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Pharmacokenetics

QuestionAnswer
Many drugs treated with a weak ___ or weak ____ are salts of the original drug. Acid; Base
Mesylate, Tartrate, Citrate, Hydrochroride(HCL), Sodium, or Patassium How salts end
Drug name May indicate the drug class or use
MOA Mechanism of Action
Drugs in the same class have similar MOA Adverse effects Contraindictions
DOC Drug of Choice
First line drugs have acceptable adverse effect profile
2nd, 3rd, 4th line drugs Less effective and more adverse effects
Pharmacokinetics Study of the movemnt of and changes in the drug with the body
4 Parts of Pharmacokinetics Absorbtion Distribution Metabolism Elimination
Absobtion How the drug gets into the blood stream
How are IV drugs absorbed? Directly
What are factors of drug absorbtion? pH of the compartment Lipsid solubility Vascularity of administration sight
What do drugs react with? the environment of the body compartment
If the acidity of a drug and the body environment are simular, what does the drug do? Stay intact
If the acidity of the drug and the body are dissimular, what does the drug do? Ionizes
How are drugs absorbed? Only as inact molecule, NOT as dissolved salts or ionized particles
How are drugs best aborbed? In "like" environments
What do lipid soluable drugs easily pass through? Cell membranes
Where do libid soluable drugs tend to not remain? Plasma
Highly Lipid soluable drugs include: Most CNS drugs Anestetics
A drug is absorbed faster when what is present? Blood vessles
Once a drug inters the body it _____ throught the body Disseminates
Drugs may be stored in Plasma protiens are fats
Highly lipid soluable drugs stored in fatty tissues including: Liver Spleen CNS Stored in fat
Drug compless bound to either Tissue protiens PLasma protiens
Drugs bound to protiens exist in ____ equilibrium between bound drug and "free" drug in the plasma Equilibrium
Free drug Has a theraputic effect and can be eliminated from the body
Volume of Distribution Volume of space the drug occupies in the body
Large Vd(subscriped d) Drug is distributed throughout different body compartments
Small Vd(subscripted d) Drug is concentrated mainly in one place
Loading dose Large intial dose to quickly reach therapeutic levels
What organ does most drug changes accur in? Liver
Cytochrome P450 Cytochrome mixed function oxidase sysytem
Clearance The removal of a drug from the plasma
Elimination the removal of a drug from the body
Absorption How a drug gets into the plasma
Distribution Where the drug goes in the body
Metabolism How the drug is changed in the body.
Lipid Solubility A drug that will pass more easily through the cell membrane.
What organ is drug clearance typically done by? Kidney or Liver
How is a drug secreted? liver-> bile-> feces
Drug half-life The amount of time it takes for half of the drug dosage to clear the body
What is drug half life influenced by? rate of elemination and how quickly a drug might be inactivated in the body by enzymes
What alters drug half life? Alterting the clearence rate, pH, altering the elimination rate, renal or liver dysfunction
How do adverse effects range? From unconfortable to life threatening
How can you determine the possible adverse effects? By understanding the MOA and physology back ground
What will a drug name indicate? Drug class and use
What may the generic name take part of? brand name
What drug is most frequently perscribed DOC
If the DOC doesn't work, what is the next drug perscribed? Second line drug
How are drugs better abosorbed? In "like" environments
What else will alter if the body cavity pH is altered? drug uptake
Where does the drug go once it is in the body? Part remains free in plasma, and the other may be stored either bound to plasma protiens or in fat
Where are highly libid soluble drugs stored? Fatty tissue
Where do interactions most likely occur? Absorbtion, distribution, clearance
What must a drug be in order to work? Free in the plasma
If the drug is not absorbed into the blood stream, what will happen? it will not not have an effect.
What are 3 absorption level D-D interactions? Binding interactions, change in the pH of the environment, change in the local bloodflow
What protiens does most drugs bond to? Albumin
How does the body expel drugs? Lungs, urine, or bile
What leads to increase levels of a drug in the boold? enzymes
Agonist A drug that mimics the actions of a substance in the body
How can an agonist work Stimulating a cellular or biochemical pathway OR Inhibiting the breakdown of the endogenous substance.
Antagonist effect When one drug decreases or prevents the actions of another drug
An antagonist drug does not _____ a receptor Stimulate
What does an antagonist drug do to a receptor? It prevents the function
Addative effect When twwo drugs have the same effect, the effect of the one will be added to the effect of the other.
Synergistic Effect When two drugs have the same physiological effect, but different mechanisms& one potentiates the effects of the other such that the combined effect is greater than the sums of both drugs effects
CNS depressants and alcohol have a ______ synergistic effect dangerous
Antagonist effect one drug decresses or blocks the actions of another drug
Food can act as a what? Antagonist and synergist
What do blood laboratory values test for? Renal function
BUN Blood Urea Nitrogen Level
What does a high BUN indicate? Poor kidney f(x)
Creatinine & Creatinine Clearence levels Test for renal function
What does a high creatinine clearence indicate? proper renal f(x)
SGOT, SGPT, LDH, ALT, AST Tests for liver function
How is liver function measured? by activity and levels of serum enzymes
When are blood glucose levels measured? After fasting or shortly after eating.
High glucose levels Diabetic
Low glucouse levels Hypoglycemic
Serum blood gases Determines respritory f(x) by measuring PO(supscriped)2 CO(sub)2
Created by: CassieLowry
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