Oral Liquid Dosage Calculation: How Many mL to Give
A liquid's label gives a concentration, such as 125 mg per 5 mL. Divide the dose ordered by the milligrams in that concentration and multiply by its milliliters: desired ÷ have × volume.
The Formula
D ÷ H × Q, where Q is the volume the label's dose comes in.
How to work it out
- 1 Read the label as a pair: the amount of drug and the volume it comes in, for example 125 mg in 5 mL.
- 2 Make sure the order and the label use the same unit. Convert grams to milligrams if needed.
- 3 Divide the ordered dose by the label's drug amount, then multiply by the label's volume.
- 4 Round to the nearest tenth of a milliliter unless the dose is under 1 mL, when hundredths are used with a 1 mL syringe.
Worked Examples
Ordered: amoxicillin 250 mg by mouth. Available: 125 mg per 5 mL. How many mL?
- 250 mg ÷ 125 mg = 2.
- 2 × 5 mL = 10 mL.
Answer: 10 mL
Ordered: 0.4 g by mouth. Available: 200 mg per 5 mL. How many mL?
- 0.4 g = 400 mg.
- 400 mg ÷ 200 mg × 5 mL = 10 mL.
Answer: 10 mL
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Common Mistakes
- Forgetting to multiply by the label's volume
250 ÷ 125 is 2, but the answer is not 2 mL. The label says 125 mg comes in 5 mL, so 2 × 5 = 10 mL.
- Using the bottle size instead of the concentration
A 100 mL bottle of 125 mg/5 mL is still 125 mg per 5 mL. The total volume in the bottle does not enter the calculation.
- Mixing grams and milligrams
If the order is in grams, convert it before dividing. 0.4 g is 400 mg.
Questions Students Ask
How do I measure 7.5 mL at home?
With an oral syringe or a proper medicine cup, never a kitchen spoon. One and a half teaspoons is 7.5 mL, but kitchen teaspoons vary too much to trust.
When do I round to hundredths?
For doses under 1 mL drawn up in a 1 mL syringe, which is marked in hundredths. Everything else is usually rounded to tenths.
Keep practicing in lesson 5: Liquid Oral Doses
Fresh numbers every time. Ten correct answers finish the lesson. The practice round and the first five problems of lesson 1 are free.
Open lesson 5