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20 Cards in this Set

  • Front
  • Back
half-life
- time it takes for plasma concentration of a drug to decrease by 50% after absorption & distribution are complete
In a first order elimination behavior, the rate is proportional to ___. The clearance is ______ of Cp. A constant _____ is eliminated per unit time.
- Cp

- independent

- fraction
In a zero order elimination behavior, the rate is _____ & ____ of Cp. Clearance is _____ on Cp. A constant _____ is eliminated per unit time.
- constant & independent

- dependent

- amount
If the system is saturable it usually obeys ____ order kinetics
- zero
Therapeutic levels for drugs usually lie above or below Km?
- below
What are two good examples of drugs that behavior in a zero order reaction fashion?
- phenytoin & alcohol
How do phenytoin & alcohol behavior like zero order reactions? Where is Km?
- at low doses there is a proportional increase in Cp when drug is administered

- get to a point where a low increase in a dose gives us a bigger increase in the blood stream than we thought = zero order

- Km is below the therapeutic range
What is the formula for t 1/2?
- t1/2 = ln 2 / k

- t1/2 = (0.693 x Vd) / Cl
What are two formulas for k?
- k = Cl/Vd

- k = ln (C1/C2) / t
if you have the half-life how would you solve for k? how could you then calculate clearance?
- T1/2 = ln2/k

- Cl = Vd x k
when you're given Vd & Cl even without half life how can you predict who has the longest half-life?
- the one with the biggest ration of Vd/Cl
how many half-lives does it take for over 90% of the substance to be removed?
- 4
half-life is independent of ____ & ____
- route
how long does it require to get to steady state?
- 3-5 hrs (use 4)
why can failure to recognize that you are not at steady state be dangerous?
- because you might end up at a higher steady state if you keep increasing the dose
if you're infusing at Q and your plasma [ ] is 3, what will it be when you're infusing at 2Q? 1/2Q?
- 2Q = 6

- 1/2Q = 1.5
what is the formula for giving a new dose?
- dose new = dose old x (Css desired/ Css observed)
if they don't tell us the elimination process what do we assume it is?
- zero order
for a two compartment model the plot on a semi-log scale appears _____
- bi-phasic
what are the alpha & beta phases in a two compartment model?
- alpha: distribution phase

- beta: elimination phase