Practice exercise (made-up values, not clinical guidance). A patient who weighs 58 kg needs a loading dose of theophylline to reach a level of 10 mg/L straight away. The volume of distribution is 0.5 L/kg. Find the loading dose LD in mg.
Clinical pharmacokinetics worksheet with answers
Practice exercise (made-up values, not clinical guidance). In a patient, gentamicin has an elimination half-life of 2.5 h. Find the elimination rate constant k in h⁻¹.
Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 170 mg of gentamicin. The level back-extrapolated to time zero is 7 mg/L and the half-life is 3.5 h. Find the volume of distribution Vd.
Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 290 mg of tobramycin. The level back-extrapolated to time zero is 12 mg/L and the half-life is 3 h. Find the volume of distribution Vd.
Practice exercise (made-up values, not clinical guidance). A 97 kg patient has a phenytoin level of 8 mg/L; the target is 20 mg/L. The drug is given intravenously as phenytoin sodium (S = 0.92), and the volume of distribution is 0.7 L/kg. What extra loading dose LD raises the level to the target?
Practice exercise (made-up values, not clinical guidance). A patient's tobramycin half-life is 3 h. The target is a peak of 10 mg/L and a trough of 1 mg/L. Assuming rapid IV doses and first-order elimination, what dosing interval τ lets the level fall from the peak to the trough? Round to one decimal place.
Answer key
- 1. LD = 290 mg
- 2. k = 0.2773 h⁻¹
- 3. Vd = 24.29 L
- 4. Vd = 24.17 L
- 5. LD = 885.7 mg
- 6. τ = 10 h
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