Pharmacology Quiz 1 Flashcards
Goal of Pharmacology
Reverse, Prevent, or control various diseases and illnesses
Schedule I
Narcotics such as opium, heroin, morphine, cocaine
Schedule II
Cannabis and Cannabis resin
Schedule III
Stimulants such as amphetamines and hallucinogens such as LSD
Schedule IV
Anabolic steroids, barbiturates, and benzodiazepines
Schedule V
Phenylpropanolamine
Schedule VI
Designer drugs or other controlled substances, aka synthetically made substances in a lab such as fentanyl.
Schedule VII and VIII
Specific amounts of Schedule II durgs. 7 is 3g can and 3kg resin 8 is 30g can and 1g resin
Average time to developp test and approve a drug
9 years
How many species minimum required for animal testing
2
How many phases for clinical trials
4
Drug rating that means not approved in pregnant patients
X
Different peds reactions to meds?
Children can metabolize medication faster than adults and have a incomplete development of GI tract that slows absorption of oral medications and delays elimination.
Geriatric considerations?
Same as children slower metabolism and GI activity, usually have many meds and unintentionally overdose or swap meds with partner or forget to take it.
Name Liquid Drug Forms
- Solution
- Suspension
- Fluid Extract
- Tincture
- Spirits
- Syrup
- Elixir
- Milk
- Emulsion
- Liniments and Lotions
Name Solid Drug Forms
- Extract
- Powder
- Capsule
- Pulvule
- Tablet
- Suppository
- Ointment
- Patch
Gaseous Drug Forms
- Vapour
Rates of drug absorption
- IV and IO fastest
- Then respiratory mucosa
- Then IM
- Then PO
- Tehn topical across intact skin
Drug Absorption Times
Topical hours to days
Oral 30-90
SC 15-30
Im 10-20
SL 3-5
In 3-5
IV / IO 30-60 sec
Local vs systemic effect
Local result from direct application of drug to a tissue
Systemic occur after absorbed by any route and distributed by blood. almost always more than one organ but one organ may predominate.
What can affect drug action
Patient, dose, route, and drug metabolic rate
Percutaneous route general
Absorbed through skin or through mucus membrane. Useful for sustained release. skin ordinarily effective barrier but some drugs have been specifically prepared to cross barrier.
Percutaneous routes specific
Transdermal. placing med on skin. easily controlled by wiping off. Rate of absorp. consisten steady and predictable.
mucuous membranes, absorp. at moderate to rapid rate sublingual buccal nasal.
Pulmonary route. Directly through inhalation. endo tube used to administer liquids directly to bronchioles or alveolar sacs
Enteral routes
Absorbed somewhere along GI tract. Oral route
Rectal administartion for local affect or if medicaiton is irritating given orally or cant give orally. considered if quick IV access is impractical.
Parenteral routes general
Any route other than alimentary canal, skin and other mucuos membranes. Genereally administered via syringe and needles and fastest absorpotion rates.
Parenteral routes specific
IV: most rapidly effective, most dangerous, drugs go directly into bloodstream to target organs, known qty over known period, dangerous cause entire dose same time.
IO: Rate and onset identical to IV and used when IV access is not practical.
IM: longer to act, must be absorp. by muscle into bloodsteram, longer duraction of action, given only to patients with adequate perfusion, usually into deltoid muscle or upper outer quadrant of gluteus muscle of buttocks.
SC/SQ: small amount of drug injection into fat or connective tissue beneath skin, absorbed more slowly over more prologned period, peak effect within 30 minutes. outer arm anterior thigh or abdomen.
Pharmacokinetics:
Study of metabolism and actions of medication within the body. Examples: Time required for absorp. duration of action, distribution in body, method of excretion.
ADME principle for pharmacokinetics
Absorption
Distribution
Metabolism
Excretion
Pharmacodynamics
Way in which a medicaiton produces the inteded response. aka mechanism of action. mechanism and effects of medication w/in body. the What and How
factors saffecting drug response
Age
Weight
Sex
Environment
Time of admin
condition of patient
genetic factors
psychological factors
Iatrogenic Responses
MMost commen is allergic reaction.
can also build up tolerance decreased respsonse to same amount of medicaiotn.