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Stoklosa and Ansel’s
Pharmaceutical Calculations
16th Edition
Stoklosa and Ansel’s
Pharmaceutical Calculations
16th Edition
Shelly J. Stockton, PhD, RPh
Professor, Pharmaceutical Sciences
Southwestern Oklahoma State University
Acquisitions Editor: Matt Hauber Development Editor: Andrea Vosburgh Editorial Coordinator: Linda Christina Marketing Manager: Phyllis Hitner Production Project Manager: Bridgett Dougherty Design Coordinator: Stephen Druding Manufacturing Coordinator: Margie Orzech Prepress Vendor: SPi Global
16th Edition
Copyright © 2022 Wolters Kluwer
Copyright © 2017 Wolters Kluwer. Copyright © 2013 Wolters Kluwer Health/Lippincott Williams & Wilkins. Copyright © 2010, 2006, 2001, 1996, 1991, 1986 Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above­mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
permissions@lww.com, or via our website at shop.lww.com (products and
services). 9 8 7 6 5 4 3 2 1 Printed in China (or the United States of America)
Cataloging-in-Publication Data available on request from the Publisher
ISBN: 978-1-9751-2855-5
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among
other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
shop.lww.com
Not authorised for sale in United States, Canada, Australia, New Zealand, Puerto Rico, and U.S. Virgin Islands.
Acquisitions Editor: Matt Hauber Development Editor: Andrea Vosburgh Editorial Coordinator: Linda Christina Marketing Manager: Phyllis Hitner Production Project Manager: Bridgett Dougherty Design Coordinator: Stephen Druding Manufacturing Coordinator: Margie Orzech Prepress Vendor: SPi Global
16th Edition
Copyright © 2022 Wolters Kluwer
Copyright © 2017 Wolters Kluwer. Copyright © 2013 Wolters Kluwer Health/Lippincott Williams & Wilkins. Copyright © 2010, 2006, 2001, 1996, 1991, 1986 Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above­mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
permissions@lww.com, or via our website at shop.lww.com (products and
services). 9 8 7 6 5 4 3 2 1 Printed in China (or the United States of America)
Cataloging-in-Publication Data available on request from the Publisher
ISBN: 978-1-9751-2855-5
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and
healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
shop.lww.com
PREFACE
The 16th edition of Stocklosa and Ansel’s Pharmaceutical Calculations marks the ending of a legacy with the retirement
of Dr. Howard Ansel as primary author. Dr. Ansel has been the author or coauthor of this textbook since the seventh edition in
1980. His expertise and vision in moving the textbook forward as well as maintaining the impeccable quality and high standards of instruction in the field of calculations applied to pharmacy practice have created a long-lasting impact. The 16th edition has been renamed to honor the contributions of the pioneer authors, Dr. Howard Ansel and Dr. Mitchell Stoklosa. The modifications in this edition of the textbook reflect the continued tradition of excellence in educating student pharmacists since the first edition in 1945.
Each chapter has been thoroughly revised and updated with the addition of many new example and practice problems. Information that is no longer utilized in the ever-changing field of pharmacy has been adapted or removed to reflect the most current aspects of pharmacy practice. The organized and concise layout of each chapter has been preserved with the use of applicable background information, example problems, Case-in-Point and Calculations Capsules, and practice problems at the end of the chapter. A new section, Applying Mathematical Principles to Pharmaceutical Calculations, has been added to Chapter 1 to assist student pharmacists in using basic mathematical skills acquired in prior education to solve current problems in the field of pharmacy. The Aliquot Method of Weighing and Measuring, presented in Chapter 3, has been revised in a stepwise approach to clarify a topic that proves to be somewhat confusing to student pharmacists.
Stocklosa and Ansel’s Pharmaceutical Calculations
continues to be an excellent resource in providing clear and thorough explanations to equip pharmacists and pharmacy
students in solving problems encountered in pharmacy practice.
Companion Web Site
Stocklosa and Ansel’s Pharmaceutical Calculations, 16th edition, includes additional resources for both instructors and students, available on the book’s companion Web site. See the inside front cover for more details, including the passcode you will need to gain access to the Web site.
Resources for Students
Interactive math calculations quiz bank, with more than 400 review problems and detailed solutions
Resources for Instructors
CalcQuiz solutions Searchable full text online
ACKNOWLEDGMENTS
The author gratefully acknowledges the contributions to this revision by the following persons: Benny French, for taking new photographs to replace older or outdated pictures; Krista Brooks, for assistance with updated information on immunizations as well as other aspects of clinical practice; Stephen Drinnon, for contributions in the area of community pharmacy and electronic prescriptions; Abigail Gosa, for her input in the area of aliquot method calculations; Warren Beach and Flynn Warren, for providing example problems and practice problems retained from previous editions; and Loyd V. Allen Jr., for his continued courtesy in allowing use of formulas published in the International Journal of Pharmaceutical Compounding. Furthermore, the author expresses appreciation for the many pharmacists and student pharmacists who continue to provide “real-world” experience in the instruction of pharmacy calculations and the difficulties encountered therein.
Gratitude is expressed to Nancy A. Taylor, whose experience was drawn upon during the planning process and whose thoughtful analysis and constructive comments led to many of the changes in this revision.
Particular thanks are offered to Matt Hauber, Acquisitions Editor; Andrea Vosburgh, Senior Development Editor; and Linda Christina, Editorial Coordinator, for their support and guidance during the revision process and to the other exceptional people at Wolters Kluwer for their work in the design, preparation, and production of this revision.
Shelly J. Stockton