Formulas Flashcards
1 cup
8 oz
1 pint
16 oz
or 2 cups
1 quart
2 pints
or 4 cups
1 gallon
4 quarts
Or 8 pints
1 oz
28.4 grams
30 mL
mEq to mmol
1:1 (monovalent ions)
1:0.5 (divalent ions)
1 inch
2.54 centimeters
Specific gravity
weight of substance (g) / weight of equal volume of water (g) or g/mL
Osmolarity equation
(wt of substance/MW) * (# of particle) * x 1,000
Isotonicity (E Value)
(58.5 * i) / (MW of drug * 1.8)
Carbs, protein (enteral)
4 Kcal/grams
Fat (enteral)
9 Kcal/grams
dextrose (parenteral)
3.4 kCal/gram
Amino acid solution (parenteral)
4 kCal/gram
Intralipid (parenteral)
ILE 10% = 1.1 kcal/gram
ILE 20% = 2.0 kcal/gram
ILE 30% = 3.0 kcal/gram
Determining fluid needs
when weight > 20 kg: 1,500 mL + (20 mL) (weight in kg - 20)
can estimate using 30-40 mL/kg/day
Total energy expenditure
BEE * activity factor * stress factor
Grams of nitrogen from protein
protein intake/6.25
Corrected Calcium
when albumin < 3.5 & not needed with ionized Ca2+
Ca (reported) + [(4 - albumin) * (0.8)]
BMI calculation
[weight (lb) / height (inches)^2] * 703
IBW (males)
50 kg + [(2.3 kg)*(number of inches over 5 feet)]
IBW (females)
45.5 kg + [(2.3 kg)*(number of inches over 5 feet)]
AdjBW
IBW + 0.4(TBW - IBW)
Which weight to use for drug dosing?
Underweight? use TBW
If normal or obese? use TBW for most drugs
Which drugs would you use IBW to dose?
Acyclovir, Aminophylline, LT4, Theophylline (normal weight or obese)
Which drug would you use AdjBW to dose?
aminoglycosides (obese)
Dehydration
BUN/SCr ratio > 20:1
pH < 7.35
acidosis