1 You need to prepare 60 mL of a sildenafil citrate suspension with a concentration of 15 mg per teaspoonful, and you have in the pharmacy Viagra 50-mg tablets.
A. How many of these tablets will you need to prepare the suspension?
15mg/5mL × 60ml = 180 mg
180 mg × 1 tab/50 mg = 3.6 tablets = 4 tablets needed (you will use three whole tablets and part of a fourth)
B. In order to obtain the correct amount of drug, you weigh all four tablets and find that they weigh 1.24 g total. How much powder will you need to weigh after the tablets are crushed to obtain the needed amount of drug?
4 tablets × 50 mg/tablet = 200 mg drug in 4 tablets
180 mg drug × 1.24 g powder/200 mg drug = 1.12 g powder
C. If Viagra 50-mg tablets cost $223.03 for a bottle of 30 tablets, how much money is wasted if the remaining powder from part B is discarded?
Amount of drug discarded: 200 mg 180 mg = 20 mg
$223.03/30 tablets × 1 tablet/50 mg × 20 mg = $2.97
D. You use 10 mL of a 4% w/v methylcellulose gel as a suspending agent in preparing this mixture. What is the percent strength of methylcellulose in the final product?
4 g/100 mL × 10 mL = 0.4 g methylcellulose
0.4g/60 mL × 100 = 0.67% w/v methylcellulose in the final product
A formula reported to aid in killing lice is as follows:1
Rx Geranium oil 8 drops
Rosemary oil 7 drops
Jojoba oil 15 mL
This entire formula is to be massaged vigorously into the hair and scalp at bedtime, then shampooed out the next morning. The manager from a nearby church camp calls and asks you to prepare enough of this formula to treat 26 children for two applications each.
A. Ratherthan tediously counting drops, you decide to use an estimated drop factor of 50 µL/drop to determine the amount of geranium oil and rosemary oil needed. How much of each of these and the jojoba oil will be necessary to prepare the needed amount of the formula?
Amount of formula needed: 26 children × 2 doses/child = 52 doses
Geranium oil: 8 drops/dose × 52 doses × 50 µL/drop × 1 mL/1000 µL = 20.8 mL
Rosemary oil: 7 drops/dose ×52 doses × 50 µL/drop × 1 mL/1000 µL = 18.2 mL
Jojoba oil: 15 mL/dose × 52 doses = 780 mL
B. Assuming that volumes are additive, what would be the ratio strength of the geranium oil and rosemary oil in the mixture?
Total volume =. 20.8 mL + 18.2 mL + 780 mL = 819 mL
Geranium oil: 819 mL mixture/20.8 mL oil = 39.375
Ratio strength = 1:39 v/v
Rosemary oil: 819 mL mixture/18.2 mL oil = 45 Ratio strength = 1:45 v/v
C. What would be the volume of mixture prepared expressed as fluid ounces?
819 mL × 1 fl.oz/29.57 mL = 27.7 fl. oz.
3 A 5-year-old child who is 3 feet 4 inches tall weighs 45.4 pounds.
A. What is the ideal body weight for this child?
The ideal body weight for a child can be calculated by using the following equation:2
IBW (kg) = [(height in cm)^sup 2^ × 1.651/1000
3 feet 4 inches = 40 inches × 2.54 cm/inch = 101.6 cm
IBW = [(101.6 cm)^sup 2^ × 1.651/1000 = 17.03 kg
B. What percentage of his ideal body weight is the actual body weight of this child?
45.4 lbs × 1 kg/2.2 lbs = 20.64 kg
20.64 kg/17.03 kg × 100 = 121.16%
The child's actual body weight is 121.16% of his ideal body weight; therefore, he is slightly overweight.2
C. The expected growth velocity in a 5-year-old child is 5 to 6 g/day and 0.5 to 0.6 cm/month.^sup 2^ If this child weighed 39.1 lbs and was 3 feet 1 inch tall exactly 1 year ago, is he within the normal growth velocity range?
45.4 lbs 39.1 lbs = 6.3 lbs × 454 g/lb = 2860.2 g
2860.2 g/365 days = 7.84 g/day
3 feet 4 inches 3 feet 1 inch = 3 inches × 2.54 cm/inch = 7.62 cm
7.62 cm/12 months = 0.64 cm/month
This child is slightly above the normal growth velocity range for both height and weight.
References
1. Allen LV Jr. Natural head lice repellant spray. IJPC2001; 5(1): 48.
2. Dipiro JT, Talbert RL, Yee GC et al, eds. Pharmacotherapy: A Pathophysiologic Approach. 6th ed. New York, NY: McGraw-Hill Companies, Inc.; 2005: 2561-2562.
Shelly J. Prince, PhD, RPh
Southwestern Oklahoma State University
College of Pharmacy
Weatherford, Oklahoma
Address correspondence to Shelly J. Prince, PhD, RPh, College of Pharmacy, Southwestern Oklahoma State University, 100 Campus Drive, Weatherford, OK 13096.
Copyright International Journal of Pharmaceutical Compounding Nov/Dec 2005
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