Shared Flashcard Set

Details

Pharmacology
Chapter 5
24
Nursing
Undergraduate 2
02/06/2012

Additional Nursing Flashcards

 


 

Cards

Term
Frequency Distribution Curve
Definition
graphical representation of the number of patients responding to a drug at different doses. Helps in determining inter patient variability in responses to drugs.
Term
Pharmacodynamics
Definition
literally "medicine change" in latin; refers to how the medicine changes the body; concerned with the mechanisms of drug action and relationships between drug concentration and responses in the body.
Term
Median Effective Dose (ED50)
Definition
in the middle of the frequency distribution curve; the does required to produce a specific therapeutic response in 50% of a group of patients (average or standard dose)
Term
Median Lethal Dose (LD50)
Definition
determined in preclinical trials, and is the dose of a drug that will be lethal in 50% of a group of animals.
Term
Therapeutic Index
Definition
the ratio of LD50/ED50.
Term
A large # in therapeutic index infers
Definition
a larger safety margin between ED50 and LD50; the safer the medication
Term
A small # in therapeutic index infers
Definition
a smaller safety margin between ED50 and LD50; the less safe the medication
Term
Median Toxicity Dose (TD50)
Definition
More clinically appropriate since LD50 cannot be determined in humans; it is the done that will produce a given toxicity in 50% of the group of patients; based on animal and patient clinical trials
Term
Graded-dose Response Relationship
Definition
Fundamental concept in Pharmacology; the variability in responses observed within a single person
Term
Graphical representation of a graded-dose response relationship
Definition
dose response curve
Term
Phase 1 of dose-response curve
Definition
occurs at the lowest dose; flattness of this part of the curve represents few target cells have been affected by the drug
Term
Phase 2 of dose-response curve
Definition
straight line portion of the curve - often shows linear relationship between the amount of drug administered and the degree of response obtained from the patient.
Term
Phase 3 of dose-response curve
Definition
a plateau is reached in which increasing the drug dose produces no additional therapeutic response (basically that the drug has brought 100% relief)
Term
Potency
Definition
a drug that has more of this will produce a therapeutic effect at a lower dose compared with another drug in the same class
Term
Efficacy
Definition
magnitude of maximal response that can be produced from a particular drug
Term
What is more important to the success of pharmacotherapy, potency or efficacy?
Definition
Almost always Efficacy
Term
Receptor
Definition
A cellular macro molecule to which a medication binds in order to initiate its effects (most are proteins)
Term
Second messenger
Definition
molecules that relay signals from receptors on the cell surface to target molecules inside the cell
Term
Nonspecific cellular responses
Definition
Drugs acting independently of cellular receptors - associated with changing the permeability of cellular membranes, depressing membrane excitability, or altering the activity of cellular pumps.
Term
Agonist
Definition
A drug that produces the same type of response as the endogenous substance [mimmic-er :)]
Term
Antagonist
Definition
A drug that occupies the receptor and prevent the endogenous chemical from acting - stops the normal functioning of the cell; they often compete with the it's opposite for the receptor binding sites
Term
Partial Agonist
Definition
a medication that produces a weaker, or less efficacious response than an agonist
Term
Functional antagonist
Definition
inhibits the effects of agonist not by competing for a receptor but by changing pharmokinetic factors.
Term
Idiosyncratic Responses
Definition
unpredictable and unexplained drug reactions
Supporting users have an ad free experience!