Exam 2 Lec Flashcards
What is an equivalent?
A mole of mono-valent charge pairs
Units for valence
equvalents/mole
Equivalent weight
GMW/valenece = grams/equivalent
Isotonic
Same or similar tonicity as body fluids
Suspension definition
Liquid preparation that consist of solid particles dispersed throughout a liquid phase in which particles are not soluble.
Useful as oral, topical, ophtalmic, IM
Purpose of suspensions
1 - To provide a liquid form for water insoluble drugs.
2 - As an alternative to EtOH based solutions.
Why are suspensions usually prepared in an aqueous base?
1 - Physiology is water based
2 - Water is inexpensive and ubiquitous.
If one or more components remain undissolved
you don’t have a solution
If all components dissolve,
you do have a solution
Advantages of using tablets/capsules as drug source for suspensions
1 - rapid decomposition
2 - particle size already appropriate
Disadvantages of using tablets/capsules as drug source for suspensions
1 - Drug may be soluble in the solvent, could have made a solution were it not for the excipients
2 - More expensive generally
In general, are drugs in solution more stable than drugs in suspension?
False.
More stable in suspension
Advantages of suspension over solution
1 - Drugs contained therein are more stable
2 - Much higher drug concentrations are achievable
3 - Alcohol can be avoided in many cases
Disadvantages of suspension over sollution
1 - Suspending agents are usually required
2 - Compounding procedure is more complicated
3 - Can’t QS in a graduated cylinder
4 - Must be shaken prior to administration !
Where and how does one QS a suspension?
In a pre-calibrated dispensing container.
What is levigation?
Only applies to powders which are insoluble in the QS media.
The wetting of INSOLUBLE powder agent in a minimal amount of qs media or levigating agent forming a smooth, homogenous paste.
How do suspending agents work?
May or may not be soluble in the QS media.
Work by increasing the product’s viscosity, thus decreasing particle settling rate
What affects sedimentation rate for suspensions:
–varies directly with particle size
–varies directly with particle density
–varies indirectly with suspension viscosity
What directly affects Sedimentation time?
– varies directly with suspension viscosity
- varies indirectly with particle size
– varies indirectly with particle density
Deflocculated suspension
As particle sizes get smaller, we get closer to deflocculated suspension:
- long sedimentation time (advantage)
- dense, difficult cake formed (disadvantage)
Flocculated suspension
As the particle size get larger, w get closer to a flocculated suspension:
- short sedimentation time (disadvantage)
- sediment redisperses easily (advantage)
ideal body weight
Male:
X = 50 + (2.3 x height in inches over 5 feet)
Female:
X = 45.5 + (2.3 x height in inches over 5 feet)
Cockroft Galt equation: Creatinine clearance (ml/min)
X = (140 - age) IBW / (72 x serum creatinine)
*0.85 if female
10% rule
If a volume to be added to an IV bag is greater than or equal to 10% of the bag’s rated capacity, a volume equivalent to the add must be removed from the bag prior to the addition. If the volume to be added is less then 10% of the bag’s rated capacity a corresponding withdrawal prior to the addition is not necessary.