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Pharmacokenetics
Question | Answer |
---|---|
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 |