5 Algebra
Learning Outcomes
By the end of this chapter, learners will be able to:
- describe how algebra can be used in the process of medication administration, and
- solve linear equations with whole numbers and fractions.
What is Algebra?
Algebra is the branch of mathematics which uses symbols (also known as variables) to represent numbers which do not have a known amount. Letters are often used as the symbols for variables to represent values which are unknown in an equation. To determine the actual value of the variable(s) is called “solving the equation”. Practicing how to solve for variables can support the development of your ability to calculate medication dosages safely as the preparation of medication often requires you to solve for an unknown amount.
Solving Equations
It is important to note the total value on each side of the equals sign is the same. You may recall that before solving an equation you may need to simplify it by combining all like terms together and then solving for the unknown variable(s). The majority of problems you must solve in medication administration will only require you to use basic math skills (adding, subtracting, multiplying and/or dividing) with real numbers and fractions.
Points to remember:
- Each side of the equation is equal.
- Simplify the problem by combining all like terms together.
- Use order of operations when solving the equation.
- If you do something to one side of the equation to simplify, you must do it to the other in order to keep both sides of the equation equal.
Solve the following equation:
[latex]\text{2x + 4 = 12}[/latex]
First, let’s get all the like terms together. Terms in this equation are 2x, 4 and 12. 4 and 12 are like terms because they are whole numbers. 2x does not have another like term. To get 4 and 12 together, we need to do something to both sides of the equation to cancel the 4 on the left side and bring it to the right side of the equals symbol. Using the inverse operation will remove the 4 from the left side.
[latex]\text{2x + 4 - 4 = 12 - 4}[/latex]
[latex]\text{2x = 8}[/latex]
Now get x by itself. To do this we must cancel out the 2, which we can do if we divide both sides by 2. The invisible symbol between 2 and x is multiplication. Therefore, the inverse operation is division.
[latex]\frac{{2}x}{{2}} =\frac{8}{2}[/latex]
[latex]x=4[/latex]
*In a shortened form of this process, this means when joining like terms that are being added or subtracted, you can just move the term across the equals sign and do the opposite operation. Similarly, when moving terms that are being multiplied or divided, you can do the opposite operation if it crosses the equals sign.
Practice Quizzes
In the next section, you can practice solving randomly generated equations. You may want to have something to write on as you are solving these questions. You can practice questions with and without a calculator.
There are two quizzes to practice basic algebra equations (more precisely, linear equations).
- Start with the first quiz which includes equations with only whole numbers.
- For an additional challenge, try without a calculator! Although calculators are often available to assist with tasks requiring arithmetic in the workplace, practice without a calculator is also beneficial. It is a great exercise for your brain health and you may find your speed of mental calculations improving with repeated practice.
- The second quiz is extra challenging, with the addition of fractions in most questions. Practising these questions will help you consolidate your understanding of how to simplify, add, subtract, multiply and divide fractions.
- You will not need to be proficient in these questions to be able to understand most numerical information found in the field of nursing.
Quiz Instructions
- Click the start button to generate quiz questions.
- The quiz will count down and then begin to provide randomly generated questions.
- Each quiz will generate ten multiple choice questions each time you click the start button.
- You will be able to view one question at a time.
- When ready, click on the answer you think is correct.
- If it is the correct answer, the box changes to green and you will hear a sound indicating a correct answer.
- If it is not the correct answer, the box you click changes to a darker shade of blue and the correct answer is highlighted in green.
- You can track self improvement by the number of correctly answered questions and/or by the amount of time you take to complete the quiz.
Quiz #1
Quiz #2
Case Studies
Scenario A: Dosage Calculation for Hypertension Medication
Emily, a 55-year-old patient, has been diagnosed with hypertension and is prescribed 80 mg of Amlodipine daily. However, her doctor wants to reduce her dosage by 20% due to her lower blood pressure readings.
Question: How much Amlodipine should Emily take now?
Answer & Solution
Answer: Emily should now take 64 mg of Amlodipine daily.
Scenario A. Steps to solve:
Let the original dose be x = 80mg. The doctor wants to reduce the dosage by 20%.
The reduction amount:
Reduction = 0.20x = 0.20 × 80 = 16mg
So, the new dosage will be:
x−16 = 80 − 16 = 64mg
Scenario B: Antibiotic Distribution
David, a patient with pneumonia, is prescribed 500 mg of Amoxicillin per day. The nurse needs to distribute this amount equally over 4 doses.
Question: How many milligrams of Amoxicillin should David take in each dose?
Answer & Solution
Answer: David should take 125 mg of Amoxicillin in each dose.
Scenario B. Steps to solve:
Let the total daily dosage be x = 500mg.
Since the nurse needs to divide the total amount into 4 doses, the amount per dose is:
Amount per dose = x ÷ 4 = 500 ÷ 4 = 125mg
Scenario C: Insulin Adjustment for Diabetes
Sarah, a patient with type 2 diabetes, is using 24 units of Lantus insulin daily. Her doctor advises increasing her dosage by 15% due to a recent rise in her blood glucose levels.
Question: How many units of Lantus insulin should Sarah take after the adjustment?
Answer & Solution
Answer: Sarah should now take 27.6 units of Lantus insulin daily.
Scenario C Steps to solve:
Let Sarah’s current dosage be x = 24units. The doctor advises a 15% increase.
The increase amount:
Increase = 0.15x= 0.15 × 24 = 3.6 units
So, the new dosage will be:
x + 3.6 = 24 + 3.6 = 27.6 units
Chapter Credit
Adapted from Chapter 4 Algebra in A Guide for Numeracy in Nursing by Julia Langham, CC BY 4.0.
Case Studies are new content.