Practice exercise (made-up values, not clinical guidance). A patient receives lidocaine as a constant IV infusion without a loading dose. The half-life is 1.5 h. What percentage f of the steady-state level has been reached after 5.25 h?
Clinical pharmacokinetics worksheet with answers
Practice exercise (made-up values, not clinical guidance). The elimination rate constant of lidocaine in a patient is 0.347 h⁻¹. Find the half-life t½.
Practice exercise (made-up values, not clinical guidance). An 82 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?
Practice exercise (made-up values, not clinical guidance). A 79 kg patient is to be loaded intravenously with phenytoin sodium to reach a phenytoin level of 15 mg/L. The volume of distribution is 0.7 L/kg and the salt factor is S = 0.92. Find the loading dose LD of phenytoin sodium in mg.
Practice exercise (made-up values, not clinical guidance). A 67 kg patient takes oral theophylline (F = 1) every 8 h. The clearance is 0.045 L/kg/h. Each dose is 450 mg of theophylline. Find the average steady-state level Css,avg.
Practice exercise (made-up values, not clinical guidance). A 61 kg patient has a phenytoin level of 12 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?
Answer key
- 1. f = 91.16 %
- 2. t½ = 1.998 h
- 3. R = 61.5 mg/h
- 4. LD = 901.6 mg
- 5. Css,avg = 18.66 mg/L
- 6. LD = 371.3 mg
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