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Kaplan Qbank USMLE



Author5 Posts
  #1

pt with an arrythmia is to receive lidocaine by constant I.V infusion,the target plasma conc. is 3mg/ml.the pharmacokinetic parametrs of lidocaine are Vd 70l, CL 35l/hr, t1/2 1.4 hrs. an infusion is begun. plasma conc.of lidocaine is measured 2.8 hrs later and reported to b 1.5 mg/ml.this indicates tht final steady state plasma conc in this pt will be??

A> 1.5mg/l

B> 2.0mg/l

C > 3.0mg/l

D>6.0mg/l

E>insufficient data to answer

PLZ EXPLAIN UR ANS


  #2

ok guys this q is from katzung,

ans given is 2.0mg/l ,

i cudnt understan how ?


  #3

Vd CL are distractiors in this q

consider t1/2 only which is 1.4 hrs

now:

1st t1/2- 50%

2nd t1/2- 75%

3rd t1/2 87.5% and so on so forth!

so foloowing 2 half lives[2.8 hrs] after infusion 75% of steady state conc. will be acheived irrespctive of the dose [here in q- 1.5mg/ml]

therefore 1.5/0.75 = 2.0 mg/ml [100% of Css]


___________________
life is guud

  #4

thanks ssrpk

  #5

The book explains the answer in a tough way.

But ssrpk u have done a great job.








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