re: Problem solving

[Guest guest]

Fania,

Thanks for the reply. We have seen four different psychiatrists who all agreed

on the aspergers dx. I have tried to explain that in order to get a true

picture of you have to spend 24/7 with him. One 45 min session once a

week does not cut it, he is high on the spectrum, and it takes a while for his

true colors to come shinning through. s Grandfather and his Father have

the same behaviors, I know it in my heart that it is aspergers. We will be

starting with our new therapist next week through the child mental health

program. Barbara

uplift <uplift@...> wrote:

Barb, I had a psychiatrist also hesitate to dx with AS because my son is good in

math and problem solving.

but the thing is - the difficulties in AS lay in SOCIAL problem solving, not

math. math is logical , which IS the way they think. it is the DYNAMIC social

relations that pause THE problem that people with AS find hard to solve.....

listen on to your " little voice inside " and seek another doc for the Dx.

F

[Guest guest]

> Fania,

>

> Thanks for the reply. We have seen four different psychiatrists

who all agreed on the aspergers dx. I have tried to explain that in

order to get a true picture of you have to spend 24/7 with

him. One 45 min session once a week does not cut it, he is high on

the spectrum, and it takes a while for his true colors to come

shinning through. s Grandfather and his Father have the same

behaviors, I know it in my heart that it is aspergers. We will be

starting with our new therapist next week through the child mental

health program. Barbara

Barbara,

Since when is problem solving a disqualifying factor? is a

wonderful problem solver when he wants to be. He's great at math

and, at home where he doesn't feel the pressure of school failure, if

something goes wrong, he calmly tries to work it out. Good luck with

the new therapist. As for the one who told you that you try to

control too much...well, I have had one too many " expert " try

to blame my kids' problems on me. Move on! She's not worth another

moment of your thoughts.

Kathy

[Guest guest]

Barb, I can't believe you were told that your son doesn't have AS

because he can solve problems. That's ridiculous! I have never even

read a description of AS that said " can't solve problems " . This

website has the official psychological criteria for AS, as well as

several other authored criteria. http://www.isn.net/~jypsy/whataspe.htm

Way down at the bottom of some expert's list (not the official DSM) it

says " may have problems with sequencing and planning " , but that is only

a possibility out of dozens of others. My AS son not only can solve

problems, but he creates these amazing Rube Goldberg contraptions (when

he's pissed at his dad he makes " daddy traps " ) that involve a

complicated process like the game of Mouse Trap: problem solving way

beyond the level of his 5/6 year old peers. I've also heard him

arranging compromises between playground factions. In fact, I would say

that problem solving is one of his strengths! Show your person the

official criteria (DSM IV)and ask her where she got " no problem-solving "

from!

in FL

[Guest guest]

Dear Hem,

Allow me to do the second problem first:

2. The intravenous infusion contains 10 ml of 1:5000 of Isoproterenol

Hydrolchloride and 500 ml of 5% dextrose. What flow rate should it

be administered so as to provide 5mcg of Isoproterenol/min.

Thanks

Hemali

First of all let us look at the total solution:

500ml D5W + 10 ml Isoproterenol HCl = 510 ml total

From now on IsoP will be the abbreviation I will use for

Isoproterenol HCl.

Now let us explore the `strength " of 1:5000

This means in a solution there is 1 gram of IsoP for every 5000ml of

solution:

1 gram is equal to 1,000,000 mcg

Therefore there is 1,000,000 mcg / 5000ml IsoP

But we have not used 5000ml of IsoP instead we have used only 10 ml

of IsoP with this strength. Therefoe the amount of mcg of IsoP in the

510 ml of new solution is way less than 1,000,000 mcg.

To calculate the amount of mcg of IsoP in the 510 ml :

1,000, 000 mcg = X mcg

---------------....------------

5000 ml.............10 ml

Therefore the 10 ml of IsoP added to the D5W has 2000 mcg IsoP in it

or 2000mcg/10ml

The 510 ml also has 2000 mcg IsoP.

So the IsoP solution has 2000 mcg or 2 mg in the 10 ml, which are NOW

in the 510 ml total solution.

So therfore, we can now calculate how many ml are equal to 5mcg:

2000 mcg IsoP........5mcg

-------------- = ---------

510 ml…………...........…X ml

2000 mcg Iso........5mcg

------------- = ----------

510 ml.............1.275 ml

or 1.28 ml

Now substituting the volume for the wt:

Instead of 5mcg of IsoP per minute it is :

At a rate of 1.28 ml / minute

In addition to understand this further: the 510 ml will run out in

398 minutes or 6.64 hours.

510ml divided by 1.28 ml /min = 398 min or 6.64 hours.

This is very plausible.

Ihope that this helps you out,

Jeanetta Mastron CPhT BS Chem

Founder/Owner

> hi,

> I need help to solve these 2 problems.

> 1. A pharmacist instructs you to markup a product 12% of which the

> wholesale price is 4.8/100 tablets.After few weeks 40 tablets got

> sold.Counting the filling fee of 4 and customer senior 10% of final

> markdown.How much will the medication cost?

> 2. The intravenous infusion contains 10 ml of 1:5000 of

Isoproterenol

> Hydrolchloride and 500 ml of 5% dextrose.What flow rate should it

be

> administered so as to provide 5mcg of Isoproterenol/min.

> Thanks

> Hemali

[Guest guest]

Dear Hem,

Here is my attempt to solve your first problem. However it is

difficult for me to understand what you wrote due to the fact that

you interpreted what you read and then wrote it, when you should have

written exactly what the book problem states.

1. A pharmacist instructs you to markup a product 12% of which the

wholesale price is 4.8/100 tablets.After few weeks 40 tablets got

sold.Counting the filling fee of 4 and customer senior 10% of final

markdown.How much will the medication cost?

Well to be honest I do not know what the 40 tablets being sold

previously has to do with anything! But I have to assume that we are

talking about a quantity of 40 tablets here, that are being sold, so

that is what I will use. In the future you need to type the problem

EXACTLY as stated in the book and give page and credit to the title

and author of the book.

Add the 12$ mark up as per isntructions by RPh:

$4.80 x 1.12 = $5.376 or $ 5. 37 per 100

Then you are to sell to a senior citizen only 40 of the previously

marked up drug. You need to calculate the price of the markedup drugs

then subtract 10$ then add Filling Fee.

$5.37..........X$

---------- = -------

100 tabs..... 40 tabs

12% marked up price for only 40 tabs = $2.15

Now subtract 10%

10% = 1/100 x $2.15 or 0.1 x $2.15 = $0.215

or 22 cents or $0.22

Let us subtract the discount to find new price:

Now $2.15 – $0.22 = $1.93

Now let us add $ 4.00 flat fee:

$1.93 + $ 4.00 = $5.93 / 100 tablets

Now I do hope that my retail techs and Texperts will agree on

the `order'of or sequence of the adding and subtracting of percent

mark-up and discount and professional filling fee.

Looking for more input!

I do hope this helps you out.

But I am still not sure that you have interpreted the problem

correctly because you did not write it as it is stated in the book.

Therefore my sequence is dependant upon your interpretation.

Respectfully,

Jeanetta CPhT

> hi,

> I need help to solve these 2 problems.

> 1. A pharmacist instructs you to markup a product 12% of which the

> wholesale price is 4.8/100 tablets.After few weeks 40 tablets got

> sold.Counting the filling fee of 4 and customer senior 10% of final

> markdown.How much will the medication cost?

> 2. The intravenous infusion contains 10 ml of 1:5000 of

Isoproterenol

> Hydrolchloride and 500 ml of 5% dextrose.What flow rate should it

be

> administered so as to provide 5mcg of Isoproterenol/min.

> Thanks

> Hemali

[Guest guest]

Dear hemali,

My appologies for suggesting that you had not written the problem #1

correctly. It seems to me there is a big chunk of information

missing in this problem. I check the site you refered to and you did

indeed write the problem as given. Once again I suggest that you

contact techlectures for explanation of WHY there is no mention of

the EXACT amount of drug to be sold (dispensed) to the patient.

It is possible that the order in which I have added the mark up,

discount and professional fee is to be reversed. However I did add

the mark up first as instructed in the problem by the pharmacist. It

is possible that we must remove the original mark up for the senior

citizen.

In this case the AWP of $4.80 / 100 tabs would have a discount of

10% which would mean: $4.32/100. Since 60 remain it is possible that

60 are being sold. But again it is not documented in the problem how

many are being sold. Heck it is possible that only 15 are being

sold!!!! Who knows? Anyway if 60 are sold, this would mean $2.59 is

the price without mark up or fee. But the pharmacy would be in

the 'hole' .

Anyway we then add the $4 flat fee = $6.59

Now if we take the prescription to be 40 tabs to be sold to the

senior (who has a headache from doing the math by now:)

The discounted cost would be: $1.73

Now adding $4 we get $5.53

I see how the number of $5.53 is arrived. But I wonder why the

problem is not more forthcoming to give all of the information.

Certainly it is a 'crap' shoot at best as to how many tablets are

being sold to this poor senior who had to wait this long just to get

a price!

Hee!

Hope this helps you.

Jeanetta Mastron CPhT BSChem

Pharm Tech Educator

Founder/Owner of this site

> >> hi,

> >>   I need help to solve these 2 problems.

> >> 1. A pharmacist instructs you to markup a product 12% of which

the

> >> wholesale price is 4.8/100 tablets.After few weeks 40 tablets

got

> >> sold.Counting the filling fee of 4 and customer senior 10% of

final

> >> markdown.How much will the medication cost?

> >> 2. The intravenous infusion contains 10 ml of 1:5000 of

> >Isoproterenol

> >> Hydrolchloride and 500 ml of 5% dextrose.What flow rate should

it

> >be

> >> administered so as to provide 5mcg of Isoproterenol/min.

> >> Thanks

> >> Hemali

> >

[Guest guest]

Dear Hemali,

By the way to tell me taht 40 tabs have been previously sold does

not tell me to this particular patient. I read that and interpreted

that to mean that 60 were left in the bottle, after the pharmacy

sold 40 to who knows who(?) not that I should sell another quantity

of 40 tabs.

But I can see how in retail this is 'understood'. I just feel it is

not a well written problem unless you spell out who the first 40

were sold to if you want the student and tech to sell the same

amount. Otherwise not enough info is given in the problem.

This problem could be rewritten as:

1. A pharmacist instructs you to markup a product 12% of which

the wholesale price is $4.80/100 tablets. After a few weeks 40

tablets were sold to a senior citizen, who gets a 10$ discount.

Including the the filling fee of $4.00, what was the cost of this

prescription to that patient?

Thank you all for your future input..

Respectfully,

Jeanetta Mastron CPhT BSChem

Founder/Owner

> > >> hi,

> > >>   I need help to solve these 2 problems.

> > >> 1. A pharmacist instructs you to markup a product 12% of

which

> the

> > >> wholesale price is 4.8/100 tablets.After few weeks 40 tablets

> got

> > >> sold.Counting the filling fee of 4 and customer senior 10% of

> final

> > >> markdown.How much will the medication cost?

> > >> 2. The intravenous infusion contains 10 ml of 1:5000 of

> > >Isoproterenol

> > >> Hydrolchloride and 500 ml of 5% dextrose.What flow rate

should

> it

> > >be

> > >> administered so as to provide 5mcg of Isoproterenol/min.

> > >> Thanks

> > >> Hemali

> > >