General Principles - Systemic Pharm Flashcards
Acidification or urine increases ionization of weak bases and increases renal elimination. True or false?
True
4 steps in drug cycle (pharmacokinetics)
Absorption, distribution, metabolism, excretion
Increased GI motility decreases drug absorption. True or false?
True
Most drug metabolism occurs in the
Liver
Grapefruit juice can raise drug levels of CCB because it decreases metabolism of drug by inhibiting intestinal isoenzyme ____.
CYP3A4
MAO inhibitors taken w/ tyramine-rich foods (cheese, wine, organ meats, beer, yogurt) may lead to
Hypertensive crisis
___ order elimination rate falls as plasma level falls.
First
A constant amount of drug is eliminated per unit time
Zero order elimination rate
Drug absorption decreases w/ food binding. Give one example.
Tetracycline and dairy
Factors affecting response to meds
Age, body fat, body water, body proteins
OTC cold and cough meds stimulate ___ and should not be taken w/o doctor approval in pts w/ …
Sympathetic nervous system
Heart dx, HTN, thyroid dx
Elimination of drugs is reduced as a result of reduced hepatic blood flow and predisposal to toxicity in pts w/ ___ failure.
Heart
Renal dx results in chronic renal failure, reduced excretion, drug absorption, distribution, and metabolism. True or false?
True
Liver dx results in
Reduced metabolism -> toxicity