Q1. 20 grams of Soframycin cream contains: Framycetin Sulfate – 1% w/w, methylparaben -0.08% w/w, propylparaben – 0.04% w/w. Calculate the amount of framycetin in this preparation in mg?
w/w→means Both drug as well as preparation has same unit
1% framycetin→1g →100g of the preparation
100g contains 1g framycetin
20 g contains - 1100×20=0.2g
= 0.2 × 1000
= 200mg
Q2. How will you prepare 100ml normal saline from 10ml of 15% saline solution?
Normal saline = 0.9% Nacl solution
- 0.9 Nacl100 ml of solution
We have 15g→ 100 ml
In 0.9g - 10015×0.9=6ml
6ml + 94 ml distilled water
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Q3. Calculate the required volume in ml for oral administration from 30 ml cefadroxil suspension containing 250mg/5 ml for a child. The weight of the child is 10kg and he is suffering from tonsillitis . The dose is 40 mg /kg/day orally in 2 divided doses, Not to exceed 2g per 24 hours.
The Dose is 40 × 10 = 400mg/d = 200mg BD.
250 mg 5ml
1mg →5250
200 mg - 5250200=4ml
Q4. A solution of adrenaline contains adrenaline in a dose of 1 : 10,000. If you want to inject 1mg of adrenaline, how much volume should be injected?
1:10,000 means →1gramof adrenaline is present in 10,000 ml of
Solution
1g → 10,000ml
1000mg →10000ml
1mg - 100001000=10ml
Q5. Calculate the required volume in ml for intravenous injection from a vial of 30ml. The vial contains chloroquine base 40mg/ml for a patient weighing 40 kg at a dose of 3 mg/kg body weight suffering from malaria
Total dose to be given is - 3 × 40kg = 120 mg
40 mg present in 1ml
120 mg -140×120=3ml
Q6. A vial contains benzyl penicillin G, 5 lac units per ml after reconstitution. Calculate the required volume in ml for intramuscular injection from this vial for a child weighing 5kg at a dose 20,000 units per kg
Total amount we need to give is = 20,000 × 5 kg = 1,00000 units
We have 5 lac unit per ml
= 1 lac unitPresent → in 1 5=0.2ml
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Q7. A plain insulin vial contains 40 units/ml. How much volume should be taken from this vial to set up an infusion in 500 ml normal saline at a rate of 1ml/min to provide the dose of 0.1 unit/kg/hour for a patient of diabetic keto acidosis weighing 60 kg.
We need to give 0.1 × 60 kg = 6 units /hr or 6/60 = 0.1u/min
1ml = 0.1 u
500ml = 500 x 0.1 = 50 units
40 u - 1m
50 u - 1 - 40 ×50=1.2ml
Q8. A vial contains lignocaine 2%. How much volume should be taken from this vial for setting up an infusion in 500ml normal saline at the rate of 1ml/min to provide the dose of lignocaine 0.20 mg/min for a patient of ventricular tachycardia, whose
Weight is 60 kg?
Iml = 0.2 mg
We have 500 ml in fusion, so total will be
500 × 0.2 = 100mg of lignocaine
- 2g is present in 100ml or
2000 mg present in 100 ml
- 100 mg -1002000×100=5ml
We will take 5ml from the vial and mix it with 500 ml of normal saline
Q9. A 70kg patient needs to be started on nitroglycerine infusion. the 5ml ampoule contains 5mg/ml NTG. One ampoule is added to normal saline and made a total of 500ml solution. Calculate the rate of infusion if NTG is required at the rate of 10mcg/min (1 microdrip = 60 drops/ml)
25 mg present in 500 ml
1mg present in = 50025
10 mg (10 x 10-3) =50025 ×10 × 10-3
= 0.2 ml
1 ml contains 60 drops
0.2 ml contains 60 x 0.2 = 12 drops/min
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Q10. 5 IU oxytocin is added to 500ml normal saline. The patient weighs 50 kg. calculate the rate of infusion at the dose of 5 mu/min. (1 ml= 16 drops)?
- 5 IU present in 500 ml
- 5 m/unit 5×10-3u-5005×5×10-3
= 0.5 ml/min
- 1 ml contain 16 drops
So 0.5 contain 8 drops
Q11. You have to give 180 mg of ceftriaxone to a patient in a 2ml syringe that has 10 divisions per ml. The concentration of this drug in vial is 500 mg/5ml. How many divisions should be filled in 2ml of syringe to give 180 mg?
- 500 mg present in 5 ml.
- 1 ml will be present in 5005ml
- 180 ml will be present in 5005×180
= 1.8 ml
The syringe has 10 divisions per ml.
1ml contain - 10 divisions
1.8 ml contain - 10 x 1.8 = 18 divisions
Q12. 1000 mg of a drug was administered to a patient. 200 mg was cleared in 60 minutes. How much of the drug would be left in the body after 3 hours if the excretion of the drug follows zero order kinetics?
- every one hour – 200 mg cleared from the body
In 3 hour – 200 x 3 = 600 mg cleared
- The remaining will be 1000 – 600 = 400 mg
Q13. 200mg drug was administered to a patient. 75mg of that is excreted in 90 minutes. The given drug follows first order kinetics. How much drug will remain after 6 hours?
- here the drug follows first order kinetics .
every 112hr =75200 eliminated
= 125200=58 will remain
After 112hours, the remaining will be – 200 x 5/8
In 3 hours - 200 x 5858
In 412 hours - 200 x 5858
In 6 hrs - 200 x 585858 = 30.5 mg
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Q14. Calculate the half life of a drug ‘X’ if it has vd of 60 liters and clearance of 2.1 L/min
t12=0.7 ×vdCL
= 0.7 ×602.1 L/min=20 min
Q15. Calculate the hepatic clearance of a drug with hepatic blood flow of 1500 ml/min and hepatic extraction ratio of 0.6?
CLH = H ER x Blood flow
= 0.6 x 1500 ml/min
= 900 ml/min
Q16. A female patient weighing 50 kg is having p. viva x malaria in whom tablet chloroquine is given.The target plasma concentration is 20 mg/L. The volume of distribution of chloroquine is 0.6 L/kg. What will be the loading dose of chloroquine in this patient assuming 100 per oral bioavailability?
Loading dose = Vd x target PC
Vd = 0.6 x 50 = 30 L
LD = 30 x 20 mg/L
= 600 mg
Q17. Calculate the maintenance dose for a drug with 100% oral bioavailability which needs a target concentration of 5 mg/L and clearance of 10 L/hr and dosed four times a day.
Maintenance dose (MD)= CL x target PC
= 10 L/hr x 5 mg/L
= 50 mg / hr
In 6 hr = 50 x 6 = 300 mg.
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Q18. You have started a drug infusion at a rate of 60 mg/hr. The drug has Vd of 50 litres and clearance of 50ml/min. How much will the drug concentration be at steady state?
MD = CL X target PC
PC =MDCL=60 mh/h50 x 60 ml/h
= 150 mg/ml
= 0.02 mg/ml
= 20 mg/ml
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