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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!!
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have a long half-life, since the time to steady state is longer. Need to achieve therapeutic dose right away
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? -
half-lifes, use a short infusion.
compartment; distribution occurs instantaneously and homogenously; elimination occurs immediately after injection by a first order process
injected all at once into the compartment. How is Co defined? What is it dependent on? What is the bolus equation to calculate
/ 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.
Population estimates (prior published studies)
(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
(C2/C1) / k; k = ln (C2/C1) / t, where t is the time between C2 and C1.
(eg. QD) How is half life calculated for a mono-expontential one-compartment model? -
How will Cp vs T plot differ if we adminster various doses of a drug with a constant CL
(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
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)
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)
Co = Dose/Vd What is the equation used to calculate concentration at any time after infusion is
= (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.