Week 1 discussion Flashcards
k (k0, k)
rate constant
F
bioavailability; extent of absorption
fu
fraction of unbound drug
“Discuss circumstances that might
require a PK dosage adjustment?
renal impairment, warfarin/heparin, vancomycin, genetic variation (family), body weight, heart failure (reduced ejection fraction), age, drug drug interaction
drugs are absorbed/transported via the
following mechanisms
– passive diffusion
– facilitated diffusion (carrier-mediated, no
energy input)
– active transport (carrier-mediated, with energy
input)
ka
rate constant of absorption
drug distribution
once absorbed, drugs undergo transport
processes that deliver it to other areas (liver,
kidney, skeletal muscle)
Vd
volume of distribution
drug elimination
two major processes
– metabolism – the liver
– excretion – the kidney (major), the bile, etc
CL
drug clearance
Drug Metabolism
- chemical transformation of drugs into compounds that are easier (more hydrophilic/polar/water soluble) to eliminate from the body
- sometimes termed biotransformation
drug excretion
• includes renal, biliary, and fecal excretion
– renal excretion is the transfer of drug from the
blood to the urine
– renal excretion is the major route for
elimination of unchanged drug
“After a patient takes a drug, what procedures
and analysis might be necessary to quantify
each of the four components of ADME?
blood test and urine test