Patho-Pharm Week 1 - Fundamentals Flashcards
Define “Pharmaceutics”
How dosage forms influence the way the drug affects the body
Is absorption faster in acidic fluids or alkaline fluids?
Acidic fluids
What is the slowest PO med type?
Enteric-coated tablets
Define “Pharmacokinetics”
Process of drug movement to achieve drug action
What are the four stages of pharmacokinetics?
Absorption, Distribution, Metabolism, Excretion
What organ causes the first-pass effect?
Liver
What route of drug is susceptible to the first-pass effect?
PO (by mouth)
What is the first-pass effect?
When a drug is extensively metabolized by the liver before it can reach circulation
Define “Onset”
The time it takes a drug to reach minimum effective concentration
Define “ Peak”
Occurs when the drug reaches its highest blood concentration
Define “Duration”
The length of time the drug has pharmacologic effect
Define “Half-life”
The time it takes for half of the original drug to be eliminated
How many half-lives do most drugs have?
5
During which half-life does the drug have most of its effect?
1
What is a “steady state”?
When the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose
Define “Pharmacodynamics”
Mechanisms of drug actions in living tissues
What is a therapeutic response?
When a drug corrects or makes a positive change in the body
What two things can drugs modify when reached the site of action?
Rate at which the cell function + Function of the cell
What are the three types of drug actions?
Receptor, Enzyme, Nonselective
What are the two types of drug-receptor interaction?
Agonistic + Antagonistic
Define “Agonistic”
Elicits a response from the cell
Define “Antagonistic”
Does not elicit a response from the cell
What are nonselective drug interactions?
The drug interferes with a cellular process
What are enzyme drug interactions?
Inhibits or enhances the action of a specific enzyme
What are receptor drug interactions?
Receptor interacts with the drug on the cell membrane
What are the four nursing responsibilities during assessment of administering meds?
- Current medication
- Pregnancy
- Concurrent illness, allergies, sensitivtities
- Contraindications
What are the five nursing responsibilities during monitoring drugs?
- Client’s condition (therapeutic effect)
- Side effects
- Adverse effects/reactions
- Toxic effects
- Interactions
What is an additive effect?
The combined effect of two or more substances is equal to the sum of their individual effects