1.A patient is taking nifedipine 20 mg three times daily. Assuming 100% bioavailability, how much nifedipine is eliminated from this patient's body every 24 hours at steady state? Please expain

Intro To Health Care
4th Edition
ISBN:9781337338295
Author:Mitchell
Publisher:Mitchell
Chapter1: Your Career In Health Care
Section: Chapter Questions
Problem 1PSP
icon
Related questions
Question

help

AutoSave
hmm
OFF
Home
Insert
Draw
Design
Layout
References
Mailings
Review
View
Acrobat
Tell me
Share
O Comments
Helvetica N... v
12
A A
Аa v
AaBbCcDc
AaBbCcDdE AaBb(
AaBbCcDdEe
AaBbCcDdEe
>
ev Av
No Spacing
Styles
Pane
Dictate
Create and Share
Adobe PDF
Paste
A
Request
Signatures
I
U
v ab x,
Normal
Heading 1
Heading 2
Title
X Renew Your Subscription To keep using your Office applications without interruption, please renew by Friday, October 30, 2020.
Buy
1.A patient is taking nifedipine 20 mg three times daily. Assuming 100% bioavailability,
how much nifedipine is eliminated from this patient's body every 24 hours at steady
state? Please expain
2. A female patient (48 years old, 70 kg) with an acute exacerbation of asthma is taken
to the emergency department in severe distress. The emergency physician decides to
begin aminophylline therapy by administration of a 450 mg IV aminolehuline loading
dose followed by a continuous infusion of aminophylline.
Pharmacokinetic data for aminophylline:
Volume of distribution= 0.5 L/kg or 35L (for 70kg person)
• Target concentration = 10-15 mg/L
Elimination half-life = 20 hours
Bioavailability = 90%
Protein Binding = 40%
-Explain the purpose for an aminophylline loading dose in this patient before starting a
continuous IV infusion of aminophylline?
-If the clinical staff forgets to begin the aminophylline continuous infusion after the
aminophylline loading dose, then approximately how many hours will it take for the
aminophylline blood concentration to fall below the therapeutic range? Show your
calculation or explain how you answered this question.
-What is the oral maintenance dose required for this patient, dosed twice per
day? Show your calculation or explain how you answered this question.
3. A patient is taking felodipine once daily. Felodipine is extensively metabolized by
CYP3A4. About two weeks ago this patient also started taking carbamazepine orally
twice daily. Carbamazepine is a potent inducer of CYP3A4. What are the changes
associated with felodipine pharmacokinetics that would have occurred over the last
two weeks in this patient?
-Which of the following best describes the impact of carbamazepine on
the percent of felodipine metabolized
-Which of the following best describes the impact of carbamazepine on the volume of
distribution of felodipine?
-Which of the following best describes the impact of carbamazepine on plasma
concentrations of felodipine
-Which of the following best describes the impact of carbamazepine on the half-life of
felodipine?
-Which of the following best describes the impact of carbamazepine on
Page 1 of 2
338 words
English (United States)
EO Focus
106%
lili
Transcribed Image Text:AutoSave hmm OFF Home Insert Draw Design Layout References Mailings Review View Acrobat Tell me Share O Comments Helvetica N... v 12 A A Аa v AaBbCcDc AaBbCcDdE AaBb( AaBbCcDdEe AaBbCcDdEe > ev Av No Spacing Styles Pane Dictate Create and Share Adobe PDF Paste A Request Signatures I U v ab x, Normal Heading 1 Heading 2 Title X Renew Your Subscription To keep using your Office applications without interruption, please renew by Friday, October 30, 2020. Buy 1.A patient is taking nifedipine 20 mg three times daily. Assuming 100% bioavailability, how much nifedipine is eliminated from this patient's body every 24 hours at steady state? Please expain 2. A female patient (48 years old, 70 kg) with an acute exacerbation of asthma is taken to the emergency department in severe distress. The emergency physician decides to begin aminophylline therapy by administration of a 450 mg IV aminolehuline loading dose followed by a continuous infusion of aminophylline. Pharmacokinetic data for aminophylline: Volume of distribution= 0.5 L/kg or 35L (for 70kg person) • Target concentration = 10-15 mg/L Elimination half-life = 20 hours Bioavailability = 90% Protein Binding = 40% -Explain the purpose for an aminophylline loading dose in this patient before starting a continuous IV infusion of aminophylline? -If the clinical staff forgets to begin the aminophylline continuous infusion after the aminophylline loading dose, then approximately how many hours will it take for the aminophylline blood concentration to fall below the therapeutic range? Show your calculation or explain how you answered this question. -What is the oral maintenance dose required for this patient, dosed twice per day? Show your calculation or explain how you answered this question. 3. A patient is taking felodipine once daily. Felodipine is extensively metabolized by CYP3A4. About two weeks ago this patient also started taking carbamazepine orally twice daily. Carbamazepine is a potent inducer of CYP3A4. What are the changes associated with felodipine pharmacokinetics that would have occurred over the last two weeks in this patient? -Which of the following best describes the impact of carbamazepine on the percent of felodipine metabolized -Which of the following best describes the impact of carbamazepine on the volume of distribution of felodipine? -Which of the following best describes the impact of carbamazepine on plasma concentrations of felodipine -Which of the following best describes the impact of carbamazepine on the half-life of felodipine? -Which of the following best describes the impact of carbamazepine on Page 1 of 2 338 words English (United States) EO Focus 106% lili
AutoSave
hmm
OFF
Home
Insert
Draw
Design
Layout
References
Mailings
Review
View
Acrobat
Tell me
Share
O Comments
Helvetica N... v
12
A A
Аa v
AaBbCcDc
AaBbCcDdE AaBb(
AaBbCcDdEe
AaBbCcDdEe
>
ev Av
Styles
Pane
Dictate
Create and Share
Adobe PDF
Paste
No Spacing
A
Request
Signatures
I
U
v ab x,
Normal
Heading 1
Heading 2
Title
O Renew Your Subscription To keep using your Office applications without interruption, please renew by Friday, October 30, 2020.
Buy
3. A patient is taking felodipine once daily. Felodipine is extensively metabolized by
CYP3A4. About two weeks ago this patient also started taking carbamazepine orally
twice daily. Carbamazepine is a potent inducer
associated with felodipine pharmacokinetics that would have occurred over the last
two weeks in this patient?
CYP3A4. What are the changes
-Which of the following best describes the impact of carbamazepine on
the percent of felodipine metabolized
-Which of the following best describes the impact of carbamazepine on the volume of
distribution of felodipine?
-Which of the following best describes the impact of carbamazepine on plasma
concentrations of felodipine
-Which of the following best describes the impact of carbamazepine on the half-life of
felodipine?
-Which of the following best describes the impact of carbamazepine on
the clearance of felodipine?
Group of answer choices
No change
Decrease
Increase
Page 1 of 2
338 words
English (United States)
E 3 Focus
106%
lili
Transcribed Image Text:AutoSave hmm OFF Home Insert Draw Design Layout References Mailings Review View Acrobat Tell me Share O Comments Helvetica N... v 12 A A Аa v AaBbCcDc AaBbCcDdE AaBb( AaBbCcDdEe AaBbCcDdEe > ev Av Styles Pane Dictate Create and Share Adobe PDF Paste No Spacing A Request Signatures I U v ab x, Normal Heading 1 Heading 2 Title O Renew Your Subscription To keep using your Office applications without interruption, please renew by Friday, October 30, 2020. Buy 3. A patient is taking felodipine once daily. Felodipine is extensively metabolized by CYP3A4. About two weeks ago this patient also started taking carbamazepine orally twice daily. Carbamazepine is a potent inducer associated with felodipine pharmacokinetics that would have occurred over the last two weeks in this patient? CYP3A4. What are the changes -Which of the following best describes the impact of carbamazepine on the percent of felodipine metabolized -Which of the following best describes the impact of carbamazepine on the volume of distribution of felodipine? -Which of the following best describes the impact of carbamazepine on plasma concentrations of felodipine -Which of the following best describes the impact of carbamazepine on the half-life of felodipine? -Which of the following best describes the impact of carbamazepine on the clearance of felodipine? Group of answer choices No change Decrease Increase Page 1 of 2 338 words English (United States) E 3 Focus 106% lili
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Environmental health & hazards
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Intro To Health Care
Intro To Health Care
Health & Nutrition
ISBN:
9781337338295
Author:
Mitchell
Publisher:
Cengage
An Illustrated Guide To Vet Med Term
An Illustrated Guide To Vet Med Term
Biology
ISBN:
9781305465763
Author:
ROMICH
Publisher:
Cengage
Understanding Health Insurance: A Guide to Billin…
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Health Safety And Nutrition F/Young Child
Health Safety And Nutrition F/Young Child
Health & Nutrition
ISBN:
9781305144767
Author:
MAROTZ
Publisher:
Cengage