Pharmacology Basics Flashcards
staring on pg. 582 on Scorebuilders
Bioavailability
*% of a medication that makes it into the systemic circulation from the original site.
- Low bioavailability = small % of drug actually reaches target site. This does not increase
Therapuetic index (TI ratio)
- compares the TD50 to the ED 50. [TD50/ED50]
- TD50 dose at which 50% of pt adverse effects
- ED50 dose at which 50% of pts demonstrate beneficial effect from meds
- Low ratio = medication is less safe and more likely to cause adverse side effects (requires more monitoring)
Half-life
- rate of elimination of meds from the body.
- Long-half life = meds will be in body for longer period of time
- Affects how frequently it needs to be administered
Potency
- dose of meds that produce a specific response within the body.
- High potency = less meds will be needed for beneficial effect.
Dose-response curve:
- graphic respresentation of relationship b/n doseage of drug and body’s response to the drug.
- As dosage increases, more receptors for drug become activated which increases bodys response to drug
- After a certain dosage the body’s response will plateau
Pharmacodynamics:
- study of how a drug exerts its therapeutic effect of the body at the cellular or organ level
Pharmacotherapeutics:
- deals with preventing, treating, and diagnosing diseases.
Oral administration of drugs
- most common and easiest method for administering a drug.
- Allows for gradual increase in drug levels within the body.
Sublingual drug administration
- passage through sublingual mucosa or buccal mucousa
- After absorbed travels from venous circulation directly to the heart and enter systemic circulation.
- faster intro of a drug with acute pain and allows drugs to bypass the liver so they are not overly metabolized before reaching target tissue
Rectal drug administration
- suppository in rectum and absorbed in rectal cavity
- good for those who can’t take drugs orally (unconscious or vomiting)
- Also bypass liver
- Not absorbed as well.
Enteral administration
Using the GI tract for administration of a drug
Oral, sublingual, or rectally
Parenteral administration
- does not involve the GI tract.
Inhalation drug administration
- if they are gaseous or aerosol form
- good since lungs have lg surface area for absorption and there for the drug can enter systemic system quickly
- Often used with pulmonary pathologies
- Can irritate the respiratory tract
Topical drug administration
- drugs are poorly absorbed through skin into systemic circulation
- reserved for treating localized skin, ear, eye or nose disorders
Transdermal drug administration
- slow, controlled release of drug into the circulation over long period of time.
- typically used with patches (fetanyl).
- Iontophoresis and phonophoresis also use this
Injection drug administration
- Used to administer either locally or systemically.
- Disadvantage is its invasic and can cause infections.
Intravenous drug administration
- injection into a peripheral vein to enter bloodstream.
- Advantage: can enter circulation and reach target tissue rapidly
- Disadvantage: can be dangerous is inaccurate dosage is given.
- considered 100% bioavailable.
Intra-arterial drug administration
- injection into an artery so it can travel directly to target tissue.
- difficult to perform
- used with chemotherapy
Subcutaneous drug administration
- injection of drug under the skin.
- Useful for slow release of meds into the systemic circulation is required (ex insulin)
Intramuscular drug administration
- often used when treating localized muscular problems (botulinum toxin for spasticity).
- Absorbed more rapidly than subcutaneous injection though there is still a slow steady release of the drug into systemic circulation
- disadvantage: tend to cause localized m soreness and pain at site of injection.
Intrathecal drug administration
- injection into a sheath (such as subarachnoid space of spinal meninges)
- advantageous because allows for intro of drug into the CNS without passing the BBB