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32 Cards in this Set

  • Front
  • Back

Define Efficacy?

The longest effect that a drug can have after administration

Potency?

The smallest amount of drug needed to produce an effect on the body (Strong drug)

Toxicity?

Physiological effects caused by excessive dosing (poisonous)

Half life

The time needed for a drug to decrease 50% in the body (The longer the half life the less frequent the doses)

Selectivity

The drug binds to a receptor to produce beneficial effect and minimize side effects

Interpersonal Variation

How an individual reacts to a certain drug ( everyone has a different reaction)

Tolerance

A patient gets used to a drug so it doesn't work the same and now more drugs is needed to produce an effect ( larger dose needed to produce effect)

Therapeutic index

The drug is above minimal effective concentration but below toxic level ( within safe range )

Bioavailability

When a drug becomes available to the target site

What effects dose grapefruit juice have on meds?

It inhibits drug metabolism and increases the drug blood levels

Bioequivalence

Two drugs with similar ingredients produce the same effect

Medwatch

FDA's safety and adverse events reporting program (ADR's)

Where is Cytochrome p450 (CP450) found and what's it's function?

CP450 is found in the liver and it focuses on the metabolism of drugs

PharmacoKinetics

The movement of drugs through the body

PharmacoDynamics

What drugs do to the body

What is the difference between parenteral and enteral?

•Parenteral- Injections (outside GI tract)


Enteral - Oral (moves through GI system)

What are the four (4) process that makes up pharmacokinetics?

Absorption- movement of drug frm site of administration into blood


Distribution- movement of drug frm blood to tissues and then cell


Metabolism- the structure of the drug is altered


Excretion- movement of drug going out of the body

What are the three (3) different mechanism in which drugs cross cell membranes?

• Channels and pores


• Transport systems (P- glycoprotein)


• Direct penetration of the membrane

What is P-Glycoprotein?

A protein that transport many drugs out of cells

Where does most drug metabolism take place?

In the Liver

Where dose most drug excretion takes place?

Kidneys

Define Lipid solubility.

The maximum concentration of a chemical that will dissolve in fatty substance (insoluble in water)

Hepatic impairment

A liver disease that may alter response to drugs, drug prescribing should be kept at a minimal

Peak and trough-

The amount of drug in the blood rises for a period of time (Peak) and then begins to falls usually reaching the lowest level (trough)

Idiosyncratic response (Type B reactions)

Drug reactions that occur rarely and unpredictably amongst the population

Onset of action

The duration of time it takes for a drug to begin working upon administration

Clinical test phase 1?

Tested on healthy volunteers determines whether a drug is safe for efficiency

Clinical test phase 2-3

Testing on patients with actual diseases to determine safe dose

Clinical test phase 2-3

Testing on patients with actual diseases to determine safe dose

Clinical phase 4


Watching the use of drugs in the public (safety efficiency)

What does the rate of absorption determine?

How soon the effect will begin

What factors affects absorption?

• rate of dissolution


• surface area


• blood flow


• lipid solubility


• pH partitioning