CPT1: Absorption Flashcards

1
Q

What is pharmacokinetics?

A

The study of the rate and extent of absorption. So the Absorption, distibution, metabolism and excretion of the drug

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2
Q

What is pharmacodynamics?

A

What the drug does to the body

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3
Q

What does pharmaokinetics tell us?

A
  • What dose to give
  • How often to give it
  • Some drug interactions
  • How to changre the dose in certain medical conditions
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4
Q

What is absorption?

A

The movement of the drug from the site of admiinistation to the blood stream (across membrane)

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5
Q

What are factors effecting the rate of absorption?

A
  • Route of administration
  • Dose
  • Lipid solubility
  • Weak acid/ base
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6
Q

Give examples of different routes of administrations and their corresponding sites of absorption

A
  1. IV - directly into venous blood
  2. IM - muscles
  3. Subcutaneous - into blood from skin layers
  4. Epidural - epidural space
  5. oral - mouth —> GI tract
  6. Sublingual - under tounge into blood stream
  7. buccal - oral muscosa to blood stream
  8. intra-octular - eye
  9. topical - skin
  10. respiratory tract - nasal passage way or lungs
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7
Q

What is ionisation?

A

The additional/ removal of an electron

process where an atom/ molecule aquired a +ve or -ve charge

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8
Q
  1. What is the henderson - hasselbalch equatoin?
  2. Referring to the equation, when does pKa = pH?
  3. what is the equation for pH?
A
  1. pH = pka + log( [A-]/ [HA])
  2. When A- = HA then pH = pKA and the drug is 50% ionised
  3. pH = -log[H+]
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9
Q

What is the equation used to determine %ionisation?

A

%ionisation = 100/ 1+ AL(pKa-pH)

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10
Q

What are the mechanisms for crossing membranes?

A
  • Passive
  • Active
  • Facilitated
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11
Q

What are the requirements for passive diffusion?

A
  • lipid solubilty
  • water solubility
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12
Q

Describe facilitated diffusion

A

A selective gate way allowing entery of one group of molecules

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13
Q

Describe active transport

A
  • Requires ATP
  • Moves against conc gradient
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14
Q
  1. What are P-glycoproteins
  2. What do they do?
A
  1. Proteins with a carbohydrate attached
  2. P-Glycoproteins sit on apical membranes and when substances cross the apical membrane the P-Glycoprotein causes it to be activately effluxed back into the gut. ATP dependent
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15
Q

Where are G-glycoproteins located and what is there function there?

A
  1. intestine - prevent absorption
  2. liver - excretion into bile
  3. kidney - excretion into urine
  4. brain - prevent entery from blood to brain
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16
Q

What drugs cause induction of P-glycoproteins

A

Rifampicin increases amount of P-glycoprotein in intestinal epithlelium - reduces absorption of other substances

17
Q

What drug causes inhibition of P-glycioproteins?

A

Verampamil saturates p-GP so other substances are absorbed more easily

18
Q

What is bioavailability?

A

Fraction of the original dose that reaches the systemic circulation in a chemically unaltered form

19
Q

What may be some causes of incomplete BA?

A
  • Chemical degradation
  • first pass metabolism
  • faiulre to disintigrate/ dissolution
  • failure of absorption or p-GP eflux
20
Q

what are some causes for failure of absorption

A
  • Binding to other molecules
  • Efflux due to P-GP
  • too polar for passive diffusion
21
Q

What is plasma pH?

A

7.4