Problem 56
Question
You do not know whether a drug has zeroth order or first order elimination kinetics. You will use data to determine which type of kinetics it has. You measure the concentration of the drug (in \(\mathrm{mg} / \mathrm{ml}\) ) at time \(t=0\) and at time \(t=1 .\) No drug is added to the blood between \(t=0\) and \(t=1\). You measure the following data: \begin{tabular}{ll} \hline \(\boldsymbol{t}\) & \(\boldsymbol{c}_{t}\) \\ \hline 0 & 40 \\ 1 & 32 \\ \hline \end{tabular} (a) Assume that the drug has zeroth order kinetics. What amount is eliminated from the blood each hour? (b) Assume that the drug has zeroth order kinetics and no more drug is added to the blood. Write a recursion relation for \(c_{t}\) and predict \(c_{2}\). (c) Now assume the drug has first order elimination kinetics. What percentage of drug is eliminated from the blood each hour? (d) Assume that the drug has first order kinetics and no more drug is added. Write a recursion relation for \(c_{t}\) and predict \(c_{2}\). (e) You measure the concentration at time \(t=2\) and find \(c_{2}=\) 25.6. By comparing with your predictions from (b) and (d), decide: Does the drug have zeroth or first order kinetics?
Step-by-Step Solution
VerifiedKey Concepts
Zeroth order kinetics
In practical terms, if you start with a drug concentration of 40 mg/ml and one hour later it reduces to 32 mg/ml, it indicates 8 mg/ml has been consistently eliminated in that timeframe. This rate of 8 mg/ml per hour will continue as long as the drug elimination follows zeroth order kinetics.
By recognizing zeroth order kinetics, we can predict future concentrations. For instance, given an elimination rate of 8 mg/ml, if the concentration at one hour is 32 mg/ml, the concentration at two hours will expectedly be 24 mg/ml. The equation to model this is straightforward: \( c_{t+1} = c_t - k \), where \( k \) is the rate of elimination, being 8 mg/ml/hr in this example.
First order kinetics
To illustrate, if your initial drug concentration is 40 mg/ml, and it drops to 32 mg/ml after one hour, this removal represents a fractional reduction. In percentage terms, this change is calculated as: \( \frac{32}{40} = 0.8 \) or 80% of the drug remains, thus indicating a 20% removal per hour.
When predicted using first order kinetics, if 20% of the drug is eliminated each hour, the recursion model will be \( c_{t+1} = c_t \times (1 - r) \), where \( r \) is the fractional removal rate (0.2 in this case). Applying this model at a concentration of 32 mg/ml gives: \( 32 \times 0.8 = 25.6 \) mg/ml. This matches measured data, confirming first order kinetics.
Drug concentration measurement
In the given study, concentrations at \( t=0 \) and \( t=1 \) were first recorded to observe changes in drug levels: going from 40 mg/ml to 32 mg/ml. This measurement is pivotal, offering a basis to assess if consistent amounts or proportions are being eliminated.
Moreover, further measurement, such as at \( t=2 \), aids in validating hypotheses about first or zeroth order kinetics. Like seeing if the result aligns with a predicted model whether it’s \( c_2 = 24 \) mg/ml for zeroth order or \( c_2 = 25.6 \) mg/ml for first order. When lab values coincide with a particular model, it asserts that model's applicability for the specific drug under study.