Isotonic Solutions
contain the same concentration of solute as an another solution (e.g. the cell's cytoplasm). When a cell is placed in an isotonic solution, the water diffuses into and out of the cell at the same rate. The fluid that surrounds the body cells is isotonic.
The Osmosis definition :
Osmosis is the passage of water from a region of high water concentration through a semi-permeable membrane to a region of low water concentration.
• Na &Cl are the most plentiful electrolyte in the body.
• NORMAL HEALTHY HUMAN: Na 138-146 mMol.L-1
• Cl 98-109 mMol.L-1 K 3.7-5.3 mMol.L-1 Ca
2.25-2.65 mMol.L-1
Mole in gL-1.= - 1.86oC*iXgL-1. - 0.52oC
For NaCl58.5gL-1 = -
1.86oC*1.8XgL-1 - 0.52oCX= 9.086021505376 g L-1.
Count Lorenzo Romano Amedeo Carlo Avogadro diQuaregna e Cerreto, (TurinAugust 9, 1776 - July 9, 1856)
“Volumiegualidi gas nellestessecondizioniditemperatura e dipressionecontengono la stessonumerodimilecole”
Amedeo Avogadro
AMEDEO AVOGADRO (1776-1856)“Equal volumes of gases at the same temperature and pressure contain the same number of molecules”
Amedeo Avogadro
Mole in gL-1.= - 1.86oC*iXgL-1. - 0.52oC
For Boric acid61.8gL-1 = -
1.86oC*1XgL-1 - 0.52oCX= 17.27741935484 g L-1.
LACTULOSE & CEPHULAC
• NON-ELECTROLYTE• NONABSORBABLE DISACCHARIDE, • + COLON BACTERIA LACTIC ACID• OSMOTIC PRESSURE • ACIDIFICATION SERVE AS A TRAP FOR
AMMONIA BLOOD LEVEL• Rx: SYSTEMIC ENCEPHALOPATHY
Class Generic Name Brand Name
Ammonia Detoxicants Lactulose CEPHULAC
S&S of OSMOTICITY
Normal 285 mOsmol kg-1 282-288 mOsmol kg-1
THIRSTY 294-298 mOsmol kg-1
DRY MUCOUS MEMBRANE:299-313 mOsmol kg-1
WEAKNESS, DOUGHY SKIN: 314-329 mOsmol kg-1
HEADACH :275-261 mOsmol kg-1
DROWSINESS: 262-251 mOsmol kg-1
DisorientationCRAMPS250-233 mOsmol kg-1
<230 mOsmol kg-1SEIZURES & COMA
SERUM OSMOLALITY1.86 Na + BLOOD SUGAR + BUN +5
18 2.8
2 Na + BLOOD SUGAR + BUN20 3
A QUIKY
2 Na + 10THE QUIKIST
Rx
Naphaz
oline H
Cl0.0
2% [24
7 ,2]
Zinc sulfa
te
0.25%
Purified
wate
r
qs30
mL
Mft Iso
tonic
solutio
n
FREEZING POINT “D”EPRESSION
Mole in gL-1= - 1.86oC*iXgL-1 - oC
Naphazoline HCl M.Wt. 247 Ions 2
RxNaphazoline HCl 0.02% [247 ,2]
Zinc sulfate 0.25%water qs 30 mLMft Isotonic solution
Rx Naphazoline HCl
0.02 g* 30 mL/100 mL= 0.006 g Naphaz.
0.2368 g NaCl*0.006 g Naph= 0.0014 g NaCl1 g Naphz
RxNap
hazolin
e HCl
0.02%
Zinc sulfa
te0.25%
Purified w
ater
qs 30 m
L
Mft Iso
tonic solutio
n
RxZnSO4
0.25*30/100=0.075 g Zn SO4.0.1579*0.075= 0.0118 g NaCl
RxNaphaz
oline HCl
0.02%
Zinc sulfa
te0.2
5%
Purified w
ater
qs 30 m
L
Mft Iso
tonic so
lution
9 mgmL-1 NaCl*30 mL=270 mg NaCl.
If there no medication, this
prescription will be isotonic with 270 mg
of NaCl.
247gL-1 *1.8
“E” for Naphazoline HCl 58.5gL-1 *1.8
= 0.2368 g NaCl
= 0.2368 g NaCl* 0.006g naph.HCl= 0.0014208g NaCl
0.006 g N.HCl=0.0014208g NaCl
0.15792 mL
Dissolve 6 mg of Naph.HCl in 0.16 of
water, the sol. will be isotonic.
0.0014208g NaCl* 1 ml= 0.157 mL H2O0.009 gNaCL
288gL-1*1.8
“E” for ZnSO4
58.5gL-1*1.4= 0.1579 g NaCl
= 0.1579 g NaCl* 0.075 g ZnSO4
= 0.01184 g NaCl
1.31 mL
If you dissolve 75 mg of ZnSO4 in 1.31 mL of H2O, the sol. will be isotonic.
0.01184 g NaCl/0.009 g NaCl=
P1BORIC ACID “E” 0.52
Isotonic NaCl solution contains 0.9% w/v NaCl . If the “E” value of boric acid is 0.52, calculate the % strength (w/v) of an isotonic solution of boric acid.
IF 0.9% NaCl IS ISOTONIC1 g OF BORIC ACID = 0.52 g NaCl X g OF BORIC ACID= 0.9 g NaClX g BORIC ACID =
1 g B.A. * 0.9 g0.52 g
= 1.73 g%
P2IF NaCl DISSOCIATING AT 90%. CALCULATE:-A- DISSOCIATION FACTOR;B- FREEZING POINT OF
MOLAL SOLUTION.
P4PROCAINE HCl [M.Wt 273; 2-ION]DISSOCIATING AT 80%.A- DISSOCIATION FACTOR,B-”E”C- F.P. FOR A MOLAL SOLN.
P5The freezing point of a molal
solution of a nonelectrolyte is
-1.86°C. What is the freezing point of a 0.1 % solution of
zinc chloride (M.Wt. 136), dissociating 80%?
F.P. OF 0.1%ZnCl2 [MWt=136,3]
Mole gL-1= - 1.86oC*i[gL-1] - XoC
136 gL-1= - 1.86oC*2.61gL-1 - xoC
=-0.0355 oC
F.P.D=
P6F.P. of 5% boric acid is -1.55oc.
HOW many g. of boric acid should be used to prepare one L of an isotonic sol.?
P7RxEphedrine sulfate 300 mg Sodium Chloride q.s. Purified water ad 30 mL
Make isotn.sol.Sig. Use as directedHow many mg. of NaCl?
Eph.SO4 429,3
[429,3]
429gL-1*1.858.5gL-1*2.6= 0.1969 g
Nacl
NaCl ‘E’
0.3 g * 0.1969 = 0.059 g NaCl= 59 mg NaCl
270 mg -59 = 210.0 mg NaCl
1Step2
9 mg NaCl* 30 mL the total volume of the Rx1mL
= 270 mg of NaClR
Rx1 g of Ephedrine sulfate has the same osmotic pressure as 0.1969 g Nacl 3
P8RxDipivefrin HCl 0.5% [388,2]Scopolamine HBr0.33[438,2]SodiumChlorideq.s. Purified water ad 30.0 mL Make isotn.sol.Sig. Use in the eyes.How many g. of NaCl?
388gL-1*1.858.5gL-1*1.8= 0.15
gNaCl
0.5 g 100 mL x g. 30 mL0.15 g * 0.15 =
0.0225 g
Dipivefrin HCl
22.5 mgNaCl
E
Scopolamine HBr
438gL-1*1.858.5gL-1*1.8=
0.1335gNaCl
0.33 g 100 mL x g. 30 mL0.1 g * 0.1335 = 0.01335 gNaCl
E
P9Rx Zinc sulfate 0.06 Boric acidq.s. Purified waterad 30mL Make isotn. sol.Sig. drop in eyes
How many g. of boric acid?
“EB” for Zinc sulfate
288gL-1*1.061.8gL-1*1.4= 0.3 g B.A.
0.06* 0.3= 0.018 g Boric acid
17.3 mg*30 mL1 mL
Boric acid isotonic reference
=519 mg ofBoric acid to make 30mL isotonic [reference]
PRx Cromolyn Na4% [512,2]Benzalkonium Cl. (1:10,000)[360,2]Buffer sol q.s. Purified water ad 10mL Make isotn. sol.Sig. One drop in each eyeHow many mL of the buffer solution (E = 0.30) should be used to render the solution isotonic?
“E” for Cromolyn Na
512gL-1*1.858.5gL-1*1.8 = 0.1142 g NaCl
0.4 g C.Na* 0.11142= 0.045g NaCl
R= 9 mg NaCl* 10 mL/1 mL = 90 mg NaCl
“E” for Benzalkonium Cl. (1:10,000)[360,2]
360gL-1*1.858.5gL-1*1.8= 0.1625g
NaCl0.001g Bz.* 0.1625= 0.00016 g NaCl0.09 g NaCl - 0.0458g NaCl-0.0442 g NaCl
(E = 0.30)
1 g of buffer material = 0.3 g of NaCl
0.0442 g NaCl * 1 g of buffer material
0.3 g of NaCl= 0.147 g of buffer material 1 g of buffer material = 0.3 g of NaCl3 g of buffer material = 0.9 g of NaCl3 % of buffer sol. = 0.9 % of NS
4.9 mL of isotonic buffer solution
0.147 g of buffer X mL-3.0g Buffer solution 100 mLX mL of isotonic buffer solution =0.147 g * 100 ml/3.0 g buffer= 4.9 mL
P11Rx Dextrose,anhydrous 2.5%
NaCl q.s. Sterile water for injection ad 1000mL Label: isotonic Dextrose & Saline Solution.How many g of NaCl needed?
“E” for anhydrous Dextrose
180gL-1*1.858.5gL-1*1= 0.18 g
NaCl25 g.* 0.18= 4.51g NaCl
4.5 g NaCl
R = 9.0 g NaCl*1L/1L= 9.0 g NaCl
PRxsol.Silver Nitrate 0.5%15.0
Make isoton. sol.Sig. For the eyes.
How many g of KNO3 needed?
Why not to use NaCl as adjustor?
Reference of KNO3 15.69g 1000 mL
x g 15 mL0.235 g of KNO3 to fill up this prescription
without any medication.
“EKNO3” for Silver Nitrate
170gL-1 *1.8101gL-1 *1.8 =0.5941gKN
O30.075 g AgNO3* 0.5941= 0.0445
gKNO30.235 g of KNO3 Reference
0.0445 g of KNO3 Rx0.190g of KNO3
P13Rx Cocaine HCl0.15[340,2] NaCl
q.s.Purified Water ad 15Make isoton. sol. Sig. One drop for the left eye.How many g of NaCl needed?
“E” for Cocaine HCl
340gL-1*1.858.5gL-1*1.8= 0.172g
NaCl0.15 g C.HCl* 0.172= 0.0258g NaCl
R=0.009g NaCl * 15 mL/1 mL =0.135 g NaCl
R-Rx= 0.135 g - 0.0258 g= 0.109gNaCl
P14Rx Cocaine HCl 0.6 [340,2]Eucatropine HCl 0.6 [328,2] Chlorobutanol 0.1 [177,1]NaCl qsPurified Water ad 30 Make isoton. sol. Sig. For the eyes.
58.5gL-1*1.8
0.6 g CHCl.* 0.172= 0.1032 g NaCl
“E” for Cocaine HCl
340gL-1*1.8= 0.172g NaCl
R=0.009g NaCl * 30 mL/1 mL =0.27 g NaCl
Cocaine HCl0.1032 g Eucatropine HCl 0.1070 g Chlorobutanol 0.0184 g 0.2286
g0.270 g - 0.2286 g = 0.0414 g
P15RxTetracaine HCl 0.1 [301,2]Zinc sulfate 0.05 [288,2]Boric acidqsPurified Water ad 30 Make isoton. sol. Sig. For the eyes. How many g. Boric acid needed?
“Eb” for Tetracaine HCl
301gL-1*1.061.8gL-1*1.8= 0.3695 g
Boric0.1 g Tetr.* 0.3695= 0.0369 g Boric
17.3 g*30 mL= 0.519 g Boric1000 mL
Reference
Tetracaine HClZinc sulfate
0.0369 g0.0150 g
0.0519 g
0.0519g Boric acid Equivalent
0.519 g Boric acid Reference
0.467 g Boric acid
P16Rx Sol. HomatropineHBr 1% 15 [356,2] Boric acid q.s.
Make isoton. sol. Sig. For the eyes. How many g. Boric acid needed?
“Eb” for HomatropineHBr
356gL-1*1.061.8gL-1*1.8 = 0.3125
17.3 g*15 mL/1000 mL Boric acid Reference
0.2595g Boric acid
x g = 0.15 g
0.15 g Homa.* 0.3125= 0.0469 g Boric
Boric acid Equivalent
0.2595 g Boric acid reference0.0469 g Boric acid Equivalent0.212 g Boric Acid
P17Rx Procaine HCl 0.1% [273,2] NaCl q.s.SterileWater for Inj. ad 100.0 Make isoton. sol. Sig. For Injection. How many g. NaCl needed?
“E” for
273gL-1*1.858.5gL-1*1.8 = 0.2142 g
NaCl1 g Proc.* 0.2142= 0.2142 g NaCl
Procaine HClR=0.009g NaCl * 100 mL/1 mL =0.9 g NaCl
0.9 g NaCl reference0.2142 g NaCl Equival
0.6857 g NaCl
P18Rx Phenylephrine HCl 1%[204,2] Chlorobutanol
0.5%[177,1] NaClq.s.
Purified Water ad 15.0 Make isoton. sol. Sig. Use as directed How many mL NSS needed?
“E” for Phenylephrine HCl
204gL-1*1.858.5gL-1*1.8= 0.2867 g
NaCl0.15 g Phen.* 0.2867= 0.043 g NaCl
R=0.009g NaCl * 15 mL/1 mL =0.135 g NaCl
“E” for
177gL-1*1.858.5gL-1*1.0= 0.1836 g
NaCl0.075 g Ch.* 0.1836= 0.0918
Chlorobutanol
g NaClPhenylephrine HCl + Chlorobutanol
0.043 g NaCl+0.0918 g NaCl = 0.0567 g NaCl
0.078 g NaCl*100 mL0.9 g NaCl
R-Rx=0.135-0.0567 =0.078 g NaCL
8.69 mL N.S.
P19Rx Oxymetazoline HCl 0.5% [297,2]Boric acid sol. qsPurified Water ad 15.0 Make isoton. sol. Sig. For the nose, as decongestant
How many mL of 5% boric acid solution needed?
“Eb” for
297gL-1*1.061.8gL-1*1.8 = 0.3745 g
B.A0.075 g Oxy* 0.3745= 0.028 g B.A.
Oxymetazoline HCl
17.3 g*15 mL = 0.2595 g B.A. 1000 mLR
0.2595 g B.acid reference0.028 g B.acidEquival0.2315 g Boric acid
4.63 mL of 5% Boric acid solution.
0.2315 g B.A.*100 ml/5 g B.A.
P20Rx Ephedrine HCl 0.55 [202,2]Chlorobutanol 0.25 [177,1]
Dextrose qsRose Water ad 50.0 Make isoton. sol. Sig. Nose drop.
How many g of Dextrose needed?
Ephedrine HCl 0.80g Dex.Chlorobutanol 0.2542 g Dex. 1.056 g
Dex.1.056 g Dex. Equival
1.4598 g Dex.
2.516 g Dex. Ref.
P21Naphzoline HCl 1% [247,2]Sodium Chloride qsPurified Water ad 30 mL
Make isoton. sol. Sig. Use as directed in the eye.How many g of NaCl needed? Using Freezing point method.
P22Rx Oxytetracycline HCl 0.05 [497,2]
Chlorobutanol 0.1 [177,1]NaCl qsPurified Water ad 30 mL Make isoton. sol. Sig. Use as directed in the eye.How many mg of NaCl needed?
Oxytetracycline HCl 0.0058g Chlorobutanol0.0183g
0.0231 g0.270 g NaCl
Reference
0.2469g NaCl
0.0231 g
P23Rx Tetracaine HCl 0. 5% [301,2][iso]Sol. Epineph. Bitart.10.0 [333,2]
Boric acidqsPurified Water ad 30 mL Make isoton. sol. Sig. Use as directed in the eye.How many g of Boric acid needed?
“Eb” for Tetracaine HCl
301gL-1*1.061.8gL-1*1.8= 0.3695
0.15 g Tet.* 0.3695= 0.0554 g B.A.
17.3 g*20 mL/1000mL 0. 35 g B.A. for 20 mL Reference
P24Anhyd.NaH2PO4 5.6 g[120,2]Anhyd.Na2HPO4 2.84 g[142,3] NaCl qsPurified Water ad 1000 mL Label: Isotonic buffer sol.,pH6.5How many g of NaCl needed?
Anhyd.NaH2PO42.744 g NaClAnhyd.Na2HPO41.69 g NaCl
4.434 g NaCl9.0 g NaCl
Reference4.434 g NaCl4.566 g NaCl
P25How many g of anhydrous Dextrose needed in preparing 1 L of a 0.5% isotonic Ephedrine Sulfate [429,3] Nasal spray?
“Ed” for Ephedrine Sulfate429 gL-1*1.0180gL-1 *2.6=1.090
95.0 g Ephd.* 1.09= 5.45 g Dex.50 gL-1 Anhydrous Dex.Ref. 5.45 gL-1 Dex.44.54 g Dextrose
P26Ephedrine Sulfate 1% [429,3]Chlorobutanol 0.5%[177,1]Purified Water ad 100.0 Make isoton. sol. & Buffer at 6.5 Sig. Nose drop.How many mL of a buffer & mL of water should be used?
V-Value for Ephedrine Sulfate
0.1969 g NaCl100 mL H2O 0.9 g NaClx mL
21.87 mL of water will make 1 g of Ephedrine Sulfate isotonic.
V-Value For Chlorobutanol
0.0918 g NaCl100 mL H2O 0.9 g NaClx mL
x mL= 10.20 mL of water will make 0.5 g of chlorobutanol isotonic.
Ephedrine Sulf. 21.87 mL of water Chlorobutanol 10.20 mL of
water 32.07 mL of water
67.93 mL of isotonic buffer solution.
P27Oxytetracycline HCl 0.5% [497,2]
[iso]Tetracaine HCl Sol. 2%15 mlNaClqsPurified Water ad 30 mL Make isoton. sol. Sig. Use as directed in the eye.How many mL of NSS needed?
0.135 g NaCl Reference in only 15 mL 0.0176 g NaCl Equivalent0.1174 g. NaCl
0.9 g NaCl 100 mLx mL0.1174 g. NaCl
13.0 mL of NSS
Determine if the following commercial products are Hypotonic, isotonic, or Hypertonic:
a- An ophthalmic sol. 40 mgmL-1 of Cromolyn Sodium [512,2]& 0.01% of Benzalkomiun chloride [360,2]
in purified water.
A parenteral infusion containing 20% (w/v) of mannitol.
182gL-1 = -1.86oC*1.0200gL-1 = -XoC
-0.52>-0.52
<-0.52
HYPOISO-T.HYPER
FP ”D” Mannitol
-2.04395
-2.04395
A 500-mL large volume parenteral containing D5W (5% w/v of anhydrous dextrose in sterile water for injection).
180gL-1 = -1.86oC*1.050gL-1= -XoC
-0.52>-0.52
<-0.52
HYPOISO-T.HYPER-2.04395
-0.519
A FLEET saline enema containing 19 g of monobasic sodium phosphate (monohydrate) and 7 g of dibasic sodium phosphate (heptahydrate) in 118 mL of aqueous solution.
Monobasic sodium phosphate (monohydrate)(138, 2)
138gL-1 = -1.86oC*1.8161gL-1 = -XoC
-0.52>-0.52
<-0.52
HYPOISO-T.HYPER
-3.9
Dibasic sodium phosphate (heptahydrate)(268,3)
268gL-1 = -1.86oC*2.659.32gL-1 = -XoC
-0.52>-0.52
<-0.52
HYPOISO-T.HYPER
-1.07
For agents having the following sodium chloride equivalents, calculate the percentage concentration of an isotonic solution:
(A) 0.20 0.90%0.20
= 4.5%
(b) 0.32 0.90%0.32
= 2.81%
(c) 0.61 0.90%0.61
= 1.48%
How many mL each of purified water and an isotonic sodium chloride solution should be used to prepare 30 mL of a 1% w/v isotonic solution of fentanyl citrate (E = 0.11)?
P30
1 g * 3 mL/100 mL = 0.3 g fentanyl citrate
0.3 g fentanyl citrate* 0.11= 0.033 g NaCl 0.033 g NaCl* 100 mL/0.9 g NaCl= 3.66 mL H2O 30 mL - 3.66 mL H2O= 26.23 mL N.S.
Calculate the number of mL of water required to make an isotonic solution from 0.3 g of each of the following:(a) Antipyrine [ 188, 1]
58.5*1/(188*1.8) = 0.173 g * 0.3 = 0.0512 g NaCl
0.051 g NaCl* 100 mL / 0.9 g NaCl = 5.76 mL H2O
Using the E values in Table 11.1, calculate the number of mL of water required to make an isotonic solution from 0.3 g of each of the following:(b) Chlorobutanol [177, 1]
58.5*1/(177*1.8) = 0.184 g * 0.3 = 0.0553 g NaCl
0.0553 g NaCl* 100 mL / 0.9 g NaCl = 6.16 mL H2O
Using the E values in Table 11.1, calculate the number of mL of water required to make an isotonic solution from 0.3 g of each of the following:(c) ephedrine sulfate [429, 3]
58.5*2.6/(429*1.8) = 0.1969 g * 0.3 = 0.059 g NaCl
0.059 g NaCl* 100 mL / 0.9 g NaCl = 6.56 mL H2O
Using the E values in Table 11.1, calculate the number of mL of water required to make an isotonic solution from 0.3 g of each of the following:(d) silver nitrate [170, 2]
58.5*1.8/(170*1.8) = 0.344 g * 0.3 = 0.103 g NaCl
0.103 g NaCl* 100 mL / 0.9 g NaCl = 11.44 mL H2O