A zero-order process is a process that has a constant rate. The rate of the zero-order process does not depend on the amount of the reactant involved in the process.
If a drug is administered at a constant rate (zero-order), this means that there is a constant amount of the drug administered per unit time. Constant rate iv infusion represents zero-order drug administration.
A first-order process is a process that has a rate proportional to the amount of the reactant involved in this process.
For example, if the drug elimination rate is proportional to the amount of the drug in the body, this means that this drug is eliminated by a first-order process. The proportionality constant is the first-order elimination rate constant. i.e.
Elimination rate = elimination rate constant x drug amount
The rate of drug elimination decreases with time because the amount of the drug remaining decreases with time.
The steady state is the condition when the rate of drug administration is equal to the rate of drug elimination.
When the drug is administered as a constant rate IV infusion, there will be one steady state concentration as long as the rate of administration and the rate of elimination do not change.
When drug administration involves repeated doses, the drug concentration-time profile during each of the dosing intervals ( τ ) will be identical at steady state. This means that the maximum, the minimum, and the average concentrations during each dosing interval will be similar at steady state.