Page 48 - Fpgee Question And Answer 2024 Edition
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                                                                  10 = 8 + log  Base
            = 1500 x 0.55                                                      Salt
            = 825 calories shall be provided by dextrose          2 = log  Base
                                                                          Salt
            The grams of dextrose required (1gm = 3.4 calories):
                                                                  Base  = 100: 1
               825                                                Salt
            =      = 242.64 grams dextrose
               3.4
                                                                  1216.(c) 1 teaspoonful (5cc) of Thioridazine solution
            The  numbers  of  cc  of  30%  dextrose  solution     (30mg/cc) contains 150mg of drug. This solution is
                                                                  diluted up to a mark of 480cc therefore:
            required:

               242.67 x 100                                       = 150 = 0.31 mg/ml
            =              = 808.82 cc dextrose solution             480
                   30

            1213. (c)  A  TPN  solution  shall  provide  1100  non-  1217. (a)  Weight  in  grams  =  no  of  cc  x  specific
            protein calories and 45% of non-protein calories as   gravity
            fat, therefore:
                                                                  = 500cc x 1.25 gram/cc
            = 1100 x 0.45                                         = 625 grams
            = 495 calories from fat
                                                                  1218.(a) 100 mg
            The  remaining  (1100-495  =  605)  calories  shall  be
            provided by dextrose. Since the maximum dextrose      Clark’s rule = Weight in lbs x adult dose
            concentration is 12.5% and each gram of dextrose                                 150
            provides 3.4 calories, therefore:
                                                                  = 20 x 750 = 100mg
               605                                                      150
            =      = 177.94 grams dextrose
               3.4
                                                                  1219.(c) Patient weight is 156lbs, therefore weight
            The volumes of 12.5% solution required to provide     in kg would be 156/2.2 = 70.9 kg.
            177.94 gm of dextrose:
                                                                  A  normal  therapeutically  recommended  dose  of
               177.94 x 100                                       drug  is  10mg/kg/day,  therefore  the  dose  in  the
            =              = 1423.52 cc dextrose solution
                   12.5                                           above patient is:

            1214. (c)     PKw = PKa + PKb                         = 10 x 70.9
                                                                  = 709 mg
            14 = PKa + PKb
            PKb = 14 -9 = 5                                       Each ready-infusion-bag contains 250mg of drug, so
                                                                  the number of bags required to fill the day supply
            1215. (b)                                             would be

                                 Base
            pH = pk − pk + log                                    = 709   = 2.83  3 bags.
                    w
                          b
                                  Salt                               250

                           Base
            pH = pk + log                                         1220.(a)  To  solve  this  problem,  we  can  use  the
                    a
                           Salt                                   alligation method.


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