Tobramycin pharmacokinetics in morbidly obese patients

Abstract
Tobramycin kinetics were examined in 9 morbidly obese women following a single intavenous (120 mg) bolus. After the injection, serum elimination conformed to a 2-compartment open model with a and β t½s of 0.285 and 2.1 hr. The volume of distribution (Varea) was determined to be 0.44 l/kg ideal body weight (IBW) and 0.20 l/kg total body weight (TBW). To normalize Varea to 0.26 l/kg, 58% of the patients’ adipose weight (TBW — IBW) must also be taken into account.

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