Quiz 1 Flashcards
What stays in the bloodstream better?
Hydrophilic
what crosses the blood-brain barrier better?
Lipophilic and non-ionized/uncharged
Bioavailability of IV, IM, SL
1
qualities of drug to pass sublingually
- Lipophilic
- Ionized
what characteristic to cross the skin barrier
lipophilic
how does tempurature effect topical absorption?
Heat increases absorption
rate limits on simple diffusion
- capillary amount
- solubility
- molecular size and composition
Compartment 1 of multi compartment model
general circulation
compartment 2 of multi-compartment model
Organs
Compartment 3 of multi-compartment model
Fatty tissue
Hydrophilic drugs tend to stay in which compartment?
compartment 1
what is not given to kids without adult teeth?
tetracyclines
what type of drug can focus on fetal circulation?
Med with Basic pH
drugs that are administered in their non-active form
prodrugs
most commonly used target enzyme
CYP3A4
Often provides a site for conjugation or may inactivate P450 metabolites for excretion
Hydrolysis
Its easier to eliminate which compounds than which compounds?
easier: polar/hydrophilic
Than - Lipophilic
3 processes of renal elimination
- Glomerular Filtration
- Active tubular secretion
- Passive tubular reabsorption
what med passes via Glomerular filtration?
Unbound meds
what med passes via Active tubular secretion?
P-Glycoproteins, and other transport proteins
What med passes via passive tubular reabsorption
weak acids/bases via concentration gradients
order of kinetics where half life is constant?
First order of kinetics
order of kinetics where half life decreases with decreasing concentration
Zero order kinetics
Creatinine clearance of someone on HD that day or CRRT
30ml/min
Does a loading dose shorten time to steady state?
No, still 4-5 half-lives
when the body makes more receptors
upregulation
when the body removes receptors
downregulation
Drug interaction where P450 enzymes are inhibited or inducted
Altered Metabolism
Drug interaction where drugs that bind to plasma proteins may compete with other drugs for the same site
plasma protein competition
in plasma protein competition, what can the kicked out competing drug cause?
Toxicity
Second messengers/Biochemical messengers:
- cAMP
- cGMP
- Ca++
- Inositol phosphates