Istonic and Buffer Solutions PHARMACEUTICAL CALCULATIONS MARQUITO | PRINCILLO | REGIS | REYNERA Special Clinical Considerations of Tonicity Isotonic solutions are better tolerated by the patient than those at the extremes of hypo- and hypertonicity Most ophthalmic preparations are formulated to be isotonic, or approximately isotonic, to duplicate ophthalmic tears or the comfort of the patient Injections that are not isotonic should be administered slowly and in small quantities to minimize tissue irritation, pain, and cell fluid imbalance. Intravenous infusions, which are hypotonic or hypertonic, can have profound adverse effects because they generally are administered in large volumes. Even isotonic fluids, when in used intravenously in excessive volumes or at excessive rates, can be deleterious due to an overload o fluids placed into the body’s circulatory system. ISTONIC AND BUFFER SOLUTIONS Physical/Chemical Considerations in the Preparation of Isotonic Solutions The calculations involved in preparing isotonic solutions may be made in terms of data relating to the colligative properties of solutions. Theoretically, any one of these properties may be used as a basis or determining tonicity. Practically and most conveniently, a comparison of freezing points is used for this purpose. It is generally accepted that −0.52°C is the freezing point of both blood serum and lacrimal fluid. ISTONIC AND BUFFER SOLUTIONS Problems associated with NONELECTROLYTES IIf the solute is a non-electrolyte, its solution contains only a molecules and osmotic pressure varies with the concentration of the solute. NOTE: By simple proportion, therefore, we can calculate the weight of any non electrolyte that should be dissolved in each 1000 g of water if the solution is to be isotonic with body fluids. ISTONIC AND BUFFER SOLUTIONS Problems associated with NONELECTROLYTES BORIC ACID, OR EXAMPLE, HAS A MOLECULAR WEIGHT OF 61.8; THUS (IN THEORY), 61.8 G IN 1000 G OF WATER SHOULD PRODUCE A FREEZING POINT OF −1.86°C. THEREFORE: ISTONIC AND BUFFER SOLUTIONS Problems associated with ELECTROLYTES IIf the solute is a electrolyte, its solution contains ions and the osmotic pressure varies with both the concentration of the solute and its degree o dissociation. Thus, solutes that dissociate present a greater number of particles in solution and exert a greater osmotic pressure than do undissociated molecules. ISTONIC AND BUFFER SOLUTIONS Problems associated with ELECTROLYTES Simple isotonic solutions may then be calculated by using this formula: ISTONIC AND BUFFER SOLUTIONS Problems associated with ELECTROLYTES Example: If we assume that sodium chloride in weak solutions is about 80% dissociated, then each 100 molecules yields 180 particles, or 1.8 times as many particles as are yielded by 100 molecules of a non-electrolyte. This dissociation actor, commonly symbolized by the letter i, must be included in the proportion when we seek to determine the strength of an isotonic solution of sodium chloride (m.w. 58.5): ISTONIC AND BUFFER SOLUTIONS T he value of i for many medicinal salts has not been experimentally determined. Some salts are exceptional (such as zinc sulfate, with only 40% dissociation and an i value therefore of 1.4), but most medicinal salts approximate the dissociation of sodium chloride in weak solutions. If the number of ions is known, we may use the following values, lacking better information: ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS FORMULA USED FOR CALCULATING THE E EQUIVALENT OF SODIUM CHLORIDE ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS Preparing Isotonic Solutions by Volume Adjustment As a convenience in compounding, a method of preparing isotonic solutions by volume adjustment may be employed. The method, once described in the United States Pharmacopeia– National Formulary, is based on the following: By adding purified water to a 1-g quantity of a drug with a known E-value, a calculated volume of an isotonic solution may be prepared. Then, by diluting this volume of solution with an isotonic vehicle, the drug strength may be reduced while maintaining the solution’s isotonicity. For example, 1 g of tetracaine hydrochloride (E=0.18) can prepare 20 mL of an isotonic solution, calculated as follows: ISTONIC AND BUFFER SOLUTIONS Preparing Isotonic Solutions by Volume Adjustment The isotonic solution would contain 5% w/v tetracaine hydrochloride (1g/20 mL). If a solution of lesser strength is desired, a calculated quantity of an isotonic vehicle, such as 0.9% sodium chloride, may be added. For example, if a 1% w/v solution of tetracaine hydrochloride is desired, a total volume of 100 mL (1 g tetracaine hydrochloride/100 mL) may be prepared by adding 80 mL of isotonic vehicle to the 20 mL of the 5% w/v solution. ISTONIC AND BUFFER SOLUTIONS Preparing Isotonic Solutions by Volume Adjustment ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS TRY THIS!!!!! DETERMINE THE VOLUME OF PURIFIED WATER AND 0.9% W/V SODIUM CHLORIDE SOLUTION NEEDED TO PREPARE 20 ML OF A 1% W/V SOLUTION O HYDROMORPHONE HYDROCHLORIDE (E = 0.22). ISTONIC AND BUFFER SOLUTIONS Use of Freezing Point Data in Isotonicity Calculations Freezing point data (DT ) can be used in isotonicity calculations when the agent has a tonicic effect and does not penetrate the biologic membranes in question (e.g., red blood cells). As stated previously, the freezing point of both blood and lacrimal fluid is −0.52°C. Thus, a pharmaceutical solution that has a freezing point of −0.52°C is considered isotonic. Representative data on freezing point depression by medicinal and pharmaceutical substances are presented in Table 11.3. Although these data are for solution strengths of 1% , data or other solution strengths and or many additional agents may be found in physical pharmacy textbooks and in the literature. ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS SAMPLE PROBLEM: HOW MANY MILLIGRAMS EACH OF SODIUM CHLORIDE AND LIDOCAINE HYDROCHLORIDE ARE REQUIRED TO PREPARE 30 ML OF A 1% SOLUTION OF LIDOCAINE HYDROCHLORIDE ISOTONIC WITH TEARS? ISTONIC AND BUFFER SOLUTIONS N OT E: SHOULD A PRESCRIPTION CALL FOR MORE THAN ONE MEDICINAL AND/OR PHARMACEUTIC INGREDIENT, THE SUM OF THE FREEZING POINTS IS SUBTRACTED FROM THE REQUIRED VALUE IN DETERMINING THE ADDITIONAL LOWERING REQUIRED BY THE AGENT USED TO PROVIDE ISOTONICITY. ISTONIC AND BUFFER SOLUTIONS Buffers and Buffer Solutions The presence of certain substances or combinations of substances in aqueous solution imparts to the system the ability to maintain a desired pH at a relatively constant level. Combinations of substances are called buffers, and solutions of them are called buffer solutions. Is a system, usually an aqueous solution, that possesses the property of resisting changes in pH with the addition of small amounts of an acid or base. In pharmacy, the most common buffer systems are used: (i) the preparation of such dosage forms as injections and ophthalmic solutions, which are placed directly into pH -sensitive body fluids (ii) the manufacture of formulations in which the pH must be maintained at a relatively constant level to ensure maximum product stability; and (iii) pharmaceutical tests and assays requiring adjustment to or maintenance of a specific pH or analytic purposes. ISTONIC AND BUFFER SOLUTIONS In the selection of a buffer system, due consideration must be given to the dissociation constant o the weak acid or base to ensure maximum buffer capacity. Selected dissociation constants, or Ka values, are given in Table 11.4. ISTONIC AND BUFFER SOLUTIONS ISTONIC AND BUFFER SOLUTIONS Buffer Equation THE EQUATION JUST DERIVED IS THE HENDERSON-HASSELBALCH EQUATION FOR WEAK ACIDS, COMMONLY KNOWN AS THE BUFFER EQUATION. SIMILARLY, THE DISSOCIATION CONSTANT, OR KB VALUE, OF A WEAK BASE IS GIVEN BY THE EQUATION: AND THE BUFFER EQUATION FOR WEAK BASES, WHICH IS DERIVED FROM THIS RELATIONSHIP, MAY BE EXPRESSED AS: ISTONIC AND BUFFER SOLUTIONS pka Value of A Weak Acid With Known Dissociation Constant Calculating the pKa value of a weak acid, given its dissociation constant, Ka: ISTONIC AND BUFFER SOLUTIONS ph Value of A Salt/Acid Buffer System ISTONIC AND BUFFER SOLUTIONS Molar Ratio of Salt /Acid for a Buffer System of Desired pH ISTONIC AND BUFFER SOLUTIONS Quantity of Components in a Buffer Solution to Yield a Specific Volume ISTONIC AND BUFFER SOLUTIONS Change In pH With Addition of an Acid or Base ISTONIC AND BUFFER SOLUTIONS Change In pH With Addition of an Acid or Base ISTONIC AND BUFFER SOLUTIONS Electrolyte Solutions: Milliequivalents, Millimoles, and Milliosmoles PHARMACEUTICAL CALCULATIONS MARQUITO | PRINCILLO | REGIS | REYNERA Millimoles and Micromoles A mole is the molecular weight of a substance in grams. A millimole is one-thousandth of a mole and is, therefore, the molecular weight of a substance in milligrams. Similarly, a micromole is one-millionth of a mole, which is the molecular weight of a substance in micrograms. For example, the molecular weight of sodium chloride is 58.5 g/mol but can be converted to milligrams and millimoles as follows: ELECTROLYTE SOLUTIONS Example Calculations of Millimoles and Micromoles: The following conversion can be used to convert milligrams to millimoles and vice versa: The following conversion can be used to convert micrograms to micromoles and vice versa: ELECTROLYTE SOLUTIONS Example Calculations of Millimoles and Micromoles: (1) How many millimoles of monobasic sodium phosphate monohydrate (m.w. 138) are present in 100 g of the substance? (2) What is the weight, in milligrams, of 5 mmol of potassium phosphate dibasic? (m.w. 174) ELECTROLYTE SOLUTIONS Example Calculations of Millimoles and Micromoles: (3) Convert the trough plasma range of 0.5 mg/mL to 2 mg/mL for tobramycin (m.w. = 467.52) to mmol/L. Range = 1.07 to 4.28 mmol/L ELECTROLYTE SOLUTIONS Osmolarity Osmotic pressure is proportional to the total number of particles in solution. The unit used to measure osmotic concentration is the milliosmole (mOsmol). 1 mmol of NaCl represents 2 mOsmol (Na+ + Cl− ) of total particles, 1 mmol of CaCl2 represents 3 mOsmol (Ca2+ + 2Cl− ) of total particles, and 1 mmol of sodium citrate (Na3C6H 5O7) represents 4 mOsmol (3Na+ + C6H5O7− ) of total particles. According to the United States Pharmacopeia, the ideal osmolar concentration may be calculated according to the equation: ELECTROLYTE SOLUTIONS Osmolarity Osmotic pressure is proportional to the total number of particles in solution. The unit used to measure osmotic concentration is the milliosmole (mOsmol). 1 mmol of NaCl represents 2 mOsmol (Na+ + Cl− ) of total particles, 1 mmol of CaCl2 represents 3 mOsmol (Ca2+ + 2Cl− ) of total particles, and 1 mmol of sodium citrate (Na3C6H 5O7) represents 4 mOsmol (3Na+ + C6H5O7− ) of total particles. According to the United States Pharmacopeia, the ideal osmolar concentration may be calculated according to the equation: ELECTROLYTE SOLUTIONS Example Calculations of Milliosmoles: ELECTROLYTE SOLUTIONS (1) A solution contains 10% of anhydrous dextrose in water for injection. How many milliosmoles per liter are represented by this concentration? Molecular weight of anhydrous dextrose = 180 Dextrose does not dissociate, therefore the “number of species” = 1 ELECTROLYTE SOLUTIONS (2) A solution contains 156 mg of K+ ions per 100 mL. How many milliosmoles are represented in a liter of the solution? Molecular weight of K+ = 39 Number of species = 1 ELECTROLYTE SOLUTIONS (4) Calcium chloride dihydrate injection is a 10% solution of CaCl2 · 2H 2O. How many milliosmoles are present in a 10-mL vial? Assume complete dissociation. (m.w. 147; no. of species = 3) ELECTROLYTE SOLUTIONS Clinical Considerations of Water and Electrolyte Balance: In clinical practice, fluid and electrolyte therapy are undertaken either to provide maintenance requirements or to replace serious losses or deficits. Na concentration = mEq/L BUN = Blood Urea Nitrogen Glucose concentration = mg/100 mL (mg/dL) ELECTROLYTE SOLUTIONS Example Calculation of Plasma Osmolality: (1) Estimate the plasma osmolality from the following data: sodium, 135 mEq/L; blood urea nitrogen, 14 mg/dL; and glucose, 90 mg/dL. ELECTROLYTE SOLUTIONS Function of terrestrial plant assemblages PLANT SPECIES E 14.7% BEETLE SPECIES A 23.5% E 25.6% A B 5.1% 5.1% C 7.7% PLANT SPECIES A 2.8% E 27.8% BEETLE SPECIES E 13.7% B 13.9% D 13.7% D 32.4% C 27.8% B 14.7% C 14.7% D 56.4% NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A D 27.8% A 45.2% C 13.7% B 13.7% Function of terrestrial marine animal assemblages 2,000 1,500 1,000 500 0 1 NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A 2 3 4 5 Field methods to sample marine animal assemblages NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A METHOD 1 Presentations are tools that can be lectures, speeches, reports, assignments and more. METHOD 2 METHOD 3 Presentations are tools that can be lectures, speeches, reports, assignments and more. Presentations are tools that can be lectures, speeches, reports, assignments and more. Field methods to sample terrestrial plant assemblages STEP 1 STEP 2 STEP 3 STEP 4 STEP 5 Presentations are tools that can be lectures, speeches, reports, assignments and more. Presentations are tools that can be lectures, speeches, reports, assignments and more. Presentations are tools that can be lectures, speeches, reports, assignments and more. Presentations are tools that can be lectures, speeches, reports, assignments and more. Presentations are tools that can be lectures, speeches, reports, assignments and more. NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A Outcomes Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A Analysis Presentations are tools that can be demonstrations, lectures, speeches, reports, assignments and more. Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. Presentations are communication tools that can be demonstrations, lectures, and more. Presentations are communication tools that can be demonstrations, lectures, speeches, reports, assignments and more. Thank you NADIA WILLIAMS | UNIVERSITY OF VICTORIA | SCIENCE: LIFE SCIENCES | #29782A