Key Takeaways
- Ratios compare quantities and can be written as 3:4, 3/4, or "3 to 4"
- Proportions state that two ratios are equal: a/b = c/d
- Cross-multiplication solves proportions: if a/b = c/d, then ad = bc
- In dosage calculations: Desired/Have = x/Quantity
- Keep units consistent on each side of the proportion
Ratios and Proportions
Ratios and proportions are fundamental to nursing math, especially for medication dosages and IV calculations. The TEAS heavily tests these concepts.
Ratios
A ratio compares two quantities. It can be written three ways:
| Format | Example |
|---|---|
| With colon | 3:4 |
| As fraction | 3/4 |
| With word "to" | 3 to 4 |
Types of Ratios
| Type | Description | Example |
|---|---|---|
| Part-to-part | Compares parts of a whole | 3 nurses to 4 doctors |
| Part-to-whole | Compares part to total | 3 nurses out of 7 staff |
| Rate | Compares different units | 60 miles per hour |
Unit Rates
A unit rate has a denominator of 1.
Example: If a nurse walks 12 miles in 3 hours, what is the rate per hour?
- 12 miles ÷ 3 hours = 4 miles per hour
Proportions
A proportion is an equation stating that two ratios are equal.
Example: 1/2 = 2/4
Cross-multiplication: If a/b = c/d, then ad = bc
Solving Proportions
Method: Cross-Multiply and Solve
Example: Solve for x: 3/4 = x/12
- Cross-multiply: 3 × 12 = 4 × x
- Simplify: 36 = 4x
- Divide: x = 9
Setting Up Proportions
Key: Keep units consistent on each side.
Example: If 500 mg is in 10 mL, how many mL contain 250 mg?
Setup:
- 500 mg / 10 mL = 250 mg / x mL
Solve:
- 500x = 250 × 10
- 500x = 2500
- x = 5 mL
Dosage Calculations Using Proportions
Formula: Desired/Have = x/Quantity
Example: Order: 750 mg. Available: 250 mg tablets. How many tablets?
- 750/250 = x/1
- x = 3 tablets
Example: Order: 0.5 g. Available: 250 mg/5 mL. How many mL?
- Convert: 0.5 g = 500 mg
- Set up: 250 mg / 5 mL = 500 mg / x mL
- Cross-multiply: 250x = 2500
- Solve: x = 10 mL
Scale and Similar Figures
Proportions are used with maps and scale drawings.
Example: A map scale is 1 inch = 50 miles. If two cities are 3.5 inches apart on the map, what is the actual distance?
- 1/50 = 3.5/x
- x = 175 miles
Direct and Inverse Proportions
| Type | Relationship | Example |
|---|---|---|
| Direct | As one increases, other increases | More hours worked = more pay |
| Inverse | As one increases, other decreases | More workers = less time to complete |
Direct Proportion: y = kx (k is constant) Inverse Proportion: xy = k (k is constant)
Common Proportion Problems in Healthcare
| Scenario | Proportion Setup |
|---|---|
| Medication dosing | Dose ordered / Dose available = x / Volume |
| IV rates | Volume / Time = mL per hour |
| Concentration | Drug / Solution = % or ratio |
| Staffing ratios | Nurses / Patients = Required staff |
Problem-Solving Tips
- Identify what you know and what you need to find
- Set up the proportion with units labeled
- Keep units consistent on each side
- Cross-multiply and solve for the unknown
- Check your answer - does it make sense?
Solve for x: 5/8 = 15/x
A medication comes in 125 mg/5 mL. How many mL are needed for a 250 mg dose?
If 3 nurses can complete a task in 8 hours, how long would it take 6 nurses (assuming inverse proportion)?