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26 Cards in this Set

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Pharmacokinetics
the process of drug movement to achieve drug action. The four processes are absorption, distribution, metabolism (or biotransformation), and excretion (or elimination).
Absorption
Absorption is the movement of drug particles from the GI tract to body fluids by passive absorption, active absorption, or pinocytosis.
Passive absorption
occurs mostly by diffusion (movement from higher concentration to lower concentration)
Active absorption
requires a carrier such as an enzyme or protein to move the drug against a concentration gradient. Energy is required for active absorption.
Pinocytosis
a process by which cells carry a drug across their membrane by engulfing the drug particles
Pharmaceutic Phase
(dissolution) is the first phase of drug action
Dissolution
A drug in solid form (tablet or capsule) must disintegrate into small particles to dissolve into a liquid.
Excipients
Fillers and inert substances in medications
Disintegration
the breakdown of a tablet into smaller particles
Rate limiting
the time it takes the drug to disintegrate and dissolve to become available for the body to absorb it
Pharmacokinetics
the process of drug movement to achieve drug action. The four processes are absorption, distribution, metabolism (or biotransformation), and excretion (or elimination).
Bioavailability
a subcategory of absorption. It is the percentage of the administered drug dose that reaches the systemic circulation
Distribution
process by which the drug becomes available to body fluids and body tissues
free drugs
drugs not bound to protein
protein-binding effect
many drugs are bound to varying degrees with protein (primarily albumin).
Highly Protein-Bound Drugs (89%)
Moderately High Protein-Bound Drugs (61% to 89%)
Moderately Protein-Bound Drugs (30% to 60%)
Low Protein-Bound Drugs (30%)
half-life (t½)
the time it takes for one half of the drug concentration to be eliminated. Metabolism and elimination affect the half-life of a drug
creatinine clearance (CLcr)
most accurate test to determine renal function. Creatinine is a metabolic by-product of muscle that is excreted by the kidneys
Pharmacodynamics
study of drug concentration and its effects on the body. Drug response can cause a primary or secondary physiologic effect or both. The primary effect is desirable, and the secondary effect may be desirable or undesirable
Onset of action
is the time it takes to reach the minimum effective concentration (MEC
Peak action
occurs when the drug reaches its highest blood or plasma concentration.
Duration of action
is the length of time the drug has a pharmacologic effect.
Time-Response Curve
evaluates three parameters of drug action: (1) onset, (2) peak, and (3) duration. MEC, Minimum effective concentration; MTC, minimum toxic concentration
The Foure Receptor Families
(1) kinase-linked receptors, (2) ligand-gated ion channels, (3) G protein-coupled receptor systems, and (4) nuclear receptors.
Nonspecific drugs
Drugs that affect various sites
Agonists
Drugs that produce a response are called
Antagonists
drugs that block a response are called