What is the anticipated effect of drug volume of distribution in older patients who have increased body fat?Group of answer choicesDecreased volume of distribution for highly lipophilic drugsNo answers are correctIncreased volume of distribution for highly lipophilic drugsIncreased volume of distribution of water soluble drugs
Question
What is the anticipated effect of drug volume of distribution in older patients who have increased body fat?Group of answer choicesDecreased volume of distribution for highly lipophilic drugsNo answers are correctIncreased volume of distribution for highly lipophilic drugsIncreased volume of distribution of water soluble drugs
Solution
The anticipated effect of drug volume of distribution in older patients who have increased body fat would be an increased volume of distribution for highly lipophilic drugs.
Here's why:
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Volume of distribution (Vd) is a theoretical concept that represents the extent to which a drug is distributed in the body relative to the plasma.
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Lipophilic drugs are fat-soluble, meaning they dissolve in fat.
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Older patients often have increased body fat.
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Therefore, in older patients with more body fat, there would be more "space" or volume in the body for lipophilic drugs to distribute into.
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This would result in an increased volume of distribution for highly lipophilic drugs.
On the other hand, the volume of distribution of water-soluble drugs would not be significantly affected because these drugs do not dissolve in fat.
Similar Questions
Which one of the following statements about volume of distribution is correct?Group of answer choicesIt is generally large for drugs that bind extensively to plasma proteins.It is large for drugs that are ion trapped into tissues.It is generally small for drugs that are lipid soluble.It is generally small for drugs that bind extensively to tissues, such as muscle and fat.
Excretion rates of drugs vary greatly depending upon__________________.The age and weight of the personThe type of drug involved and medical condition of the personHow much of the drug was takenThe type of drug and length of time since it was ingested
Distribution: Tissue Binding and StorageE.g. Usually with albumin a plasma protein and sometimes with fat tissueoOnly free or unbound drug molecules can act on a receptoro‘bound’ drug is unable to bind with a cell receptor so cannot actHow is drug binding and storage significant in drug therapy?
Older adults have a higher risk of adverse drug events compared with younger people because of higher blood levels. Which of the following can lead to increased blood levels of medication with aging?Group of answer choicesKidney function declinesAbsorption of medication is increased through the stomachLiver enzymes are more activeAll of the above
Select all that applyWhich of the following are methods to estimate body fat percentages?Multiple select question.skinfold measurementelectroencephalographyblood teststress testunderwater weighing
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