Option D Flashcards
Define drug or medicine
A substance that alters physiological state, moods and emotions, levels of consciousness and incoming sensory information
What are the 5 ways to take drugs/medicines?
Oral
Inhale
Injection
Rectal
Topical
Define parentereal
Not involving the digestive system
Which methods of drug administration can be self-administered?
Oral
Topical
Usually:
Inhale
Rectal
Sometimes:
Injection
What is the advantage of oral administration of medication?
Easy and self administered
What is the disadvantage of oral administration of medication?
Can effect the stomach
What is the advantage of inhalation of medication?
Easy and fast delivery to the bloodstream
What is the advantage of injection?
Can be fast depending on method
What are the three types of injection?
Intravenous
Subcutaneous
Intramuscular
Describe intravenous injection
Direct to the vein - fast
Describe subcutaneous injection
Under the skin (into the fatty layer)
Describe intramuscular injection
Deep into the muscle
Should polar or non polar substances be injected intravenously?
Polar
Should polar or non polar substances be injected subcutaneously?
Non-polar
Should polar or non polar substances be injected intramuscularly?
Polar
What is the advantage of rectal administration of medication?
Avoids going through the stomach
Good absorption in the intestines (especially for digestive problems)
What is the advantage of topical administration of medication?
Easy, self administered and local
Define lethal dose
Dose required to kill 50% of the population
Define effective dose
Dose required to bring across a notable effect in 50% of the population
Define toxic dose
Dose required to bring about a toxic effect in 50% of the population
Define therapeutic index in animals
Lethal dose/ Effective dose (ideally high)
Define therapeutic index in humans
Toxic dose/ Effective dose (ideally high)
Define therapeutic window
The difference between lethal dose and effective dose
Define tolerance
Resistance of a body to the effects of a drug
What are the two types of tolerance?
Genetic - your natural resistance depending on your genetics
Acquired - from repeated exposure
Define placebo effect
The bodies ability to heal itself naturally without the need for drug. Effectivness of a drug
What can placebo groups be useful for?
To compare against to see if a drug is effective
Define side effects
Not the real effect for which a drug is taken but may occur additionally when taking it
Define risk to benefit ratio
A comparison between the bad things that the drug could do to you compared to the benefit that you will receive from taking the drug
Define OTC
Over the counter
Drugs available for you to buy in a supermarket/shop without regulation
Define on prescription
Drugs only issued by agreement of doctor
Define bioavailability
Amount of drug that reaches the target organ
What is the pH of stomach acid?
~2
[HCl] = 0.01M
What is an ulcer?
Where the stomach acid attacks the stomach where the lining is thin
How can ulcers be treated?
Increasing pH by adding a base
What are the suitable bases to treat ulcers?
Mg(OH)2, Al(OH)2 or NaHCO3
What are the side effects of Al(OH)2?
Alzheimer’s
What are the side effects of Mg(OH)2?
Diarrhoea
What does ranitidine (zantac) do?
Histamine inhibitor
How does histamine effect the stomach?
Histamine stimulates the acid making cells
What does omeprazole (nexium) do?
A proton pump inhibitor which prevents acid from being released in the stomach
What two things can omeprazole fight?
Heartburn
Stomach ulcers
How does heartburn work?
Acid in the stomach prays up in to the oesophagus and attacks the tissues
Define zwitterion
An ion with both negatively and positively charged groups
Give an example of a zwitterion
Ranitidine
What are the side effects of ranitidine and omeprazole?
Short term: Diarrhoea
Long term: Osteoporosis, food allergies and intolerance
Define analgesis
Pain relief
Define and name mild analgesics
Prevent the release of neurotransmitters from the injury site (aspirin, paracetamol and ibuprofen)
Define and name strong analgesics
Prevents neurotransmitters from reaching the brain by blocking the receptor sites (morphine, codeine and heroin)
Where is aspirin originally from?
Salicylic acid and ethanoic acid to reduce side effects of the salicylic acid
What potential side effect of aspirin makes it not prescribed to childern?
Reye’s disease (fatal)
Define antipyretic
Fever reducing
Which common drug is anticoagulalent?
Aspirin
Which common drug is antipyretic?
Paracetamol and ibuprofen
Which common drug is antiinflammatory?
Ibuprofen
Which common drug is a mild analgesic?
Aspirin
Paracetamol
Ibuprofen
What are the side effects of aspirin?
Stomach ulcers
What are the side effects of paracetamol?
Liver, brain, kidney damage
What are the side effects of ibuprofen?
Liver, kidney and stomach damage
Which mild analgesic should be taken after food?
ibuprofen
Which common mild analgesic may prevent cancer and Parkinsons?
Aspirin
Define retrosynthesis?
Working back from a target compound to make the desired compound out of a variety of sources
Define alkaloids
Drugs of plant origin containing a tertiary amine and heterocycle
Which strong analgesics are alkaloids?
Morphine
Codeine
(Diamorphine)
Which strong analgesic is a derivative of alkaloid?
Diamorphine (heroin)
What are the opiates?
Drugs from poppy seeds
Morphine and codeine (and diamorphine)
How is diamorphine produced?
Esterification of morphine with vinegar
Why is heroin more dangerous than morphine?
It is less polar and therefore dissolves well in fats and can more easily cross the blood brain barrier, making it more addictive
What are the short term effects of strong analgesics?
Euphoria
Depressed nervous system
Loss of cough reflex
Nausea
Coma
Death
What is defined as a short term effect?
Something that occurs within minutes or hours
What is defined as a long term effect?
Something that occurs over months or years (usually after repeated exposure)
What are the long term effects of strong analgesics?
Constipation (Direct)
Loss of libido (Direct)
Loss of period (Direct)
Poor nutrition
Risk of HIV (needles)
Social problems
Prostitution
Loss of job
(Direct) means directly due to drug use whilst the others are secondary
What are the sections of a bacteria?
Cell membrane
Ribosomes
DNA
Cytoplasm
Cell wall
How do bacteria replicate?
Binary fission
When is bacteria most vulnerable and why?
When they are replicating as the cell wall gets thinner
How does penicillin work?
It mimics the units needed for healthy cell wall construction