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18 Cards in this Set
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Pharmacokinetics definition
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The study of drug movement throughout the body. In relation to absorption, distribution, metabolism and secretion.
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mechanics
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Absorption
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movement from site of administration, across membranes, into bloodstream. It determines when drug becomes available to exert its action.
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Factors affecting absorption
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Route (IV is fastest, then other liquids)
Drug formulation and solubility Drug dosage Blood flow Conditions at the site administration Effects of pH Drug drug/drug-food interactions |
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Distribution
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3 factors affect distribution
1) local blood flow 2) membrane permeability 3) protein- binding capacity |
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Protein binding
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A drug can be freely distributed only if NOT bound to a protein.
Drug circulates in body until it is released or displaced. |
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Metabolism (Biotransformation)
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chemically converting a drug to a form more easily removed by the body.
Liver is the primary site. |
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Factors that affect metabolism
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Liver function and the first-pass effect
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First-pass effect
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Drug absorbed, enters hepatic circulation, metabolized to inactive form, conjugates and leaves liver, distributed to general circulation.
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Excretion
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Elimination of drugs.
Primary site is the kidneys. also, liver and GI tract, lungs, exocrine glands. |
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Onset
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Time it takes for a drug to ellicit a response
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Peak
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Time it takes for the drug to reach its maximum response in the body.
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Duration
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Length of time that a drug concentration in the blood or tissues is sufficient to ellicit a therapeutic response.
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Pharmacodynamics definition
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How medications achieve their effects in the body. How a medicine changes the body.
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Common side effects (usually predictable)
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N/V/D
Dizziness Drowsiness Dry mouth Abdominal distention/distress Constipation |
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Toxicity
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dangerous and damaging effects to an organ or tissue.
usually localized Caused by: overdose accumulation abnormal sensitivity |
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Allergic reaction S/Sx
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Urticaria (hives)
Pruritus (itching) Edema Rhinitis Respiratory distress |
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Tetrogenesis
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a drugs ability to cause permanent abnormality or death of a fetus.
Category A- safe for fetus Category B- no harm but not enough studies. Category C- adverse effect Category D- risk to fetus Category X- cause fetal abnormalities or death. |
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Medication interactions
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Antagonistic-one drug decreases the effects of the other.
Synergistic- one drug increases the effects of the other. Incompatibilities- multiple drugs mixed together causes chemical deterioration. |
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