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Pharmacokinetics
UC MED 2015
32
Medical
Graduate
11/17/2011

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Cards

Term
What does ADME stand for?
Definition
Absorption
Distribution
Metabolism
Elimination
Term
Calculation of drug dosages for individual patients, based on...
Definition
parameters of pt and drug
Term
Units of Vd
Definition
Liters
Term
Units of k
Definition
1/hr
Term
units of Cl
Definition
L/hr
Term
units of F
Definition
no units
Term
Why use the One-Compartment Model?
Definition
It has first order kinetics and is the simplest. It does not apply to all drugs, but it works for most.
Term
If you do this experiment what do you observe?


EXPERIMENT: Inject drug IV at time = zero. Determining [drug] at various times.
Definition
[Drug]-reaches peak instantaneously
[drug]-drops expoenentially, drops to half its value in t1/2 and can calculate t1/2 anywhere along graph
Term
t1/2
Definition
elimination half-life (units in hr)
Term
What is the definition of Vd (Volume of Distribution)?
Definition
-Apparent volume of distribution

Volume of distribution= Amount of Drug Given/Concentration of drug at Time Zero
Term
D
Definition
amount of drug given
Term
Co
Definition
Concentration of Drug at time zero
Term
k
Definition
elimination rate constant
Term
Cl
Definition
Clearance
Term
What is an apparent or virtual quantity, like Vd? It is the apparent volume of plasma from which the drug is completely cleared in a given time.
Definition
Clearance (Cl)
Term
What are some important factors for Cl?
Definition
-Varies between pts
-Sum of renal, hepatic, etc.
-Depends on blood flow, organ function, weight, genetics, etc
Term
F
Definition
Bioavailability
Term
AUC
Definition
Area Under Curve of [Drug] vs. time plot
Term
Units of AUC
Definition
(mg)(hr)/L
Term
FRACTION OF UNCHANGED DRUG THAT REACHES PLASMA FOLLOWING ADMINISTRATION.
Definition
F (Bioavailability)
Term
In oral administration or most administration besides for IV, when can t1/2 be determined?
Definition
It can not be determined until absorption is complete, even at peak absorption is not complete and will get wrong t1/2
Term
ko units
Definition
mg/hr
Term
Css units
Definition
mg/L
Term
units D(small L)
Definition
mg
Term
When doing a continuous infusion, how can you calculate t1/2?
Definition
When 50% of the steady state [drug] is achieved
Term
ko
Definition
drug in (mg/hr)
Term
Css x Cl
Definition
drug eliminated
Term
At the Steady-State...
Definition
IN=OUT
Rate of drug going in=rate of drug eliminated
Term
DL
Definition
Loading dose to reach Css quickly
Term
tau
Definition
number of time drug is taken in 24 hr period,

1 per day: tau=24
2 per day: tau=12
etc
Term
higher k and longer tau means
Definition
larger Css max/Css min
Term
What are the goals in adjusting dosing regiment?
Definition
-[Drug]> Minimum effective concentration as much of the time as possible
-[Drug]< Maximum toxic concentration at all times
-tau such that good pt compliance is lkely
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