3th Flashcards
What separates body compartments
Capillary walls and cell membranes
One compartmental model drugs (trapped in plasma compartment)
Heparin&dextran
Two compartmenal model (ECF) drugs
Aminoglycoside & mannitol
Multi-compartemntal model(ECF+ICF)
Ethanol & sulphonamide
Tissue reservior:iodine
Thyroid & salaivary glands
Tissue reservior: calcium and tetracycline
Bones & teeth
Tissue reservior: chloroquine
Liver
Tissue reservior: thiopental
Fat
Vd doesn’t describe real volume but what
Ratio of drug in the extraplasmic spaces relative to the plasma space
Small Vd drug
Frusemide
Large Vd drug
Digoxin
When is dialysis isn’t useful
For high Vd drugs (most of the drugs are in the tissue)
What kind of drugs bind mainly with albumin
Acidic and lipophilic
What is prefusion
Amount of drug which is delivered to a particular organ depending on blood flow
E.g on hypoalbuminemia
Starvation & malnutrition
Drug that becomes toxic if there’s hypoalbuminemia
Phenytoin
Competition on plasma proteins: sulphonamide & aspirin displace what
Warfarin»bleeding
Competition on plasma proteins: sulphonamide displace what
Bilirubin»kernicterus in premature neonates
Passage of drugs to CNS lipid soluble
general anesthetics & CNS depressants
Passage of drugs to CNS 3ry amines and 4ry NH4
3ry amines can pass
4ry NH4 CANNOT
Passage of drugs to CNS some hydrophilic
Antibiotics: penicillin (inflamed BBB only)
How drugs pass the placental barrier
Simple diffusion
Passage of drugs to fetus: drugs given in 3th to 10th week of pregnancy
Teratogenicity (thalidomide»phocomelia)
Passage of drugs to fetus: oral anticoagulants
Fatal hemorrhage