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125 Cards in this Set

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  • Back
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Suppositories are a _________ dosage form
solid
Suppositories are usually ___________
medicated
typical weight of rectal suppositories
2gm
typical weight of vaginal suppositories
5gm
typical weight of femal urethral suppositories
2gm
typical weight of a male urethral suppository
4gm
typical weight of a pediatric suppository
1gm
The use of a suppository is to administer drugs for either ____________ or _____________ application
systemic or local
T/F:
One of the advantages of using suppositories over the oral form is that the acidic pH of the stomach or enzymes will destroy the drug.
true
T/F:
Another advantage over oral drug therapy is that in oral therapy drugs can be destroyed by first liver passage
true
After rectal insertion: ______ to ________% of the drug will be absorbed into blood circulation
50-70%
The drug is absorbed via the __________ hemorrhoidal vein, the _____ HV and the ________ HV
inferior, middle, superior
bottom to the top
some examples of systemic action suppositories are: hemorrhoid, fungal, bacterial, chronic inflammation, constipation
false- these are examples of local action suppositories
think about the speed involved in local vs. systemic
If you mix a hydrophobic drug and a hydrophobic base, you will see a _________ release.
slow
speed
if you mix a hydrophilic drug with a hydrophobic base, you will see a ___________ release
faster
speed
fatty bases are _________ bases
oleaginous
water soluble bases are also known as _______ bases
miscible
three things make up the composition of a suppository. They are: _______________, ________________, ___________
active ingredient, additives, suppository base
medicine, emulsifiers, preservatives, main substance to form
Some local action medications used in suppositories include: _______________, _______________, ___________, ____________
clotrimazole,framycetin, bismuth subgallate,hydrocortison
antifungal,antibacterial,astringent,anti-inflammation
T/F: using propanolol via suppository can be better because of its low bioavailability. Orally, it has a high first pass effect and is almost gone
true
a systemic suppository used for GI irritation would be ____________________
indomethacin
a systemic suppository used for nausea would be _________________
domperidone
a systemic suppository used for an analgesic would be ____________________
oxymorphone HCl
some additives to suppositories are ___________, such as cetylalcohol, propylene glycol.
plasticizers
adding an antioxidant to a suppository will __________ the shelf life.
increase
increase/decrease
Theobroma oil is also known as ______________
cocoa butter
in theobroma oil, all of the acids are bonded to ______________, forming an important number of ______________, that result in cocoa butter.
ghycerin, triglycerides
20% of the triglycerides in cocoa butter are of the ____ type, 55% are ____ type and 5% are _____.
SOS,POS,PSP
in the types of triglycerides in cocoa butter:
S=______
P=______
O=_______
S=stearic acid, P=palmitic acid, O=oleic acid
T/F: Theobroma oil is a mixture of liquid triglycerides entrapped in a network of crystalline, solid triglycerides
true
at temperatures of ___________, cocoa butter is a hard amorphous solid, but at body temperature, it will melt into a ______, non-______ oil.
15 to 25C, bland, non-irritating
a melting point of 34-36 C would indicate the ______ crystal form of cocoa butter
beta
a melting point of 27C would indicate the ______ crystal form of cocoa butter
beta'
a melting point of 22C would indicate the ________ crystal of cocoa butter
alpha
a melting point of 18C would indicate the ___________ crystal of cocoa butter
gamma
synthetic triglyceride(oil soluble) bases consist of _______________ vegetable oils, do not exhibit ________________ and are _______ expensive
hydrogenated, polymorphism, more
synthetic triglycerides are not __________ in color like cocoa butter
yellow
color
fattybases are stable with a ___________ irritation profile, they need ___ special storage conditions.
low, no
fattybases exhibit ___________ mold release characteristics and are solid with a melting point of ___ to ___ C
excellent, 35-37
some examples of water soluble bases are ______________ gelatin and _______ polymers
glycerinated, PEG
glycerinated gelatin suppositories are composed of ________% glycering, 20% gelatin and 10% water
70%
glycerinated gelatin suppositories should be packaged in tight containers, as they are ______________
hygroscopic
take up water.
glycerinated gelatin suppositories are not recommended as a rectal suppository base as they may exert an ______ effect and a ___________ reflex.
osmotic, defecation
glycerinated gelatin suppositories are often used for _________ suppositories
vaginal
where.
Water soluble bases are __________ in appearance
translucent
Which of the following statements is false? When preparing suppositories, the density factor:
a)is used to determine how much of a base will be displaced by a drug
b) can experimentally be determined by the double casting technique
c0 need not to be considered when cocoa butter is used as a base
d) is the ratio between the weight of the drug and the weight of base displaced
c is false
T/F: PEG polymers are chemically stable, immiscible with water and mucouse secretions
false- they are miscible with water and mucous secretions
PEG polymers can be formulated either by _________ or __________
molding or compression
T/F: PEG polymers are incompatible with silver salts, tannic acid, aminopyrine, quinine, aspirin, benzocaine, and sulfonamides
true
T/F: PEG polymers can be stored or dispensed in a polystyrene prescription vial.
false. the PEG will adversely interact with polystyrene. Use glass containers
T/F: one of the major disadvantages of PEG polymers is their incompatability with a large number of drugs.
true
T/F: sodium barbital, salicylic acid, camphor can be used with PEG polymers
false: they will crystallize out of PEG suppositories
If you use an oil-soluble drug in a water soluble base, you will have a ________ release
moderate
If you use an oil soluble drug in an oily base, you will have a __________ release
slow
If you use a water-soluble drug in a water-soluble base, you will have a _____________ release, based on __________
moderate, diffusion
if you use a water-soluble drug in an oily base, you will have a __________ release
rapid
T/F: compression-molded (fused) suppositories are the most common industrial form
true
_________ or __________ molding are the most common techniques used in pharmacies to make suppositories
fusion, melt
T/F: liquid topical preparations include: liniments, lotions,paints,ear drops
true
An example of a liniment would be Sloans embrocation. The main ingredient being _____________
methyl salicylate
An example of a lotion would be Histamed. The main ingredient being _____________
mepyramine maleate
The main ingredient in Waxol NF is ______________
docusate Na.
an example of an aeorsol would be __________________
solarcaine (benzocaine)
an example of a gel would be _____________
indocid (indomethacin) or voltaren emulgel (diclophenac Na)
an example of a powder would be ___________________
cicatren (neomycin sulfate)
In the model of oral dosage form performance:
dosage form->drug in solution->gut wall->_____________->site of activity->_______________
blood, therapeutic effect
in the model of oral dosage form performance, where would the pharmacokinetic measurement take place
blood
in the model of oral dosage form performance, where would the clinical/PD measurement take place
therapeutic effect
in the model of topical dosage form performance:
dosage form->______________->site of activity->____________->_____________
drug in skin,therapeutic effect, blood
T/F: semi-solid topical products are complex dosage forms
true
T/F: the skin is a homogeneous "slab" of tissue.
false- it is not a homogeneous slab of tissue
The skin is the heaviest organ in the body, it makes up ___% of body weight.
16
The skin has five functions: they are protection,homeostasis(water/temp), sensory,_______________(vitamin D production), _____________ (via sweat glands)
secretory, excretory
The epidermis of the skin is made up of ___ layers
5
the epidermis is compsed of layers of ________________
keratinocytes
The epidermis provides __________ protection, prevents __________ loss and keeps _________________ from invading the body
mechanical,fluid,microorganisms
There are ______ vessels in the epidermis
no
Which layer of the epidermis has keratinocytes call corneocytes.
s. corneum
the s.corneum is _______ layers in thick skin and ______- layers in thin skin.
15-20,3-4
the s.corneum has flattened non-nucleated cells filled with ___________ filaments
keratin
which layer of epidermis has surface cells that are constantly sloughed off?
s.corneum
Which layer of epidermis is more common in thick skin and is not present in all species.
s.lucidum
Which layer of epidermis is 3-5 layers of polygonal cells with central nuclei and many basophilic granules
s. granulosum
Which layer of epidermis is cuboidal, polygonal or squamous cells and greatly thickened in palmar and plantar skin. It also has some mitotic cells in the basal part
s. spinosum
which layer of epidermis has merkel cells and melanocytes
s. basale/germinativum
which layer of epidermis has Langerhans cells? Langerhans cells are for ______________
s.spinosum. immunity
which layer of epidermis has merkel cells? Merkel cells are for _______________
s.germinativum. sensitivity
skin color is due to __________ amount and ____________ content
melanin, carotene
melanin is produced by _______________ in the s._________________
melanocytes, s. basale
epidermal cells syntesize what vitamin when exposed to UV light
vitamin D3(cholecalciferol)
The dermis is the connective tissue ________ for the epidermis
support
T/F: the dermis contains nerves, skin appendages, and lymphatic blood vessels.
true
T/F: the dermis contains loose connective tissue that attaches the skin to subjacent organs and tissuies.
false-it's the hypodermis
the hypodermis is made up of ______________ connective tissue
adipose
camouflage,protective layer,insect repellants, antimicrobials would effect which interfacial boundary
surface
antiperspirants, exfolients, antibiotics,depilatories would effect which interfacial boundary
appendages
anti-inlammitories and anaesthetics would effect which interfacial boundary
viable epidermis
antipruretics and antihistamines would effect which interfacial boundary
dermis corneum
transdermal systems and NTG would effect which interfacial boundary
circulation
what type of topical preparation would shield exposed skin surface from harmful stimuli.
protectives
what type of topical preparation would absorb moisture from the skin and local wounds, to discourage bacterial growth.
absorbents
what type of topical preparation would alleviate irritation of mucous membranes
demulcents
what type of topical preparation would be a fat or oily substance used to increase moisture content of the skin membranes
emollients
what type of topical preparation would coagulate blood, and help wounds and cuts heal quickly
astringents
Which type of topical preparation would increase skin temp. by incresing circulation at the surface
rubefacients
what type of topical preparation would destroy skin at the applied site
caustics
what type of topical preparation would cause peeling of skin, and is useful in the treatment of eczema and acne
keratolytics
drug permeation across the skin is ___________
very slow
the most common routes for agents that must permeate the skin are ___________ and ________________.
transepidermal and transappendageal
topical dosage forms generally contain the following ingredients: ______________, _____________ and _________________
base or body of the dosage form, medicinal agent(not always), preservative
ointments and creams are ______________ dosage forms
semi-solid
ointments and creams are intended for ___________ application. they will have ______________ effects
topical, localized
ointments and creams are designed to deliver a drug to the ______________ in treating ____________ disorders
skin, dermal
ointments are semi-solid preparations intended for ____________ uses
external
hydrocarbon bases are also known as _______________ bases
oleaginous
hydrocarbon bases are: _______________ in water
________water washable
___________ abosorb water
_______________, ________________ and ___________
insoluble,not,will not,emollient, occlusive, greasy
some examples of hydrocarbon bases are: __________,___________,___________,_______________
petrolatum,white petrolatum,yellow (simple) ointment and yellow wax
T/F: upon application to the skin, a hydrocarbon base will form an adherent, continuous, greasy, water-repellant film.
true
the good occlusiveness of hydrocarbon bases can have an ____________ effect(hydrates skin) and can ___________ drug permeation
emollient, enhance
an example of a single phase absorption base is
lanolin
an example of a two phase absorption base is
cold cream
which of the following describes absorption bases:
a)insoluble in water,not water washable,anhydrous,can absorb water, emollient, occlusive, greasy.
b)soluble in water,water washable,hydrous,can't absorb water, non-occlusive, non-greasy
a
lanolin can absorb up to _%of water
30%
emulsion bases are:
__________ in water,water ___________,________ absorb water, ___________ water,________, _____occlusive,___ greasy
insoluble,washable,will,contains,emollient,non,non
water soluble bases are: _______soluble,water_______,______ absorb water,_____occlusive,___greasy
water,washable,will,non,non