pharmaceutics, pharmacokinetics/dynamics Flashcards

1
Q

First phase of drug action, also called “Dilution” –a process where a drug in solid form must disintegrate into small particles to dissolve into a liquid

A

Pharmaceutic Phase

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2
Q

a process where a drug in solid form must disintegrate into small particles to dissolve into a liquid.

A

Dilution

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3
Q

it is the time it takes the drug to disintegrate and dissolve to become available for the body to absorb it.

A

 Rate Limiting

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4
Q

Is the process of movement to active drug action.

A

Pharmacokinetic Phase

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5
Q

4 process in Pharmacokinetic Phase

A

A. ABSORPTION
B. DISTRIBUTION
C. METABOLISM (Biotransformation)
D. EXCRETION (Elimination)

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6
Q

Is the movement of drug particles from the GI tract to fluid by passive absorption, active absorption, or pinocytosis.

A

ABSORPTION

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7
Q

3 mechanism in which drug gets absorbed

A

-Passive absorption
-Active absorption
-Pinocytosis

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8
Q

the process in which the drugs passes to the liver first.

A

 First pass effects

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9
Q

-a subcategory of absorption.
-It is the percentage (%) of the administered drug dose that reaches the systemic circulation.

A

 Bioavailability

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10
Q

 Is the process by which the drug becomes available to body fluids and body tissues.

A

DISTRIBUTION

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11
Q

-refers to the degree to which medication attach to proteins within the blood. A drug’s efficiency may be affected by the degree to which it binds.
-The less bound a drug is, the more efficiently it can traverse cell membranes or diffuse.

A

 Protein binding

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12
Q

may affect drug activity in one of two ways: either by changing the effective concentration of the drug at its site of action or by changing the rate at which the drug is eliminated, thus affecting the length of time for which effective concentrations are maintained.

A

Protein-binding

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13
Q

is the process by which the body
chemically changes drugs into a form that can be excreted.

A

Metabolism, or biotransformation,

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14
Q

primary site of metabolism.

A

liver

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15
Q

is the time it takes for the amount of drug in the
body to be reduced by half.

A

half-life

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15
Q

is a compound that is metabolized into an active pharmacologic
substance.

A

prodrug

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16
Q

elimination of drugs from the body

A

excretion

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17
Q

The main route of drug excretion

A

kidneys

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18
Q

is the study of the effects of drugs on the body.

A

Pharmacodynamics

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19
Q

occurs when the
amount of drug being administered is the same as the amount of drug being
eliminated.

A

steady state

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20
Q

most accurate to determine renal function

A

Creatinine Clearance

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21
Q

is the body’s physiologic response to
changes in drug concentration at the site of action.

A

dose-response relationship

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22
Q

refers to the amount of drug needed to
elicit a specific physiologic response to a drug.

A

Potency

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23
Q

The point at which increasing a
drug’s dosage no longer increases the desired therapeutic response

A

maximal efficacy

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24
the magnitude of maximum response that can be produced from a particular drug.
efficacy
25
it is the time it takes to reach the minimum effective concentration (MEC) after the drug is administered.
Onset of Action
26
occurs when the drug reaches its highest blood plasma concentration
 Peak Action
27
- is the length of time the drug has pharmacologic effects
 Duration of action
28
-A drug receptor is a specialized target macromolecule that binds a drug and mediates its pharmacological action. -These receptors may be enzymes, nucleic acids, or specialized membrane-bound proteins. The formation of the drug-receptor complex leads to a biological response.
 Receptor Theory
29
are primarily on proteins, glycoproteins, proteolipids, and enzymes
Drug-Binding Sites
30
Drug-Binding Sites
proteins, glycoproteins, proteolipids, and enzymes
31
Four receptor families:
-Cell membrane-embedded enzymes -Ligand-gated ion channels -G protein-coupled receptor systems -Transcription factors
32
also commonly referred to as ionotropic receptors, are a group of transmembrane ion-channel proteins which open to allow ions such as Na⁺, K⁺, Ca²⁺, and/or Cl⁻ to pass through the membrane in response to the binding of a chemical messenger, such as a neurotransmitter
Ligand-gated ion channels
33
are integral membrane proteins that are used by cells to convert extracellular signals into intracellular responses, including responses to hormones, neurotransmitters, as well as responses to vision, olfaction and taste signals.
G protein-coupled receptor systems
34
drugs that produces a response
Agonist
35
drugs that blocks a response.
Antagonist
36
describes the relationship between the therapeutic dose of a drug (ED50) and the toxic dose of a drug (TD50).
therapeutic index (TI)
37
is the dose of a drug that produces a therapeutic response in 50% of the population
therapeutic dose
38
is the dose of a drug that produces a toxic response in 50% of the population.
toxic dose
39
-also known as the therapeutic window. -is a range of doses that produce a therapeutic response without causing significant adverse effect in patients.
therapeutic range
40
-Factors that alter bioavailability
Drug form, Route of administration, GI mucosa and motility, Food and other drugs, and Changes in liver metabolism.
41
the minimum amount of drug required for drug effect.
minimum effective concentration
42
is the highest plasma concentration of drug at a specific time, and it indicates the rate of drug absorption.
peak drug level
43
is the lowest plasma concentration of a drug, and it measures the rate at which the drug is eliminated.
trough drug level
44
-Found in the cell nucleus on DNA, not on the surface. -Activation of receptors through transcription factors regulates protein synthesis and is prolonged. -With the first three receptor groups, activation of the receptors is rapid.
Transcription factors.
45
The ligand-binding domain for drug binding is on the cell surface. The drug activates the enzyme inside the cell, and a response is initiated.
Cell membrane–embedded enzymes.
46
is the site on the receptor at which drugs bind.
ligand-binding domain
47
are secondary effects of drug therapy.
Side effects
48
are unintentional, unexpected reactions to drug therapy that occur at normal drug dosages.
Adverse drug reactions (ADRs)
49
occurs when drug levels exceed the therapeutic range;
Drug toxicity
50
refers to a decreased responsiveness to a drug over the course of therapy; an individual with drug tolerance requires a higher dosage of drug to achieve the same therapeutic response.
Tolerance
51
refers to an acute, rapid decrease in response to a drug; it may occur after the first dose or after several doses. -drug tolerance
tachyphylaxis
52
is a drug response not attributed to the chemical properties of the drug.
Placebo effect
53
is the effect of a drug action that varies from a predicted drug response because of genetic factors or hereditary influence
 Pharmacogenetics
54
 Categories of drug Action
a.) Stimulation or Depression (Ex. Digoxin) b.) Replacement (Ex. Insulin) c.) Inhibition or Killing of Organisms (Ex. Antibiotics) d.) Irritation (Ex. Laxatives)
55
Drugs that affect multiple receptor sites are considered
nonspecific.
56
When immediate drug response is desired, a large initial dose of drug is given to achieve a rapid minimum effective concentration in the plasma
Loading Dose
57
requires a carrier, such as an enzyme or protein, to move the drug against a concentration gradient.
Active transport
58
relies on a carrier protein to move the drug from an area of higher concentration to an area of lower concentration.
Facilitated diffusion
59
does not require energy to move drugs across the membrane.
Passive transport
60
drugs move across the cell membrane from an area of higher concentration to one of lower concentration.
diffusion
61
For the body to use drugs taken by mouth, a drug in solid form (e.g., tablet or capsule) must disintegrate into small particles and combine with a liquid to form a solution, a process known as
dissolution
62
are used in drug preparation to allow the drug to take on a particular size and shape and to enhance drug dissolution.
excipients
63
is the breakdown of an oral drug into smaller particles.
Disintegration
64
is a process by which cells carry a drug across their membranes by engulfing the drug particles in a vesicle.
Pinocytosis