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Pharmacology
Administration & Absorption
51
Medical
Graduate
09/01/2010

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Term
Pharmacology
Definition
The study of substances that interact with living systems through chemical processes.
Term
Medical Pharmacology
Definition
The science of substances used to prevent, diagnose, and treat disease.
Term
Pharmacokinetics
Definition
Relationship between drug dosage and time-course of drug concentration in the body, usually as reflected in plasma drug concentrations.
Term
Pharmacodynamics
Definition
 Concerned with the mechanism of drug action, including the relationship between drug concentration and the magnitude of effect (dose-response).
Term
Enteral
Definition
What type of drug administration goes in one of the ends of the GI tract?
Term
Parenteral
Definition
What type of drug administration is an IM injection?
Term

1. oral

2. sublingual

3. buccal

4. Rectal

Definition
What are the 4 ways of enteral administration?
Term
Passive Diffusion
Definition
What mechanism of drug transport is when drug molecules penetrate by diffusion along a concentration gradient by virtue of its solubility in th emembrane lipid bilayer?
Term
Facilitiated Diffusion
Definition
What type of drug transport is the carrier-mediated process in which there is no input of energy, and therefore, enhanced movement of the involved substance is down an electrochemical gradient?
Term
Active Transport
Definition
What type of drug transport is characterized by a direct requirement for energy, movement against an electrochemical gradient, saturability, selectivity and competitive inhibition by cotransported compounds?
Term
Filtration
Definition
What drug transport is seen with movement of water and solute through pores as a result of hydrostatic pressure difference?
Term
Endocytosis
Definition
What type of drug transport deals with internalization of substances from the extracellular environment throught the formation of vesicles formed from the cell membrane?
Term
Ion pair transport
Definition
What type of drug transport has two charged compounds (+) and (-) may "interact" to migrate through a cell membrane?
Term
Intravenous
Definition
Which route of administration has 100% absorption?
Term
Intravenous
Definition
What route of drug administration has an increased risk for ADR's and cannot be used for oily or insoluble substances?
Term
Subcutaneous
Definition
What route of drug adminstration can be used for suspension or slow release implants?
Term
Subcutaneous
Definition
What route of drug adminstration is not suitable for large volumes or irritating substances?
Term
Intramuscular
Definition
What route of drug administration cannot be used with people on anticoagulants?
Term
Oral ingestion
Definition
What route of drug administration is convenient and generally safe but is highly dependent on pt compliance?
Term
Transporters
Definition
What are membrane proteins that control the influx of essential nutrients and ions and the efflux of cellular waste, environmental toxins, and drugs?
Term
ABC & SLC
Definition
What are the two most important transporters?
Term

Active transport

 

*best studied: P-glycoprotein & CFTR

Definition
What type of transport do ABC proteins use?
Term
Membrane Proteins
Definition
What control the influx of essential nutrients, ions (and certain drugs) and the efflux of toxins and certain drugs?
Term
Hepatic transporters
Definition
What are transporters in the hepatocyte function in the uptake and efflux of drugs across the sinusoidal membrane and efflux of drugs into the bile across the canalicular membrane?
Term
Secretion
Definition
What is an important excretory mechanisms for drugs and foreign chemicals, and includes transport proteins for both organic cations and anions at the level of the proximal tubules?
Term
passive diffusion
Definition
What type of transport is GI absorption?
Term
Fick's Law of Diffusion
Definition
Which law controls the amount of chemical that can penetrate from one side of the membrane to the other?
Term
Local pH
Definition
What part of the GI factors determines how much drug is available for absorption?
Term
weak
Definition
Most drugs are _____ electrolytes.
Term
ionized
Definition
The mucosal lining of the GI tract is largely impermeable to the _____ form of a weak acid or base.
Term
pKa of the drug
Definition
What stands for the pH at which half the drug is in its ionized form?
Term
Henderson-Hasselbach Equation
Definition
Which equation shows the influence of ionization on drug absorption?
Term
more rapid
Definition
For a given pKa (and therefore relative degree of ionization) the  larger the lipid solubility, the ______  the absorption is.
Term
small intestine
Definition
From which organ is drug absorption the fastest?
Term
suppressed
Definition
Absorption is facilitated at sites where ionization is _________.
Term
decreases
Definition
Slowing the rate of gastric emptying ______ the rate of drug absorption.
Term
small intestine
Definition
Where must weak bases get absorbed?
Term

passive diffusion

 

 

*this is called ion trapping

Definition
Drugs that cross membranes by what tranport system tend to accumulate in compartments where the degree of ionization is the greatest?
Term

1. vascular

2. interstitial

3. intracellular

Definition
Once a drug gains access to the vascular compartment, the body water may be regarded as partitioned into three compartments. What are these compartments?
Term
Volume of distribution
Definition
What relates the amount of drug in the body to the plasma concentration?
Term
3-5L
Definition
What is the Vd for vascular?
Term
10-20L
Definition
What is the Vd for extracellular?
Term
35-50L
Definition
What is the Vd for total body H20?
Term
extravascular tissues
Definition
Where has binding occurred if the Vd exceeds the total body water?
Term
Clearance (Cl) & Volume of Distribution (Vd)
Definition
Which two determinants affect the pharmacokinetic behavior of a drug?
Term
Ke=Cl/Vd
Definition
What is the equation for pharmacokinetic behavior of a drug?
Term

Higher = aspirin (11)

 

*Heparin (5)

Definition
Which drug has a higher Vd, heparin or aspirin?
Term
albumin
Definition
What plasma protein is used for binding acidic drugs?
Term

Alpha 1 acid glycoprotein

 

*primarily weak bases

Definition
Which plasma proteins are used for binding basic drugs?
Term
lipoproteins
Definition
What plasma proteins transport drugs that are lipid soluble?
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