Clinical Pharmacokinetics DLA Flashcards
What are the aims of pharmacokinetics?
What are the three main parameters of clinical pharmacokinetics?
What is volume of distribution?
What does amount of Vd indicate?
What are the uses of Vd?
How do we determine Vd?
What is clearance?
How do we find rate of elimination?
Why do most drugs follow first order kinetics?
What are the properties of first order kinetics?
What is half life?
How do we calculate half life?
When do we assume steady state?
What are the effects of Vd on half life?
Obesity & pathologic fluid
What are the effects of CL on half life?
Ageing CYP induction & inhibition Cardiac failure Liver failure Renal failure
What’s the effect of obesity on half life?
Increased
What are the effects of pathologic fluid on half life?
Increased
How can ageing affect half life?
Increased
How does CYP induction affect half life?
Decreased
How does CYP inhibition affect half life?
Increased
How does cardiac failure affect half life?
Increased
How does liver failure affect half life?
Increased
How does renal failure affect half life?
Increased
How does saturation kinetics affect rate of elimination ?
How does saturation kinetics affect rate of elimination?
What’s the impact of zero order kinetics?
Contrast first and zero order kinetics and their therapeutic window interaction
How do we design a dosage regimen?
What is a therapeutic window ?
What is a maintenance dose?
What’s the importance of constant steady state in infusion medication?
Contrast constant infusion with or without loading dose
What does a single IV injection look like?
What does multiple IV injections look like?
How do we calculate accumulation factor?
How do we calculate loading dose with intermittent dosing?
What does oral intake of medication look like?
Contrast different rates of absorption
How can we calculate maintenance dose?
Explain the time course drug effect
Why can drug with a short half life maintain its effect throughout the day?
What can we get by visually representing duration of drug effect?
What are the important pharmacokinetics equations?