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/L9 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 9 h later?

C₀ = 10 mg/Lt½ = 3 ht = 9 h
C = mg/L
2.Easy
Vd = 0.7 L/kgC = 30 mg/LLD = ?98 kg

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.

98 kgVd = 0.7 L/kgC = 30 mg/L
LD = mg
3.Medium
VCss​ = 15 mg/LR = ? mg/hCL = 0.03 L/kg/h99 kg

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?

99 kgCL = 0.03 L/kg/hCss = 15 mg/L
R = mg/h
4.Medium
110100t (h)C (mg/L)2 h10 mg/L8 h2.5 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.

C1 = 10 mg/L (2 h)C2 = 2.5 mg/L (8 h)
k = h⁻¹
5.Hard
Vd = 0.25 L/kg1 → 10 mg/LD = ? mg88 kg

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?

88 kgVd = 0.25 L/kgCpeak = 10 mg/LCtrough = 1 mg/L
D = mg
6.Hard
VCss,avg​ = ?750 mg · q12hCL = 4 L/hS = 1 · F = 1

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.

CL = 4 L/hτ = 12 hS = 1F = 1D = 750 mg
Css,avg = mg/L

Answer key

  1. 1. C = 1.25 mg/L
  2. 2. LD = 2058 mg
  3. 3. R = 44.55 mg/h
  4. 4. k = 0.231 h⁻¹
  5. 5. D = 198 mg
  6. 6. Css,avg = 15.63 mg/L

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