Intro Flashcards
sources of drugs
plants
animals
inorganic
synthetic
chemical name of drugs
describes a drugs chemical composition and molecular structure
generic name of drugs
the original designation that the drug is given when the drug company applies for approval of the drug
trade/brand name
the name given by the drug company who developed it once the drug is approved for use
classification of drugs
therapeutic and pharmacological
therapeutic classification
describes what is being treated by the drug
pharmacological classification
describes how the drug acts
bioavailability
is the rate and extent to which the active ingredients is absorbed from a drug product and becomes available at the site of drug action to produce an effect
dissolution
identify the rate in which drugs are absorbed by the body with number one having the fastest absorption rate and number six the slowest absorption rate
pharmacokinetics
study of what the body does to the drug
pharmacodynamics
study of what the drug does to the body and the drugs mechanism of action
pharmacotherapeutics
putting pharmaceutics, pharmacokinetics, and pharmacodynamics into clinical practice
pharmacokinetics
absorption -> distribution -> metabolism -> excretion
absorption
rate at which the drug enters the body until it enters the bloodstream
what routes bypass absorption and why
intravenous and intra-arterial because the drugs are placed directly into the bloodstream
factors that affect absorption
blood flow in the stomach/intestines ph in the stomach surface area of the small intestine (villi) health of the small intestine (crohn's disease) food or fluid in the intestines bowel resection age infection or exercise form of drug - composition (liquid)
routes of administration
enteral sublingual (SL)/buccal topical parenteral subcutaneous (SC) intramuscular (IM) intravenous (IV)
enteral route
drugs are delivered to the gastrointestinal tract either by the oral route or by nasogastric or gastrostomy tubes
often the route that is intended for general circulation (a few drugs given orally are site specific for the GI tract)
enteral route - tablets and capsules
the dissolution of the capsule or tablet is the slowest part of absorption enteric coating (EC) protects the tablet fro the stomach acid. Designed to dissolve in an alkaline environment. Prevent irritation of stomach mucosa XR (extended release, SR (sustained release), LA (long acting) are designed to dissolve very slowly
sublingual/buccal route
enteral routes but the medication is not swallowed, instead kept in mouth
sublingual is under the tongue
buccal is between the gum and cheek
mucosa of the mouth has extensive capillaries that provides an excellent absorptive surface
topical
medications applied to the skin or mucous membranes
skin is most common
mucosal application includes ears, eyes, nose, respiratory tract, vagina, rectum
most are administered to have a local effect (topical antibiotics) but there are some that are administered fr a systemic effect (nitroglycerin)
transdermal patches avoid first pass effect and bypass digestive enzymes
absorb very slowly because the skin’s keratin layer must be penetrated
parenteral
by injection (ID, SC, IM) or intravenous the drug is delivered into the skin layers (intradermal ID), subcutaneous tissue (subcutaneous SC), muscles (intramuscular IM), veins (intravenous IV) less common routes include intra-arterial, bone (intraosseous), body cavities (intrathecal), organs (intra-cardiac) bypass the liver therfore bypass first pass effect fastest but potentially the most harmful more invasive