Equations

Equations
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We're building a list of all the equations we think you need for the FRCA exams.

If there are any missing, let us know and we'll add them!


Pharmacokinetics and pharmacology

Plasma concentration

  • Concentration = Dose/Volume of distribution
  • Loading dose = volume of distribution x desired concentration
  • Infusion rate = desired concentration x clearance

Rate of elimination and half life

  • Rate of elimination = Css x clearance
  • Half life = 0.693 x Volume of distribution/Clearance
  • Half life = 0.693/Ke
  • τ =1/Ke
  • τ =Vd/Cl
  • Ke = Clearance/Vd

Css = steady state concentration

Ke = elimination rate constant

Explanation here

Clearance

  • Clearance = Ke x Volume of distribution
  • Clearance = Urine concentration x urinary flow/plasma concentration
  • Clearance = Dose/AUC

Caudal block dose

  • Lumbosacral block - 0.5 ml/kg
  • Thoracolumbar block - 1 ml/kg
  • Midthoracic block - 1.25 ml/kg

This is for 0.25% bupivacaine.

Steroid equivalence

The following are all equivalent doses

  • Methylprednisolone - 4mg
  • Prednisolone - 5mg
  • Hydrocortisone - 20mg
  • Cortisone - 25 mg

Physics

Ohm's law

  • Volts = Current x Resistance

Power, charge and energy

  • Charge = Voltage x capacitance
  • Power = Current x Voltage
  • Power = Energy/Time
  • Volts = Energy/Charge
  • Energy = Charge x voltage/2
  • Energy = (Capacitance x voltage^2) /2
  • Energy = Mass x specific heat capacity x temperature

Resistance

For a series circuit

  • Total resistance = R1 + R2 + ... + Rn

For a parallel circuit

  • 1/Total resistance = 1/R1 + 1/R2 + ... + 1/Rn

Force, energy and pressure

  • Energy = Force x distance
  • Energy = pressure x volume
  • Force = mass x acceleration
  • Kinetic energy = 0.5 x mass x velocity^2
  • Potential energy = mass x gravitational acceleration x height

Hagen Pouiselle

  • Q = πΔPr4/8ɳl

Q = Flow, ΔP - change in pressure, ɳ - viscosity, l - length of tube

Turbulent flow

Re = pvD/ɳ

p - density, D - diameter of tube, ɳ - viscosity

Turbulent flow is more affected by density

Laminar flow is more affected by viscosity

Doppler equation

  • Fd= 2FtVCos θ / C

Ft -transmitted Doppler frequency, V i- speed of blood flow, Cos θ - Cosine of the blood flow to beam angle, C - speed of sound in tissue

Pressure equivalence

The following are all the same:

  • 101 kPa
  • 1 atm
  • 760 mmHg
  • 1033 cmH2O
  • 101 325 N/M^2
  • 101 325 Dynes/cm^2
  • 14.4 PSI

Gas laws

Universal gas law

  • PV = nRT

Boyle's law

  • V1P1 = V2P2 at a given temperature

Charles' law

  • V is proportional to T for a given pressure

Gay-Lussac's law

  • P is proportional to T for any given volume

Dalton's law

  • Total pressure = sum of all the partial pressures

Fick's law of diffusion

  • Volume of gas is proportional to (Area/Thickness) x diffusion constant x pressure gradient
  • Diffusion constant is proportional to gas solubility/√molecular weight

More here


Cardiovascular physiology

Cardiac output and blood pressure

  • Cardiac output = Stroke volume x Heart rate
  • Blood pressure = Cardiac output x Systemic vascular resistance
  • Mean arterial pressure = diastolic + (systolic - diastolic)/3
  • Systemic vascular resistnace = (MAP - CVP/CO) x 80
  • Pulmonary vascular resistance = (MPAP-PAWP/CO) x 80

Oxygen transport

  • Oxygen content = cardiac output x (Hb x SaO2 x 1.34) + (0.02 x PaO2)
  • Saturations = HbO2 x 100%/Hb + HbO2

Laplace law

  • The pressure inside a sphere is proportional to the surface tension in the wall
  • The pressure inside a sphere is inversely proportional to the radius of the sphere
  • Wall stress is the wall tension divided by 2 times the wall thickness
  • P = 2 x Surface Tension /radius

Shock index

  • SI = HR​/SBP

>0.9 is suggestive of circulatory failure


Respiratory physiology

Dead space

  • Physiological dead space = anatomical + alveolar

Explanations here

Resistance and compliance

  • Total airway resistance = airway resistance + tissue resistance
  • Compliance = Δ volume/ Δ pressure
  • 1/total compliance = 1/lung compliance + 1/thoracic wall compliance

Venturi

  • Delivered FiO2 = (O2 flow rate + (0.21 x air flow rate))/Total flow rate

The air flow rate can be calculated from the entrainment ratio

Here's our post on venturi stuff

Bohr Equation

  • VD/VT = PaCO2 - PeCO2/PaCO2

Explanation here

Shunt Equation

  • QS/QT = CCO2 - CaO2/ CCO2 – CvO2

Explanation here

Alveolar gas equation

  • PAO2 = FiO2 x (PATM – PH20) – PACO2/RQ

Explanation here


Metabolic physiology

Henderson-Hasselbalch equation and acid/base

  • pH = pKₐ + log([A⁻]/[HA])
  • pH = -log10 [H+]

For an acid:

  • pH = pKa + log[A-/HA]

For a base:

  • pH = pKa + log[B/BA+]

More acid base stuff here

Metabolic equivalent of task

  • 1 MET = 3.5 ml O2/kg/min

Explanation here

Anion Gap

  • [Na+ + K+] - [Cl- + HCO3-]

Explanation here

Serum osmolality

  • (2x[Na+]) + [Glu] + [Urea]
  • Osmolality = per kg, osmolarity = per litre
  • Normally 275 - 290 mOsmol/kg
  • Normal urine osmolality = 500 - 850 mOsm/kg

Fluids and stuff here

Corrected sodium

  • Corrected Na =Measured Na +2.4 x Glucose​/100

Neurophysiology

Cerebral perfusion pressure

  • CPP = MAP - (ICP + CVP)

Explanation here

Intracranial pressure

  • ICP∝Brain Volume+CSF Volume+Blood Volume

where:

  • Compensation: If one increases, the others must decrease to maintain normal ICP.
  • Decompensation: Once compensation fails, ICP rises steeply.

CSF production

  • CSF Production ≈ 0.3−0.4 mL/min ≈ 500 mL/day

Cerebral blood flow

  • CBF=CPP/CVR

where CVR = Cerebrovascular Resistance

  • Normal CBF = 50 mL/100g/min
  • CBF is autoregulated between a MAP of 50–150 mmHg

Cerebral oxygen consumption

  • CMRO₂=CBF×(CaO₂−CjvO₂)

where:

  • CaO2​ = arterial oxygen content
  • CjvO2​ = jugular venous oxygen content

Nernst equation

  • Ex​ = RT/zF​ x ln([X]extracellular​/[X]intracellular​​)

where:

  • Ex​ = equilibrium potential for an ion
  • R = universal gas constant
  • T = temperature in Kelvin
  • z = charge of the ion
  • F = Faraday’s constant

Paediatrics

WETFLAG

  • Weight = (age+4) x 2
  • Energy = 4 J/kg
  • Tube = (age/4) + 4
  • Fluids = 10ml/kg
  • Lorazepam = 0.1mg/kg
  • Adrenaline = 0.1ml/kg of 1:10 000 (1mg in 10ml)
  • Glucose = 2mls/kg 10% dextrose

Atropine = 20mcg/kg

More here

Fluid resuscitation

  • Maintenance=4 mL/kg/hr (first 10 kg)+2 mL/kg/hr (next 10 kg)+1 mL/kg/hr (>20 kg)

Statistics

Sensitivity and Specificity

Sensitivity = Likelihood of detecting a true case of the disease

  • true positive/(true positive + false negative)

Specificity = Likelihood of testing negative if you don't have the disease

  • true negative/(true negative + false positive)

Positive predictive value = Likelihood you actually have it if test positive

  • true positive/(true positive + false positive)

Negative predictive value = Likelihood that a negative test means you don't have the disease

  • true negative/(true negative + false negative)

Odds and relative risk

When presented with a 2 x 2 table

Odds ratio = (a/b)/(c/d)

Relative risk = (a/(a + b))/(c/(c + d))

Absolute risk reduction = (c/(c + d)) - (c/(c + b))

Number needed to treat = 1/ARR


Let us know what we've missed and we'll add it in!