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a) 10,000 units 1 ml
2500 1
2500 units X ml SO X= 0.25 ml
10000
b) same as a) = 0.25 ml
c) 10,000 units 1 ml
5000 1
5000 units X ml SO X= 0.5 ml
10000
Dr. Osama A. A. Ahmed 4
Dosage Calculations Based on Creatinine Clearance
• For females:
IBW = 45.5kg + 2.3 kg for each inch of patient height over 5 feet
IBW = 100 lb + 5 lb for each inch over 5 feet
Dr. Osama A. A. Ahmed 5
Dosage Calculations Based on Creatinine Clearance
Drugs are eliminated from the body through two major mechanisms
Hepatic (liver) metabolism and Renal (kidney) excretion
2- Cockcroft-Gault equation
CrCl
140 patient ' s age in years Body weight in kg
For males:
72 serum creatinine in mg / dl
For females: CrCl = 0.85 X CrCl determined using formula for males
Dr. Osama A. A. Ahmed 7
Dosage Calculations Based on Creatinine Clearance
BSA (m 2 )
CrCl Adjusted CrCl
1.73
• Example:
• If a patient weighing 120 lb. and measuring 60 in. in height has a
calculated creatinine clearance of 40 ml per minute, adjust the
CrCl based on body surface area?
2- Cockcroft-Gault equation
CrCl
140 patient ' s age in years Body weight in kg
72 serum creatinine in mg / dl
CrCl
140 80 70
60 70
29.2 ml
72 2 (mg / dl ) 144 min
Dr. Osama A. A. Ahmed 10
Calculations Involving Clinical Laboratory Tests
• Clinical laboratory tests (chemistries) analyze samples for chemicals as,
glucose, cholesterol, total lipids, creatinine, bilirubin, sodium, potassium,
carbon dioxide and other substances, including drugs following their
administration.
• The usual amount of a chemical substance is a common range, e.g. glucose in
serum is 65-99 mg/dL and for creatinine is 0.5-1.4 mg/dL
• Units may change from mg/dL to SI units of millimoles per liter (mmol/L) of
blood plasma
• Example:
• If a patient is determined to have a serum cholesterol level of 200 mg/dL, what
is the equivalent value expressed in terms of mmol/L.
• M.W. of cholesterol = 387