Design nutrition support recommendation to meet patientclient needs. Total parenteral nutrition important calculation concepts 39. Parenteral nutrition tutorial calculation of dexaa with. The naplex, fpgee, ptcb and california pharmacy board exams are. If playback doesnt begin shortly, try restarting your device. Prempje question bank home ii all questions index ii question of the day ii mpje. Pediatric parenteral nutrition 09047 kelly kopec assessment as illustrated in the patient case discussed in the lecture, what are the protein requirements in gmkg and calorie requirements in kcalkg for a premature neonate. Chances are during your years in the classroom you will do a lot of calculations. Very few tpn questions, and only a few meq conversions. Continue to work through calculation type questions throughout the year to maintain your edge. It is a resourceful practice guide for preparation of the naplex, fpgee, ptcb and california pharmacy board exams. Rxcalculations offers top quality pharmaceutical calculations resources. Learn vocabulary, terms, and more with flashcards, games, and other study tools. You need to practice calculations until your brain is numb.
Brigham young university heidi washburn dietetic portfolio. Many pharmacists, especially critical care pharmacists, perform these calculations on a daily basis and are relied upon to determine appropriate nutritional requirements within parenteral nutrition for patients requiring these therapies. Focusing on naplex and the clinical pharmacy portion of cpje. Chapter 22 dosage calculations based on body weight. I just took my naplex last week and the type of calculations questions i had were meq, mosmol, alligation, crcl, tpn kcals, isotonicity and day supplies. But on the naplex, you have to be able to do those calculations with speed. I passed the naplex and i thought the sdn 120 calculations were a great help on the naplex. The nutrition is disbursed through a needle or through a catheter. You have a fair idea on how to calculate doses based on body weight and body surface area bsa at this point. Todays question focuses on the calculation aspect of parenteral nutrition. It contains over 1200 questions with answers and complete explanations. As you transition to your last year on rotations, often these opportunities decrease outside of tpn or potentially pk calculations. However, the preferred form of nutrition for the neonate. Total parenteral nutrition tpn, provides all of your essential energy and nutritional needs if you cannot eat for a long time.
Notice that the abw was used in these calculations instead of the ibw this is because creatinine is a byproduct of muscle breakdown and she can only break down muscle that she has 44 kg. How to study for the naplex and pass on your first try tl. Many just practiced calculations, passed the naplex. The term total parenteral nutrition tpn implies that all the patients nutritional needs are being met by this route even though the term is often used when the patient is receiving both oral feedings or tube feedings enteral nutrition or en and iv feedings simultaneously. Naplex math questions are often not one step problems. Chapter 23 dosage calculations based on body surface area. Total parenteral nutrition tpn is the provision of intravenous nutrients to patients whose gastrointestinal gi tract is not functioning or cannot be accessed and to patients whose nutritional needs cannot be met with oral diets or enteral feeding. You have a decent idea on how to basic math perform ratio, proportions and dimensional analysis calculations at this point. The app includes video lectures and stepbystep solutions to a variety of. The naplex calculations prep app is designed to provide students the. Convert fat calories to volume of lipid emulsion or lipid concentration for a 3in1 solution 4. Arabic and roman numerals arabic and roman numerals are used interchangeably to express quantity or. I would also recommend the reference guide for the pharmacy licensing exam questions and answers over 1200 naplex type questions and the reference guide for pharmaceutical calculations over 500 calculations.
Reference guide for the pharmacy licensing exam questions. I would definitely recommend knowing when to use ibw, tbw, or adjbw for dosing and crcl calculations. In 1962, wretlind and colleagues developed lipid infusions as the principle source of calories for parenteral feeding. Discover the various ways questions may be asked and all the beneficial tips and tricks that can become handy when you see these type of questions on the naplex. Because tpn solutions are concentrated and can cause thrombosis of peripheral veins, a central venous catheter is usually required. Remember, you get less than 90 seconds per question.
Additional material will be made available in the near future including presentations. Naplex calculations pharmacy question bank naplex calculations the questions in this section are intended to test your knowledge and skills on pharmacy calculations including ratio strengths, rates of administration, drug concentrations, quantity of drug needed and pharmacokinetics. Metabolic complications a number of metabolic complications can occur. Intermediate iv practice problems practice problem 1 the doctor orders rocephin 1g ivpb q 24 hours. Neonatal parenteral and enteral nutrition a resource guide for the student. Pgy1 pharmacy practice resident miami va healthcare systemfor the famu copps class of 20. In terms of tpn recommendations, dextrose carbohydrates, aminosyn proteins, and lipids fats are the fore front of calculations. To calculate the grams of protein supplied by a tpn solution, multiply the total volume of amino acid solution in ml supplied in a day by the amino acid. I hope my efforts will help you to pass your key exams. Aug 14, 2019 chances are during your years in the classroom you will do a lot of calculations. Basic pharmacy calculations and pharmacokinetes slideshare. These pharmacy calculations quizzes are a must have free resource designed to help you reinforce concepts studied while improving speed and accuracy in pharmaceutical calculations. If you can do these problems, you will do well on the naplex calculation. Its all available online from the people that make the test, and its better to get that info straight from the horses mouth.
Pharmaceutical calculations quizzes naplex calculations prep. Total parenteral nutrition tpn aims to provide nutritional requirements for optimal growth and maturation of the infant. Total parenteral nutrition tpn nutritional disorders. Correct pharmacy calculations are imperative to the practice of pharmacy.
Parenteral nutrition tutorial complications medical. Calculating total parenteral nutrition steps for calculating tpn. The naplex calculations prep app is designed to provide students the opportunity to practice pharmaceutical calculations whenever and wherever they want. I just want to share my experience with the naplex and mpje and hopefully. Tpn calculations historically have required a lengthy process involving a series of mathematical calculations to determine the correct formulations for each patient, says the studys lead author, christoph u. Determine percent lipid, amino acid and dextrose solutions to be used, along with rate of administration. The frequency may vary from once a week or daily, sometimes for a majority of the day depending on the severity of the situation. How to study for the naplex and pass on your first try. Pdf of this article, you can get one of those here. Follow your bliss and doors will open where there were no doors before. Practice tpn calcs with solns1 calculation of the macronutrient and energy content of parenteral solutions be sure to show how you obtained your. New mexico state specific question which of the following would be required in order to reciprocate a pharmacists license from another state. Reference guide for pharmaceutical calculations krisman. Parenteral nutrition tutorial calculation of parenteral solutions.
Parenteral nutrition should not be used routinely in patients with an intact gi tract. Total parenteral nutrition, more commonly known as parenteral nutrition pn, is a high. Naplex calculations prep struggling with calculations. In 1966, dudrick and rhoads developed parenteral nutrition pn for patients who had lost their small bowel. Calculations involving parenteral nutrition are a common part of pharmacy practice. And calculations are over emphasized on the naplex because theyre that important. From the calculation of amounts of components being added to a compounded total parenteral nutrition tpn to the drops per minute rate on the label of an intravenous iv bag, pharmacy calculations can make a difference of life or death. This is a live streaming class with the participants and speakers all in a virtual classroom.
Pharmacists and doctors primarily determine vitaminsmineral needs based on the patients current lab values. Free prempje question bank for mpje and naplex for mpje. There is a pharmacy calculations practice test for each pharmacy calculations topic including total parenteral nutrition tpn, flowrate calculations. Until the early 1960s, the use of intravenous nutrition was restricted to high concentrations of dextrose and electrolytes. Total parenteral nutrition tpn supplies all daily nutritional requirements. Dosage calculations packet prince william county public. Regardless of which calculation is used to estimate nutrient requirements, it is important to note that there is a lack of evidence correlating a given calorie and pro. Mar 27, 20 basic pharmacy calculations and pharmacokinetes 1. Naplex calculations med math pharmacy question bank. How many nonprotein calories is the patient receiving from the tpn.
Pharmaceutical calculations is the official channel for rxcalculations and is the leading source of expertdriven, actionable, and informative content for ev. To prepare for the nclexrn examination, it will take a lot of reading of facts but most importantly understanding the rationale behind all of these. Reference guide for the pharmacy licensing exam theory. Naplex practice questions and preparation books naplex. The hitchhikers guide to parenteral nutrition management benefit by comparing the use of metabolic cart results with various formulas in terms of clinical outcomes. Pharmacy calculations tricky tpn calculations question youtube. It is a sterile solution of water, dextrose, amino acids, lipids. Pivot 50 ml x 24 calculate kcal protein and free h 2 o 50ml x 24h 1200ml. If we were to use the ibw of 50 kg, we would be assuming that she has 6 kg more muscle than she really has. Total parenteral nutrition aims total parenteral nutrition tpn aims to provide nutritional requirements for optimal growth and maturation of the infant. The patient receives a combination of nutrients crystalline. Calculation of the macronutrient and energy content of parenteral solutions be sure to show how you obtained.
In terms of tpn recommendations, dextrose carbohydrates, aminosyn proteins, and. The term total parenteral nutrition tpn implies that all of the patients nutritional needs are being met by this route even though the term is often used when the patient is receiving both oral feedings or tube feedings enteral nutrition or en and iv feedings simultaneously. The reference guide for the pharmacy licensing examquestions and answers20142015 edition is specifically written for the preparation of naplex and canadian qualifying exams. Parenteral nutrition nclex practice quiz 20 items nurseslabs. Total parenteral nutrition tpn is a treatment that doctors prescribe for people who are unable to eat on their own.
This 20item practice questions will increase your knowledge on parenteral nutrition. In calculations for tpn, after the total fluid requirement is determined, you will need to calculate and deduct the volume. Prempje question bank home ii all questions index ii question of the day ii mpje practice questions ii naplex practice questions ii premium accountsign up loading. They count calculation problems more on the naplex so make sure you know how to do them. Technical complications technical complications include pneumothorax and hemothorax that can result if the chest wall is perforated with catheter needle. On the shelf in the medication room there is rocephin 1 g in 250ml of d5w to be given over 1 hour. You cant escape it you need it to pass the naplex it can be applied to any. From the calculation of amounts of components being added to a compounded total parenteral nutrition tpn to the drops per minute rate on the label of an intravenous iv bag, pharmacy calculations can. It is a substitute for enteral feeding in circumstances where the establishment of full enteral feeds will be delayed or inadequate. Protein, lipids, and electrolytes should equal about. Intravenous lipids intravenous iv lipids are fatbased solutions to provide fatty acids in tpn. You estimate 2 hrs of study per weekday and 8 hours per weekend between now and may 19th 2 weeks. Arabic and roman numerals arabic and roman numerals are used interchangeably to express quantity or degree of measure. For the following tpn solutions, calculate the requested information.