| Term 
 
        | Drug administration types |  | Definition 
 
        | Enteral (Oral, sublingual, subrectal), Parenteral (IV, intramuscular, subcutaneous, transdermal, intra osseous, intra rperitoneal, intra thecal, intra pulmonary: never HCO3- this way) |  | 
        |  | 
        
        | Term 
 
        | Most common way that drugs move across membranes |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | drugs with a high first pass effect |  | Definition 
 
        | lidocaine, morphine, meperidine, aspirin, propranolol, verapamil, cyclosporine, amitriptylin, imipramin |  | 
        |  | 
        
        | Term 
 
        | Volume of distribution examples |  | Definition 
 
        | imipramine (2100, antidepressant that crosses blood brain barrier), lidocaine (80), Heparin (6: interferes with coagulation, stays in blood) |  | 
        |  | 
        
        | Term 
 
        | Volume of distribution formula |  | Definition 
 
        | Vd = Dose/C0 (Dose given, Concentration in blood initially) |  | 
        |  | 
        
        | Term 
 
        | Phase I and II metabolism are also known as? Where does it take place? |  | Definition 
 
        | oxidation (I), conjugation (II) in liver |  | 
        |  | 
        
        | Term 
 
        | CYP450 metabolism of these drugs -1A2
 -3A4
 -2C9
 -2D6
 |  | Definition 
 
        | -Xanthines (1A2) -Erythromycin (3A4)
 -Phenytonin (2C9)
 -Debrisoquine (2D6)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | barbituates, carbamazepine, glucocorticoids, phenytoin, rifampin (orange color), St. John's wort |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | cimetadine, nefazadone, grapefruit juice, azole antifungals, ciprofloxacin, erythromycin |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Clearance of drug/Clearance of creatinine (5 is highest, penicillin) |  | 
        |  | 
        
        | Term 
 
        | Organic Anion Transporter (used to secrete these substances into proximal tubules) |  | Definition 
 
        | Endogenous: cAMP, PG, bile salts Exogenous: penicillin, probenecid (boosts penicillin plasma levels)
 |  | 
        |  | 
        
        | Term 
 
        | Organic Cation Transporter (used to secrete these substances into proximal tubules) |  | Definition 
 
        | Endogenous: Dopamine, norepinephrine, epinephrine, creatinine Exogenous: cimetidine, ranitidine, morphine
 |  | 
        |  | 
        
        | Term 
 
        | Creatinine clearance formula (for renal impairment) |  | Definition 
 
        | CCr = (140-age)(weight in kg)/ (72 x Serum creatinine) 72 -> 84 in females, 0.8 to 1.4 mg/dL is normal. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Clearance = Vd * Ke where Ke = (0.7/t1/2)
 t1/2 is half life
 Ke is the elimination constant
 |  | 
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