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Handouts 1791
Handouts 1791
Handouts 1791
CALCULATIONS
Mocule 1t
REVIEW OF MATHEMATICS
A. PEMDAS
o Order of operations or precedence rule used to unambiguously clarify which
✔ E___________
✔ M___________
✔ D___________
✔ A___________
✔ S___________
o Solve
i. [(3.5 + 3 X 4)2 + 12÷250] X 0.08250 = ___________
ii. 2x + 5 = 29
iii. x + 3 = 8
iv. x – 5 = 2
v. 2x + 5 = 35 – 4x
vi. 1/4x + 2/3=1
C. Proportional Calculations
o Solve
i. A suspension is 250mg/5mL. Calculate the amount needed to give a
dose of 400mg.
D. Dimensional Analysis
o Solve
i. A 36-lb child is to be given amoxicillin suspension. The dose is
13mg/kg and the strength of the suspension is 250mg/5mL. How
many mL should be given the child?
METRIC SYSTEM
A. Introduction
o International Bureau of Weights and Measures
o SI (Systeme International) units
o Standard Measurement
i. Mass: ____________
ii. Length: __________
iii. Volume: _________
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B. Metric System Prefixes
o Additional
Information:
i. 1m = _______ inch
ii. 1 inch = ______ cm
C. Apothecaries – Solid Measures
o Solve:
3
D. Apothecaries – Fluid Measures (Volume)
o Solve:
E. Avoirdupois System
F. Intersystem Conversion
o 1 grain (avoir) = ______ grain (apoth)
o 1 grain = _____ mg
o 1 g = _____ gr
o 1 kg = _____ lb (avoir)
o ______ mL = 1 pint
o ______ mL = 1 gallon
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o 1 dessertspoonful = _____ mL
o 1 tablespoonsful = _____ mL
o 1 winesglassful = _____ mL
o 1 teacupful = _____ mL
o 1 tumblerful = _____ mL
o 1 glassful = _____ mL
H. Temperature Conversion
o Solve:
i. 35°F to °C
ii. 37°C to °F
iii. 60 °C to K
I. FINAL QUIZ
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a. Frequency
b. Administration
C. Exercise
a. Interpret the following:
i. Disp. gr xi sulfur. m. et. ft. ung
D. FINAL QUIZ:
a. Interpret the following:
i. 1 tsp qid pc et hs
C. FINAL QUIZ:
i. A physician orders enalaprilat 2 mg IV push for a hypertensive
patient with a BP of 200/108. A pharmacist delivers several 1 mL
injections, each containing 1.25 mg of enalaprilat. How may
milliliters of the injection should be administered?
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DRUG DOSE ADJUSTMENT
A. Population (Pediatric)
o Neonates: ________________
o Infants: ________________
o Toddlers: ________________
o Preschoolers: ________________
o School-age________________
o Adolescence: ________________
B. Calculation Based on Age
o Young’s Rule
o Cowling’s Rule
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o Formula:
o Weight Classification
F. Final Quiz:
o The 5 year-old patient weighs 35kg the height is 1.2m and the normal
ii. Frieds
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iii. Cowling
iv. Clarks v.
BMI
vi. BSA
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15
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ii. The concentration of a drug additive in an animal feed is 12.5 ppm. How
many mg of the drug should be used in preparing 5.2 kg of feed?
E. Proof Strength
o Expressed by taking 50% alcohol or proof spirit as 100 proof o
Always numerically twice as great as percentage strength (v/v) 1. 100%
or absolute alcohol is 200 proof
2. 25% alcohol is 50% proof
o Proof Gallon
1. Used to measure or evaluate alcohol of given quantities and strengths for
purposed of taxation
2. 1 wine gallon of 100 proof or 50% v/v
o Formula for Proof Gallon
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F. Unit of Potency
o Measure of potency for some antibiotics, endocrine products, vitamins
o Examples:
1. Insulin Solution or Suspension
▪ U-40, U-100, U-500 means 40, 100, 500 USP insulin per mL
2. Ampicillin Sodium
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i. What is the mole fraction of sodium chloride (MW of NaCl =
58.5g/mol) in a normal saline solution (NSS)? (MW H2O = 18g/mol)
D. Normality
o Factor
▪ With respect to acid: the equivalent weight (EW) is the amount of acid
that can furnish 1.008g of hydrogen ion i.e. 1 H+
▪ With respect to bases: the EW is the amount of base that can furnish 17.008g
of hydroxide ion, i.e. 1 OH-
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E. Milliequivalent
i. A prescription order calls for Potassium Chloride 20 mEq. Calculate
the number of milligrams of Potassium Chloride, which will give this
amount. The molecular weight of (MW) of KCl = 74.5 g/mol.
ii. How many mEq of KCl are there in 50 ml of a 3% KCl solution? (MW =
74.5 g/mol)
F. Osmolarity
o Osmotic pressure is proportional to the total number of particles in solution
o The unit used to measure osmotic concentration is the milliosmol (mOsmol)
i. How many mOsmols are represented in a L of 0.9% NaCl solution?
(MW = 58.5 g/mol)
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G. Final Quiz
i. 34g sulfuric acid dissolved in water resulting to 500mL of solution (Given:
H=1g/mol; O=16g/mol; S=32g/mol)
a. Molarity
b. Molality
c. Normality
d. mEq/L
e. mOsm/L
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REDUCING & ENLARGING FORMULA
A. Introduction
o These formulas list the amount of each ingredient needed to make a certain
amount of the preparation.
o At times, it is necessary to reduce or enlarge a formula to satisfy the needs of
your pharmacy.
B. Methods of Reducing and Enlarging
a. By Ration and Proportion
o Official formulas and most other formulas are based on the
preparation of 1000mL or 1000g of product.
b. By Conversion Factor
o Conversion factor method is the easiest and therefore the most
widely used method for reducing or enlarging formulas.
c. Example:
oSolve: Use both Ratio and Proportion and Conversion Factor Method
1. Use the official formula below to calculate how much of each
ingredient would be needed to make 120mL Cocoa Syrup.
a. Cocoa Syrup Cocoa …………….. 180g
b. Sucrose ………………………………. 600g
c. Liquid glucose …………………….. 180mL
d. Glycerin ………………………………. 50mL
e. Pure Water qs …………………….. 1000mL
C. Stock Solution
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o Solutions of known concentration that are frequently prepared by the pharmacist
for convenience in dispensing usually strong solutions from which weaker ones
(dilute) may be made
o Example: 80mL of a 1ppm NaCl stock solution is used to prepare 10mL of 1ppb
solution
o General Formula:
o C V= C1V1
▪ V - volume of stock preparation
2. How many grams of 14% zinc oxide ointment can be made from 454.55
g of 20% zinc oxide ointment?
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3. If 500mL of a 15% v/v solution are diluted to 1500mL, what will be
the percentage strength (v/v)?
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ALLIGATION
A. Introduction:
o Method used to solve problems that involve mixing two products of different strengths
to form a product having a desired intermediate strength. o Arithmetical method of solving
problems that involve the mixing of solutions or mixtures of solids possessing different
percentage strengths.
B. Methods:
a. Alligation Medial
i. What is the percentage of zinc oxide in an ointment prepared by mixing 200g
of 10% ointment, 50g of 20% ointment and 100g of 5% ointment?
b. Alligation Alternate
i. A pharmacist has 70% alcoholic elixir and a 20% alcoholic elixir. He needs
a 30% alcoholic elixir to use as a vehicle for medications. In what
proportion must the 70% elixir and 20% elixir be combined to make
250mL 30% elixir?
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ii. A hospital pharmacist wants to use three lots of zinc oxide ointment
containing, respectively, 100%, 50% and 0% zinc oxide. In what
proportion and volume should they be mixed to prepare a 500mL of
70% zinc oxide ointment?
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ISOTONICITY
A. Introduction
a. Osmosis
o 2 solutions of different concentrations are separated by a semi-permeable
membrane (only permeable to the solvent) the solvent will move from the
solution of lower concentration to that of higher concentration.
b. Hypertonic Solutions
o A solution with more solute compared to cell concentrations
o Solutions that freeze lower that -0.52 °C
o Results: crenation of the cell (shrinkage)
c. Hypotonic Solution
o A solution with less solutes compared to cell concentrations
o Solutions that freeze higher than - 0.52 °C
o Result: swelling and lysis of the cell
d. Isotonic Solution
o Solutions for which a living cell does not gain or lose water
o Solutions with similar osmotic pressure as that of body fluids
o Similar concentration as 0.9% (w/v) NaCl solution
B. Methods of Adjusting Isotonicity
a. Class I: Addition of a tonicity adjusting agent
o Freezing Point Depression Method/ Cryoscopic Method
▪ Solve:
1. What is the amount of NaCl (in grams) needed to make the
following solution isotonic? 1% Ephedrine HCl and 1% NaCl
has freezing point depressions of 0.169 and 0.58,
respectively.
Rx Ephedrine HCl 0.35 g
Sodium Chloride q.s.
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▪ Solve:
1. How many grams of NaCl should be used in compounding
the following prescription?
Rx Pilocarpine nitrate (E = 0.22) 0.3g
NaCl qs
Purified Water qs 30mL
Make isotonic solution
Sig for the eye
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b. Class II. Addition of water and dilution with buffered isotonic solution
o White Vincent Method
▪ FORMULA:
v= " $ %&'()* $ 111.1
o Sprowl’s Method
▪ FORMULA:
PHARMACOECONOMIC COMPUTATION
A. Discount
o Provided by supplier may be based on the quantity of buying and/or
payment of invoice within a specific period.
o Maybe a means of increasing gross profit.
o Solve:
1.The list of price of an antihistamine elixir is P65, less 40%. What is the
net cost per pint of the elixir?
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B. Series Discount
o A technique used in promotional deals.
o Chain of deduction that can be converted to a single discount equivalent. o
Solve:
1.The list price of 12 bottles (100 caps) of analgesic tablet is P360, less trade
discount of 33.33%. If purchased in quantity of per dozen an additional
discount of 10% is allowed by the trader, plus a 2% cash discount for
payment within 10 days. Calculate the net cost of 144 bottles when
purchased under the terms of the offer.
o Formula:
o Solve:
1. The patient would like to avail the discount for senior citizens. One piece
of the tablet costs Php 4.00, and she would like to buy 30
pieces. What are the requirements that the patient should present to the
pharmacy to avail of the discount? How much would her
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medications cost after discounting? Patient pays 100 pesos, how much
would be the change?
D. Mark Up
o Sometimes used interchangeably with margin of profit or gross profit
o Refers to the difference between the cost of merchandise and its selling price
o Mark Up Percentage
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CONTEMPORARY COMPOUNDING
A. Reconstitution
o Powders or crystals occupy a greater volume that after reconstitution. o Once the
powder or crystals are dissolves in the solvent, the volume may be more than the
amount of solvent added.
o Solve:
1. Label instruction for an ampicillin product calls for the addition of 78mL of
water to make 100mL of constituted suspension such that each 5mL
contains 125mg of ampicillin. Calculate the volume of dry powder in the
product and the total content of ampicillin? Using the previous problem, if
the physician desires an ampicillin concentration of 100mg/5mL, how many
milliliters should be added to the dry
powder?
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2. The label of a dry powder for oral suspension states that when
112mL of water are added to the powder, 150mL of a suspension
containing 125mg of ampicillin per 5mL are prepared. How many
milliliters of purified water should be used to prepare, in each 5mL of
product, the correct dose of ampicillin for a 70lbs child based on
6mg/kg dosing.
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QUICK QUIZZES
PART 1
PART 2
1. What does ATC mean?
A. Alabang Town Center
B. Around The Corner
C. Around the Clock
D. None of the above
2. What is the abbreviation for Right Eye?
A. OD
B. OU
C. OL
D. OS
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3. This is the principal part of the prescription. It contains the name or names of
medications and quantities prescribed.
A. Superscription
B. Inscription
C. Subscription
D. Signatura
PART 3
1. How many drops would be prescribed in each dose of a liquid medicine if 20 mL
contained 60 doses? The dispensing dropper calibrates 35 gtts per mL.
A. 12
B. 15
C. 8
D. 23
2. If the dose of the drug is 100 mg how many doses are there in 100 g?
A. 10
B. 100
C. 1000
D. 10,000
3. A physician orders meprobamate 0.2 g. How much is to be administered if the
dose on hand is 400 mg in each tablet?
A. Do not dispense
B. Give 1 tablet
C. Give 2 tablets
D. Give half tablet
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4. If one tablespoonful is prescribed as the dose, approximately how many doses will be
contained in one pint of the medicine?
A. 30
B. 32
C. 34
D. 36
5. If 250 units of an antibiotic weigh 1 mg, how many units are in 25 mg? A.
6250
B. 6200
C. 6300
D. 6350
PART 4
1. What is the dose of a drug for a 6-year old child if the average adult dose is 1.5 grains?
Use Young's rule.
A. 1 gr
B. 1.5 gr
C. 0.5 gr
D. 2 gr
A. 1.73m2
B. 1.74m2
C. 1.75m2
D. 1.76m2
3. If the adult dose of a drug is 90 mg, what should be the dose for a child with a body
surface area of 0.60 sq. m.?
A. 32.21 mg
B. 31.21 mg
C. 33.21 mg
D. 34.21 mg
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A. Underweight
B. Overweight
C. Obese
D. Severely obese
PART 5
1. Mass per unit volume of a substance
A. Density
B. Specific Gravity
C. Strength
D. Parts per Million
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A. 57.7 g
B. 55.7 g
C. 54.7 g
D. 53.7 g
PART 6
1. Defined as the ratio of the number of moles of one component to the number of moles of all
components present
A. Molarity
B. Normality
C. Mole Fraction
D. Molality
2. How is the Factor for acids determined?
A. the equivalent weight (EW) is the amount of acid that can furnish 1.008g of
hydrogen ion i.e. 1 H+
B. the EW is the amount of base that can furnish 17.008g of hydroxide ion, i.e. 1 OH
C. total positive ionic charge
D. None of the above
3. How is the Factor for bases determined?
A. the equivalent weight (EW) is the amount of acid that can furnish 1.008g of
hydrogen ion i.e. 1 H+
B. the EW is the amount of base that can furnish 17.008g of hydroxide ion, i.e. 1 OH
C. total positive ionic charge
D. None of the above
4. How is the Factor for salts determined?
A. the equivalent weight (EW) is the amount of acid that can furnish 1.008g of
hydrogen ion i.e. 1 H+
B. the EW is the amount of base that can furnish 17.008g of hydroxide ion, i.e. 1 OH
C. total positive ionic charge
D. None of the above
5. What is the symbol for moles?
A. M
B. m
C. n
D. l
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PART 7
1. Use the official formula below to calculate how much cocoa syrup cocoa
ingredient would be needed to make 100mL Cocoa Syrup.
Cocoa Syrup Cocoa ................. 180g
Sucrose ..................................... 600g
Liquid glucose .......................... 180mL
Glycerin ..................................... 50mL
Pure Water qs .......................... 1000mL
A. 18g
B. 60g
C. 18mL
D. 5mL
2. Use the official formula below to calculate how much sucrose ingredient would
be needed to make 100mL Cocoa Syrup.
Cocoa Syrup Cocoa ................. 180g
Sucrose ..................................... 600g
Liquid glucose .......................... 180mL
Glycerin ..................................... 50mL
Pure Water qs .......................... 1000mL
A. 18g
B. 60g
C. 18mL
D. 5mL
3. Use the official formula below to calculate how much liquid glucose ingredient
would be needed to make 100mL Cocoa Syrup.
Cocoa Syrup Cocoa ................. 180g
Sucrose ..................................... 600g
Liquid glucose .......................... 180mL
Glycerin ..................................... 50mL
Pure Water qs .......................... 1000mL
A. 18g
B. 60g
C. 18mL
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D. 5mL
4. Use the official formula below to calculate how much glycerin ingredient would be
needed to make 100mL Cocoa Syrup.
Cocoa Syrup Cocoa ................. 180g
Sucrose ..................................... 600g
Liquid glucose .......................... 180mL
Glycerin ..................................... 50mL
Pure Water qs .......................... 1000mL
A. 18g
B. 60g
C. 18mL
D. 5mL
5. The formulas list the amount of each ingredient needed to make a certain amount
of the preparation. At times, it is necessary to reduce or enlarge a formula to
satisfy the needs of your patients.
A. True
B. False
C. Maybe
D. Not sure
PART 8
1. A method used to solve problems that involve mixing two products of different strengths
to form a product having a desired intermediate strength.
A. Reconstitution
B. Recalibration
C. Alligation
D. Reduction
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3. What method is used to find the amount of each ingredient needed to make a
mixture of a given quantity?
A. Alligation alternate
B. Alligation medial
C. Alligation external
D. Alligation internal
4. What method is used to calculate the total percentage strength when two or
more solutions are mixed?
A. Alligation alternate
B. Alligation medial
C. Alligation external
D. Alligation internal
5. In what proportion should alcohols of 90% and 50% strengths should be mixed
to make 70% alcohol?
A. 1 part: 2 parts
B. 1 part: 1 part
C. 1 part: 3 parts
D. 2 parts: 1 part
PART 9
1. When 2 solutions of different concentrations are separated by a semi-permeable
membrane, the solvent will move from the solution of lower concentration to that of
higher concentration.
A. Osmosis
B. Diffusion
C. Pinocytosis
D. Phagocytosis
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B. Hypotonic
C. Isotonic
D. None of the above
3. A solution with less solutes compared to cell concentrations A.
Hypertonic
B. Hypotonic
C. Isotonic
D. None of the above
4. A solution with similar osmotic pressure as that of body fluids A.
Hypertonic
B. Hypotonic
C. Isotonic
D. None of the above
5. Referred to as gram of NaCl equivalent to 1 gram of substance
A. E value
B. Na value
C. Cl value
D. I value
PART 10
A. Discount
B. Series Discount
C. PWD Discount
D. Senior Discount
2. Refers to the difference between the cost of merchandise and its selling price
A. Mark up
B. Discount
C. Series Discount
D. Mark up percentage
A. Mark up
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B. Discount
C. Series Discount
D. Mark up percentage
4. Minimum age to qualify for the Senior Citizen Discount in the Philippines.
A. 61
B. 65
C. 70
D. 60
A. Margin of profit
B. Gross profit
C. A and B
D. None of the above
PART 11
A. 200 mL
B. 250 mL
C. 300 mL
D. 400 mL
3. A prescription calls for 0.3 g of phosphoric acid with a sp gr of 1.71. How many
mL should be used in compounding the prescription?
A. 0.18 mL
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B. 0.22 mL
C. 0.24 mL
D. 0.26 mL
A. Letter
B. Prescription
C. Message
D. Notification
A. 0.80 mL
B. 0.76 mL
C. 0.57 mL
D. 0.15 mL
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