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 9 h later?
Clinical pharmacokinetics worksheet with answers
Practice exercise (made-up values, not clinical guidance). A patient who weighs 98 kg needs a loading dose of vancomycin to reach a level of 30 mg/L straight away. The volume of distribution is 0.7 L/kg. Find the loading dose LD in mg.
Practice exercise (made-up values, not clinical guidance). A 99 kg patient receives a theophylline infusion. The clearance is 0.03 L/kg/h. What infusion rate R in mg/h gives a steady-state level of 15 mg/L?
Practice exercise (made-up values, not clinical guidance). After an IV dose of gentamicin, the level is 10 mg/L at 2 h and 2.5 mg/L at 8 h. Assume first-order elimination. Find the elimination rate constant k.
Practice exercise (made-up values, not clinical guidance). An 88 kg patient on regular tobramycin 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?
Practice exercise (made-up values, not clinical guidance). A patient receives vancomycin IV every 12 h; the vancomycin clearance is 4 L/h. Each dose is 750 mg of vancomycin. Find the average steady-state level Css,avg.
Answer key
- 1. C = 1.25 mg/L
- 2. LD = 2058 mg
- 3. R = 44.55 mg/h
- 4. k = 0.231 h⁻¹
- 5. D = 198 mg
- 6. Css,avg = 15.63 mg/L
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