Pharmacokinetics Case Study: Drug Dosage, Half-Life, and Clearance Calculations, Assignments of Health sciences

A pharmacokinetics case study with various calculations for drug dosage, initial concentration, half-life, clearance, and volume of distribution. Students can practice their skills in interpreting data and applying pharmacokinetic concepts to real-life scenarios.

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Pre 2010

Uploaded on 09/17/2009

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PHA 5127
Case Study 5
Fall 2007
SET I:
True or False
T F 1: A one compartment model means that drug in the blood is in rapid equilibration
with drug in extravascular tissues.
T F 2: For a linear model, the rate constant for elimination is not proportional to the
amount of drug remaining to be eliminated.
T F 3: Clearance and volume of distribution are independent each other, but both of
them are dependent of dose.
T F 4: A drug with a linear protein binding has linear pharmacokinetics.
T F 5: In a linear one-compartmental model, lower dose and lower volume of
distribution result in a lower initial drug concentration after a single IV bolus.
T F 6: In a linear one-compartmental model, any two concentration points in
concentration-time profile can determine drug half-life after a single IV bolus.
T F 7: Total clearance is always greater or equal to renal clearance.
SET II:
Jane, 5’8”, 35-year-old, is being treated with the new drug for an infection disease. Jane weights
64.4 kg. Cpcreat in Jane is 0.8 mg/dL Assume a Vd of 0.24 L/kg*(TBW), and clearance of this
drug is equal to creatinine clearance, and this drug follows a linear one compartment model.
1. In order to achieve initial concentration 6 mg/L, please calculate this IV bolus dose.
2. Calculate half-life of this drug, and how many half-lives will it take to drop concentration
from 6 mg/L to 750 µg/mL?
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PHA 5127

Case Study 5 Fall 2007

SET I: True or False

T F 1: A one compartment model means that drug in the blood is in rapid equilibration with drug in extravascular tissues.

T F 2: For a linear model, the rate constant for elimination is not proportional to the amount of drug remaining to be eliminated.

T F 3: Clearance and volume of distribution are independent each other, but both of them are dependent of dose.

T F 4: A drug with a linear protein binding has linear pharmacokinetics.

T F 5: In a linear one-compartmental model, lower dose and lower volume of distribution result in a lower initial drug concentration after a single IV bolus.

T F 6: In a linear one-compartmental model, any two concentration points in concentration-time profile can determine drug half-life after a single IV bolus.

T F 7: Total clearance is always greater or equal to renal clearance.

SET II:

Jane, 5’8”, 35-year-old, is being treated with the new drug for an infection disease. Jane weights

64.4 kg. Cpcreat in Jane is 0.8 mg/dL Assume a Vd of 0.24 L/kg*(TBW), and clearance of this

drug is equal to creatinine clearance, and this drug follows a linear one compartment model.

  1. In order to achieve initial concentration 6 mg/L, please calculate this IV bolus dose.
  2. Calculate half-life of this drug, and how many half-lives will it take to drop concentration from 6 mg/L to 750 μg/mL?

SET III:

Drug-Y is mainly eliminated by liver and kidney. Renal elimination is only by glomerula

filtration. Mike with liver failure was given 70mg of this drug via IV bolus. Two plasma

concentrations at 3 hours and 8 hours after dose were 1.31mg/L and 0.65mg/L, respectively. The

plasma protein binding for the drug is 90%. Calculate the hepatic clearance and the volume of

distribution of this drug in Mike? (Use 130ml/min for glomerula filtration rate).

SET IV:

The renal clearances, the fractions of unbound in plasma and the molecular weights of four drugs in a 75 kg subject are as follows:

CLrenal (mL/min) fu MW A 20 0.5 500 B 0.10 0.5 200 C 20 0.1 800 D 50 0.9 100 Which of following statement is true? (GFR is 130 mL/min and urine flow is 1.5mL/min.)

A: Drug A has renal secretion. B: Drug B has renal secretion. C: Drug C has renal secretion. D: Drug D has renal secretion. E: None of above