| Term 
 | Definition 
 
        | Absorption, distribution, metabolism, excretion 
 What happens to a drug when it enters the body
 |  | 
        |  | 
        
        | Term 
 
        | What are the two routes of drug administration? |  | Definition 
 
        | Extravascular and intravascular |  | 
        |  | 
        
        | Term 
 
        | What are the two ways for intravascular drug administration? |  | Definition 
 
        | Intravenous and intra-arterial |  | 
        |  | 
        
        | Term 
 
        | What is a benefit to intravascular drug administration? |  | Definition 
 
        | 100% of drug is available to the circulatory system |  | 
        |  | 
        
        | Term 
 
        | List examples of extravascular drug administration |  | Definition 
 
        | Oral, transdermal, suppositories, sublingual, subcutaneous, intramuscular, hypodermic |  | 
        |  | 
        
        | Term 
 
        | If a drug is injected, is it 100% available to the circulatory system? |  | Definition 
 
        | No, not necessarily. Intramuscular injection is not 100% absorbed. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The peak concentration of drug in the body |  | 
        |  | 
        
        | Term 
 
        | Will a drug concentration ever reach zero? |  | Definition 
 
        | No, due to half life, it theoretically never reaches zero.   After a while (4 half lives or so) we just pretend that it is zero. |  | 
        |  | 
        
        | Term 
 
        | Describe the graph for an intravascular drug concentration in the body |  | Definition 
 
        | Starts at Cmax and then approaches zero |  | 
        |  | 
        
        | Term 
 
        | Describe the graph for an extravascular drug concentration in the body |  | Definition 
 
        | Slowly increases as drug is absorbed to Cpeak (at Tmax) then reduces to approach zero |  | 
        |  | 
        
        | Term 
 
        | What is Cpeak? When does Cpeak happen? |  | Definition 
 
        | Cpeak is when an extravascular drug is at its highest blood concentration. The time this occurs is called Tmax |  | 
        |  | 
        
        | Term 
 
        | What are the steps of oral absorption? |  | Definition 
 
        | Drug in stomach: 1. Disintegration
 2. Dissolution (going into solution)
 Then a percentage passes epithelium into circulation
 |  | 
        |  | 
        
        | Term 
 
        | What factors affect absorption through GI epithelium? |  | Definition 
 
        | 1. MW (lower, <500, is easier absorbed) 2. pKa 3. Solubility 4. Dosage form (liquid faster than tablet) 5. Anatomy and physiology of gut |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Various transport processes that take the drug from the site of absorption to general circulation |  | 
        |  | 
        
        | Term 
 
        | What is the medium through which the drug distributes? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | List some factors that affect drug distribution |  | Definition 
 
        | Body tissue characteristics, disease state, lipid solubility, regional pH differences, extend of drug protein binding |  | 
        |  | 
        
        | Term 
 
        | What are some organs highly perfused with blood? What are some areas poorly perfused? |  | Definition 
 
        | High- heart, liver, lungs, kidneys Medium- skeletal muscle
 Low- fat tissue, brain, bone
 |  | 
        |  | 
        
        | Term 
 
        | How would disease state affect drug distribution? |  | Definition 
 
        | If there is a disease that affects blood perfusion, such as heart failure, drugs are less/slower distributed |  | 
        |  | 
        
        | Term 
 
        | What form of a drug is more lipid/membrane soluble? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What drug form is less fat soluble? |  | Definition 
 
        | Polar, hydrophyllic, ionized 
 Ex. Aminoglycosides
 |  | 
        |  | 
        
        | Term 
 
        | Give an example of how regional differences in pH can trap a drug in a tissue |  | Definition 
 
        | Some drugs are unionized at 7.4 and pass into breast tissue. Once inside, they ionize due to acidic pH and become trapped. 
 Another example- urine
 |  | 
        |  | 
        
        | Term 
 
        | List some common binding proteins found in the blood. How do they affect drug distribution? |  | Definition 
 
        | Albumin, α-acid glycoprotein, and lipoprotein 
 Bound drugs don't pass through membranes
 |  | 
        |  | 
        
        | Term 
 
        | What is another term for metabolism? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | When drugs are acted on by liver enzymes and converted to metabolites (therapeutically inactive products) |  | 
        |  | 
        
        | Term 
 
        | What is phase I of metabolic processes? |  | Definition 
 
        | Oxidation, reduction, and hydrolysis |  | 
        |  | 
        
        | Term 
 
        | What is phase II of metabolic processes? |  | Definition 
 
        | Conjugation (something added to the drug, often gluconic acid) to increase polarity 
 aka synthetic reactions
 |  | 
        |  | 
        
        | Term 
 
        | What is the overall goal of metabolism? |  | Definition 
 
        | To render a drug inactive and to make it more hydrophillic (polar) to be excreted in the urine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The sum of metabolic and excretion processes in the body |  | 
        |  | 
        
        | Term 
 
        | Renal excretion is the sum of what three kidney mechanisms? |  | Definition 
 
        | 1. Glomerular filtration 2. Tubular secretion
 3. Tubular reabsorption
 |  | 
        |  | 
        
        | Term 
 
        | What is the most common mode of drug administration? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are downsides to oral drug administration? |  | Definition 
 
        | Some is lost in degradation, drug absorbed in an unpredictable manner, drugs can't be given to patients with nausea, GI intolerance, or unconsciousness |  | 
        |  | 
        
        | Term 
 
        | Other than urine, what ways can drugs be excreted? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any route other than the GI tract (usually means injection) 
 para=outside enteron=intestine
 |  | 
        |  | 
        
        | Term 
 
        | What is a requirement for parenteral drug formulations? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | List the parenteral needle routes from shortest needle to longest needle |  | Definition 
 
        | Intradermal, subcutaneous, intravenous, intramuscular |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Intravenous and (less commonly) intratria, introduction of drug directly into vasculature |  | 
        |  | 
        
        | Term 
 
        | What are benefits to intravascular administration? |  | Definition 
 
        | Bypasses absorption, rapid and complete drug availability in systemic circulation, good for emergencies |  | 
        |  | 
        
        | Term 
 
        | What are downsides to intravascular administration? |  | Definition 
 
        | Painful, infection risk, requires skill and training to administer |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Administration into muscle tissue |  | 
        |  | 
        
        | Term 
 
        | Where are the common sites of intramuscular injection? |  | Definition 
 
        | Deltoid, vastus lateralis, gluteus |  | 
        |  | 
        
        | Term 
 
        | When would intramuscular administration be used? |  | Definition 
 
        | When a predictable and uniform absorption is desired over immediate effect |  | 
        |  | 
        
        | Term 
 
        | What are downsides to intramuscular administration? |  | Definition 
 
        | Slower, irritation around injection site, painful, requires skill/training to administer |  | 
        |  | 
        
        | Term 
 
        | Define subcutaneous administration |  | Definition 
 
        | Drug is injected into the connective tissue below the skin |  | 
        |  | 
        
        | Term 
 
        | Why would subcutaneous injection be chosen? |  | Definition 
 
        | If a slower rate of absorption is desired; to avoid an intense, short, frequent dosage |  | 
        |  | 
        
        | Term 
 
        | What are classic examples of subcutaneous injections? |  | Definition 
 
        | Insulin, sodium heparin (can't be oral and need to be absorbed slowly over hours) |  | 
        |  | 
        
        | Term 
 
        | What is a benefit of subcutaneous over iv or im? |  | Definition 
 
        | Subcutaneous doesn't require medical supervision and can be self administered |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Drug is injected into a skin layer, uncommon |  | 
        |  | 
        
        | Term 
 
        | When would intradermal be used? |  | Definition 
 
        | Usually for diagnostic and test procedures, such as allergy testing or PPD testing |  | 
        |  | 
        
        | Term 
 
        | Define intrathecal administration |  | Definition 
 
        | Drug is injected into spinal canal |  | 
        |  | 
        
        | Term 
 
        | When is intrathecal administration used? |  | Definition 
 
        | Spinal anesthesia, chemotherapy, or pain management |  | 
        |  | 
        
        | Term 
 
        | Define intraperitoneal administration |  | Definition 
 
        | Drug is injected into the peritoneum (aka paritoneal cavity), a serous membrane which forms the lining of abdominal cavity |  | 
        |  | 
        
        | Term 
 
        | When would intraperitoneal administration be used? |  | Definition 
 
        | When large amounts of blood replacement fluids or needed; when low blood pressure prevents use of suitable iv |  | 
        |  | 
        
        | Term 
 
        | When would topical drug administration be used? |  | Definition 
 
        | When localized effects are required |  | 
        |  | 
        
        | Term 
 
        | What are the three categories of drug administration? |  | Definition 
 
        | Oral, parenteral, topical |  | 
        |  | 
        
        | Term 
 
        | Define inhalation administration |  | Definition 
 
        | Nose/lung delivery system |  | 
        |  | 
        
        | Term 
 
        | When would a nose inhalation administration be used? |  | Definition 
 
        | If the drug is a decongestant |  | 
        |  | 
        
        | Term 
 
        | When would a lung inhalation administration be used? |  | Definition 
 
        | Anti-asthmatic or to manage COPDs with bronchiodialators, corticosteroids 
 (Side note- Nebulizers are used if the patient cannot take a deep enough breath for a metered dose inhaler)
 |  | 
        |  | 
        
        | Term 
 
        | Define dermal drug administration |  | Definition 
 
        | Drug is applied directly on the intended region to treat skin disorders 
 Also, transdermal administration is when drug is introduced into circulation after application to the skin
 |  | 
        |  | 
        
        | Term 
 
        | Give an example of a disease requiring dermal topical administered drug |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Give an example of a transdermal topical administered drug |  | Definition 
 
        | Scoplamine patch for motion sickness |  | 
        |  | 
        
        | Term 
 
        | Define oral mucosal administration |  | Definition 
 
        | Drug is administered in the form of gel or paste in the mouth for localized effect |  | 
        |  | 
        
        | Term 
 
        | Give an example of a complaint requiring oral mucosal topical administered drug |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What form are rectal/vaginal administered drugs in? |  | Definition 
 
        | Suppositories, ointments, or creams |  | 
        |  | 
        
        | Term 
 
        | What sorts of diseases would require rectal/vaginal drug administration |  | Definition 
 
        | (I'm sure we all just got some lovely mental images) 
 Localized infection, hemorrhoids, inflammation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Topical drug administration in the form of solution to treat various eye infections or to manage post operative eye |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Injection into the vitreous of the eye |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Injection directly into the heart. Rare. example: epinephrine in cardiac arrest |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Penile injection, often used to treat erectile dysfunction (phenylephrine) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A homogenous molecular dispersion of two or more components |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The concentration of solute dissolved in a unit of solvent in equilibrium at a certain temperature |  | 
        |  | 
        
        | Term 
 
        | How is solublilization related to precipitation? |  | Definition 
 
        | They are in equilibrium and can shift to either side |  | 
        |  | 
        
        | Term 
 
        | Define solubility constant Ksolubility |  | Definition 
 
        | Ksolubility= solubilization rate/precipitation rate |  | 
        |  | 
        
        | Term 
 
        | What are the three work-requiring steps of dissolution? |  | Definition 
 
        | 1. Molecular breakdown of solute 2. Creation of molecular space for solute molecules
 3. Integration of solute molecules
 |  | 
        |  | 
        
        | Term 
 
        | Define heat of solution (ΔHsolution) |  | Definition 
 
        | The heat absorbed per mole when a small quantity of solute is added to a large quantity of solution |  | 
        |  | 
        
        | Term 
 
        | Give the formula for heat of solution (ΔHsolution) |  | Definition 
 
        | ΔHsolution = ΔH sublimation + ΔH hydration |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Energy required to separate 1 mole of solute into its ions in gaseous states |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Heat liberation when one mole of gaseous ions are hydrated |  | 
        |  | 
        
        | Term 
 
        | How are ΔH solution and solubility related? |  | Definition 
 
        | The lower the ΔH solution, the more soluble (inversely related) |  | 
        |  | 
        
        | Term 
 
        | Define solubility product |  | Definition 
 
        | A property of only slightly soluble electrolytes   AaBb  ↔ aA+ + bB- |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | K'sp= [A+]a[B-]bMake sure you know how to solve. For example, moles need to be doubled if 2 are produced in solution, then squared as indicated by the ^a and ^b above   Has the ' because it is not ideal mathematically |  | 
        |  | 
        
        | Term 
 
        | When will a solution precipitate (based on ion product and solubility product)? |  | Definition 
 
        | Precipitation will occur if ionic product > solubility product |  | 
        |  | 
        
        | Term 
 
        | What happens if a common ion is added to a solution? |  | Definition 
 
        | It shifts the equilibrium to the left (reducing solubility) because it increases ionic product |  | 
        |  | 
        
        | Term 
 
        | What happens if an indifferent ion is added to a solution? |  | Definition 
 
        | Equilibrium is shifted towards the right (increasing solubility) |  | 
        |  | 
        
        | Term 
 
        | Why does an indifferent electrolyte increase solubility? |  | Definition 
 
        | From his notes: Because it increases ionic strength, which reduces the "activity coefficient" of the sparingly soluble salt
From what I understand: Because the indifferent ions will bind to the solute ions, reducing common ion availability and forming more soluble products |  | 
        |  | 
        
        | Term 
 
        | Define activity coefficient |  | Definition 
 
        | A function of the work of solubilization and the volumes of solute and solvent   Xideal x γ = X real   Relates real and ideal work of solubilization |  | 
        |  | 
        
        | Term 
 
        | How does addition of an indifferent electrolyte decrease γ ? |  | Definition 
 
        | Ideal Ksp = γAB x [A+][B-]   So Ideal Ksp = γAB x Apparent Ksp     Apparent Ksp = Ideal Ksp / γAB   (γAB  and Apparent Ksp are inversely related) |  | 
        |  | 
        
        | Term 
 
        | Give an example of a clinical discovery where an indifferent ion was added into a solution |  | Definition 
 
        | Oral or iv administration of phosphate salts lowers serum calcium concentration in hypercalemic human subjects. 
 Once calcium was precipitated as CaHPO4, it could be eliminated
 |  | 
        |  | 
        
        | Term 
 
        | Why does heating enhance solubility in liquids (most of the time)? |  | Definition 
 
        | Because of LeChatlier's principle. Solubilization is usually endothermic, by adding heat the reaction can shift to lead to more solubilization |  | 
        |  | 
        
        | Term 
 
        | How do cosolvents aid solubility? |  | Definition 
 
        | Cosolvents aid in dissolving unionized molecules, especially if the solute is nonpolar |  | 
        |  | 
        
        | Term 
 
        | When do cosolvents decrease solubility? |  | Definition 
 
        | If the solute is polar 
 (water is already polar so adding a nonpolar cosolvent would decrease solubility)
 |  | 
        |  | 
        
        | Term 
 
        | List some common co-solvents |  | Definition 
 
        | Glycerin, ethyl alcohol, propylene glycol, polyethylene glycol |  | 
        |  | 
        
        | Term 
 
        | How does pH assist solubility? |  | Definition 
 
        | Adding an acid or base promotes ionization, ionized solutes have strong ion-dipole interactions with water |  | 
        |  | 
        
        | Term 
 
        | What is another way to represent HA ↔ H+ + A- ? |  | Definition 
 
        | S= So + Si 
 So is unionized
 Si is ionized
 |  | 
        |  | 
        
        | Term 
 
        | Give the Henderson-Hasselbach equation for solubility |  | Definition 
 
        | ph= pKa + log (S-So/So) 
 For weak acid
 
 ph= 14- pKa + log (So/S-So)
 
 For weak base
 |  | 
        |  | 
        
        | Term 
 
        | What happens when alcohol is added to an aqueous solution of weak electrolytes? |  | Definition 
 
        | Increases the solubility of un-ionized species 
 Decreases solubility by raising pKa
 |  | 
        |  | 
        
        | Term 
 
        | How do surfactants influence solubility? |  | Definition 
 
        | Increases: Ionized drug remains in the water phase, unionized are allowed to reside in the hydrophobic core of micelles
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Enhances solubility to a maximum level before saturation; works through relatively weak forces such as hiding hydrophobicity |  | 
        |  | 
        
        | Term 
 
        | Give some examples of complexing agents |  | Definition 
 
        | Ammonia, caffeine, phenols, EDTA (chelation), cyclodextrins, molecular complexes PEG, PVP, methyl cellulose |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cycles of glucose (with a cavity) that increase solubility of hydrophobic drugs through complexation (hiding hydrophobic groups in core) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Modifying a drug so it is more soluble for transport across the membrane. After transport, metabolism turns it back into the active drug. |  | 
        |  | 
        
        | Term 
 
        | Give an example of prodrug strategy |  | Definition 
 
        | Methyldopa (active drug) is converted to methyldopate ester (prodrug) and solublized as hydrochloric salt for preparation of iv injection |  | 
        |  | 
        
        | Term 
 
        | How does mitrometrics influence solubility |  | Definition 
 
        | All he wants us to know is that decreasing particle size or asymmetry increases solubility |  | 
        |  | 
        
        | Term 
 
        | List the steps of phase-solubility analysis |  | Definition 
 
        | 1. Mix in increasing amount of solvent at constant temp and pressure 2. Separate undissolved solution and estimate dissolved solute
 3. Plot solution concentration vs system concentration
 |  | 
        |  | 
        
        | Term 
 
        | What is Gibb's phase rule |  | Definition 
 
        | F=C-P+2 
 Degrees of freedom= #components - #phases + 2
 |  | 
        |  | 
        
        | Term 
 
        | When calculating degrees of freedom, what are the degrees used? |  | Definition 
 
        | 1. Concentration 2. Temperature
 3. Pressure
 
 Subtract them if they are constant!
 |  | 
        |  | 
        
        | Term 
 
        | What do miscibility of liquids depend on? |  | Definition 
 
        | Internal pressures (ex. polarity is a high internal pressure) |  | 
        |  | 
        
        | Term 
 
        | Define complete miscibility |  | Definition 
 
        | Solvents are miscible in any proportion |  | 
        |  | 
        
        | Term 
 
        | If a solute is added to a binary liquid-liquid system, what happens? |  | Definition 
 
        | It is now a ternary system   A) If solute is only soluble in liquid, miscibility is decreased B) If solute is equally soluble in both liquids, miscibility is increased (blending) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Increased miscibility in a liquid-liquid system due to addition of a solute that is equally soluble in both liquids |  | 
        |  | 
        
        | Term 
 
        | What happens when a solute is added to immiscible solvents? |  | Definition 
 
        | The solute distributes itself between two layers in a definite ratio, K (distribution/partition coefficient)
K= C1(oil)/C2(water)
or
K= C1(water)/C2(alcohol) |  | 
        |  | 
        
        | Term 
 
        | If a solute is ionizing in one of the solvents, what happens to the distribution coefficient? |  | Definition 
 
        | It is now K' and you add the unionized form of the solute to the concentration where it is dissociating |  | 
        |  | 
        
        | Term 
 
        | *I just want to include a note here that I did not attempt to make flashcards for the equation manipulations for the "distribution" notes. It is math rearrangement that does not translate well to flashcards. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is required for preservatives to work? |  | Definition 
 
        | They need to partition into microbes to work 
 ex. Benzoic acid needs to be in [HA], water phase
 |  | 
        |  | 
        
        | Term 
 
        | Define octanol-water partician coefficient |  | Definition 
 
        | An indication of lipophilicity or hydrophilicity of a drug. A drug with higher coefficient is stronger and longer lasting |  | 
        |  | 
        
        | Term 
 
        | What is the octanol/water coefficient required for oral administration? |  | Definition 
 
        | Log of the partition coefficient must be <5 |  | 
        |  | 
        
        | Term 
 
        | What are Lipinski's rule for oral administration? |  | Definition 
 
        | An orally active drug has no more than one violation of the following criteria: 
 1. Not more than 5 hydrogen bond donors (nitrogen or oxygen atoms with one or more hydrogen atoms)
 2. Not more than 10 hydrogen bond acceptors (nitrogen or oxygen atoms)
 3.  A molecular mass not greater than 500 daltons
 4.  An octanol-water partition coefficient[3] log P not greater than 5
 
 Notice all the rules have multiples of 5 in them!
 |  | 
        |  | 
        
        | Term 
 
        | What are benefits to oral solutions over oral tablets/capsules? |  | Definition 
 
        | -Better for infants, pediatrics, geriatic, psychiatric -Therapeutically effective and diverse
 -Minimizes "cheeking"
 |  | 
        |  | 
        
        | Term 
 
        | What are disadvantages to oral solutions over oral tablets/capsules? |  | Definition 
 
        | -Less stable -Some drugs are not soluble
 -Must mask taste
 -Bulky, hard to transport
 -Requires patient measurement
 |  | 
        |  | 
        
        | Term 
 
        | What are the three phase types of solutions? |  | Definition 
 
        | Solids in liquids, liquids in liquids, gases in liquids |  | 
        |  | 
        
        | Term 
 
        | What solutes, other than the drug, are often added to solutions? |  | Definition 
 
        | Color, flavor, sweetness, stability, buffering salts, preservatives |  | 
        |  | 
        
        | Term 
 
        | What is a consideration when adding dye to solutions? |  | Definition 
 
        | The pH needs to be watched because the dye might precipitate out |  | 
        |  | 
        
        | Term 
 
        | Give two examples of official aqueous saturated solutions |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | List three auxiliary solvents |  | Definition 
 
        | Alcohol, glycerin, propylene glycol |  | 
        |  | 
        
        | Term 
 
        | What is a recent concern of using propylene glycol as a solvent? |  | Definition 
 
        | The WHO recently established a maximum daily intake (though there is no known toxicity dose) 
 Concerns of lethargy, apnea, and metabolic acidosis in pediatrics
 |  | 
        |  | 
        
        | Term 
 
        | What are the three ways to get purified water? |  | Definition 
 
        | Distillation, ion exchange treatment, or reverse osmosis |  | 
        |  | 
        
        | Term 
 
        | What is the definition of a purified water? |  | Definition 
 
        | When evaporated, it must not yield more than 0.001% residue (100x more pure than tap water) |  | 
        |  | 
        
        | Term 
 
        | What are four types of USP waters? |  | Definition 
 
        | 1. Purified water 
 2.Water for injection (most widely used)
 
 3. sterile water for injection (packaged in single dose containers)
 
 4. Bacteriostatic water for injection (contains antimicrobial agents)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ethanol, ethyl alcohol 95-96% |  | 
        |  | 
        
        | Term 
 
        | Describe dehydrated alcohol, USP |  | Definition 
 
        | No less than 99.5% ethanol 
 Used where a water-free alcohol is desired
 |  | 
        |  | 
        
        | Term 
 
        | Describe diluted alcohol, USP |  | Definition 
 
        | Useful mix of alcohol and purified water 
 49%
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 70% ethyl alcohol with water, denaturants, color/purfume, stabilizer 
 Denaturants discourage consumption
 |  | 
        |  | 
        
        | Term 
 
        | Describe isopropyl rubbing alcohol |  | Definition 
 
        | 70% or 91% isopropyl alcohol 
 With water, color/purfume, stabilizers
 
 Used for hypodermic injections and disinfecting skin
 |  | 
        |  | 
        
        | Term 
 
        | What is the first step in making a drug solution? |  | Definition 
 
        | Check the solubility of the drug 
 Remington's or Merck Index
 |  | 
        |  | 
        
        | Term 
 
        | What units are solubility given in |  | Definition 
 
        | Grams of solute per mL of solvent |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A way to test if a drug will still be soluble under storage at non-standard temperatures 
 Solutions are subject to temperature elevations in 10 degree Celsius
 |  | 
        |  | 
        
        | Term 
 
        | When heating a solution to dissolve a drug, what is important to remember? |  | Definition 
 
        | Do not use concentrations higher than the solubility at room temperature |  | 
        |  | 
        
        | Term 
 
        | In liquids, which three solvent combinations are miscible? |  | Definition 
 
        | 1. Alcohol and water 2. Glycerin and water
 3. Glycerin and alcohol
 |  | 
        |  | 
        
        | Term 
 
        | What is the main concern of stability of solutions? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | a pharmacological or immunological agent that modifies the effect of other agents, such as a drug or vaccine, while having few if any direct effects when given by itself |  | 
        |  | 
        
        | Term 
 
        | Define dry mixtures for reconstitution |  | Definition 
 
        | Include everything besides the solvent (usually distilled water) |  | 
        |  | 
        
        | Term 
 
        | Describe rehydration solutions |  | Definition 
 
        | Things like pedialyte with lots of electrolytes, liquid and powder, should not be mixed with electrolyte containing liquids |  | 
        |  | 
        
        | Term 
 
        | Define oral colonic lavage solution |  | Definition 
 
        | An osmotic laxative, has electolytes with polyethylene glycol 
 240mL every 10 minutes until 4L consumed
 |  | 
        |  | 
        
        | Term 
 
        | Define magnesium citrate oral solution |  | Definition 
 
        | A saline cathartic with citric acid, lemon oil, syrup, and carbonation |  | 
        |  | 
        
        | Term 
 
        | Define sodium citrate and citric acid oral solution |  | Definition 
 
        | Used to alleviate gout or uric acid by being an alkalinizer |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sugared vehicles (little or no alcohol), pH varies, must be preserved against bacteria unless sucrose is greater than 65%w/w or 85%w/v |  | 
        |  | 
        
        | Term 
 
        | What are the three types of syrup |  | Definition 
 
        | Simple, flavoring, and medicinal |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 850g sucrose and 450mL water/L 
 Concentrated, but not saturated. Must make sure it is stable at the temperature needed.
 |  | 
        |  | 
        
        | Term 
 
        | Do syrups have a higher or lower solvent power than water? |  | Definition 
 
        | Lower (they are worse solvents) because there is already bonding between syrup and water |  | 
        |  | 
        
        | Term 
 
        | What can replace sugar in syrups? |  | Definition 
 
        | Methylcellulose or hydroxyethylcellulose (important for diabetic patients 
 Cellulose (to increase viscocity) and artificial sweetener
 |  | 
        |  | 
        
        | Term 
 
        | List some antimicrobial preservatives |  | Definition 
 
        | Benzoic acid, sodium benzoate, methylparaben, polyparaben, alcohol, sorbic acid |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Must be water soluble, synthetic or naturally occurring 
 Ex. orange oil, vanillin
 |  | 
        |  | 
        
        | Term 
 
        | What are the three ways to preserve syrups |  | Definition 
 
        | Solution with heat, agitation without heat, percolation |  | 
        |  | 
        
        | Term 
 
        | Define inversion (in a syrup) |  | Definition 
 
        | Under heat, sucrose is hydrolyzed into dextrose and fructose (sweeter and darker) 
 Overheating causes caramelization (more susceptible to decomposition)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Forming an extract of sucrose to prepare a syrup 
 Uncommon
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Clear, sweetened hydroalcoholic solutions 
 Alcohol 5-40%
 
 Less effective in masking taste than syrups
 
 Glycerin is often added to enhance solvent and act as preservative
 |  | 
        |  | 
        
        | Term 
 
        | What are some advantages and disadvantages of elixers? |  | Definition 
 
        | Advantage: flexibility and ease of dosing 
 Disadvantage: alcohol content
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alcoholic or hydroalcoholic solutions prepared from vegetable or chemical substances (Nonvolatile) 
 Alcohol from 15-80%
 
 Can't be mixed in diverse liquids, precipitation is common
 
 Poor taste
 |  | 
        |  | 
        
        | Term 
 
        | If a patient is on metronidazole or chloropropamide, what should they not have? |  | Definition 
 
        | Alcohol-containing substances 
 Disulfurrin reaction, very bad
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Aqueous or aleaginous solutions in the form of course droplets or as finely divided solids to be applied topically |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The amount of NaCl that is osmotically equivalent to 1g of the drug |  | 
        |  | 
        
        | Term 
 
        | Describe aluminum acetate topical solution |  | Definition 
 
        | Applied topically as an astringent wash; used in various types of dermatologic lotions/creams/pastes |  | 
        |  | 
        
        | Term 
 
        | What is another term for CaOH topical solution? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Define Coal Tar topical solution? |  | Definition 
 
        | An alcoholic solution containing 20% coal tar and 5% polysorbate 80 (a nonionic surfactant) |  | 
        |  | 
        
        | Term 
 
        | Define hydrogen peroxide topical solution |  | Definition 
 
        | Local anti-infective for use topically on the skin |  | 
        |  | 
        
        | Term 
 
        | Can you use ear products in the eye? Can you use eye products in the ear? |  | Definition 
 
        | You can use eye products in the ear, but not the other way around |  | 
        |  | 
        
        | Term 
 
        | Define chlorhexidine gluconate solution |  | Definition 
 
        | Broad spectrum antiseptic, used as a surgical scrub and skin cleanser |  | 
        |  | 
        
        | Term 
 
        | Define thimerosal topical solution |  | Definition 
 
        | Water-soluble mercurial antibacterial and mild antifungal agent, also used as a preservative |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Solutions administered rectally for local effects (hydrocortisone) or for systemic absorption (aminophylline) |  | 
        |  | 
        
        | Term 
 
        | What are two examples of topical tinctures |  | Definition 
 
        | Iodine tincture, compound benzoin tincture (prepared by maceration) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | "to soak", a properly comminuted drug is permitted to soak in the menstuum until the soluble constituents are dissolved |  | 
        |  | 
        
        | Term 
 
        | Define spirits (essences) |  | Definition 
 
        | Alcoholic solutions (>60%) of volatile substances 
 Separate from water, used as a flavoring agent, may be taken orally, topically, or inhaled
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alcoholic or oleaginous solutions or emulsions of various medicinal substances intended to be rubbed on the skin |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Liquid preparations composed of pyroxylin dissolved in a solvent mixture 
 Usually composed of alcohol and ether with or without medicinal substances
 |  | 
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