Pharmacokinetics Flashcards

1
Q

This does not require energy, not saturable and proportional concentration

A

Passive diffusion

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2
Q

No energy required but carrier required and saturable

A

Facultative diffusion

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3
Q

The fraction of drug that reaches the systemic circulation of action after administration by any route

A

Bioavailability

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4
Q

In cell membranes this is more lipid soluble

A

Unionized molecule

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5
Q

Route of administration of drugs are determined by

A

Physical characteristic

Speed of absorb or release

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6
Q

Drug distribution is dependent on

A
Blood flow
Size of the organ
Binding
Apparent volume of distribution
Lipid solubility
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7
Q

When is the is the permeability rate limited

A

Drug is ionic,polar or water soluble

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8
Q

When is the drug perfusion rate limited

A

Drug is highly lipophilic

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9
Q

What binds to most acidic drugs

A

Albumin

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10
Q

Which binds to alkaline drugs

A

Alpha 1 glycoprotein

Globulin

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11
Q

Formula for volume distribution

A

Amount of drug in the body over plasma drug concentration

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12
Q

Responsible for metabolism of the largest proportion of drugs

A

CYP 3A4

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13
Q

Which phase where conjugates are almost invariably inactive

A

Phase 2 metabolic reactions

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14
Q

What are the drugs that can increase the activity of certain cyp isoforms

A
Phenobarbital 
Rifampin
Phenytoin 
Carbamazepine 
St. John's wort
Chronic ethanol consumption
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15
Q

This is a potent inhibitor of CYP3A4

A

Grapefruit juice

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16
Q

This is responsible for most renal exertion

Allows clearance of drugs bound to plasma protein

A

Tubular secretion

17
Q

What happens if there is no active secretion or reabsorption

A

Renal clearance is equal to gfr

18
Q

What is the formula for cockroft gault equation

A

(140-age) x bw over 72 x serum creatinine

19
Q

Mdrd formula

A

175 x 0.742 if female x 1.212 if African American over Serum creatinine x Age

20
Q

3 important drugs in zero order kinetics

A

High dose of aspirin
Ethanol
High dose of phenytoin