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Pharm 1
Exam 1
53
Pharmacology
Graduate
09/28/2014

Additional Pharmacology Flashcards

 


 

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Term
Pharmacology
Definition
Study of the effect of chemicals on living tissues
Term
Pharmacokinetics
Definition
Study of the absorption, distribution, metabolism and excretion of drugs.
Term
Pharmaceutics
Definition
The formulation and preparation of drugs.
Term
Pharmacoeconomics
Definition
The study of the economic impact of drugs.
Term
Toxicology
Definition
The study of the harmful effects of chemicals.
Term
Pharmacognosy
Definition
The study of the medicinal uses of naturally occurring compounds.
Term
Pharmacy
Definition
The preparation and dispensing of drugs.
Term
Pharmacogenetics
Definition
Genetic influences by and on drugs.
Term
Pharmacodynamics
Definition
Physiological and biochemical mechanism of action of drugs.
Term
Pharmacogenomics
Definition
Identifies discrete genetic differences among individuals that play a critical role in drug response.
Term
Pharmacoepidemiology
Definition
The study of the use and effect of drugs in large groups of people.
Term
Ligand
Definition
Chemical substances that bind to a specific receptor
Term
Agonist
Definition
Binds to a receptor and stimulates the function that receptor serves
Term
Antagonist
Definition
Binds to a receptor and blocks the function that receptor serves.
Term
Competitive binding
Definition
Reversible binding. Ex: most drugs.
Term
Noncompetitive binding
Definition
Nonreversible binding. Ex: aspirin binding to platelets permanently.
Term
ED50
Definition
Effective dose in 50% of population
Term
TD50
Definition
Toxic dose in 50% of population
Term
LD50
Definition
Lethal dose in 50% of population
Term
LD50/ED50
Definition
Therapeutic index
Term
Strong to weak:
Covalent
Ionic
Hydrogen
Hydrophobic
Van der Waals
Definition
Put the following bonds in order from strongest to weakest:
Hydrophobic, ionic, hydrogen, covalent, van der waals.
Term
Affinity (potency), efficacy, variability, slope (margin of safety)
Definition
4 factors the dose response curve allows you to determine
Term
Down-regulation
Definition
Continued stimulation of cells with agonists resulting in a state of desensitization. The effect that follows continued or subsequent exposure to the same concentration of drug is diminished. (Tolerance)
Term
Up-regulation
Definition
Results from chronic administration of an antagonist. The # and sensitivity of the receptors increase as a response to chronic blockade. Pt develops tolerance and requires higher doses of the antagonist to counteract the increasing receptor #.
Term
Bioavailability
Definition
The % of a drug contained in a drug product that enters the systemic circulation in an unchanged form after administration of the product.
Term
Interaction
Definition
Alteration in the therapeutic action of a drug by concurrent administration of other exogenous chemicals
Term
Addition
Definition
Combined effect of two drugs acting via the same mechanism is equal to that expected by simple addition of their individual actions. 1+1=2
Term
Synergism
Definition
Combined effect of two drugs is greater than the algebraic sum of their individual effects. 1+1=3
Term
Potentiation
Definition
Enhancement of the action of one drug by a second drug that has no detectable action of its own. 1+0=3
Term
Antagonism
Definition
The action of one drug opposes the action of another. 1+1=0
Term
pKa
Definition
The pH at which the drug will exist in solution as 50% ionized and 50% nonionized.
Term
Oxidation, reduction, and hydrolysis
Definition
Parts included in Phase 1 of drug metabolism.
Term
Conjugation and synthesis.
Definition
Parts of Phase 2 of drug metabolism.
Term
Stage 1 (analgesia)
Definition
From beginning of induction to loss of consciousness. Mild analgesia associated with this stage
Term
Stage 2 (delerium)
Definition
From loss of consciousness to onset of automatic rhythmicity of vital signs. Response to stimulation is violent and exaggerated. Increased muscle tone, jaw sets, eyelids close, may be breath holding and retching, nystagmus.
Term
Stage 3 (surgical anesthesia)
Definition
From end of stage 2 to cessation of respiration.
Plane 1: loss of lash, retching, and vomiting reflexes. BP and pulse normal.
Plane 2: loss of corneal and laryngeal reflexes (can insert ETT). BP and pulse near normal.
Plane 3: beginning hypotension and tachycardia. Diaphragmatic respirations - increased RR and decreased TV.
Plane 4: resp jerky and shallow, BP falling with accelerated pulse, marked pupillary dilation, complete muscle relaxation.
Term
Stage 4 (medullary paralysis)
Definition
From cessation of respiration to death. All reflexes absent. Flaccid paralysis. Marked hypotension with weak, irregular pulse.
Term
True
Definition
T/F: it is easier to suppress inhibitory vs excitatory pathways during anesthesia.
Term
2%
Definition
Sevoflurane MAC
Term
0.6
Definition
Blood/gas partition coefficient of Sevo
Term
50
Definition
Oil/gas partition coefficient of sevo
Term
1.15%
Definition
MAC of isoflurane
Term
1.4
Definition
Blood/gas partition coefficient of Isoflurane
Term
99
Definition
Oil/gas partition coefficient of Isoflurane
Term
105%
Definition
MAC of N2O
Term
0.47
Definition
Blood/gas partition coefficient of N2O
Term
1.4
Definition
Oil/gas partition coefficient of N2O.
Term
5.8%
Definition
MAC of desflurane
Term
0.42
Definition
Blood/gas partition coefficient of desflurane
Term
18.7
Definition
Oil/gas partition coefficient of desflurane
Term
MAC
Definition
Minimum alveolar concentration required to achieve surgical anesthesia in 50% of pts exposed to a noxious stimuli.
Term
MAC-awake
Definition
Alveolar concentration of anesthetic that inhibits responses to commands in half the pts.
Term
MAC-bar
Definition
Alveolar concentration of anesthetic that Blunts the Autonomic Response to noxious stimuli. Appx 1.6x higher than MAC.
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