T2 - 2-COM Model Flashcards

1
Q

What is a compartment?

A

An imaginary unit in which different tissues with similar rates of drug are grouped together

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2
Q

How is a compartment a homogenous unit?

A
  1. Drug concentration is uniform throughout at all times
  2. Drug concentration in a compartment is continuously changing with time
  3. Pharmacokinetic models
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3
Q

What are pharmacokinetic models?

A

Differential equations used to describe the rate of change in drug concentration

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4
Q

What comprises a compartment?

A
  1. Amount of drug distributed in a volume to give drug concentration in the compartment
  2. A drug in blood stream -> distributes to the tissues in the body
  3. A drug in blood stream -> distributes to the tissues in the body
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5
Q

Why are pharmacokinetic models mathematically constructed?

A
  1. Describe the rate of movement/transfer of drug between compartments
  2. Explain the relationship of drug concentration with time after drug dose
  3. Predict the time-course of drugs in the body to allow us to maintain drug concentration in the therapeutic range to monitor
  4. Summarize data
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6
Q

How are clinically observed plasma concentration-time profiles described?

A

One, two, or three compartment pharmacokinetic models

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7
Q

Describe the schematics of an one compartment model?

A
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8
Q

Describe the schematics of a two compartment model?

A
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9
Q

Describe the schematics of a three compartment model?

A
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10
Q

What is the process of a drug moving from central to peripheral compartment?

A

Distribution = Distribution Cl

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11
Q

What is the process of a drug moving from peripheral to central compartment?

A

Redistribution = Clearance

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12
Q

What are the most clinically used compartments?

A

one or two due to its simplicity

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13
Q

What are the assumptions of the 2 com model?

A
  1. At 𝑡=0, no drug is present in the peripheral compartment.
  2. Each compartment is individually well-stirred.
  3. Distribution and elimination are first-order.
  4. Change in the rate of drug concentration over time is represented by: (𝑑𝐶/𝑑𝑡) = - k * C
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14
Q

Describe the differences between 1 and 2 com models?

A
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15
Q

How can we determine the rate of a 2 Com model?

A
  1. 𝐑𝐚𝐭𝐞 𝐨𝐟 𝐜𝐡𝐚𝐧𝐠𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐚𝐦𝐨𝐮𝐧𝐭 𝐨𝐟 𝐝𝐫𝐮𝐠 𝐢𝐧 𝐭𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐜𝐨𝐦𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 =𝐑𝐚𝐭𝐞 𝐨𝐟 𝐢𝐧𝐩𝐮𝐭𝐬 𝐢𝐧𝐭𝐨 𝐭𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐜𝐨𝐦𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 − 𝐑𝐚𝐭𝐞 𝐨𝐟 𝐨𝐮𝐭𝐩𝐮𝐭𝐬 from the first compartment
  2. 𝐚𝐭𝐞 𝐨𝐟 𝐜𝐡𝐚𝐧𝐠𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐚𝐦𝐨𝐮𝐧𝐭 𝐨𝐟 𝐝𝐫𝐮𝐠 𝐢𝐧 𝐭𝐡𝐞 𝐬𝐞𝐜𝐨𝐧𝐝 𝐜𝐨𝐦𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 =𝐑𝐚𝐭𝐞 𝐨𝐟 𝐢𝐧𝐩𝐮𝐭𝐬 𝐢𝐧𝐭𝐨 𝐭𝐡𝐞 𝐬𝐞𝐜𝐨𝐧𝐝 𝐜𝐨𝐦𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 − 𝐑𝐚𝐭𝐞 𝐨𝐟 𝐨𝐮𝐭𝐩𝐮𝐭𝐬 from the second compartment
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16
Q

What is the equation to determine the concentration of a 2 com system?

A
17
Q

What is the difference between Ae^-at and Be^-bt?

A

A: distribution
B: elimination

18
Q

What are the micro-rate constants?

A

k10, k12, and k21

19
Q

What are the macro rate constants?

A

A, B, a, and b

20
Q

What are micro-rate constants for?

A
  1. Relate the amount of drug being transferred from one compartment to another.
  2. Required to calculate the apparent volumes of distribution (V1 & V2): central and peripheral
21
Q

What is distribution half-life?

A
22
Q

What is the elimination half-life?

A
23
Q

What does distribution half-life used for?

A

To determine how long a drug takes to distribute from central to peripheral compartment

24
Q

How do you find AUC using macro and micro rate constants?

A
25
Q

How do you calculate total clearance?

A
26
Q

How do you calculate distributional clearance?

A
27
Q

What is distributional clearance?

A

Clearance of the drug between the involved compartmens

28
Q

How do you calculate C0?

A