Lung Volume Measurement andVentilation Distribution During ...
Volume of Distribution
description
Transcript of Volume of Distribution
![Page 1: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/1.jpg)
Distribution. ¿Where do drugs go?
http://pharmamotion.com.ar
![Page 2: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/2.jpg)
Volume of distribution
• Apparent and hypothetical volume in which the drug is dispersed.
ionconcentrat Plasma
DoseVd
• Why is it relevant?• To calculate the loading dose of a drug
http://pharmamotion.com.ar
![Page 3: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/3.jpg)
Volume of distribution
Relative size of various distribution volumes within a 70-kg individual
• Plasma: 4 liters.• Interstitial
volume: 10 liters.• Intracelullar
volume: 28 liters
http://pharmamotion.com.ar
![Page 4: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/4.jpg)
Plasma compartment
• Vd: around 5 L.
• Very high molecular weight drugs, ordrugs that bind to plasma proteins excesively
• Example: heparin 4L (3-5)
http://pharmamotion.com.ar
![Page 5: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/5.jpg)
Extracellular fluid
Vd: between 4 and 14 L.
Drugs that have a low molecular weight but are hydrophilic.
Example
Atracuronium 11 L (8-15)
http://pharmamotion.com.ar
![Page 6: Volume of Distribution](https://reader036.fdocuments.in/reader036/viewer/2022062515/55cf9933550346d0339c24db/html5/thumbnails/6.jpg)
Vd equal or higher than total body water
• Diffusion to intracelullar fluid . Vd equal to total body water.– Ethanol 38 L (34-41)– Alfentanyl 56 L (35-77)
• Drug that binds strongly to tissues. Vd higher than total body water.– Fentanyl: 280 L– Propofol: 560 L– Digoxin:385 L