DD French equations Flashcards

1
Q

Bioavailability equation

A

F = AUCoral/AUCiv

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2
Q

T or F: For most drugs, bioavailability is equivalent to the amount of drug in the plasma.

A

TRUE

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3
Q

What does Cp0 mean?

A

Drug plasma concentration at time of administration

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4
Q

Define volume of distribution.

A

?The size of compartment necessary to account for total drug in body if present at same concentration in body as in plasma (Cp).? Obviously, not all drug stays in the plasma and will distribute out to its tissue target. This typically happens very rapidly, so two compartment modeling is not significant.

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5
Q

What does Vd mean?

A

Volume of distribution

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6
Q

Vd equation

A

Vd (L) = Dose [mg] / Cp0 [mg/L]

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7
Q

Calculate Vd: Dose = 120 mg, Cp0 = 3 mg/L

A

Vd = 40 L

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8
Q

If Vd = 40 L, how would you describe its distribution?

A

Distributed though all the water in the body (plasma, interstitial, intracellular).

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9
Q

If Vd = 3 L, how would you describe its distribution?

A

Only in the plasma

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10
Q

If Vd = 12 L, how would you describe its distribution?

A

In the plasma and interstitial fluid (3 L and 9 L, respectively)

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11
Q

If Vd = 100 L, how would you describe its distribution?

A

Sequestered at tissue sites. More common for lipid soluble drugs.

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12
Q

Loading dose equation

A

Loading dose = Cp * Vd

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13
Q

T or F: A patient?s body weight (size) does not affect Vd.

A

FALSE

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14
Q

Name 4 factors that influence Vd (other than patient size).

A

1.) Sites requiring drug to pass through cells, not between. 2.) The pH of body compartment with the drug. 3.) Lipid solubility of the non-ionized form of the drug. 4.) Drug binding to plasma proteins.

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15
Q

T or F: Only free drug is diffusible.

A

TRUE

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16
Q

T or F: Kidney tubular excretion is the same as tubular secretion.

A

FALSE. Tubular excretion describe filtration at the glomerulus between cell. Secretion is a more active process that happens through cells.

17
Q

Henderson-Hasselbalch Equation

A

pH-pKa = log ([unprotonated form] / [protonated form])

18
Q

Describe how drugs are eliminated.

A

Kidney excretion, renal tubule secretion, hepatic biotransformation, biliary secretion, sweat (minimal)

19
Q

T or F: Drug binding to plasma protein is a huge concern, especially when a drug is given alone.

A

FALSE. Typically will not be a clinical concern unless given with another drug that changes plasma protein binding kinetics with the result of increased metabolism, excretion, or toxicity.

20
Q

Which drugs from unit 1 should not be combined due to alteration of plasma protein binding?

A

Salicylate and methotrexate

21
Q

What does protein binding do to a drug (4 things)?

A

Reduces metabolism and excretion, decreases availability to traget (active drug), decreases distribution, decreases ability to enter CNS.

22
Q

Elimination equation

A

C2=C1 * e-ket

23
Q

Half-life equation

A

t1/2 = 0.693/ke

24
Q

Clearance equation

A

CL = Vd * ke

25
Q

Continuous infusion equation

A

Cp = Infusion rate/CL

26
Q

Multiple Intermittent Dosing equaiton

A

CL = (Maintenance dose/time)/Cp

27
Q

Therapeutic index equation

A

TI = LD50/ED50

28
Q

Standard Safety Margin equation

A

SSM = [(LD1/ED99) - 1] X 100

29
Q

What this mean: e/Emax = [D]/[EC50+D]

A

Defines the hyperbolic curve for drug effect