(3) Pharmacokinetics Flashcards
4 domains of pharmacokinetics
Absorption, Distribution, Metabolism (biotransformation), Elimination
Which route of administration does NOT bypass the hepatic portal vein?
Oral
First pass effect
Drugs from GI tract metabolized by liver before reaching circulation
Bioavailability (F)
Fraction of drugs actually entering circulation
What is the bioavailability for parenteral drugs (IV, IM, SC)?
100%
Volume of distribution definition
Measure of extent of distribution
Volume of distribution (Vd) calculation
Dose present in body/ plasma concentration
Metabolism Phase I reaction
Addition of small polar groups via oxidation, reduction, or hydrolysis via Cytochrome P450
Metabolism Phase II reaction
Formation of highly water soluble conjugates
Zero-Order Elimination
Rate of elimination is constant. Clearance inversely proportional to drug concentration
Name 3 drugs eliminated via Zero-Order Elimination
PDE- phenytoin, aspirin, ethanol
First Order Elimination
Rate of elimination proportional to plasma drug concentration
Elimination Rate Constant (Ke)
Fraction of drug eliminated over a set period of time
-slope of first-order elimination plotted on semi-log graph
Calculation for half-life
=0.7/Ke or (0.7xVd)/Cl
Loading dose
Dose to achieve steady state
Dose= Vdx C (desired concentration)