Pharmacokinetics: Peak and Trough Concentrations
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Questions and Answers

What is the equation for estimating the elimination rate constant (k) in aminoglycosides?

  • k = 0.00293(CrCl) + 0.014 (correct)
  • k = 0.00093(CrCl) + 0.014
  • k = 0.0293(CrCl) - 0.014
  • k = 0.0093(CrCl) - 0.014

What is the unit of the elimination rate constant (k)?

  • ng/mL
  • mL/min
  • h-1 (correct)
  • L/kg

What is the estimated volume of distribution (VD) for aminoglycosides?

  • 0.34 L/kg
  • 0.44 L/kg
  • 0.24 L/kg (correct)
  • 0.14 L/kg

What is the purpose of estimating the elimination rate constant (k) and volume of distribution (VD) in aminoglycosides?

<p>To determine the initial maintenance dose and dosing interval (C)</p> Signup and view all the answers

Why is creatinine clearance not equal to aminoglycoside clearance?

<p>Because some amount of aminoglycoside is eliminated by organs other than the kidneys (D)</p> Signup and view all the answers

What is the principle used to describe the cumulative effect of multiple doses of aminoglycosides?

<p>The principle of superposition (B)</p> Signup and view all the answers

What is the purpose of infusing drugs over a longer period of time, typically 30-60 minutes?

<p>To reduce the risk of adverse effects (C)</p> Signup and view all the answers

What is the unit of measurement for the drug infusion rate (R) in the equation Cpeak,ss = R / (Vd * k)?

<p>Milligrams per hour (B)</p> Signup and view all the answers

What is the population estimate for the volume of distribution (VD) for aminoglycosides?

<p>0.24 L/kg (IBW) (C)</p> Signup and view all the answers

What is the elimination rate constant (k) calculated from in the given equation?

<p>0.00293(CrCl) + 0.014 (B)</p> Signup and view all the answers

What is the desired or most appropriate dosing interval (Ï„) in the given case, rounded down to a practical value?

<p>12 h (C)</p> Signup and view all the answers

What is the unit of measurement for the desired peak concentration at steady state (Cpeak,ss) in the equation?

<p>Milligrams per liter (D)</p> Signup and view all the answers

What is the patient's elimination rate constant (k) calculated from Cpeak and Ctrough values?

<p>0.1445 h^-1 (C)</p> Signup and view all the answers

What is the patient's volume of distribution (VD) calculated from Cpeak and Ctrough values?

<p>12.48 L (B)</p> Signup and view all the answers

What is the relationship between the elimination rate constant (k) and the half-life (t0.5)?

<p>k = 0.693 / t0.5 (B)</p> Signup and view all the answers

What is the patient's half-life (t0.5) calculated from Cpeak and Ctrough values?

<p>4.796 h (B)</p> Signup and view all the answers

What is the equation to calculate the patient's Cpeak,ss?

<p>Cpeak,ss = R / (k * Vd) (D)</p> Signup and view all the answers

What is the unit of the drug infusion rate (R) in the equation to calculate Cpeak,ss?

<p>milligrams per hour (B)</p> Signup and view all the answers

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