临床实践中的范科米辛的模型精确剂量:一种干预开发研究
Maria Swartling1, Anna-Karin Hamberg2, Mia Furebring3
1Department of Pharmacy, Uppsala University, Box 580, 751 23, Uppsala, Sweden.
International journal of clinical pharmacy
|November 8, 2024
概括
这项研究开发了一种基于模型的精确剂量 (MIPD) 工作流程,用于以万科米辛AUC为导向的剂量,以改善临床实践. 该干预措施包括一个标准化的流程和实施计划,以更好地治疗万科米辛.
科学领域:
- 药理动力学和药理动力学
- 临床药房实践 临床药房实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前的指导方针主张基于度-时间曲线 (AUC) 下的面积,以优化疗效和降低毒性.
- 基于模型的精确剂量定量 (MIPD) 是AUC导向的米素治疗的首选方法,但其临床采用仍然有限.
研究的目的:
- 制定一个标准化的MIPD工作流程和实施计划,用于范科米辛AUC指导剂量.
- 促进在瑞典第三级医院环境中采用MIPD.
主要方法:
- 一个以框架为指导的开发过程,包括利益相关者的反 (护士,药剂师,医生).
- 收集本地数据,对干预组件的可行性测试,并考虑实施战略.
- 开发一个逻辑模型来表示干预的假设关系和结果.
主要成果:
- 创建了一个全面的MIPD工作流程,定义了角色,责任和数据/信息传输流程.
- 制定了支持性文件,包括治疗药物监测 (TDM) 采样和剂量软件的说明.
- 实施活动包括建立当地临床例程,员工培训和定期MIPD轮.
结论:
- 一个针对MIPD的干预方案,包括一项针对万科米辛AUC导向剂量的实施计划,已成功为一家三级医院开发.
- 开发的过程可以作为寻求实施MIPD的其他机构的指南.
相关概念视频
Rational Dosage Regimen: Maintenance Dose and Loading Dose
3.9K
A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
3.9K
Clearance Models: Compartment Models
53
Clearance measures drug elimination from the central compartment, including plasma and highly perfused organs like kidneys and liver. Its calculation varies depending on pharmacokinetic models and administration routes. The one-compartment model, for instance, portrays the pharmacokinetics of polar drugs such as aminoglycoside antibiotics administered intravenously and readily excreted in urine. In this case, clearance is influenced by the terminal rate constant (λz) and the total volume...
53
Two-Compartment Open Model: IV Infusion
195
A two-compartment model is a vital tool in pharmacokinetics, providing an essential understanding of drug behavior, especially for those administered via zero-order intravenous infusion. This model outlines two compartments: the central compartment, where elimination occurs, and the peripheral compartment.
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
195
Dosage Regimen: Fixed Dose
1.9K
Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
1.9K
Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K
One-Compartment Open Model for IV Bolus Administration: General Considerations
164
The one-compartment model is a pharmacokinetic tool that models the body as a single, uniform compartment, facilitating the understanding of drug distribution and elimination. This model is particularly beneficial for intravenous (IV) bolus administration, where the drug rapidly circulates throughout the body.
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
164


