Pharmacology in the Elderly Flashcards
Define pharmacokinetics
The body’s action on the drug
Define pharmacodynamics
The drug’s action on the body
Give three examples of acidic drugs
Penicillin
Aspirin
Phenytoin
Give three examples of basic drugs
Morphine
Diazepam
Pethidine
Stomach pH in the elderly tends to be more… (basic/acidic)
Basic
What do acidic drugs bind to in the body?
Albumin
What do basic drugs bind to in the body?
Alpha-1 acid glycoprotein
Which do the elderly have more of: albumin or alpha-1 acid glycoprotein?
Alpha-1 acid glycoprotein
What increases the Vd of drugs in the elderly?
More fat compared to muscle
Why is hepatic metabolism reduced in the elderly?
Smaller liver and less blood flow
Why is renal excretion lower in the elderly?
Reduced renal blood flow and reduced tubular secretion rate