Week 1 - Pharmacology Flashcards

1
Q

What is pharmacology?

A

the study of medications or chemical compounds that interact with some part of the body, in order to produce a certain effect

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2
Q

What are the 3 names each drug has?

A
  1. chemical name
  2. generic name
  3. brand/trade name
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3
Q

what is a drug’s ‘dose’?

A

the precise amount of active ingredient in the medication

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4
Q

Why are drug’s ‘dose’ combined with inactive substances?

A
  • fill out medication
  • more convenient to use
  • improve effectiveness
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5
Q

Drug effect goal

A

get the drug from its entry point to target tissue

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6
Q

what are the 3 phases of drug effect?

A
  1. pharmaceutical
  2. pharmacokinetic
  3. pharmacodynamic
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7
Q

Pharmaceutical phase

A

drugs are administered through specific routes

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8
Q

pharmaceutical phase specific sub-routes

A
  1. enteral
  2. parenteral
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9
Q

Enteral route

A
  • oral
  • sublingual
  • rectal
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10
Q

Parenteral route

A
  • injections
  • inhalation
  • transdermal
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11
Q

Pharmacokinetic phase

A

the effect of the body on the drug

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12
Q

Pharmacokinetic phase: 4 subphases for drug movement through the body

A
  1. absorption
  2. distribution
  3. metabolism
  4. elimination
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13
Q

What is drug bioavailability?

A

the percent of the drug that makes it into the bloodstream

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14
Q

What factors affect drug absorption?

A
  • administration route
  • blood supply
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15
Q

What drug administration route is most effective for absorption?

A

Intravenous (IV)

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16
Q

What factors in an oral administration route can affect absorption?

A
  • GI contents
  • drug coating
  • ‘first-pass metabolism’
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17
Q

What factors affect drug distribution in the body?

A
  • concentration absorbed
  • blood flow to the tissue
  • percent of drug bound to plasma protein
18
Q

Drug metabolism phase

A
  • primarily in the liver
  • determines the half-life of the drug
19
Q

Where dies drug metabolism primarily take place?

A

in the liver
- inactivation by enzymes
- preparation for excretion

20
Q

Drug elimination phase

A
  • primarily in the kidneys
  • also via bile, feces, sweat, saliva, respiration
21
Q

Where does the drug elimination mainly take place?

A

in the kidneys

22
Q

Aerobic exercise effects on pharmacokinetics (absorption)

A

-CO shifts to favor flow to working muscles (away from GI tract)
- increased blood flow to skin (increased absorption rate transdermally)

23
Q

Aerobic exercise effects on pharmacokinetics (distribution and metabolism)

A

-CO shifts to favor flow to working muscles (away from GI tract)
- increased blood flow to skin (increased absorption rate transdermally)

24
Q

Aerobic exercise effects on pharmacokinetics (elimination)

A
  • depends on urinary output and hydration status
  • increased elimination rate if via sweat/respiration
25
Pharmacodynamic phase
the effect of the drug on the body
26
Pharmacodynamic - therapeutic action
stimulation or inhibition of function
27
Drug potency
the strength of a drug at a particular dose - reflects binding affinity of a drug for its receptor
28
Drug efficacy
the maximum effect that can be achieved by a drug - reflects the affect of the drug on the receptor once its bound
29
Drug indications
the approved uses for which the drug has been proven effective
30
drug off-label uses
the uses for which the drug has shown some effectiveness but not its originally approved purpose
31
drug contraindications
circumstances under which the drug should not be taken
32
drug side effects
the unwanted or unintended actions, usually mild
33
drug adverse effects
the more serious side effects
34
Adverse effects - idiosyncratic reaction
unusual or opposite response
35
adverse effects - iatrogenic effects
due to error or overdose
36
Adverse effects - teratogenic effects
harmful to fetus
37
Adverse effects - interactions
when combined with another drug/food/etc - synergistic, antagonistic, potentiating
38
Therapeutic index
the ratio between a toxic dose and an effective dose
39
Minimal effective dose
amount that will produce the desired effect and minimize potential toxic effect
40
Factors influencing blood levels of a drug
- age - genetic factors - health status, presence of other diseases, chronic or acute - liver and kidney function - circulation and cardiovascular function - body weight and proportion of fat tissue - activity level, exercise - food and fluid intake
41
role of an exercise therapist in pharamcology
- be aware of factors that can influence a drug's response and activity