Page 16 - Referance Guide For Pharmaceutical Calculations (Naplex, Fpgee and Ptce)
P. 16

www.pharmacyexam.com                                                                  Krisman

            The volume required to provide 177.94 gm dextrose     188.(c)  TPN  solution  should  provide  55%  of  1500
            as a 12.5% concentration:                             nonprotein calories as dextrose:

            =    177.94 x 100   = 1423.52cc dextrose.             = 1500 x 0.55
                         12.5                                     = 825 calories as dextrose

            185.(b) The  cc  of  solution  required  to  prepare  3%   The grams of dextrose required:
            amino  acid  solution  containing  30  gm  amino  acid
            are:                                                  = 825 = 242.64 gm dextrose
                                                                     3.4
            = 100 x 30 = 1000cc
                       3                                          The number of cc of dextrose 30% requires:

            186.(a) 1297.78 calories                              = 242.67 x 100 = 808.82cc dextrose soln.
                                                                              30
            Weight in kg = 120/2.2 = 54.54 kg
            Height in cm   = 62 inch = 62 x 2.54 cm               189.(d)  TPN  solution  should  provide  45%  of  2000
                          = 157.48 cm                             nonprotein calories as fat:

            BEE = 655.1 + 9.56 x 54.54 + 1.85 x 157.48- 4.86 x 35   = 2000 x 0.45
                                                                  = 900 calories as fat
            = 1297.78 calories
                                                                  The number of grams of fat required:
            187.(d) 1172 calories.
                                                                  = 900 = 100 gm fat
            Total calories provided by dextrose:                        9
                                                                  The number of cc of 20% fat solution required:
            = 1200 x 5 x 3.4   = 204 calories
                         100                                      = 100 x 100 = 500cc of 20% fat solution.
                                                                            20
            Calories provided by amino acid:
                                                                  190.(c) 3000cc  5% amino acid.
            = 1000 x 10 x 4 = 400 calories
                       100                                        Patient weight in kg = 165 = 75 kg
                                                                                           2.2
            Calories provided by alcohol:
                                                                  The number of grams of amino acid required:
            = 100 x 5 x 5.6 = 28 calories
                        100                                       = 2 x 75 = 150 gm
                                                                  A number of cc of 5% amino acid:
            Calories provided by fat:
                                                                  = 100 x 150 = 3000cc 5% amino acid solution.
            = 300 x 20 x 9 = 540 calories                                    5
                       100
                                                                  191.(c) 53.75 calories
            Total calories provided by TPN:

            = 204 + 400 + 28 + 540 = 1172 calories.


                                                             65
   11   12   13   14   15   16   17   18   19   20   21