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Isotonic Solutions and Osmotic Pressure

Osmosis is the spontaneous diffusion of water across a semi-permeable membrane from a region of lower solute concentration to higher solute concentration. For solutions to be mixed with body fluids, they should have the same osmotic pressure as the body fluids for greater comfort, efficacy, and safety. There are several methods to adjust solutions to be isotonic, including the cryoscopic method using freezing point depression, the NaCl equivalent method calculating amounts based on solute equivalents, and White-Vincent and Sprowl's methods which add water and isotonic diluting solutions.
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0% found this document useful (0 votes)
183 views33 pages

Isotonic Solutions and Osmotic Pressure

Osmosis is the spontaneous diffusion of water across a semi-permeable membrane from a region of lower solute concentration to higher solute concentration. For solutions to be mixed with body fluids, they should have the same osmotic pressure as the body fluids for greater comfort, efficacy, and safety. There are several methods to adjust solutions to be isotonic, including the cryoscopic method using freezing point depression, the NaCl equivalent method calculating amounts based on solute equivalents, and White-Vincent and Sprowl's methods which add water and isotonic diluting solutions.
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Osmosis

• spontaneous process
• diffusion of water across a semi-
permeable membrane
• semi-permeable membrane
allows passage of solvent but not
solute
Osmosis
• movement of solvent from lower
solute concentration to higher
solute concentration

• movement of solvent from


higher solvent concentration to
lower solvent concentration
Osmosis
Osmotic Pressure
• Pressure required to stop
osmosis
• depends on the number of
solute particles
Non-electrolytes – molecules
Electrolytes – ions
Solutions to be mixed with body
fluid should have the same
osmotic pressure. WHY?
for greater comfort
efficacy
safety
Body
fluids:
Osmotic
pressure
0.9%
NaCl
• blood solution
• lachrymal fluid
Iso-osmotic
- solutions which have the same
osmotic pressure
- solute can diffuse through
biological membrane
Isotonic
- solutions which have the same
osmotic pressure and tone
- implies biological compatibility
Ex.
1.9% w/v H3BO3 solution
• iso-osmotic with blood and
lachrymal fluid
• isotonic with lachrymal fluid
H3BO3 can pass freely through
the erythrocyte membrane
regardless of concentration which
causes hemolysis.
Solution types relative to a cell:
Isotonic –solute concentration
of solution equal to that of cell
Hypotonic - solute concentration
of solution lower than cell
Hypertonic- solute concentration
of solution higher than of cell
Hemolysis Crenation
METHODS OF ADJUSTING
SOLUTION TO ISOTONICITY
Class I:
A. Cryoscopic Method
B. Sodium chloride equivalent Method
Class II:
A. White-Vincent Method
B. Sprowl’s Method
Cryoscopic Method

• Freezing point of human blood and


lachrymal fluid = - 0.52°C
• for hypotonic solution (Tf above - 0.52°C);
add therapeutically active solute such as
NaCl, dextrose, KNO3, H3BO3
•For hypertonic solution
(Tf below - 0.52°C);
dilute the solution
Cryoscopic Method

Procedure:
1. Find the difference between the
freezing point depression (ΔTf or ‘D’ in °C) of
the drug and the body fluid.
2. Calculate the amount of NaCl
needed to render the solution
isotonic based on the ΔTf or ‘D’
of a 0.9% NaCl solution.
NaCl Equivalent Method

NaCl Equivalent (‘E’)


– the weight in gram of NaCl that will
produce the same osmotic effect as 1 g of
the drug
Ex. E of H3BO3 = 0.52
0.52 g of NaCl will
produce the same osmotic
effect as 1 g of H3BO3
Calculate the NaCl Equivalent
of a Drug
MW NaCl i subs.
E X
i NaCl MW subs.
KCl is a 2-ion electrolyte dissociating 80% in a
certain concentration. Calculate its dissociation
value (i).
80 K+ ion
80 Cl- ion
20 undissociated particles
180 particles represent 1.8 times as many
particles as there were before dissociation, i = 1.8
ZnCl2 is a 3-ion electrolyte dissociating 80%
in a certain concentration. Calculate its
dissociation value (i).

80 Zn+ + ion
80 Cl- ion
80 Cl- ion
20 undissociated particles
260 particles represent 2.6 times as
many particles as there were before
dissociation, i = 2.6
Dissociation values (i)

Non-electrolytes 1.0

Electrolytes (2 –ion) 1.8

Electrolytes (3 –ion) 2.6

Electrolytes (4 –ion) 3.4

Electrolytes (5 –ion) 4.2


Papaverine HCl (MW 376) is a 2-ion
electrolyte dissociating 80% in a given
concentration. Calculate its NaCl equivalent.
value (i).

MW NaCl i subs.
E X
i NaCl MW subs.
58.5 1.8
E X
1.8 376
E  0.156
NaCl Equivalent Method
Procedure:
1. Calculate the amount of NaCl represented
by the ingredients in the Rx.
Amount of the ingredient X its E

2. Calculate the amount of NaCl represented


an isotonic solution based on the volume
specified in the Rx.
0.009 X volume of Rx
NaCl Equivalent Method

3. Calculate the amount of NaCl to be added


to make an isotonic solution.
Step 2 – Step 1
4. If the agent to be used in adjusting the
solution is other than NaCl, divide the
amount of NaCl by the E of the other
substance.

amount of NaCl to be added


E of the other substance
1. A 500-mL solution of a drug (E = 0.21)
contains 3 g of the drug. How much sodium
chloride is needed to render the solution
isotonic?

a. Calculate the amount of NaCl represented


the 3 g of the drug.

Wt. of drug (g) x its E


= 3 g x 0.21 = 0.63g (wt. of NaCl that
exerts the same osmotic pressure as 3 g of
the drug)
c. Calculate for the amount of NaCl to be
added to make the Rx isotonic.

b – a = 4.5 – 0.63 = 3.87 g (wt. of NaCl


needed to make the 500- mL solution isotonic)
2. Rx Fluorouracil 1g
Sterile water qs ad 100 mL
M ft. topical solution

Calculate the amount of boric acid


needed to render the solution isotonic.
E of Fluorouracil = 0.18
E of Boric acid = 0.5
a. Calculate the amount of NaCl represented
the 1 g of the drug.

Wt. of drug (g) x its E


= 1 g x 0.18 = 0.18g (wt. of NaCl that
exerts the same osmotic pressure as 1 g of
Fluorouracil)
b. Calculate the amount of NaCl
represented in 100 mL of an isotonic
solution.

0.9 g (wt. of NaCl that should be present


in 100 mL of an isotonic solution)

c. Calculate for the amount of NaCl


needed to make the Rx isotonic.

b – a = 0.9 – 0.18 = 0.72 g (wt. of


NaCl needed to make the 100- mL
solution isotonic)
White - Vincent Method
• involves the addition of water to the drugs
to make an isotonic solution
• followed by the addition of an isotonic or
isotonic-buffered diluting solution to bring
the solution to final volume
• Example of isotonic or isotonic-buffered
diluting solution
 Dextrose solution 5.6%
 Sodium nitrate solution 1.3%
 Isotonic NaCl solution USP
Sprowl’s Method

• A simplification of White-Vincent Method


where the weight of drug is fixed as 0.3 g
for one fluidounce of a 1% solution
followed by the addition of an isotonic or isotonic-
buffered diluting solution to bring the solution to final
volume
Example of isotonic or isotonic-buffered diluting
solution
Dextrose solution 5.6%
Sodium nitrate solution 1.3%
Isotonic NaCl solution

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