Week 3 Flashcards
corticospinal tract
mostly involved in voluntary muscle control - Considered a descending motor pathway
Decussation
the crossing of the fibers of the corticospinal tracts from one side of the central nervous system to the other side.
Lateral corticospinal tract
distal muscles Anterior corticospinal tract – cervical and upper thoracic.
85-90% of nerves cross where?
Pyramids of the Medulla
There are NO synapses within these descending pathways. So they are called what?
upper motor neurons
What pathway contains synapses?
lower motor neurons
pharmacology vs. psycho-pharm
psychopharmacology focuses on psychiatric meds specifically
Sites of action
what reception is the drug binding to?
Drug effect
observed changes
endogenous
any substances that your body produces yourself
Exogenous
any substance that is produced outside of your body.
Pharmacokinetics
What the body does to the drug, ex:
* Absorption
* Distribution
* Metabolism
* Excretion
Rate of Absorption & Distribution
*5L/min blood pumped every minute
* Entirevolumeofbloodsupply circulates every minute
what is the fastest and most dangerous administration:
intravenous: 30-60 seconds
Different administration types:
- Intravenous
- Intraperitoneal
- Intramuscular
- Subcutaneous (under the skin)
- Intracerebral (bypass BBB)
- Intracerebroventricular
- Oral
- Intrarectal
- Inhalation (lungs) vs. insufflation (nasal passages)
- Topical (skin)
Intraperitoneal
into your stomach
Intramuscular
into the muscle
Subcutaneous
into the fat
Intracerebral
into the brain - lets your bypass the BBB
Intrarectal
in the butt :) - bypasses metabolism
Most common administration
oral - not a very fast route of admin because it is metabolized
Inhalation vs. insufflation
lungs vs. nasal
topical
through the skin
Distribution
Entry of Drugs into the Brain
when do drugs have any impact?
once they reach the site of action
lipid solubility
it can bypass the BBB
what is the primary organ for excretion?
kidneys
what organ has an active role in enzymatic deactivation?
liver
Many drugs are metabolized and deactivated by what?
enzymes
what can transform a substance into having a more effective/active molecule?
enzymes
Dose-response curve
point of maximum effect
Drug effectiveness is Impacted by (2):
- Sites of Action
- Affinity of a drug for its site of action
Affinity
the capacity of a drug molecule to bind to a key site of action
Affinity
the capacity of a drug molecule to bind to a key site of action
Margin of Safety (MoS)
The difference between the usual effective dose and the dose that causes severe or life-threatening side effects