CALCULATIONS Flashcards
Memorize the common formulas
1 tsp is how many ml
5 ml
1 tbsp is how many ml
15 ml
1 cup is how many
a. oz
b. mls
a. 8 oz
b. 240 mL (236.56 actual)
1 pint is how many
a. oz
b. mls
a. 16 oz
b. 480 (473 actual)
1 quart is how many
a. pints
b. mls
a. 2 pints
b. 946.24
1 gallon is how many
a. quarts
b. mls
a. 4 quarts
b. 3784.96
1 pound is how many kg
2.205
1 oz is how many g
28.4 g
1 pound is how many
a. g
b. oz
a. 454 g
b. 16 oz
1 grain is how many mg
64.8 mg
nano to micro
1 mcg=1000 ng
mg to micro
1 mg = 1000 mg
g to mg
1 g =1000 mg
convert % strength to ratio strength. for example.
0.04% to ratio strength
0.04/ 100
1/x
0.04x=100
x=100/0.04
x=2500
answer: 1:2500
convert 1:4000 as a percentage strength
1 divided by 4000=0.00025
0.00025x100= 0.025%
compound’s # of dissassociation particles
NS
SG UNITS
G/ML
amount of calories provided from carbs
enteral: 4 kcal/g
parenteral: Dextrose monohydrate (3.4 kcal/g
Glycerol: 4.3 kcal/g
amount of calories provided from fat
enteral: 9 kcal/g
parenteral: dépends on concentration of lipid emulsion
a. injectable lipid emulsion (ILE) 10%: 1.1 kcal/mL
b. ILE (20%): intralipid, smoflipid: 2 kcal.mL
c. ILE 30%: 3kal/mL
amount of calories provided from protein
enteral: 4
parenteral: 4
equation for fluid needs
fluid requirement=1500+[(20mLx (weigh tin kg-20)]
total energy expenditure equation
TEE=BEEx activity factor x stress factor
nitrogen intake equation
nitrogen intake=g of protein/6.25
NOTE: when calculating kcal provided from lipid
do not worry about %strength. automatically calculate kcal based on concentration of product being used
corrected calcium
purpose and equation
calcium is bound to albumin
when albumin is low, leads to falsely low albumin levels
Ca corrwcted=(serum calcium)+[(4-albumin)x0.8)]
drug nutrient interactions
many enteral products bind warfarin
other drugs.
warfarin
phenytoin
tetracyclines
ciprofloxacin
BMI equation
BMI(kg/m^2)= weight(lg)/(heaight in)^2 x 703
BMI classifications
<18.5 underweight
18.5-24.9: normal weight
25-29.9 overweight
>30 obese
AdjBW=IBW+0.4djusted body weight
AdjBW=IBW+0.4(TBW-IBW)
when to use TBW, IBW, OR AdjBW
- Compare TBW to IBW
I. if pts TBW is < IBW: USE TBW
II. if ~normal weight (TBW~IBW or <120% of IBW) can use TBW for MOST MEDS
a. EXCEPTION: use IBW for amino-hyaline, theophylline, and acyclovir)
III. if obese (TBW>120% OF IBW)
a. use IBW for amino-hyaline, theophylline and acyclovir
b. use tBW for LWMHs, UFH, and vancomycin
c. use adjBW for ahminoglycosides
BUN:SCR ratio notw
> 20:1 indicated dehydration
<20:1 true renal injury type
what weight to use for cockcroft-gault equation
compare TBW to IBW
if underwirehgt: use TBW
if normal wiehght to (TBW~IBW): use IBW
if obese:
a: gif BMI<25, use IBW
b. if BMI>=25: use adjBW
anion gap calculation
Na-Cl-bicarb
ph=ph
half compound is ionized, 1/2 is unioned
ph>pka
more of acid is ionized, more of conjugate base is unionized
ph<pka,
more of acid is unionized, and more of conjugate acid is ionized
to calculate ph of a solution. must use henderson hasselbach equation.
weak acid formula
weak base formula
ph=pka+log(salt/acid)
ph=pka+log (base/salt)