Week 3: Pharmacokinetics - Absorption Flashcards
What is pharmacokinetics?
what happens to drugs inside the body
What are the 2 types of drug movement?
passive and active
What are the 4 types of passive drug movement?
- lipid solubility
- ionization
- pH
- facilitated diffusion
What are nonionized drugs? (2)
- lipid soluble
- penetrate since no charge
What are ionized drugs? (2)
- water soluble
- excreted since charged
Some drugs are weak acids. Where do these drugs stay? (3)
- ex. aspirin
- stay nonionized in acidic environment like the stomach
- ionize in alkaline environment like the small intestine
Some drugs are weak bases. Where do weak bases stay? (3)
- ex. morphine
- in the stomach it becomes ionized (not absorbed)
- once it reaches a small intestines (alkaline environment) the remaining nonionized form is then absorbed
What is absorption?
taking smth until it gets to the blood
What are the 3 enteral routes?
- Oral, PO (per oral) by mouth
- sublingual or buccal (absorbed, not digested)
- Rectal, PR (suppository or enema, absorbed, not digested)
What are some parenteral routes?
- subcutaneous
- Intramuscular injection
- IV
- Intradermal
-Intraosseus - epidural
- intraperitoneal
What are other routes on entry? (3)
- topical (on skin)
- transdermal (patch)
- inhalation
How can a drug have a faster absorption rate and onset of action?
- the fewer the absorption barriers the drug must pass through, the faster it reaches target cells and produce systemic response
What is the slowest and fastest route for absorption and onset of action?
Fastest - IV
slowest - oral
note that inhalation is also quick due to surface area
What is the general concept of bioavailability?
- The more times a drug has to be broken down to reach the blood, the less amount of the drug available to do effects
- ie. oral vs IV, IV goes directly to the blood
What are some considerations regarding oral medications? (5)
Can I:
- take with food
- crushing the medication
- open the capsule
- onset of action + when to follow up
- resources when you are unsure of a med