Clinical pharmacokinetics worksheet with answers

Free printable Clinical pharmacokinetics worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy
Vd = 0.5 L/kgC = 15 mg/LLD = ?51 kg

Practice exercise (made-up values, not clinical guidance). A patient who weighs 51 kg needs a loading dose of theophylline to reach a level of 15 mg/L straight away. The volume of distribution is 0.5 L/kg. Find the loading dose LD in mg.

51 kgVd = 0.5 L/kgC = 15 mg/L
LD = mg
2.Easy
110100t (h)CC₀t½ = 6 hC₀/2

Practice exercise (made-up values, not clinical guidance). In a patient, theophylline has an elimination half-life of 6 h. Find the elimination rate constant k in h⁻¹.

t½ = 6 h
k = h⁻¹
3.Medium
110t (h)C (mg/L)1 h8 mg/L4 h2.8 mg/L

Practice exercise (made-up values, not clinical guidance). After an IV dose of tobramycin, the level is 8 mg/L at 1 h and 2.8 mg/L at 4 h. Assume first-order elimination. Find the half-life t½.

C1 = 8 mg/L (1 h)C2 = 2.8 mg/L (4 h)
t½ = h
4.Medium
110t (h)C (mg/L)C₀ = 7 mg/Lt½ = 3.5 hC₀/2

Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 150 mg of gentamicin. The level back-extrapolated to time zero is 7 mg/L and the half-life is 3.5 h. Find the clearance CL in L/h.

D = 150 mgC₀ = 7 mg/Lt½ = 3.5 h
CL = L/h
5.Hard
VCss,avg​ = 10 mg/LD = ? mg · q8hCL = 0.03 L/kg/h64 kg · S = 1 · F = 1

Practice exercise (made-up values, not clinical guidance). A 64 kg patient takes oral theophylline (F = 1) every 8 h. The clearance is 0.03 L/kg/h. What dose D in mg gives an average steady-state level of 10 mg/L?

CL = 0.03 L/kg/hτ = 8 hS = 1F = 164 kgCss,avg = 10 mg/L
D = mg
6.Hard
Vd = 7 L/kg0.4 → 1 mcg/LLD = ? mcg65 kg · S = 1 · F = 0.7

Practice exercise (made-up values, not clinical guidance). A 65 kg patient has a digoxin level of 0.4 mcg/L; the target is 1 mcg/L. The volume of distribution is 7 L/kg and the tablets have F = 0.7. What extra loading dose LD raises the level to the target?

65 kgVd = 7 L/kgC = 0.4 → 1 mcg/LF = 0.7
LD = mcg

Answer key

  1. 1. LD = 382.5 mg
  2. 2. k = 0.1155 h⁻¹
  3. 3. t½ = 1.981 h
  4. 4. CL = 4.244 L/h
  5. 5. D = 153.6 mg
  6. 6. LD = 390 mcg

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