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
110100t (h)C (mg/L)10 mg/L5 hC = ?

Practice exercise (made-up values, not clinical guidance). Just after an IV dose, the tobramycin level is 10 mg/L. The half-life is 3 h, and the drug is eliminated by first-order kinetics. What is the level C 5 h later?

C₀ = 10 mg/Lt½ = 3 ht = 5 h
C = mg/L
2.Easy
110100t (h)C (mg/L)10 mg/L7.5 hC = ?

Practice exercise (made-up values, not clinical guidance). Just after an IV dose, the tobramycin level is 10 mg/L. The half-life is 3 h, and the drug is eliminated by first-order kinetics. What is the level C 7.5 h later?

C₀ = 10 mg/Lt½ = 3 ht = 7.5 h
C = mg/L
3.Medium
110100t (h)C (mg/L)C₀ = 9 mg/Lt½ = 3.5 hC₀/2

Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 210 mg of gentamicin. The level back-extrapolated to time zero is 9 mg/L and the half-life is 3.5 h. Find the volume of distribution Vd.

D = 210 mgC₀ = 9 mg/Lt½ = 3.5 h
Vd = L
4.Medium
110t (h)C (mg/L)C₀ = 8 mg/Lt½ = 2.5 hC₀/2

Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 230 mg of gentamicin. The level back-extrapolated to time zero is 8 mg/L and the half-life is 2.5 h. Find the clearance CL in L/h.

D = 230 mgC₀ = 8 mg/Lt½ = 2.5 h
CL = L/h
5.Hard
t (h)C (mg/L)Css​t = ?95%

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 95% of the steady-state level?

t½ = 8 h95% Css
t = h
6.Hard
93 kg51 · womanSCr 1.4 mg/dLCrCl → D = ? mg

Practice exercise (made-up values, not clinical guidance). A 51-year-old woman weighs 93 kg and has a serum creatinine of 1.4 mg/dL (124 µmol/L). Estimate the creatinine clearance with Cockcroft–Gault: CrCl (mL/min) = (140 − age) × weight (kg)/(72 × SCr in mg/dL), × 0.85 for women. The usual levetiracetam dose is 1000 mg every 12 h for a creatinine clearance of 100 mL/min. Keeping the interval, the dose is reduced in proportion to the creatinine clearance. Find the adjusted dose D. Round to the nearest whole number.

51 years93 kgwomanSCr = 1.4 mg/dL1000 mg q12hCrCl normal 100 mL/min
D = mg

Answer key

  1. 1. C = 3.15 mg/L
  2. 2. C = 1.768 mg/L
  3. 3. Vd = 23.33 L
  4. 4. CL = 7.971 L/h
  5. 5. t = 34.58 h
  6. 6. D = 698 mg

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