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28 Cards in this Set

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  • Back
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What to we need drug to be?

Effective


Safe


Easily administration


Good for money

What do we need drugs to do

Be absorbed


Be transported


Have Action terminated


Be eliminated

What is pharmacokinetics?

What the body dose to the drug

What is pharmacodynamics

What the drug dose to the body

How are drugs named ?

Chemical


Code


Generic


Trade

What are the pharmacological principles

Absorption


Distribution


Metabolism


Elimination

What 4 key things effects absorption

Route


Chemical formulation


Rate for dissolution


Volume

Route of administration

IV


IA


IM


SQ


OP


Tropical


Transdermal


Sublingual


Intrachecal


Rectal


What is the first pass effects

All oral drug must pass through the liver( metabolised) to reach circulation

If you have a compromise liver what does it mean for drug ?

First past effect is altered...


Toxicity?


Prolonged effect duration??

If IV dose <<<PO what dose this mean

Significant first pass metabolism

What 4 factors are important in distribution

blood flow


Protein binding?


Membrane permeation


Tissue solubility

Why may blood flow be altered

Shock


Dehydration


Cardiac failure


Age


Drugs

How can things transport across the membranes

Aqueous diffusion


Lipids diffusion


Facilitated diffusion


Pinocytosis

Where is aqueous diffusion not work

Blood-


-brain


-eye


-milk


-prostate


-bronchus

Where is aqueous diffusion work well

Gut


Cornea


Bladder


Most capillary beds

Name a type of drug that if lipid diffusion

Anaesthetic

What dose metabolism of drugs do

Make them more water soluble


Terminate drug action


Starts drug action


May create toxic metabolites

What are the sites of metabolism

Liver


Gut


Skin


Kidney


Lungs

How many phase of metabolism are there

3

What happened in phase 1of metabolism

Oxidation, hydrolysis, reduction


If water soluble kindly Yeat.


What happened in phase 2 of metabolism

Conjugation with natural products


Glucuronidation, acetylation, sulphation, methylation

What happened in phase 3 of metabolism

Active drug transport


Processed across cell membrane


Eg efflux reactions , influx transporters

What factors can effect metabolism

Species


Disease


Hormonal status


Age


Genetic


Environmental


Drug-drug


Drug endogenous


Nutritional status

What are the sites of elimination

Kidney


Bile


Skin


GI tract


Lungs


Saliva


Milk

What factors that modified drug effect and doses?

Species


Body size


Age


Body composition


How dose species differences effect drugs

Absorption


Distribution


Metabolism


Elimination


Receptor sensitivity


Behaviour

What are the type of adverse reactions

Augmented


Bizarre


Chronic


Delayed


End of treatment

Type A b c d e