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Equaion Choices and Digoxin
Kinetics Lecture 1
29
Audiology
5th Grade
10/23/2013

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Term
(SFD/T)/Cl
Definition
Continuous Infusion
Term
[(SFD/V)/ (1-e^/kT)](e^-kt)
Definition
SS intermittent IV Bolus
Term
SS achieved
Definition
D and T unchanged; 3-5 half lives elapsed
Term
SS NOT achieved
Definition
D and T changed or 3-5 half lives have not elapsed
Term
Non-SS
Definition
Confounding factors; complex equations; difficult PK workup
Term
T < or = 1/2 the half life
Definition
continuous
Term
T > 1/2 of the half life
Definition
intermittent
Term
tin< 1/6 of the half life
Definition
IVB ( (SFD/V)/1-e^-kT) (e^-kt) )
Term
tin > or equal to 1/6 of the half life
Definition
Short infusion ( (SFD/tin)/(1-e-kT) (1-e-ktine)(e-kt) )
Term
Vancomycin
Definition
Intermittent IV bolus model
Term
Digoxin
Definition
Continuous input model
Term
Therapeutic range of Digoxin for CHF
Definition
0.5-1 microgram/L
Term
Digoxin confounding factors:
Definition
hypokalemia, hypercalcemia, Cor Pulmonale --> AF, LSHF, Afib (may be able to tolerate higher doses)
Term
bioavailability: digoxin tablet
Definition
0.7 (0.5-0.9)
Term
bioavailability: digoxin gel caps
Definition
1.0
Term
bioavailability: digoxin elixer
Definition
0.8
Term
bioavailability effect on digoxin with St. John's Wort
Definition
decreased; p-glycoprotein
Term
bioavailability effect on digoxin with antibiotics
Definition
increased; eubacterium lenum (metabolizes digoxin but is wiped out by abx)
Term
digoxin half life
Definition
2 days
Term
Digoxin volume of distribution with renal failure
Definition
decreases
Term
Digoxin volume of distribution with hypothyroidism
Definition
decreases
Term
digoxin volume of distribution with hyperthyroidism
Definition
increases
Term
digoxin volume of distribution with quinidine
Definition
decreases
Term
clearance with hypothyroid
Definition
decreases
Term
clearance with hyperthyroid
Definition
increases
Term
clearance with CHF
Definition
decreases
Term
clearance with Quinidine
Definition
decreases
Term
Clearance eq. without CHF
Definition
(0.8 m/kg/min) (wt) + renal creatnine clearance
Term
Clearance eq. with CHF
Definition
(0.3 ml/kg.min) (wt) + (0.9) (renal creatnine clearance)
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