Practice exercise (made-up values, not clinical guidance). A patient who weighs 67 kg needs a loading dose of vancomycin to reach a level of 25 mg/L straight away. The volume of distribution is 0.7 L/kg. Find the loading dose LD in mg.
Clinical pharmacokinetics worksheet with answers
Practice exercise (made-up values, not clinical guidance). The elimination rate constant of theophylline in a patient is 0.0866 h⁻¹. Find the half-life t½.
Practice exercise (made-up values, not clinical guidance). A 58 kg patient is to be loaded with digoxin tablets to reach a level of 1 mcg/L. The volume of distribution is 7 L/kg and the tablets have a bioavailability F = 0.7. Find the total oral loading dose LD in mcg.
Practice exercise (made-up values, not clinical guidance). After an IV dose of vancomycin, the level is 40 mg/L at 1 h and 14.1 mg/L at 13 h. Assume first-order elimination. Find the elimination rate constant k.
Practice exercise (made-up values, not clinical guidance). A 59 kg patient has a theophylline level of 6 mg/L; the target is 12 mg/L. The drug is given intravenously as aminophylline (S = 0.8), and the volume of distribution is 0.5 L/kg. What extra loading dose LD raises the level to the target?
Practice exercise (made-up values, not clinical guidance). A 99 kg patient on regular gentamicin doses is at steady state. The target is a peak of 10 mg/L and a trough of 1 mg/L, and the volume of distribution is 0.25 L/kg. Assuming rapid IV doses, what dose D raises the level from the trough to the peak?
Answer key
- 1. LD = 1173 mg
- 2. t½ = 8.004 h
- 3. LD = 580 mcg
- 4. k = 0.08689 h⁻¹
- 5. LD = 221.3 mg
- 6. D = 222.8 mg
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