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10 Cards in this Set

  • Front
  • Back
What are the factors affecting distribution?

Rate of distribution



  1. Perfusion rate limitation
  2. Permeability rate limitation



Extent of distribution



  1. Plasma protein binding
  2. Tissue protein binding

What is the equation that defines the amount of drug in tissue?

Amount in tissue = VT . CT = VT . Kpb . CV




Kpb refers to the tissue to blood distribution equilibrium ratio, i.e. CT ÷ CV

What is kT?

kT is the fractional rate of leaving the tissue, also known as the distribution rate constant.




kT = rate of leaving ÷ amount in tissue


= (Q / VT) ÷ Kpb

What is the equation that defines the distribution half-life?

t1/2 = ln2/k = ln 2 . (Kpb ÷ Q/VT)

The greater the partitioning of a drug into the tissue, ____.

The longer it will take for the distribution equilibrium to be reached (i.e. distribution half-life will be longer).

The lower the blood flow into the tissue, ____.

The longer it will take for the distribution equilibrium to be reached (i.e. distribution half-life will be longer.

What is the definition of apparent volume of distribution?

The apparent volume of distribution (V) of a drug is the fluid volume in which a drug seems to be distributed to account for its plasma concentration.

How is V determined?

V = Dose (mg) / C0 (mg/L)




* C0 is extrapolated from a log Conc vs time graph.

How is V used to plan a dosage regimen?



  • Loading dose
  • Steady state concentration
Loading dose = C.V / F



CSS = Dose.F / C.k.t


where k is the elimination rate constant and t is the dosing interval

How is V used to relate the half-life of the drug to its clearance?

CLtotal = V . k = V . (ln2 ÷ t1/2)