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24 Cards in this Set

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Pharmakonetics
Involves the dynamics associated with the movement of drugs across cell membranes
Includes:
Absorption
Distribution
Metabolism/Biotransformation
Excretion
Bioavailability
Bioavailability
Indicates the fractional extent to which a dose of drug reaches its site of action.
The bioavailability of a drug is more useful to the clinician than absorption because it takes into account anatomical, physiological, and pathological factors.
Passive Diffision
High to low
Active Diffision
low to high uses ATP
Distribution
Bound to proteins
Free or unbound to proteins
Metabolism (Biotransformation)
Phase I
Phase II
Phase I Biotransformation
Phase I reactions involve the following, with enzymes associated with each process:
Hydrolysis
Adds water
Introduces -OH groups
Reduction
Azo, nitro, carbonyl, disulfide, sulfoxide
Oxidation
Results in COOH functionality
Phase II Biotransformation
Includes:
Glucuronidation
Sulfonation
Acetylation
Methylation
Conjugation
Glutathione
Mercapturic acid
Amino acids
Glycine
Glutamic acid
Elimination Half Life
Elimination half-life is defined as the time it takes for the plasma concentration or the amount of drug in the body to be reduced by 50%.
Steady State
The steady state of a drug is defined as the time required for an amount of drug in the blood to decline to one-half its measured value and is dependent on the dosing rate and clearance.
List 3 components withub Biotransformation Phase 1 enzymes
Hydrolysis

Reduction

Oxidation
Pharmacodynamics
Mechanism of action
Factors that influence drug effects and drug dosage
Mechanisms of Action
Drugs
Receptors
Factors that Influence Drug Effects and Drug Dosage
Drug Toxicity
Naming of Drugs
Chemical name
Generic name
Proprietary or trade name
Antibiotics
Aminoglycosides:
Amikacin
Gentamicin
Tobramycin
Peak and trough levels
Vancomycin
Antiepieptic Drugs
Carbamazepine (Tegretol)
Ethosuximide (Zarontin)
Phenobarbital
Phenytoin (Dilantin)
Primidone (Mysoline)
Topiramate
Valproic acid (Depakene or Depakote)
Antihypertensive Drugs
Sodium niroprusside
Antineoplastics
Methotresate
Antipsychotic Drugs
Lithium
treatment for depression
Bronchodilators
Theophylline
Cardioactive
Digoxin
Lidocaine
Procainamide
N-acetylprocainamide
Quinidine
Disopyramide
Immunosuppressive Drugs
Cyclosporine A
Selectively inhibits proliferation and activation of CD4+ cells
FK 506 (tacrolimus)
What are the four analytical techniques for measuring therapeutic drugs
Immunoassays
Gas chromatography
Liquid chromatography
Mass spectroscopy