Also, John, the completion of the metrication of these dosage volumes involves 
making certain that the patient or the patient's caregiver gets a 
milliliter-scale measuring tube or spoon and is shown how to use it. But it 
wouldn't stop there. The U.S. needs a public service announcement campaign to 
spread the word about the metrication of oral liquids, explaining that 
teaspooons are unsafe and that they should use milliliters as shown by their 
pharmacist.  

Paul
  ----- Original Message ----- 
  From: John M. Steele 
  To: U.S. Metric Association 
  Sent: 31 January, 2011 05:39
  Subject: [USMA:49711] Re: a non-metric U.S. can kill children


  Paul,
  I don't understand this from the article:
  "The boys father says he was diagnosed with an ear infection and given the 
wrong dosage by a 24-hour pharmacy, 2 teaspoons instead of 2 milligrams."



  If the dose printed was 2 tsp, it must have been a liquid medicine.  It may 
have been a reporter error ( 2 mL??), but the dose should have been a volume in 
milliliters.  If doctors, pharmacists, or vets (in the case of pet owners) 
believe the public can work concepts of weight based dosing or concentrations 
of liquid medicine, they are wrong.  I help out at a conversion site, and there 
is endless confusion over the concepts.  The doctor or pharmacist must reduce 
the dose to a patient-specific, volumetric dose for a liquid medicine; of 
course, they must work it correctly, too.




------------------------------------------------------------------------------
  From: Paul Trusten <[email protected]>
  To: U.S. Metric Association <[email protected]>
  Sent: Mon, January 31, 2011 4:03:55 AM
  Subject: [USMA:49710] a non-metric U.S. can kill children


  The President 
  The White House
  Washington, DC 29599
  2011-01-31

  Dear Mr. President,

  A few days ago, I wrote to you urging that the U.S. finally achieve its goal 
of changing over to the SI metric system of measurement for the economic and 
academic health of the nation.  Sometimes, however, our country needs to change 
over to metric for health reasons, period.  My subject line in this e-mail is 
no exaggeration.  American children are often harmed, or even killed, because 
our citizens, along with our healthcare professionals, drag traditional units 
of measurement (such as the teaspoonful) from the society at large into the 
hospital or clinic.  Too many times, we read of stories such as the one in the 
links below, where teaspoonsful and mililiters or milligrams get confused.  
Although the Institute for Safe Medication Practices reconnended  in 2009 that 
only metric units be used in connection with prescriptions, the following 
continues to take place, and will continue to take place until we as a people 
use only one system of measurement (metric):

  http://www.theredheadedpharmacist.com/?p=2956

  http://www.wrcbtv.com/Global/story.asp?S=13923416

  We need your leadership to help us "go metric" and save American lives.

  SIncerely,


  Paul Trusten, R.Ph. , Vice President and Public Relations Director
  U.S. Metric Association, Inc.
  www.metric.org
  [email protected]
  +1(432)528-8824





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