Volume of Distribution Flashcards
Volume of Distribution Definition
Formula
Parameter relating total drug in body to plasma concentration
V=Total amount of drug/[plasma]
What determines the Volume of Distribution
4 things
Binding to tissue
Binding to plasma proteins (higher less VofD)
Molecular weight (higher less VofD)
How is it calculated?
Use [drug]vs time chart and calculate VofD using starting dose over extrapolated concentration at start of therapy
What is the purpose of the VofD?
To calculate a loading dose
What is the formula of a loading dose
Loading dose = Vx [target plasma]
Rate of Distribution
Determines the onset and offset of drug effect.
For instances the peak effect of digoxin occurs long after the plasma concentration decreases as it redistributes to its site of action