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
t/t½C/Css (%)100%597%

Practice exercise (made-up values, not clinical guidance). A patient starts regular doses of gentamicin, which has a half-life of 2.5 h. Using the rule that steady state is reached after about five half-lives, after how many hours tss is steady state reached?

t½ = 2.5 h
tss = h
2.Easy
110100t (h)CC₀t½ = ?C₀/2

Practice exercise (made-up values, not clinical guidance). The elimination rate constant of tobramycin in a patient is 0.231 h⁻¹. Find the half-life t½.

k = 0.231 h⁻¹
t½ = h
3.Medium
VCss​ = 4 mg/LR = ? mg/minCL = 800 mL/min

Practice exercise (made-up values, not clinical guidance). A patient has a lidocaine clearance of 800 mL/min. What infusion rate R in mg/min keeps the steady-state level at 4 mg/L?

CL = 800 mL/minCss = 4 mg/L
R = mg/min
4.Medium
VCss​ = 3 mg/LR = ? mg/minCL = 800 mL/min

Practice exercise (made-up values, not clinical guidance). A patient has a lidocaine clearance of 800 mL/min. What infusion rate R in mg/min keeps the steady-state level at 3 mg/L?

CL = 800 mL/minCss = 3 mg/L
R = mg/min
5.Hard
Vd = 7 L/kg0.5 → 0.8 mcg/LLD = ? mcg96 kg · S = 1 · F = 0.7

Practice exercise (made-up values, not clinical guidance). A 96 kg patient has a digoxin level of 0.5 mcg/L; the target is 0.8 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?

96 kgVd = 7 L/kgC = 0.5 → 0.8 mcg/LF = 0.7
LD = mcg
6.Hard
Vd = 0.7 L/kg4.5 → 15 mg/LLD = ? mg63 kg · S = 0.92 · F = 1

Practice exercise (made-up values, not clinical guidance). A 63 kg patient has a phenytoin level of 4.5 mg/L; the target is 15 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?

63 kgVd = 0.7 L/kgC = 4.5 → 15 mg/LS = 0.92
LD = mg

Answer key

  1. 1. tss = 12.5 h
  2. 2. t½ = 3.001 h
  3. 3. R = 3.2 mg/min
  4. 4. R = 2.4 mg/min
  5. 5. LD = 288 mcg
  6. 6. LD = 503.3 mg

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