Page 15 - Referance Guide For Pharmaceutical Calculations (Naplex, Fpgee and Ptce)
P. 15

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            Patient weight in kg:                                 Total calories = 170 + 280 = 450 calories

            = 155 = 70.45 kg                                      181.(c)  42.58 hours.
                2.2
                                                                  Patient weight in kg = 155 = 70.45 kg
            Dose of Aminoacid in grams:                                                    2.2

            = 1.5 x 70.45                                         Rate of infusion per hour in above patient:
            = 105.68 gm
                                                                  = 0.1 x 70.45 gm/hour
            178.(a) 15.71 hours.                                  = 7.045 gm/hour

            Patient weight in kg = 140 = 63.63 kg                 The amount of dextrose in 1000cc D30W:
                                      2.2
                                                                  = (1000 x 30)/100= 300 gm dextrose
            Total amount that should be infused in a day:
                                                                  The number of hours required:
            = 60 x 63.63
            = 3818.18 cc                                          =    300    = 42.58 hours
                                                                       7.045
            Time required infusing 2500cc:
                                                                  182.(a) The number of hours required to infuse 2.4
            = 2500.00   = 0.654 day = 15.71 hours                 liters or 2400cc solution,
               3818.18
                                                                  = 2400 = 7272.72 minutes = 121.21 hrs.
            179.(b) 510 calories                                     0.33

            Each gram of dextrose provides 3.4 calories or kcal.   183.(b) No, it will not make the patient sedate since
                                                                  alcohol  is metabolized  at a  rate  of 20  cc/hour   or
            Calories provided by 500cc D30W:                      0.33 cc/min which will the same rate as alcohol is
                                                                  infused.
            = 500 x 30 x 3.4 = 510 calories or kcal.
                         100                                      184.(c) Mr. Shroff’s TPN provides 1100 nonprotein
                                                                  calories  and  45%  of  nonprotein  calories  as  fat,
            180.(b) Each gram of dextrose provides 3.4 calories   therefore one can say:
            and  each  ml  of  alcohol  provides  5.6  calories,
            therefore  the  total  calories  provide  by  1000cc  5%   = 1100 x 0.45
            dextrose and alcohol:                                 = 495 calories from fat.

            Energy provided by 1000cc D5W:                        The remaining (1100-495) 605 calories are provided
                                                                  by dextrose, the maximum dextrose concentration
            = 1000 x 5 x 3.4 = 170 calories.                      is  12.5%,  and  each  gram  of  dextrose  provides  3.4
                          100                                     calories:

            Energy provided by 1000cc 5% alcohol:                 = 605 = 177.94 gm dextrose
                                                                     3.4
            = 1000 x 5 x 5.6 = 280 calories.
                        100


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