbers after the decimal points has 4 numbers after the decimal points 24.11 has 2 numbers after the decimal points The answer could have two positions to the right of the decimal since the least precise term, 24.11, has only two positions to the right.

17.034 – 4.57 12.464 Add: 10.003 173.1 4 Final answer is 12.46 Final solution is 195. Subtract: 76 70.161 Add: 18.123 3.1 4.76 26.983 Final answer is 70. Final solution is 27.0

Operation using significant digits
Multiplying and dividing – do the operation as you normally do. For the final solution use the least significant digits between all the numbers involved. For example: X The product could be expressed with no more than three significant digits since has only three significant digits, and has five. So according to the rule the product answer could only be expressed with three significant digits.

Example - Indicate the number of significant digits the answer to the following would have. (I don't want the actual answer but only the number of significant digits the answer should be expressed as having.) (20.04) ( 16.0) (4.0 X 102) (20.04) has 4 significant digits ( 16.0) has 3 significant digits (4.0 X 102) has 2 significant digits Final answer will have 2 significant digits

Sample problems on significant figures
1.      =  2.      =  3.      =  4.      =  5.    2.02 × 2.5 =  6.    600.0 /  =  7.     × 273 =  8.    (5.5)3 =  9.    0.556 × ( ) =  10.    45 × 3.00 =  1.     268.1 (4 significant) 2.      (5 significant) 3.     (5 significant) 4.  129 (3 significant) 5.    5.0 (2 significant) 6.    114.7 (4 significant) 7.    0.87 (2 significant) 8.    1.7 x 102=170 (2 significant) 9.    4 (1 significant) 10.   1.4 x (2 significant)

Rounding or Precision significant digits
Rules for rounding off numbers If the digit to be dropped is greater than 5, the last retained digit is increased by one. For example, 12.6 is rounded to 13. If the digit to be dropped is less than 5, the last remaining digit is left as it is. 12.4 is rounded to 12. If the digit to be dropped is 5, and if any digit following it is not zero, the last remaining digit is increased by one. 12.51 is rounded to 13. If the digit to be dropped is 5 and is followed only by zeroes, the last remaining digit is increased by one if it is odd, but left as it is if even. For example, 11.5 is rounded to 12, is rounded to 12. This rule means that if the digit to be dropped is 5 followed only by zeroes, the result is always rounded to the even digit. The rationale is to avoid bias in rounding: half of the time we round up, half the time we round down.

Graphs – Plotting Points on the Graph – how?
y x y 1 3 4 6 -1 -2 -4 2 7 3 6 -2 -3 5 -6 x Decide the scale and follow within that scale setting (1=1)

Graphs – Plotting Points on the Graph
y x y 1 3 4 6 -1 -2 -4 2 1 3 4 -2 -3 5 -1 x Decide the scale and follow within that scale setting (2=1)

Graphs – Plotting Points on the Graph
y x y 1 3 4 -1 1 7 10 -2 -5 x 1=1

Drawing Straight Line y x y 1 3 4 -1 1 7 10 -2 -5 x 1=1
-1 1 7 10 -2 -5 x 1=1 Points written as ordered pair: (1, 1), (3, 7), (4, 10), (0, -2), (-1, -5)

Drawing Straight Line y = 2x - 3
1 2 -1 -3 -1 1 -5 (2, 1) (1, -1) (0, -3) (-1, -5) 1=1

Drawing Straight Line y = 5x + 7
(2, 17) 1 2 -1 7 12 17 2 (1, 12) (0, 7) (-1, 2) 1=1 1=2

Drawing Straight Line y = -30x + 50
1 2 -1 50 20 -10 +80 (-1, 80) (0, 50) (1, 20) 1=1 (2, -10) 1=10

Slope of the line Positive and negative slope
POSITIVE SLOPE

Slope of the line Positive and negative slope

Finding slope from the known points
Rise Run Rise Run

Finding slope from the known points
Rise Run Rise Run

Finding slope using the 2 ordered pair (x1, y1) and (x2, y2)

Finding slope using the 2 ordered pair (-1, -1) and (3, 6)
RISE = 7 RUN = 4

Finding slope using the 2 ordered pair (1, -1) and (3, 6)

Finding slope using the 2 ordered pair (-2, -3) and (-1, 5)

Finding slope using the 2 ordered pair (-1, 0) and (1, 2)

Finding slope using the 2 ordered pair (0, -3) and (1, -5)

Equation of straight line
Equation of straight line y = mx + b Identifying slope and y-intercepts y = m x + b x and y represents points on the graph m = Slope b = y-intercepts (0, b) ordered pair

Drawing Straight Line y = 2x - 3
For this problem: Slope = 2 and y-intercept = -3 [if written as ordered pair (0, -3)]

Drawing Straight Line y = 5x + 7
For this problem: Slope = 5 and y-intercept = 7 [if written as ordered pair (0, 7)]

Drawing Straight Line y = -30x + 50
For this problem: Slope = -30 and y-intercept = 50 [if written as ordered pair (0, 50)]

Collecting data and plotting the points Height (inches) of a child at different age (year)
x y 0.5 1 2 3 4 5.5 16 21 28 40 35 50 Year (2=1) Height (1=5) What is the child height at the age 5? What is the child height at the age 6? It is about 46 inches It is about 55 inches

Interpolation and Extrapolation
Definition Interpolation – When the value for dependent variable is estimated from independent variable within the data set range Extrapolation – When the value for dependent variable is estimated from independent variable out side the data set range

Collecting data and plotting the points Height (inches) of a child at different age (year)
From last problem! x y 0.5 1 2 3 4 5.5 16 21 28 40 35 50 X = 5 is within the data range (0.5 – 5.5) X = 6 is outside the data range (0.5 – 5.5) Year (2=1) Height (1=5) What is the child height at the age 5? What is the child height at the age 6? It is about 46 inches - Interpolation It is about 55 inches - Extrapolation

Find the equation of the line for this graph.
What is the y-intercept? What is the slope of this line? Use the equation of the line y=mx+b Then write the equation of the line

Find the equation of the line for this graph.
What is the y-intercept? What is the slope of this line? Use the equation of the line y=mx+b Then write the equation of the line

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Bar graph - http://www. shodor. org/interactivate/activities/BarGraph/

Bar graph - http://www. shodor. org/interactivate/activities/BarGraph/

Pie graph http://www. shodor. org/interactivate/activities/BarGraph/