Issar- Drug Absorption Flashcards

1
Q

is drug absorption rate in the GI tract greater in the stomach or intestine?

A

intestine

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2
Q

diseases can affect the absorption of drugs. in a patient with congestive heart failure how is splanchnic blood flow affected?

A

its reduced and can develop edema in the bowls of patient (harder to absorb drug since motility is being decreased)

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3
Q

how might anti-cholinergic drugs (antidepressants) affect drug absorption in the gut?

A

the anti-cholinergic side effects cause slower peristalsis in the GI tract (slower stomach emptying may delay drug absorption)

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4
Q

what is micronization?

A

increasing the surface area of a particle (drug) to increase the drug dissolution

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5
Q

what part of the GI tract is more likely to absorb the a drug that is weakly acidic?

A

in the intestine because the pH in the intestine is higher.

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6
Q

what physicochemical factors affect drug absorption?

A

drug lipophilicity; polymorphic crystals/solvents; drug solubility and pH; particle size

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7
Q

what routes of administration lack a “First Pass Effect”?

A

Parenteral, Topical/transdermal/inhaled, sublingual and buccal

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8
Q

list the pharmacokinetic pathways.

A

liberation, absorption, excretion, metabolism and distribution

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9
Q

what type of drug would you not administer intravenously?

A

insoluble drugs or oils

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10
Q

are irritating drugs allowed to be administered subcutaneously?

A

nope. it would be painful and lead to necrosis of that tissue

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11
Q

how would you inject large amounts of irritating drugs?

A

intramuscular injection

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12
Q

although drugs injected in the intramuscular region absorb relatively fast; what factors can be altered to slow or speed up absorption?

A

vascularity, ionization, and lipid solubility of the drug. Volume of injection and the osmolarity of the solution.

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13
Q

what is the dissolution rate of small drugs taken buccally?

A

slow

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14
Q

what are the ideal properties of a drug that should be administered sublingual?

A

non-ionized, highly lipid soluble, rapid dissolution

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15
Q

are weak acids or weak bases more readily absorbed in the stomach?

A

weak acids

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16
Q

what is the role of P-glycoprotein in the oral route?

A

it serves as an efflux transporter. (forms a mechanism with P450 to reduce the amount of drug reaching the systemic circulation).

17
Q

if food is consumed why might penicillin absorption be decreased?

A

food increases acid secretion and penicillin is an acidic drug

18
Q

do drugs that are admitted rectally undergo the first pass effect?

A

yes partially.

19
Q

is absorption thru the mucosa fast or slow?

A

fast

20
Q

what range of partition coefficient of drugs has the greatest permeation?

A

1-3