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20 Cards in this Set

  • Front
  • Back
Vmax is proportional to?
Enzyme concentration
Increased X-intercept will effect what?

Increased Y-intercept will effect what?
Increased Km

Decrease Vmax
Km = [S] when?
@ 1/2 Vmax
INHIBITORS

- which ones can be overcome with increased [S]
- Competitive inhibitors
INHIBITORS

- which ones bind to active site?
- why?
- Competitive inhibitors

- b/c they resemble substrate
COMPETITIVE INHIBITORS

- effects on Vmax
- effects on Km
- effects on PharmacoDynamics
- No change

- Increases

- Decreases Potency
NON-COMPETITIVE INHIBITORS

- effects on Vmax
- effects on Km
- effects on PharmacoDynamics
- Decreases

- No change

- Decreases Efficacy
Vmax is Unchanged with what inhibitors?

Km is Unchanged with what inhibitors?
- Competitive inhibitors

- Noncompetitive inhibitors
Volume of Distribution (Vd) equation?
(Amount of Drug in Body)
= --------------------------------------------
(Concentration of Drug in Plasma)
A drug infused as constant rate requires how many half lives to reach Steady State?
4 to 5 half lives
Based on 1st Order Elimination,
Concentration of drug @:

- 1 half life
- 2 half life
- 3 half life
- 4 half life
- 50%
- 75%
- 87.5%
- 93.75%
Loading Dose (LD) equation
= Cp x Vd/F

Cp = Plasma Concentration
Vd = Volume of Distribution
F = Bioavailability
Maintenance Dose (MD) concentration
= Cp x CL/F

Cp = Plasma Concentration
CL = Elimination Rate
F = Bioavailability
In renal or liver diseases

- Maintenance Dose (MD) changes how?

- Loading Dose (LD) changes how?
- Decreases

- Unchanged
Bioavailability (F) = 1 when?
- when Drug is given IV
Half Life equation = ?
= 0.7 x Vd / CL

Vd = Volume of Distribution
CL = Clearance
Clearance (CL) equation ?
= Vd x Ke

Vd = Volume of Distribution
Ke = Elimination Constant

(or rate of drug elimination divided by plasma drugs concentration)
ZERO-ORDER ELIMINATION

- Rate of Elimination is ____ with time
- Cp changes how with time?
- Linear

- Decreases Constantly with time
FIRST ORDER ELIMINATION

- Rate of Elimination is _____ with time
- Cp changes how with time?
- Proportional to Drug Concentration

- Decreases Exponentially with time
Name 3 Zero Order Elimination Drugs
(PEA is shaped like a Zero)

- Phenytoin
- Ethanol
- Aspirin (at high/toxic doses)