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How does the volume of distribution (Vd) differ among various drugs, and what does a low Vd indicate about a drug's clearance in cases of poisoning?

The volume of distribution (Vd) varies among drugs, indicating how extensively they are distributed in the body. A low Vd suggests that a drug is primarily contained within the bloodstream, which can facilitate its clearance through procedures like haemodialysis in cases of poisoning.

The volume of distribution (Vd) is a measure of how a drug disperses throughout the body's fluid compartments. Drugs with a low Vd, such as heparin, are mostly confined to the bloodstream, making them more amenable to removal via haemodialysis in poisoning situations. In contrast, drugs with a high Vd are more widely distributed in tissues, complicating their clearance from the body.

Key points

  • Vd indicates the distribution of a drug in the body.
  • A low Vd means the drug is mainly in the bloodstream.
  • Drugs with low Vd can be effectively cleared by haemodialysis in poisoning cases.
  • High Vd values indicate extensive tissue binding.
Source:Fundamentals of Pharmacology: An Applied Approach for Nursing and Health· Pharmacokinetics: metabolism and excretion· p. 162
Cover of Fundamentals of Pharmacology: An Applied Approach for Nursing and Health

Fundamentals of Pharmacology: An Applied Approach for Nursing and Health

Alan Galbraith ... [et Al.].

Second Edition · Routledge

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