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Ratios

What Is a Ratio?

A ratio expresses a relationship between two quantities. In nursing, ratios describe concentrations, doses, and rates — how much of something exists relative to something else.

Writing Ratios

A ratio can be written three ways — all equivalent:

Format Example
Fraction \(\frac{250 \text{ mg}}{1 \text{ tablet}}\)
Colon notation 250 mg : 1 tablet
Word form 250 mg per tablet

In calculations, the fraction format is preferred because it integrates cleanly with dimensional analysis.

Ratios in Medication Labels

Every medication label expresses a ratio:

Label Ratio Meaning
500 mg per tablet 500 mg : 1 tablet
250 mg/5 mL 250 mg : 5 mL
10 units/mL 10 units : 1 mL
0.9% NaCl 0.9 g : 100 mL

Reading Concentration Ratios

A concentration like 250 mg/5 mL tells you exactly how much drug is in how much liquid. This is your stock ratio — the foundation of every liquid medication calculation.

Unit Rates

A unit rate simplifies a ratio so the denominator equals 1. This makes comparisons and calculations easier.

Example: Stock is 250 mg/5 mL. What is the unit rate (mg per mL)?

\[\frac{250 \text{ mg}}{5 \text{ mL}} = \frac{50 \text{ mg}}{1 \text{ mL}}\]

There are 50 mg in every 1 mL of this solution.

Equivalent Ratios

Two ratios are equivalent if they simplify to the same value. This is the foundation of proportion — covered in the next section.

\[\frac{250 \text{ mg}}{5 \text{ mL}} = \frac{500 \text{ mg}}{10 \text{ mL}} = \frac{50 \text{ mg}}{1 \text{ mL}}\]

All three express the same concentration.

Clinical Application

Example 1: A stock solution is labeled 1000 mg/250 mL. Express as a unit rate.

\[\frac{1000 \text{ mg}}{250 \text{ mL}} = \frac{4 \text{ mg}}{1 \text{ mL}}\]

There are 4 mg of drug in every 1 mL.

Example 2: Two solutions are available: - Solution A: 500 mg/10 mL - Solution B: 250 mg/4 mL

Which is more concentrated?

Solution A unit rate: [\frac{500 \text{ mg}}{10 \text{ mL}} = \frac{50 \text{ mg}}{1 \text{ mL}}]

Solution B unit rate: [\frac{250 \text{ mg}}{4 \text{ mL}} = \frac{62.5 \text{ mg}}{1 \text{ mL}}]

Solution B is more concentrated.

Practice Problems

Problem 1

Write the ratio 5 mg per 2 mL in fraction format.

Answer
\[\frac{5 \text{ mg}}{2 \text{ mL}}\]

Problem 2

A stock solution contains 125 mg/5 mL. What is the unit rate in mg/mL?

Answer
\[\frac{125 \text{ mg}}{5 \text{ mL}} = \frac{25 \text{ mg}}{1 \text{ mL}}\]

Problem 3

Are these ratios equivalent? \(\frac{250 \text{ mg}}{5 \text{ mL}}\) and \(\frac{500 \text{ mg}}{10 \text{ mL}}\)

Answer

Simplify both to unit rates: [\frac{250}{5} = 50 \text{ mg/mL}] [\frac{500}{10} = 50 \text{ mg/mL}]

Yes — they are equivalent.

Problem 4

A medication label reads 0.5 mg/2 mL. Express as a unit rate.

Answer
\[\frac{0.5 \text{ mg}}{2 \text{ mL}} = \frac{0.25 \text{ mg}}{1 \text{ mL}}\]

Problem 5

Which solution is more concentrated? - Solution A: 200 mg/4 mL - Solution B: 150 mg/2 mL

Answer

Solution A: [\frac{200 \text{ mg}}{4 \text{ mL}} = 50 \text{ mg/mL}]

Solution B: [\frac{150 \text{ mg}}{2 \text{ mL}} = 75 \text{ mg/mL}]

Solution B is more concentrated.

Clinical Tip

Always identify the stock ratio from the medication label before starting any calculation. Writing it down explicitly as a fraction prevents confusion and sets up your dimensional analysis chain correctly.