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
0.1110t (h)C (mg/L)6 mg/L11.5 hC = ?

Practice exercise (made-up values, not clinical guidance). Just after an IV dose, the gentamicin level is 6 mg/L. The half-life is 3.5 h, and the drug is eliminated by first-order kinetics. What is the level C 11.5 h later?

C₀ = 6 mg/Lt½ = 3.5 ht = 11.5 h
C = mg/L
2.Easy
110100t (h)CC₀t½ = 2 hC₀/2

Practice exercise (made-up values, not clinical guidance). In a patient, lidocaine has an elimination half-life of 2 h. Find the elimination rate constant k in h⁻¹.

t½ = 2 h
k = h⁻¹
3.Medium
VCss​ = 20 mg/LR = ? mg/hCL = 3 L/h

Practice exercise (made-up values, not clinical guidance). Vancomycin is given as a continuous infusion to a patient whose vancomycin clearance is 3 L/h. What infusion rate R in mg/h gives a steady-state level of 20 mg/L?

CL = 3 L/hCss = 20 mg/L
R = mg/h
4.Medium
VCss​ = 15 mg/LR = ? mg/h · S = 0.8CL = 0.04 L/kg/h61 kg

Practice exercise (made-up values, not clinical guidance). A 61 kg patient is to receive an aminophylline infusion (salt factor S = 0.8: 80% of aminophylline is theophylline). The theophylline clearance is 0.04 L/kg/h. What aminophylline infusion rate R in mg/h gives a steady-state theophylline level of 15 mg/L?

61 kgCL = 0.04 L/kg/hCss = 15 mg/LS = 0.8
R = mg/h
5.Hard
Vd = 0.25 L/kg0.5 → 10 mg/LD = ? mg92 kg

Practice exercise (made-up values, not clinical guidance). A 92 kg patient on regular gentamicin doses is at steady state. The target is a peak of 10 mg/L and a trough of 0.5 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?

92 kgVd = 0.25 L/kgCpeak = 10 mg/LCtrough = 0.5 mg/L
D = mg
6.Hard
t (h)C (mg/L)Css​t = ?90%

Practice exercise (made-up values, not clinical guidance). A theophylline infusion is started without a loading dose. The half-life in this patient is 8 h. How long t does it take to reach 90% of the steady-state level?

t½ = 8 h90% Css
t = h

Answer key

  1. 1. C = 0.6153 mg/L
  2. 2. k = 0.3466 h⁻¹
  3. 3. R = 60 mg/h
  4. 4. R = 45.75 mg/h
  5. 5. D = 218.5 mg
  6. 6. t = 26.58 h

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