pharmacokinetics Flashcards

1
Q

what is absorption

A

how the drug enters the bloodstream unless through intravenously where the drug typically moves through a semi permeable membrane till it reaches bloodstream

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2
Q

describe the cell membrane

A

it is semi-permeable and is made up of a bilayer of phospholipids with a hydrophilic head and hydrophobic tail The bilayer is permeable to water and lipid soluble molecules but not large molecules and ions

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3
Q

what is the point of a drug

A

. replace or act as a substrate for missing chemicals
. increase/ stimulate missing cellular activity
. depress/decrease cellular activity
.interfere with the functioning of foreign cells

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4
Q

factors affecting pharmacokinetics

A

. age
. sex
. genetics
. organ function
. body composition

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5
Q

passive diffusion

A

movement from high concentration to low concentration down a concentration gradient and requires no energy

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6
Q

facilitated diffusion

A

uses plasma membrane proteins either as a channel or carrier protein

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7
Q

leak channel

A

constantly open for substances to move in and out of

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8
Q

gated channel

A

open for a brief moment before closing again

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9
Q

carrier protein

A

molecules bind to the protein and if recognize will open otherwise

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10
Q

active transport

A

going against a concentration gradient from low to high concentration which requires energy

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11
Q

primary active transport

A

phosphate from ATP will bind to the molecule to supply it with energy

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12
Q

secondary active transport

A

energy is supplied when another substance is moving down its concentration gradient

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13
Q

pinocytosis

A

where fluids and substances are being ‘drank’ by the cell as the cell encloses the fluid or substance and fuses shut to form a vesicle into cell interior. (requires ATP as it is a form of active transport)

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14
Q

why is drug dose form important

A

it affects rate and extent of absorption i.e. gases are absorbed faster and solid forms must be able to disintegrate for absorption

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15
Q

what are the different form of drugs

A

.liquids- suspension, elixir and aqueous solutions
.solid- tablets, creams, capsules, ointments
.gases- anesthesia

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16
Q

what is the importance of shape and sizes of drugs

A

smaller drugs penetrate faster than larger drugs

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17
Q

How does lipid and water solubility affect a drug

A

most drugs are transported via simple diffusion and formulated to be lipid soluble to be able to penetrate through the phospholipid bilayer

18
Q

potential ionization

A

determines the rate at which a drug penetrates a cell membrane which determines the charge

19
Q

weak acidic drugs

A

best absorbed in areas with high acidity i.e. stomach

20
Q

weak base drugs

A

best absorbed in areas of low acidity i.e. intestine

21
Q

route of drug

A

the purpose of a drug is to have the fastest therapeutic effect with minimal side effects.

22
Q

the onset action of drug

A

length of time for drug to take affect

23
Q

Bioavailability

A

how long the dug stays in the body, rated from 0-100%

24
Q

First pass metabolism

A

drugs are metabolized in the liver before it can be distributed into the bloodstream which decreases the concentration of the drug

25
diet
can disturb absorption by delaying gastric emptying time, altering gastrointestinal pH or physically interacting with drug. Therefore drugs sometimes prescribed with ‘with’ and ‘without’ food.
26
Distribution
Drugs are absorbed the the blood stream by attaching to the receptor sites
27
why do you experience side effects
because it is difficult for the body to target specific tissue
28
Blood flow
some organs of the body receive more blood flow i.e. heart, brain, liver, etc. than the other organs i.e. skin, muscle, fat.
29
Physical properties of drug
lipid soluble drugs tend to be absorbed faster and can build up on fatty tissue while water soluble drugs are more concentrated in blood and interstitial fluid
30
Blood brain barrier
capillaries in the brain are surrounded by simple squamous epithelium and astrocytes making it harder for drugs to penetrate past the barrier so they are made to be more lipid soluble
31
Plasma protein binding
the extent to which a drug is binding to a protein in blood plasma
32
bound
the portion of the drug that is binding to the protein
33
unbound
the rest of the portion of the drug which has not bound with the protein
34
loading dose
when a higher concentration of a drug is administered to have a therapeutic effect or create an immediate response
35
volume of distribution
how much a drug needs to be within the body to get a certain concentration within the plasma
36
volume of distribution equation
TOTAL AMOUNT OF DRUG IN THE BODY/CONC OF DRUG IN PLASMA.
37
metabolism
the biotransformation of a drug into a substance that is more water soluble
38
Metabolism 1 (Modification)
undergoing chemical reactions using Cytochrome P-450 to make drug more water soluble
39
Metabolism 2 (Conjugation)
The active part of the drug fuses with another component to become more water soluble
40
Excretion
to prevent the increase in therapeutic or unwanted toxic effects