M&R - pharmacokinetics Flashcards

0
Q

What is oral bioavailability?

A

Proportion of drug given orally for any other route except IV that reaches circulation unchanged

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1
Q

What are some examples of sites of administrations?

A

Inhalation, oral, IV, transdermal patch, topical, rectal,

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2
Q

How is bioavailability measured?

A

AUC oral
———— x 100
AUC injected

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3
Q

How is the therapeutic ratio worked out?

A

ED50 ( effective dose in 50% of people)

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4
Q

What is the therapeutic window?

A

The zone where the desired effect occurs but without the unwanted adverse effect

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5
Q

In what instances is the first pass metabolism avoided?

A

In IV injection, rectal and sublingual administration

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6
Q

What is the volume of distribution?

A

Theoretical volume into which drug is distributed of this occurred instantaneously.

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7
Q

What does free drug determine?

A

Action at receptors

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8
Q

What is protein binding drug interactions?

A

This is when there is partial displacement of drugs from binding sites due a seconds drug reacting

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9
Q

What is the first drug administered and what is the name of the second drug that displaces it?

A

Object drug

And precipitate drug

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10
Q

What is first order kinetics?

A

When the rate of drug elimination is proportional to drug level

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11
Q

What is zero order kinetics?

A

When the rate of elimination is constant

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12
Q

During repeated drug administration when is steady state achieved?

A

After 5 half lives

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13
Q

In reality how is steady state reached?

A

Loading dose given up to the therapeutic dose and then give maintenance doses to keep this up

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14
Q

How do ,most drugs behave?

A

By first order kinetics

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15
Q

Where does drug metabolism occur?

A

Liver

16
Q

Where does drug elimination occur?

A

Kidneys

17
Q

Why is drug metabolism susceptible to drug interaction?

A

The isoenzymes of Cytochrome P450 are inducible and inhibitable

18
Q

Where are the drugs in the kidney filtered?

A

In the glomerula

19
Q

What is passive reabsorption of drug in the kidneys down to?

A

pH

20
Q

Which for, of drug passes across the membrane of the glomerulus?

A

Non-ionised

21
Q

What happens to absorption in acidic urine?

A

Increases

22
Q

What happens to absorption in alkali urine?

A

Decreased absorption