Iontophoresis pharmacology Flashcards

1
Q

Chemical name

A

Scientific name that describes its atomic or molecular structure

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2
Q

Generic name

A

Non-proprietary, abbreviation of chemical name

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3
Q

Trade name

A

Brand name
Selected by companies selling the drug
Protected by copyright

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4
Q

Pharmokinetics

A

How the body affects the drug
Concerned with drug’s onset of action, peak concentration level, and duration of action
Includes absorption

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5
Q

Absorption

A

From time drug is administered until it becomes available for use by the body
Methods
- Passive transport
- Active transport
- Pinocytosis

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6
Q

Passive transport

A

Requires no cellular energy
Drug moves from area of higher concentration to lower concentration via diffusion

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7
Q

Active transport

A

Requires cellular energy
Moves drugs from areas of lower concentration to areas of higher concentration
Used to absorb electrolytes such as sodium and potassium

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8
Q

Pinocytosis

A

Form of active transport
Cells engulf drug particles
Commonly used to transport fat-soluble vitamins

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9
Q

Slow absorption routes

A

Oral
Intramuscular
Subcutaneous

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10
Q

Faster absorption routes

A

Increased blood flow
Inhalation

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11
Q

Drug distribution

A

Process by which drugs are delivered to tissues and fluids of the body
Affected by blood flow, solubility, and protein binding

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12
Q

Protein binding

A

Drug comes in contact with proteins such as plasma protein albumin
Portion of drug that is bound is inactive and can’t exert a therapeutic effect

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13
Q

Metabolism

A

Body’s ability to change drug from its dosage form to a more water-soluble form that can then be excreted via enzymes in the liver
Turned into inactive metabolites

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14
Q

Excretion

A

Elimination of drugs from the body

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15
Q

Peak concentration

A

Reached when absorption rate equals the elimination rate

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16
Q

Duration of action

A

Length of time the drug produces its therapeutic effect
Measured in half life

17
Q

Pharmodynamics

A

How the drug affects the body

18
Q

Drug potency

A

Amount of drug required to produce desired effect

19
Q

Maximum drug effect

A

Some point in which an increase in dose yields little or no increase in response

20
Q

Margin of safety (therapeutic index)

A

Relationship between a drug’s desired therapeutic effects and its adverse effects

21
Q

Pharmacotherapeutics

A

Use of a drug to treat disease

22
Q

Overdose

A

Toxic drug reaction when dose is exceeded
Results in exaggerated response that leads to negative effects such as respiratory depression, cardiovascular collapse, or death

23
Q

Antiinflammatory drugs

A

Corticosteroids
Glucocorticoids
Salicylates

24
Q

Corticosteroids

A

Suppress immune response and reduce inflammation
Naturally produced in the adrenal cortex

25
Q

Glucocorticoids

A

Synthetically produced type of corticosteroid
Anti-inflammatory, metabolic, and immunosuppressant effects
Includes: cortisone, dexamethasone, hydrocortizone

26
Q

Effects of glucocorticoids

A

Suppress redness, edema, heat, and tenderness associated with inflammation
Suppress migration of leukocytes and inhibit phagocytosis
Prescribed for immunosuppression and reduction of inflammation for acute and chronic inflammatory conditions (-itis) such as tendinitis, bursitis, and lateral epicondylitis

27
Q

Side effects of glucocorticoids

A

Insomnia
Suppressed immune and inflammatory responses
Osteoporosis
Impaired wound healing

28
Q

Salicylates

A

Less costly type of anti-inflammatory drug and available without a prescription
Include Aspirin and sodium salicylate

29
Q

Ketoprofen 10%

A

Negative polarity
NSAID to treat inflammation and pain in acute or chronic musculoskeletal conditions
Alternative when corticosteroids are ineffective or contraindicated

30
Q

Sodium salicylate 2%

A

Negative polarity
Similar to aspirin and helps to control pain and inflammation
Alternative to dexamethasone, diclofenac, and ketoprofen
Rarely used

31
Q

Acetic acid 4%

A

Negative polarity
Used for acute or chronic soft tissue calcific mineralization such as heel spurs, calcific tendinitis, and myositis ossificans
Used for 3-8 weeks

32
Q

Gabapentin 4%

A

Originally to treat seizures
Decreases calcium influx and inhibits excitatory neurotransmitters
Negative polarity
Helps relieve neuropathy, neuropathic pain
Administered based on symptom severity

33
Q

Magnesium sulfate 2%

A

Positive polarity
Used to help relieve acute muscle spasms, neuralgia, and stiffness
Decreases the excitability of skeletal muscle and slows nerve transmission
Treatments are administered on PRN basis

34
Q

Lithium chloride 2%

A

Positive polarity
Treats gout and gouty arthritis
Alters sodium urate crystal formation in the large toe to form soluble lithium urate
Administered for 2-5 days or until asymptomatic

35
Q

Potassium iodide 10%

A

Negative polarity
Decreases scar tissue and releases tissue adhesions
Allows treatment area to be stretched and molded to increase range of motion
Administered 1-3 weeks

36
Q

Lidocaine 4%

A

Positive polarity
Local anesthetic that produces numbness and temporary pain relief
Provides symptomatic relief but does not treat underlying pain
Administered PRN

37
Q

Dexamethasone

A

Water-soluble corticosteroid that may relieve pain and inflammation in tendonitis, osteoarthritis, and synovitis
Minimizes patellofemoral joint and musculoskeletal problems
Reduces scar tissue

38
Q

Medication considerations

A

Drugs must be water-soluble and ionized
Must meet US pharmacopeia standards and contain correct stabilizers and preservatives

39
Q

Corticosteroids

A

Anti-inflammatory agents that slows initial movement of neutrophils and monocytes to the inflammation site
Treat acute, inflammatory, and musculoskeletal conditions that are well-localized
Negatively charged
Can reduce the sprouting that occurs in sensory nerves associated with tissue injury
Minimal systemic side effects such as weight gain, muscle weakness, and behavioral changes