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15 Cards in this Set

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What are the four components of pharmacokinetics?
Absorption
Distribution
Metabolism
Elimination
Enteral Administration- oral
Oral- Drugs ability to be absorbed is affected by the environment they pass through, Drugs subject to 1st pass effects
Eneteral Administration- sublingual
Drug diffuses into capillary bed under the tongue, bypasses liver metabollism
Parenteral administration
Administration of drug by IV, IM or SC injection. Benefit: admister drugs that are poorly absorbed from gut, highly metabolised on 1st pass, or are degraded in gut
First pass metabolism
Drugs taken orally enter the hepatic circulation and can be metabolized by the liver before entering systemic circulation.
Bio-availability
The amount of drug that enters the system circulation after adminstration. Drugs administered by IV are 100% bioavailable.
Parenteral administration- IV
Bypass liver metabolism, rapid effect, high degree of control. Risk of infection.
Parenteral administration- IM
absorption is slower than IV. Solution can be aqueous for fast absorption or non aqueous (depot) for slow absorption.
Parenteral administraiton- SC
absorption is slower than IV. less risk than with IV
Inhalation
rapid delivery due to large surface area in lungs. almost as rapid as IV
Intranasal
drugs are absorbed directed into nasal mucosa (steroids, nasal decongestants, etc)
Intrathecal/intraventricular
Administration of dug into CSF, (amphotericin B for cryptococcal meningitis)
topical
local effect on skin or eyes
trandermal
sustained delivery of drug. Rate depends on drug. usually in the form of a patch.
rectal
minimize first past effect (50% of venous drainage of rectum is NOT through portal system...hypogastric vein) Helpful if pt is vomiting, or unconscious