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Perhitungan Tonisitas

1. Metode Ekivalensi HCl

• Lidocaine

Liso = 3,4

E = 17 x Liso/BM = 0,247

Kesetaraan NaCl = E x Gram zam = 0,247 x 0,024 = 0,0059

• Epinephrine Bitartrate

Liso = 3,6

E = 17 x Liso/BM = 0,334

Kesetaraan NaCl = E x Gram zam 0,334 x 0,0000024= 0,0000008

• Potassium Metabisulfite

Liso = 1,9

E = 17 x Liso/BM = 0,172

Kesetaraan NaCl = E x Gram zam = 0,172 x 0,000144= 0,00002477

• EDTA Disodium

Liso = 4,8

E = 17 x Liso/BM = 0,243

Kesetaraan NaCl = E x Gram zam = 0,243 x 0,000003 = 0,00000073

• Sodium Chloride

Liso = 3,4

E = 17 x Liso/BM = 0,989

Kesetaraan NaCl = E x Gram zam = 0,989 x 0,000492 = 0,000486

• HP-B-CD

Liso = 1,9

E = 17 x Liso/BM = 0,028

Kesetaraan NaCl = E x Gram zam = 0,028 x 0,0137 = 0,00038


• Sodium Sacharine

Liso = 1,9

E = 17 x Liso/BM = 0,157

Kesetaraan NaCl = E x Gram zam = 0,157 x 0,000108 = 0,0000148

Total Tonisitas : 0,0068 gr / 100 ml

NaCl 0,9% dalam 100 ml setara = 0,9/100 x 100 ml =0,9 ml

Selisih Tonisitas = (0,9-0,0068) gram = 0,8932 gram

Hipotonis, setara kekurangan NaCl 0,9% = 0,8932 gram

2. Metode Krioskopik

Tf = Liso x g x 1000 / BM x V

• Lidocaine

(3,4 x 0,024 x 1000) / 234,34 x 100 = 0,0035

• Epinephrine Bitartrate

(3,6 x 0,0000024 x 1000) / 183,204 x 100 = 0,00000047

• Potassium Metabisulfite

(1,9 x 0,000144 x 1000) / 188,177 x 100 = 0,00001454

• EDTA Disodium

(4,8 x 0,000003 x 1000) / 336,16 x 100 = 0,00000043

• Sodium Chloride

(3,4 x 0,000492 x 1000) / 58,44 x 100 = 0,00029

• HP-B-CD

(1,9 x 0,0137 x 1000) / 1135 x 100 = 0,00023

• Sodium Sacharine

(1,9 x 0,000108 x 1000) / 205,17 x 100 = 0,00001

Total = 0,004
Selisih Penurunan Tf = 0,52-0,004 = 0,496

Setara dengan NaCl = 0,92/0,496 = 0,9/x = 0,485 gram

Hipotonis, setara kekurangan NCl 0,9% adalah 0,485 gram

3. Metode White Vincent

Vol. air = (g x E) / 0,9%

• Lidocaine

(0,247 x 0,024 ) / 0,9% = 0,65556

• Epinephrine Bitartrate

(0,324 x 0,0000624 ) / 0,9% = 0,000089

• Potassium Metabisulfite

(0,172 x 0,000144 ) / 0,9% = 0,00275

• EDTA Disodium

(0,243 x 0,000003 ) / 0,9% = 0,000081

• Sodium Chloride

(0,989 x 0,000492 ) / 0,9% = 0,054

• HP-B-CD

(0,028 x 0,0137 ) / 0,9% = 0,4222

• Sodium Sacharine

(0,137 x 0,000108 ) / 0,9% = 0,00164

Total = 0,47779 ml

100 ml - 0,47779 ml = 99,5221 ml

0,9/x = 100/99,5221 = 0,8957 gram

Hipotonis, setara kekurangan 0,8957 gram NaCl

4. Metode Sprowls
V1 = (Liso x g x 1000) / (BM x 0,52)

V2 = (V1 x g) / 0,3

• Lidocaine

(3,4 x 0,024 x 1000) / (234,34 x 0,52) = 0,669 X 0,024 / 0,3 = 0,535

• Epinephrine Bitartrate

(3,6 x 0,0000024 x 1000) / (183,204 x 0,52) = 0,00000001 X 0,0000024 / 0,3 =


0,00000000000008

• Potassium Metabisulfite

(1,9 x 0,000144 x 1000) / (188,177 x 0,52) = 0,00000015 X 0,000144 / 0,3 =


0,000000000072

• EDTA Disodium

(4,8 x 0,000003 x 1000) / (336,16 x 0,52) = 0,00000002 X 0,000003 / 0,3 =


0,0000000000002

• Sodium Chloride

(3,4 x 0,000492 x 1000) / (58,44 x 0,52) = 0,00000955 X 0,000492 / 0,3 =


0,00000002

• HP-B-CD

(1,9 x 0,0137 x 1000) / (1135 x 0,52) = 0,00000039 X 0,0137 / 0,3 = 0,00000002

• Sodium Sacharine

(1,9 x 0,000108 x 1000) / (205,17 x 0,52) = 0,00000009 X 0,000108 / 0,3 =


0,0000000000324

Jumlah yang ditempati zat = 0,053826

Volume berlebihan = 100-0,053826 = 99,94617

Kelebihan volume setara dengan = 0,9/x = 100/99,94817 = 0,8995 gram

5. Metode Faktor Disosiasi

• Lidocaine

Konsentrasi (g/L) = 0,1


Fa = 1,5

Tonisitas zat = (Fa/BM) x c = 140,604

• Epinephrine Bitartrate

Konsentrasi (g/L) = 0,00004

Fa = 1,8

Tonisitas zat = (Fa/BM) x c = 0,01319

• Potassium Metabisulfite

Konsentrasi (g/L) = 0,0024

Fa = 1,5

Tonisitas zat = (Fa/BM) x c = 0,6774

• EDTA Disodium

Konsentrasi (g/L) = 0,0005

Fa = 1,5

Tonisitas zat = (Fa/BM) x c = 0,2521

• Sodium Chloride

Konsentrasi (g/L) = 0,082

Fa = 1,8

Tonisitas zat = (Fa/BM) x c = 8,6257

• HP-B-CD

Konsentrasi (g/L) = 0,02277

Fa = 1,8

Tonisitas zat = (Fa/BM) x c = 46,5191

• Sodium Sacharine

Konsentrasi (g/L) = 0,0018

Fa = 1,8

Tonisitas zat = (Fa/BM) x c = 0,6647


Total = 197,35619

Selisih Tonisitas = 3,2 x 0,28/197,35619 = 0,00454 gram/ 1000 ml

Massa NaCl berlebih dalam 100 ml = 0,00454/1000 x 100 = 0,000454 gram

PERHITUNGAN OSMOLARITAS

• Lidocaine

= m zat/BM x n x 1000

= 24 / 234,34 x 1 x 1000

= 102,45 mOsmol/L

• Epinephrine Bitartrate

= m zat/BM x n x 1000

= 0,0024 / 183,304 x 1 x 1000

= 0,013 mOsmol/L

• Potassium Metabisulfite

= m zat/BM x n x 1000

= 0,144 / 188,177 x 1 x 1000

= 0,428 mOsmol/L

• EDTA Disodium

= m zat/BM x n x 1000

= 0,003 / 336,16 x 1 x 1000

= 0,0089 mOsmol/L

• Sodium Chloride

= m zat/BM x n x 1000

= 0,492 / 58,44 x 1 x 1000

= 8,419 mOsmol/L

• HP-B-CD
= m zat/BM x n x 1000

= 13,662 / 1135 x 1 x 1000

= 12,037 mOsmol/L

• Sodium Sacharine

= m zat/BM x n x 1000

= 0,108 / 205,17 x 1 x 1000

= 0,526 mOsmol/L

Total Osmolaritas = 123,8819

Nilai Osmolaritas yang diperoleh berada dalam rentang <350 yang menandakan larutan bersifat
hipotonis, sehingga diperlukan penambahan HCl

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