Exam 1 - Drug Administration Flashcards
Pharmacokinetics
study of how drugs move through the body over time
* absorption, distribution, metabolism, excretion
* “how the body affects the drug”
Pharmacodynamics
study of how drugs affect the body
* receptor binding
* dose-response relationships
* therapeutic vs toxic effect
* potency vs efficacy
Enteral
refers to any method of delivering medications into the body through the GI tract
Examples of the enteral administration
- oral: by mouth
- sublingual: dissolving under the tongue
- rectal: drug given via rectal end of GI tract
What are the benefits of oral administration?
- convenient and economical
- relatively safe
- relatively slow and prolonged absorption
What are drawbacks of oral administration?
- irritation of GI tract
- destruction by acid or enzymes
- complex formation in GI tract
- relatively slow absorption
- unconcious or uncooperative patient
- first pass effect
First Pass Effect
initial metabolism of a drug in the liver after absorption; before it reaches systemic circulation
What are the benefits of sublingual administration?
- eliminates first pass effect
- rapid absorption
What are the drawbacks of sublingual administration?
- bad taste
- oral irritation
What are the benefits of rectal administration?
- reduces first pass effect
- easier for certain patient populations (vomiting, unconscious, neonate)
What are the drawbacks of rectal administration?
- inconvenient
- lack of compliance
Parenteral
refers to the delivery of medications directly into the body through routes other than the GI tract
What are examples of parenteral administration?
- subcutaneous: injecting into layer between skin and muscle
- intramuscular: injecting into a muscle
- intravenous: injecting into a vein
- intra-arterial
- intraspinal
What are the benefits of SubQ and intramuscular?
- useful for proteins/peptides
- can alter rate of absorption
What are the drawbacks of SubQ and intramuscular administration?
local irritation
What are benefits of intravenous administration?
- easily controlled rate of administration
- very rapid onset of action
- entire dose enters blood
What are the drawbacks of intravenous administration?
- requires sterile conditions
- not for self medication
What are the benefits of intra-arterial administration?
high dose to specific organ
What are the drawbacks of intra-arterial administration?
- danger of hemorrhage
- difficult technique
What are the benefits of intraspinal administration?
high level into CNS for spinal anesthesia and infections
What are the drawbacks of intraspinal administration?
- danger of hemorrhage
- difficult technique
What are the two types of intravenous administration? What do they mean?
- bolus: rapid injection of descrete amount (push)
- infusion: a slow continuous administration (drip)
Pulmonary
breathing a drug into the lungs
What are the benefits of pulmonary administration?
- only choice for gases and volatile liquids
- rapid, extensive absorption
What are the drawbacks of pulmonary administration?
- local irritation
- potential toxicity in the heart
Dermal
administration of medicine through the skin
What are examples of dermal administration?
- topical: local
- transdermal: systemic
What are the benefits of topical (dermal) administration?
high concentrations at site of administration
What are the drawbacks of topical (local) administration?
possible absorption into blood w/ systemic effects
What are the benefits of transdermal (systemic) administration?
convenient, prolonged systemic delivery
What are the drawbacks of transdermal (systemic) administration?
skin irritation
What are the benefits of local intranasal administration?
high concentration at site of administration
What are the drawbacks of local intranasal administration?
- nasal irritation
- possible absorption into blood w/ systemic effects
What are the benefits of systemic intranasal administration?
rapid absorption of peptides
What are the drawbacks of systemic intranasal administration?
nasal irritation
What is considered when determining route of administration?
- convenience
- compliance
- chemical properties of the drug
- drug metabolism
- onset of action
- placement within human circulation