Routes of administration Flashcards

1
Q

What is pharmacokinetics?

A

What the body does to the drug/ the relationship between drug administration and exposure to the drug

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2
Q

What is exposure?

A

It takes into account the concentration of drug that the patient sees as well as the time they see it for

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3
Q

Define what route of administration is?

A

It is the site through which the drug is administered/it should allow access to the desired site of action

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4
Q

What are the three classes of routes of administration?

A
  1. Enteral
  2. Parenteral
  3. Topical
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5
Q

Describe the three classes of routes of administration?

A

Enteral - via GI tract

Parenteral - via non GI tract route

Topical - Local administration/ does not allow drug to enter systemic circulation

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6
Q

What are the factors that affect exposure?

A
  1. Route of administration
  2. Frequency of dose of drug given
  3. Formulation of drug
  4. Genetic makeup of individual
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7
Q

What are the factors that affect choice of route?

A
  1. Goal - deliver to site of action
  2. Therapeutic consideration
  3. Effect of disease on route
  4. Drug properties
  5. Adverse events
  6. Patient preference
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8
Q

When a drug is administered topically, very small doses are required. TRUE OF FALSE? Give reason why?

A

TRUE - because drug is being administered directly to site of action

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9
Q

What is percutaneous route of administration?

A

This means administration through the skin e.g Parenteral (IV,IM)

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10
Q

What is Epicutaneous route of administration, and provide example?

A

This means applied to the surface of the skin e.g local anaesthetics/ inhalation/ Vaginal /Ocular

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11
Q

Provide some of the ads and disads of enteral route of administration?

A

Ads - convenient for patient and patient compliance

Disads - Drug must survive gastric acid / absorbed from small intestines /absorption relatively slow / first pass effect

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12
Q

What are the routes taken when a drug passes through first pass effect?

A
  1. Absorbed by small intestine
  2. Enters portal vein
  3. Passes through liver
  4. Exits via Hepatic vein
  5. Into the vena cava
  6. To the heart
  7. To the systemic circulation
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13
Q

Most drugs are absorbed in the small intestine. TRUE OR FALSE?

A

TRUE

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14
Q

Some drugs may not be soluble in acidic conditions TRUE OR FALSE?

A

TRUE

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15
Q

When patients takes drug with food, this can some times delay the rate of absorption of drug in small intestine. TRUE OF FALSE?

A

TRUE

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16
Q

Drug does not have to be lipophilic in order to get across the membranes in the small intestine for absorption. TRUE OR FALSE?

A

FALSE

17
Q

P.O is not affected by first pass metabolism. TRUE OR FALSE?

A

FALSE

18
Q

What is ENTEROHEPATIC RECYCLING?

A

When bile duct produces a route to recycle some drug

19
Q

When drug is being given orally there is never a point when all of the drug is in the patients body, some is being eliminated. TRUE OR FALSE?

A

TRUE

20
Q

The max concentration of drug when given via IV is higher than that being given orally. TRUE OR FALSE?

A

TRUE