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DD is a 60 year old female, who weighs 102 lbs, is given a 300 mg loading dose o

ID: 238552 • Letter: D

Question

DD is a 60 year old female, who weighs 102 lbs, is given a 300 mg loading dose of an anticancer medication. At the same time, a continuous IV infusion is started at a rate of 13 mg/hr. The volume of distribution is 1 L/kg and the drug half-life is 12.1 hours. The physician wants drug levels drawn 28 hours after the loading dose was given and the infusion was started.

What is the expected plasma drug concentration when the patient's blood sample is collected 28 hours after the infusion began? Note: Assume the infusion is ongoing. Please provide your answer in units of mg/L.

_________

Explanation / Answer

Loading dose of drug. = 300mg

Intravenous infusion rate. = 13mg /hr

Half life of drug. = 12.1 hr

Volume distribution. = 1L / kg

Weight of patient. = 102 lbs. = 46.26kg

Initial concentration Co. = D /Vd

= Dose. / volume distribution

Dose. = 300. + (13 28)

= 664mg /46.26 L

= 14.35mg/ L   

Plasma concentration = Co. *   e(-Ke * t)

= 14.35. *