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)CC₀t½ = 8 hC₀/2

Practice exercise (made-up values, not clinical guidance). In a patient, vancomycin has an elimination half-life of 8 h. Find the elimination rate constant k in h⁻¹.

t½ = 8 h
k = h⁻¹
2.Easy
Vd = 0.25 L/kgC = 8 mg/LLD = ?57 kg

Practice exercise (made-up values, not clinical guidance). A patient who weighs 57 kg needs a loading dose of gentamicin to reach a level of 8 mg/L straight away. The volume of distribution is 0.25 L/kg. Find the loading dose LD in mg.

57 kgVd = 0.25 L/kgC = 8 mg/L
LD = mg
3.Medium
110t (h)C (mg/L)C₀ = 8 mg/Lt½ = 3 hC₀/2

Practice exercise (made-up values, not clinical guidance). A patient receives an IV bolus of 190 mg of tobramycin. The level back-extrapolated to time zero is 8 mg/L and the half-life is 3 h. Find the clearance CL in L/h.

D = 190 mgC₀ = 8 mg/Lt½ = 3 h
CL = L/h
4.Medium
VCss​ = 2.5 mg/LR = ? mg/minCL = 700 mL/min

Practice exercise (made-up values, not clinical guidance). A patient has a lidocaine clearance of 700 mL/min. What infusion rate R in mg/min keeps the steady-state level at 2.5 mg/L?

CL = 700 mL/minCss = 2.5 mg/L
R = mg/min
5.Hard
t (h)C (mg/L)Css​7 hC = ?

Practice exercise (made-up values, not clinical guidance). A vancomycin infusion runs at 75 mg/h with no loading dose. The patient's clearance is 3 L/h and the half-life is 8 h. What is the level C after 7 h?

R = 75 mg/hCL = 3 L/ht½ = 8 ht = 7 h
C = mg/L
6.Hard
t (h)C (mg/L)Css​t = ?80%

Practice exercise (made-up values, not clinical guidance). A theophylline infusion is started without a loading dose. The half-life in this patient is 6 h. How long t does it take to reach 80% of the steady-state level?

t½ = 6 h80% Css
t = h

Answer key

  1. 1. k = 0.08664 h⁻¹
  2. 2. LD = 114 mg
  3. 3. CL = 5.487 L/h
  4. 4. R = 1.75 mg/min
  5. 5. C = 11.37 mg/L
  6. 6. t = 13.93 h

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