Introduction and Dosing Slides- 1 Flashcards
Pharmacology
The study of histories, sources, chemical properties, biological actions, biological handling and therapeutic uses of drugs in living organisms. Chemically-directed physiology. Balance between risks and benefits. A discipline that changes rapidly.
Drug
A substance that is used in the treatment, prevention or diagnosis of disease. Many are naturally occuring.
Federal food drug cosmetic act
Regulatory definitions of a drug.
1) “articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals.
2) “articles (other than food) intended to affect the structure or any function of the body of man or other animals.
Pharmacokinetics (PK)
How drugs are handled by the body. Study of how drugs are absorbed into, distributed throughout, transformed (metabolized) by and eliminated from the body: known as A.D.M.E.
Pharmacodynamics (PD)
How drugs affect the body. Study of the processes and mechanisms by which drugs exert their biological effects.
Interrelationship between PK and PD
Drug administration site –> systemic circulation –> Sites of action/ elimination processes biotransformation/ tissue reservoirs.
Drug names
drugs are categorized according to several different but overlapping nomenclature systems: source, therapeutic use, site of action.
Drug chemical name
A unique name based on accepted chemical nomenclature standards
Drug code name
A unique name (not always publically released) that is assigned by the company that discovered the agent.
National drug code name
A unique NDC number assigned to all drugs that are manufactured, prepared, propagated, compounded, or processed for commercial distribution.
Drug generic name
A unique non-proprietary name that is the common name for the drug. (what we need to know for class).
Drug trade name
Also known as the proprietary or brand name, the trade name is accompanied by a registered symbol @ or the letters TM to denote trademark. A single drug can have multiple trade marks.
Over the counter (OTC)
Drugs that are considered sufficiently safe in order that a “lay” person can understand instructions for proper use.
Prescription drugs (Rx)
Drugs that are considered to be too unsafe for proper use by a lay person. All prescription veterinary drugs must carry a warning label on the package.
Veterinary feed directive (VFD) drugs
Drugs that are approved for use in or on animal feed under the professional supervision of a licensed veterinarian. Such drugs are prohibited from any extra label use.
Drug dosing
Drug dosing rates are most often provided as the amount of drug administered per unit body weight (mg/lb) or body surface area (mg/m2), but sometimes dose can be listed simply as a total dose.
Drugs in solution
Precent weight to volume (g/100ml)- most common.
Precent weight to weight (g/100g).
Precent volume to volume (ml/100ml).
Drug dosing question # 1:
Your neighbors 88 lb dog is having a seizure! You have injectable diazepam (20mg per ml), you confirm the dose is 2mg/kg. What volume of injectable diazepam should be adminstered to this dog?
88 lb/ 2.2= 40 kg. 40kg (2mg/1kg)= 80 mg 80 mg (1ml/20mg)= 4ml
Drug dosing question # 2:
You have to set up a constant rate infusion of isoproterenol in a 30 kg dog with low cardiac output. Isoproterenol CRI is 1ml/min at a dose rate of 100mcg/kg/hr. The injectable isoprotenerenol you are given is 0.5%w/v. You also have a 100ml IV fluid bag.
Drug administration rate: 100mcg/kg/hr X 30 kg= 3000mcg/hr= 3mg/hr.
Infusion rate: 1ml/min X 60min/hr= 60 ml/hr.
soooo must have 3mg of drug in 60 ml of fluid. Since fluid bag is 100 ml, change ratio to fit 100 ml. so 5mgdrug/100ml fluidbag.
The injectable is 0.5%w/v –> .5g/100ml –> 5mg/1ml. So if 1ml contains 5mg you need to add 1ml to the 100ml fluid bag.
Pharmacogenetics
The study of genetically determined variations in responses to drugs in animals and man.
Pharmacognosy
Branch of pharmacology concerned with the physical characteristics and botanical sources of naturally occurring drugs
Pharmacy
The practice of collecting, formulating and dispensing standardized preparations of drugs
Posology
The branch of pharmacology concerned with the determination of doses of remedies.
Toxicology
The scientific study of the source, chemistry, biological effects and antidotes for poisons or harmful drugs.
Drench
Drug is dissolved or suspended in liquid and administered orally with the aid of a drench bottle, funnel or gun.
Suspension
Mixtures of insoluble powders, hydrated insoluble drugs (gels) or oily drugs (emulsions) in water which frequently contain one or more stabilizing agents. Unless specificied, suspensions should never be injected IV.
Resin
An insert matrix impregnated with drug for slow continuous release.
Liniment
A liquid preparation of drug in an oily, soapy or alcoholic vehicle that is intended for topical application to the skin as a counterirritant.