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10 Cards in this Set

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What are the various sites of measurement of drug concentration in the body?

Invasive:



  • Plasma
  • Serum
  • Blood



Non-invasive:



  • Breath
  • Milk
  • Saliva
  • Urine
  • Feces

How is a plasma sample collected?


  1. Whole blood is centrifuged after adding an anticoagulant, such as heparin or citric acid.
  2. Cells are precipitated.
  3. The supernatant fluid, plasma, contains proteins that often bind drugs.



The concentration in plasma comprises of bound and unbound drug.

How is a serum sample collected?


  1. Whole blood is centrifuged after the blood has been clotted.
  2. Cells and material forming the clot (i.e. fibrinogen and fibrin) are removed.



Although the protein composition is slightly different from that of plasma, the drug concentration in serum and plasma are virtually identical.

How is a whole blood sample collected?


  1. An anticoagulant is added.
  2. Plasma proteins are denatured.
  3. The drug is extracted into an organic phase.



The blood drug concentration represents an average over the total sample.

What are the various extravascular routes of administration?

Via alimentary canal: buccal, oral, rectal, sublingual




Others: inhalation, intranasal, IM, SC, transdermal

What does disposition consist of?

Distribution


Metabolism


Excretion

Define distribution.

Distribution is the process of reversible transfer of a drug to and from the site of measurement and peripheral tissues.

What are the factors governing drug distribution?

  1. Tissue or organ blood flow rate
  2. Relative affinity of drug to blood and tissue constituents
  3. Permeability of tissue membrane to drug
  4. Transporters at membrane barriers

What is the enterohepatic cycle?

The enterohepatic cycle is a process where drug is secreted into bile, stored in, and released from the gallbladder. The drug then transits into the small intestine, and is reabsorbed back into circulation.




It is a component of distribution. It may also result in a double peak phenomenon.

Define elimination.

Elimination is the irreversible loss of drug from the site of measurement. Elimination consists of metabolism and excretion.




This may be due to:



  1. Chemical transformation
  2. Movement from one part to another (e.g. from blood to bladder)