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WEEK 18:
Reintroduction to pharmacokinetics:
| Question | Answer |
|---|---|
| Vd formula | dose/ t0 conc |
| CL general formula | rate of elimination (kidney/liver/other) / C |
| first order kinetic formula | Ct = C0e^-kt |
| e value | 2.718 |
| k = | CL/ Vd |
| t1/2= | 0.693 (loge 2) / k |
| describe steady state (Css) | administration rate = delimination rate |
| aminophylline IV loading dose for severe acute asthma in adults | 250-500mg IV injection |
| what is the loading dose of aminophylline followed by in severe acute asthma in adults | maintenance dose |
| infusion rate/ elimination rate = | clearance x Css |
| exponential decay graph | 1st order graph (conc against time) with distribution and elimination phase |
| k | fraction eliminated per unit time |
| Ct | conc at t=t |
| C0 | conc at t=0 |
| short t1/2 means | more frequency |
| long t1/2 means | less frequency |
| loge 2 value | 0.693 |
| how does infusion rate affect Css (steady state) | higher infusion rate means higher Css (eg faster tap means higher water level) |
| time to steady state depends on what | drugs half life |
| how many half lives are needed to reach steady state | 5 |
| loading dose | initial infusion of drug to get drug concentration into therapeutic window (0 order) |
| maintenance dose | given after loading dose to maintain steady state concentration in therapeutic window (Css) |
| elimination | first order, depending on concentration |
| difference between clearance and elimination | elimination is how much drug is removed by clearance is how efficiently drug is removed |
| amount = | salt x dose |
| salt factor | proportion of drug which is active |
| clearance definition | volume of plasma completely cleared of drug per unit time |