6.3 Figuring Ratios and Proportions

Ratios, proportions, and equations are perhaps the most frequently used mathematical equations in pharmacy practice. They are used in determining dosages and in compounding formulas

Ratios

A ratio is a way to demonstrate how two amounts of similar elements compare to each other in a whole. For example, if a beaker contains two parts water and three parts alcohol for a total of five parts, then the ratio of water to alcohol in the beaker can be expressed as the fractions 25 to 35 or as the ratio 2:3. The ratio is read not as an equation (2 ÷ 3), but as the expression “a ratio of two parts to three parts.”

Another common use of ratios is to express the number of parts of one substance contained in another substance of known parts. For example, suppose that there are 3 mL of an ophthalmic solution dissolved in a total 60 mL sterile saline solution. Thus it would be expressed as the ratio 360, which reduces to 120. In other words, the ratio of the active ingredient to the sterile saline solution is 1 to 20, or 1 part in 20 parts.

Converting a Ratio to a Percent

To express a ratio as a percent, designate the first number of the ratio as the numerator and the second number as the denominator. Multiply the fraction by 100 (1001), and add a percent sign after the product.

5:1=51×1001=5×1001=500%

1:5=15×1001=1005=100÷5=20%

1:2=12×1001=1002=100÷2=50%

Example 7

If the ratio of dexamethasone is 1:3 in a 100 mL oral suspension, what is the percent?

1:3=13×1001=100÷3=33%

images Math Morsel

Any time you have an element that is equally proportioned on the top or bottom of a fraction, such as in powers of ten, you can cross them out to simplify the equation or fraction, as they negate each other.

Consider:

20200 = 220 simplified to 110.

Converting a Percent to a Ratio

To convert a percent to a ratio, change it to a fraction by dividing it by 100 (and if needed, reduce the fraction to its lowest terms). Express the fraction as a ratio by making the numerator the first number and the denominator the second number.

2%=2÷100=2100;=2:100

Then simplify by dividing both numerator and denominator by 2 (the common factor).

150=1:50

Now use the same process for the following conversions:

10%=10÷100=10100;reduced to110=1:10

75%=75÷100=75100;75÷25100÷25is reduced to34=3:4

0.50%=0.50÷100=.50100;increase by multiplying by22(which equals 1)

1.00200=1:200

Example 8

The pharmacy receives the following prescription.

images100 mL IV bag of 4% lidocaine to treat arrhythmia

The active ingredient of lidocaine comes in grams. What is the ratio?

4%=4÷100=4100means 4 g of the medication in 100 mL.

The 4100 simplifies to 125 or 1:25 ratio, or 1 g to 25 mL. So a 50 mL bag will have 2 g of lidocaine, and a 250 mL bag will have 10 g of lidocaine.

images Safety Alert

Pharmacy technicians should always doublecheck the units in a proportion, the setup of their ratio equations, and their calculations. The pharmacist needs to check them as well.

Equivalent Ratios

Two ratios that have the same value when simplified are different ways of saying the same ratio, such as 12 and 48. They are called equivalent ratios. A pair of equivalent ratios together is called a proportion. The proportion can be expressed in three different ways:

a/b=c/dexample:12=48

a:b = c:d example: 1:2 = 4:8

a:b :: c:d example: 1:2 :: 4:8

Because the ratios are equivalent, you can multiply the numerator of the first ratio with the denominator of the second ratio and then multiply the denominator of the first ratio with the numerator of the second ratio. The two resulting amounts should be equal.

The first and fourth numbers, or outside numbers, are called the extremes, and the second and third numbers, or inside numbers, are called the means.

images

3 × 20 = 60 and 4 × 15 = 60; or 3 × 20 = 4 × 15

When you see it with the colors above, you can see why some people call this cross multiplication the “butterfly technique” or butterfly multiplying.

This cross multiplying can be stated as a rule:

Ifab=cd,thena×d=b×c

the product of the extremes = the product of the means

As you have seen, the numerator of the first fraction times the denominator of the second is equal to the denominator of the first fraction times the numerator of the second. In other words, the multiplied extremes equal the multiplied means.

Here’s another example:

If4:12=8:24, or 412=824; then 4×24=12×8, or 96=96.

Example 9

A patient is prescribed the following order.

images8 mL of a drug in a 120 mL sterile saline IV solution

You have a solution with a concentration of 10 mL drug in 150 mL solution. Is this the same ratio as the prescribed drug (8 mL of drug in 120 mL of solution)?

Step 1

The desired drug ratio would be expressed as 8mL120mL or 8:120.

Step 2

This can be simplified by dividing the numerator and denominator by a common factor.

8mL÷8120mL÷8=115

In other words, the ratio of the active ingredient to the sterile solution is 1 mL to 15 mL, or 1 part to 15 parts.

Step 3

The ratio of the solution on hand would be expressed as 10mL150mL.

You can cancel the end zeros, and you find 115 or 1:15, the same ratio.

Step 4

Since 8 mL/120 mL and 10 mL/150 mL are equivalent ratios, you could dispense 120 mL of the 150 mL solution. To be sure, you can do the butterfly multiplying.

8120=10150wouldbe8×150=120×10whereboth=1,200.

A Reciprocal Ratio

A reciprocal ratio is the inverse ratio, or the switching of the numerators with the denominators of both fractions. This gives you the mirrored ratio, which should also be equivalent, or proportional, though not equal to the originals.

If1:20=3:60,or120=360;then1×60=20×3=60

Inverselyif20:1=60:3;or201=603;then20×3=60×1=60

These ratios are proportionally mirrored and also equivalent ratios though they are different in real value from the original ratios and fractions.

Another example:

If3:2=9:6,or32=96,then3×6=2×9=18

then 2:3 will be an equivalent ratio to 6:9 though.

Using Equal Ratios and Proportional Equations of Extremes and Means

Pairs of equivalent ratios are useful in making conversions from one measurement system to another. Because they are proportionally equal, they can be used together with the butterfly technique to discover missing information and solve pharmaceutical conversions.

In mathematics, it is common to express unknown quantities by using letters from the lower end of the alphabet to represent them, especially x, y, and z.

Because x can get mixed up with the × for the multiplication sign, we will primarily use y and z. In our first example, the missing information has been named y, and you use the butterfly technique to figure out what y is.

Say 3:4=15:y or 34=15y. Then 3×y=4×15.   This is 3y=60.

Then you just have to divide both sides of the equation by 3. Dividing by 3 is the same as multiplying by 13 as seen below:

(13)3y=60(13)or3y3=603to come up withy=60÷3ory=20

Whenever you have an equation where you have a specified number of y that equals another number, as in the 3y = 60, all you have to do is take the number accompanying the y and divide each side of the equation by that number, as in: y = 60 ÷ 3.

Consider the equation 66y = 5,280. Solve for y by dividing each side of the equation by 66.

66y66=5,28066

Now we are left with:

y=5,28066=80

Another way to approach this process is to multiply each equation by 166.

66y = 5,280

166×66y=166×5,280

We arrive at the same conclusion utilizing this method:

y=166×5,2801=5,28066=80

Here’s another example of a proportion with missing numbers. You need to make 35 mL of a distilled water solution with a concentration of 2 g sodium chloride (salt) to each 7 mL of distilled water (or 2 g : 7 mL). How many grams of sodium chloride are needed?

y35=27

By the proportional rule, 2 × 35 = 7y, which equals 7y = 70. That means that y alone is equal to 70 divided by 7 or y = 70 ÷ 7 or y = 10. Another way to think of this is to divide both sides by 7.

7y7=707

You can then cancel out the same multiplying factor on the top and the bottom of an equation and then divide 70 by 7 to equal 10. So this would leave y = 10 g of sodium chloride.

The following example shows how the ratio and proportion method is essential in both the community and hospital pharmacy settings for converting from one measurement system to another.

Example 10

A patient weighs 44 pounds (lb). What is the patients weight in kilograms?

You are seeking to find out: 44 lbs = y kg. The conversion rate is: 1 kg = 2.2 lb.

images Practice Tip

It is important to know that 2.2 lb is considered as the equivalent of 1 kg.

Step 1

Convert the problem into fractions: y44lband1kg2.2lb.

Step 2

Since these two amounts are equivalent, they both equal 1 whole or 11, so set up the proportional ratio equation.

ykg44lb=1kg2.2lb

ykg=(44lb)1kg2.2lb

ykg=44kg2.2=20kg

The patient weighs 20 kg.