USMLE (Fach) / Pharmacology (Lektion)

Vorderseite Volume of distribution (Vd)
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Part of the pharmacokinetics.

Theoretical volume occupied by the total amount of drug in the body relative to its plasma concentration. Apparent Vd of plasma protein-bound drugs can be altered by liver and kidney disease (↓ protein binding, ↑ Vd). Drugs may distribute in more than one compartment.

Vd = amount of drug in the body/plasma drug concentration

Low Vd: Intravascular- Large/charged molecules- Plasma protein boundMedium Vd: Extracellular fluid- Small hydrophilic moleculesHigh Vd: All tissues including fat- Small lipophilic molecules, especially if bound to tissue protein

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