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Wednesday, May 16, 2012

A dosing question

You are giving some one a drug, say, penicillin G, and you inject i.v. and you inject a total of 1 g. What would you think the plasma concentration is going to (make it in terms of g/L). Give me your thoughts as a Comment below.

Whatever you guestimate, would it be the same answer if you gave the drug orally?

Don't be afraid to give a wrong answer - I won't remember within a day who said what!

2 comments:

  1. I'm pretty sure that, if given orally, the answer will be less than if it's given via i.v. injection. My guesstimate for the plasma concentration after i.v. injection is PC = dose/AVD, so PC = 1g/50L = 0.02 g/L. I said 50L because I read via the web that penicillin distributes throughout the body. Hopefully I was close...

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  2. I wrote this question a bit late and so we actually talked about this in class: Most students, on their first try, think about the plasma volume, about 3 L, and come up with the answer of "0.3 g/L" - and that is close to correct only for a little moment following rapid i.v administration plus the few seconds for mixing of blood (about 3 circulations). Beyond that there will be distribution and elimination determining the plasma concentration - until we reach the "elimination only" phase that would be linear on a semi-log plot. And for any further calculations we need of course the "volume of distribution".
    Congratulations for at least giving it a try Courtney!

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