Week 1 - Introduction Flashcards
(final exam study guide)
- protects public safety
- ensure safety efficiency
Food Drug Admin (FDA)
- regulate manufacture and distribution of controlled substances (harmful effect that needs high supervision)
- class 1 (street drugs) to class 5 (low potential for abuse)
- investigate criminal and drug gangs that traffic illegal drugs
Drug Enforcement Admin (DEA)
Pharmacokinetics
- absorption
- distribution
- metabolism
- excretion
transport from administration site to bloodstream; depending on route of admin
Absoprtion
transport to site of action by bodily fluids
Distribution
biotransformation into less active/inactive forms; mainly by the LIVER
Metabolism
elimination from the body; primary from KIDNEY
Excretion
- varies with meds and route
- highest concentration; if too much = toxic
Peak
- immediately prior to next dose
- lowest concentration; if too low = no effective
Trough
1 goal for American drug laws (FDA and DEA)
Patient safety
body weight, age, gender, genetics, biorhythmic cycles, tolerance, accumulation, psychological factors, nutrition, medical problems, pregnancy/lactation/reproduction
Variables affecting mechanism of action or Affects pharmacokinetics
range between the peak and trough
therapeutic index
half time it takes for body to metabolize, excrete
t1/2
- polypharmacy
- hydration, illness
- don’t have good metabolism > slows mechanism of actions
Adverse Reaction for elderly patients
- use of FDA approved meds, but used inappropriately
- ex. label says to use daily but provider order to use BID
- ex. sildenafil
Off Label meds