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The model corresponds to a single-compartment model with instantaneous absorption and zero-order kinetics for elimination. The model is most accurate when used to estimate BAC a few hours after drinking a single dose of alcohol in a fasted state, and can be within 20% CV of the true value.
The removal of ethanol (drinking alcohol) through oxidation by alcohol dehydrogenase in the liver from the human body is limited. Hence the removal of a large concentration of alcohol from blood may follow zero-order kinetics. Also the rate-limiting steps for one substance may be in common with other substances.
Many enzyme-catalyzed reactions are zero order, provided that the reactant concentration is much greater than the enzyme concentration which controls the rate, so that the enzyme is saturated. For example, the biological oxidation of ethanol to acetaldehyde by the enzyme liver alcohol dehydrogenase (LADH) is zero order in ethanol. [16]
Blood alcohol content can be quickly estimated by a model developed by Swedish professor Erik Widmark in the 1920s. [26] The model corresponds to a pharmacokinetic single-compartment model with instantaneous absorption and zero-order kinetics for elimination.
Clearance is variable in zero-order kinetics because a constant amount of the drug is eliminated per unit time, but it is constant in first-order kinetics, because the amount of drug eliminated per unit time changes with the concentration of drug in the blood. [3] [4]
Michaelis–Menten kinetics have also been applied to a variety of topics outside of biochemical reactions, [14] including alveolar clearance of dusts, [19] the richness of species pools, [20] clearance of blood alcohol, [21] the photosynthesis-irradiance relationship, and bacterial phage infection.
[1] [2] Thus, the rate equation is often shown as having first-order dependence on the substrate and zero-order dependence on the nucleophile. This relationship holds for situations where the amount of nucleophile is much greater than that of the intermediate. Instead, the rate equation may be more accurately described using steady-state kinetics.
In first-order (linear) kinetics, the plasma concentration of a drug at a given time t after single dose administration via IV bolus injection is given by; = / where: C 0 is the initial concentration (at t=0)