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Pharmacology Basics
drug absorption, metabolism, and elimination
47
Veterinary Medicine
Not Applicable
05/05/2014

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Cards

Term
How will concentration differences in tissues affect drug absorption?
Definition
absorption will be enhanced if there is a higher concentration outside the cell compared to inside the cell
Term
What are lipophilic drugs? 
Definition
lipid soluble drugs
Term
Why are lipid soluble drugs more readily absorbed?
Definition
because of the lipid barrier of the cell membranes
Term
What are exampled of liphilic (lipid soluble) drugs?
Definition
enrofloxacin (Baytril) and prednisone
Term
What are hydrophilic drugs?
Definition
water soluble
Term
Are hydrophilic (water soluble) drugs well absorbed?
Definition
No
Term
What route may hyrophilic (water soluble) drugs need to be administered by?
Definition
parenteral routes
Term
What are some examples of hydrophilic (water soluble) drugs?
Definition
aminoglycoside antibiotics, such as gentamicin
Term
Will nonionized (not electrically charged) drugs be well absorbed?
Definition
Yes, these drugs will be absorbed better
Term
Will ionized (electrically charged) drugs be well absorbed?
Definition
No, they will be poorly absorbed
Term
What can the acidic environment of the stomach do to some drugs?
Definition
It can cause some drugs to become ionized as they pass through
Term
What are the 7 routes of administration?
Definition

1. topical

2. oral

3. injectable

4. inhalation

5. rectal

6. intradermal

7. intraperitoneal

Term
What is a benefit of topical medication?
Definition
allows for medications to have local affects with less chance of side effects
Term
What drug is broken down by the acidity of the stomach and cannot be given reliably by mouth?
Definition
penicillin G
Term
Which drugs are absorbed better: weak acids or weak bases?
Definition
Weak bases
Term
Which drugs will the acidity of the stomach effect more? Weak acids or weak bases?
Definition
Weak bases, they are more ionized by acidity.
Term
Where in the GI tract are most drugs absorbed? Why?
Definition
The small intestine; the moderate pH of the small intestine (ph=8) favors absorption
Term
Will drugs be absorbed faster when given IM or SQ? Why?
Definition
IM, because of increased blood flow
Term
What drugs might you choose to give IV?
Definition
Drugs that are irritating to tissues, such a chemotherapy drugs
Term
What is a generic or chemical name?
Definition

 related to the chemical structure of the drug

ex: amoxicillin, carprofen

Term
What is a trade name?
Definition

A name given by the manufacturer

ex: Amoxi-Tabs, Rimadyl

Term
What is a generic equivalent drug?
Definition
A drug that is similar to a drug produced by a certain manufacturer, generally these drugs will have a similar effectiveness
Term
What is dosage vs dose?
Definition

dosage: amount of drug given per unit of body weight


dose: amount of drug given at one time

Term
What does "Rx" on a drug label mean?
Definition
the drug is prescription only
Term
Why might drugs be prescription only?
Definition

If they are considered 

1. toxic

2. potentially toxic if misused

3. easily misused

Term
What does "C" on a drug label mean?
Definition
The drug is a controlled substance
Term
How might plasma binding effect drug distribution?
Definition

If a drug is bound to proteins in the plasma it will remain in the body for a longer time. Binding may delay effectiveness of drugs (may delay attachment to receptor sites)

Term
What plasma protein are drugs usually bound to?
Definition
albumin
Term
What is bioavailability?
Definition

It means that only free or unbound drug will be able to react with the receptors of the target organ

for example, often drugs will be bound to plasma protein and will be unavailable to react

Term
Where does drug accumulation most often occur?
Definition
in the fat, muscle and liver
Term
Which drugs are most likely to accumulate in fat stores (lipid soluble or non-lipid soluble)?
Definition

Highly lipid soluble drugs 

ex: thiopental 

Term
What is a loading dose?
Definition
A dose given to initially saturate the tissue receptors, is often higher than regular doses
Term
Why should you no mix drugs in the same syringe unless directed to do so?
Definition

some drugs are inactivated through:

1. potential changes in the pH of the solutions

2. chemical precipitates may form

2. contamination of the vials may also result

Term
What are the 3 organs of metabolism?
Definition
liver, kidney, and small intestine 
Term
What is conjugation?
Definition
the attachment of molecules to a drug
Term
Are cats generally slower or faster at conjugation than dogs?
Definition
slower
Term
What is biotransformation?
Definition
the metabolism of drugs
Term
Which animals are slower at biotransformation and why?
Definition
geriatrics and newborns, because the liver enzyme system is not fully developed until 30 - 60 days of age
Term
Why can repeatedly giving a drug cause a tolerance?
Definition
Because it will cause enzymes in the liver to be produced that will enhance the elimination of the drug
Term
How does the pH of urine effect drugs excretion?
Definition
if the urine is weakly basic then drugs that are weakly acidic are more likely to be eliminated by this route
Term
What is an example of a drug that is eliminated unchanged by the kidney?
Definition
Ketamine
Term
How does gentamicin effect its own excretion?
Definition

It damages the renal tubules and in this way interferes with its own elimination

Term
What is an example of a drug that will be eliminated from the body in the bile in an active form? 
Definition
Droncit
Term
What is enterohepatic circulation?
Definition

It's when some drugs may be reabsorbed from the intestine after arriving there in the bile

This may cause the drug to persist in the body much longer

Term

True or False,

drugs may be eliminated in small amounts in saliva and sweat? 

Definition
True
Term

Tru or False,

some drugs that are not absorbed by the GI tract are eliminated by the intestine?

Definition
True 
Term
What is the half life of a drug?
Definition
the amount of time (usually expressed in hours) that is takes for the quantity of drug in the body to be reduced by 50%.
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