3-Psychosocial Chapter Flashcards
What is Pharmacogenomics?
pharmacogenetics and variation among individuals in drug targets and disease mechanism
What is a robust clinical response?
Cyp enzymes fast/slow?
High/low levels of drug in body?
causes desired effects
CYP enzymes dont metabolize as quickly
high levels of drug in body
What is a intolerable clinical response? What is the level of drug?
high levels of drug and are getting adverse reax
What is no clinical response:
Enzymes fast/slow?
enzymes are fast
gets rid of drug before it can do any work
What are some factors affecting pharmacodynamics and pharmacokinetics?
Drug metabolizing enzymes, transporters, and target cells
What is the reason behind genetic variations in effectiveness of drugs?
Mostly due to acetylation of enzymes
Absorption rate in pediatric patients: GI/oral
variable
Absorption rate in pediatric patients: IM
variable
Absorption rate in pediatric patients: Percutaneous/subQ
enhanced absorption
if they have a lot of fatty tissue
Absorption rate in pediatric patients: Distribution High/low?
high
Absorption rate in pediatric patients: Through the blood/brain barrier High/low?
high- not as tight
Absorption rate in pediatric patients: Kidneys
dont excrete as well
Absorption rate in pediatric patients: Liver
Dont metabolize as well
How is pediatric drug dosing carried out?
body surface area
or body weight