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4) IV Bolus Questions with 100% correct answers. NEW UPDATE!!, Exams of Nursing

4) IV Bolus Questions with 100% correct answers. NEW UPDATE!! 4) IV Bolus Questions with 100% correct answers. NEW UPDATE!! 4) IV Bolus Questions with 100% correct answers. NEW UPDATE!!

Typology: Exams

2024/2025

Available from 07/06/2025

alekii-mmanyi
alekii-mmanyi 🇺🇸

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4) IV Bolus Questions with 100% correct
answers. NEW UPDATE!!
When is a loading dose most necessary? - CORRECT ANSWER-For drugs that
have a long half-life, since the time to steady state is longer. Need to achieve
therapeutic dose right away
Why do bolus and short-infusion graphs look different? - CORRECT ANSWER-
Bolus: concentration goes up instantaneously; Short infusion: curved initial dose - not
peaked - because of drug loss during infusion time.
When should one choose a bolus administration? When is short infusion preferable? -
CORRECT ANSWER-Tin (time infusion) is < 1/6 half-lifes = bolus. If Tin > 1/6
half-lifes, use a short infusion.
What are three characteristics of the one-compartment open model? - CORRECT
ANSWER-Drugs can enter or leave the body, and the body acts as a single, uniform
compartment; distribution occurs instantaneously and homogenously; elimination occurs
immediately after injection by a first order process
What characterizes IV bolus administration? - CORRECT ANSWER-Drug is
injected all at once into the compartment.
How is Co defined? What is it dependent on? What is the bolus equation to calculate
Concentration at time "t" (after bolus admin)? - CORRECT ANSWER-Co = Dose
/ Vd. Initial concentraion following IV bolus is based on these factors. Cp vs time afer IV
bolus admin: Ct = (Dose / Vd) * e^(-kt), where k is a dependent paramter k = CL/Vd,
implying that Ct is dependent on Dose and Vd (thus, Co), as well as Clearance.
What determines initial pk parameters for dose? - CORRECT ANSWER-
Population estimates (prior published studies)
How are individualized (revised) pk parameter estimates determined? - CORRECT
ANSWER-Measurement of plasma concentrations and applying a model to the data.
How is Vd defined? - CORRECT ANSWER-Vd is determined by Dose / Co
(reorganization of Co = Dose/ Vd).
What is the expression that descibes the plasma concentration time profile for a mono-
exponential one-compartment model where t = time between C1 and C2? How can this
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Download 4) IV Bolus Questions with 100% correct answers. NEW UPDATE!! and more Exams Nursing in PDF only on Docsity!

4) IV Bolus Questions with 100% correct

answers. NEW UPDATE!!

When is a loading dose most necessary? - CORRECT ANSWER -For drugs that

have a long half-life, since the time to steady state is longer. Need to achieve therapeutic dose right away

Why do bolus and short-infusion graphs look different? - CORRECT ANSWER -

Bolus: concentration goes up instantaneously; Short infusion: curved initial dose - not peaked - because of drug loss during infusion time. When should one choose a bolus administration? When is short infusion preferable? -

CORRECT ANSWER -Tin (time infusion) is < 1/6 half-lifes = bolus. If Tin > 1/

half-lifes, use a short infusion.

What are three characteristics of the one-compartment open model? - CORRECT

ANSWER -Drugs can enter or leave the body, and the body acts as a single, uniform

compartment; distribution occurs instantaneously and homogenously; elimination occurs immediately after injection by a first order process

What characterizes IV bolus administration? - CORRECT ANSWER -Drug is

injected all at once into the compartment. How is Co defined? What is it dependent on? What is the bolus equation to calculate

Concentration at time "t" (after bolus admin)? - CORRECT ANSWER -Co = Dose

/ Vd. Initial concentraion following IV bolus is based on these factors. Cp vs time afer IV bolus admin: Ct = (Dose / Vd) * e^(-kt), where k is a dependent paramter k = CL/Vd, implying that Ct is dependent on Dose and Vd (thus, Co), as well as Clearance.

What determines initial pk parameters for dose? - CORRECT ANSWER -

Population estimates (prior published studies)

How are individualized (revised) pk parameter estimates determined? - CORRECT

ANSWER -Measurement of plasma concentrations and applying a model to the data.

How is Vd defined? - CORRECT ANSWER -Vd is determined by Dose / Co

(reorganization of Co = Dose/ Vd). What is the expression that descibes the plasma concentration time profile for a mono- exponential one-compartment model where t = time between C1 and C2? How can this

be arranged to solve for k (or t)? - CORRECT ANSWER -C2 = C1 * e^(-kt); t = -ln

(C2/C1) / k; k = ln (C2/C1) / t, where t is the time between C2 and C1.

What is the dosing interval? - CORRECT ANSWER -Frequency of administration

(eg. QD) How is half life calculated for a mono-expontential one-compartment model? -

CORRECT ANSWER -t1/2 = 0.693/k. Can also be graphically determined

How will Cp vs T plot differ if we adminster various doses of a drug with a constant CL

and Vd? - CORRECT ANSWER -Proportional increase in concentration and AUC

(parallel profiles with y-intercepts dependent on initial amount) What happens to elimination rate and half life if Vd is increased (dilution)? I.e. what is

the effect of Vd on plasma concentration time profile? - CORRECT ANSWER -K

decreases (eliminated less readily); t1/2 is higher. Less amount distributed to elimination organs (kidney and liver). Less initial concentration, and longer dosing interval (later concentrations are higher due to "slower" Cl (L/h) - more L to deal with)

How does smoking effect Cl? How does Cl effect V, Co, K, and t1/2? - CORRECT

ANSWER -Smoking induces hepatic metabolism of drugs via CYT P450s. This

increases Clearance rate --> increases K (Cl/Vd). Thus, k is faster, half life is shorter. Initial concentrations are the same (same dose and vd), but later concentrations are lower (due to fast Cl)

How is dose calculated? - CORRECT ANSWER -Dose = Co * Vd (reorganization

Co = Dose/Vd What is the equation used to calculate concentration at any time after infusion is

stopped in a short IV infusion admin? - CORRECT ANSWER -Ct = Ctin * e^(-kt)

= (Dose/Tin / k*v)(1-e^-kTin) *e^-kt. Where Tin is the infusion duration, Dose/Tin = Ko, and t is the time since the END of infusion.

How is revised k determine for IV bolus? - CORRECT ANSWER -K is the -slope

  • 2.303 of a best fit line on a semilog scale. It can also be quantiatively ascertained from the equation for mono-exponential decline following an IV bolus (C2 = C1 * e^-kt) : k = ln(C1/C2) / t, where t = time between C1 and C2. What is the term for the time between when infusion begins and Cmax is achieved?

What is the concentration / time pattern for short IV infusion? - CORRECT

ANSWER -Tin = infusion duration. There is a monoexponential rise in Cp during