Intro Flashcards
Pharmacokinetics is the study of _ _ which includes
drug motion; absorption, blood levels, distribution, metabolism, and excretion of drugs
Pharmacodynamics involves understanding the interactions between
the chemical components of living systems and the drugs that enter those systems
An IV drug is _% bioavailable
100
A drug must reach the _ _ in sufficient concentration in order to be effective
target tissue
A _ dose may be used to allow for adequate concentration of the drug in the target tissue
loading
Absorption ends in organs of
metabolism and elimination
_ refers to the fraction of a drug dose that reaches the bloodstream
Bioavailability
Absorption is influenced by the ___ of a drug
route of administration
Routes of administration
PO
Parental:
-IV, IM,SQ, IP,IA,IC,Epidural,Etc.
Inhalation
Topical
Speed of absorption in order
IV/IO
Transtracheal (ETT)
Sublingual
Rectal
IM
SQ
Oral
Duration of action
PO>SQ>IM>IV
Drug distribution=
movement of an absorbed drug from the blood to the various tissues of the body
Drug distribution refers to the reversible transfer of a drug between
the blood and the extra vascular fluids and tissues of the body
The most important physical barrier to drug movement is the --_ which limits drugs from entering the central nervous system
blood-brain-barrier (BBB)
An important component of the BBB is the P-glycoprotein pump which is
a protein that protects the brain from exposure to various drugs and substances by actively pumping them out of the cells
Anatomic barriers
BBB, Epidural barrier, Blood-testis barrier
Primary organ of biotransformation is
the liver
Biotransformation aka chemical modification of a drug is the ability of the body
to change a drug from the form in which it was delivered into a form that can be eliminated from the body
Most drugs are metabolized by the _ and eliminated via the _
liver; kidneys (urine)
Drugs may also be secreted via
sweat, bile/feces, lungs, etc
Steady state
amount administered=amount eliminated
Most common diseases that impact drug PK
liver disease, kidney disease, cardiovascular disease
How does cardiovascular disease affect the body
-Alters distribution of blood flow to tissues
-More blood is distributed to the brain and heart
-Alterations in gastrointestinal, hepatic, and renal blood flow impact drug
-P often on multiple drugs
Decreased drug elimination =
increasing plasma drug concentrations
Increased _ _ associated with kidney disease can alter the volume of distribution of drugs
fluid retention
With liver disease, patients may have decreased amounts of
plasma proteins
No drug has a
single effect