Pharmacokinetics 1 Flashcards

1
Q

Pharmacokinetics

A

What the body does to the drug

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2
Q

pharmacology

A

origin, nature, chemistry, effects and uses of drug

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3
Q

toxicology

A

study of the adverse effects of chemical, physical or biological agents

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4
Q

pharmacodynamics

A

what the drug does to the body

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5
Q

What are the 5 stages of pharmacokinetics

A
Liberarion 
Absorption 
Distribution 
Metabolism 
Excretion 

LAD ME

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6
Q

possible routes of administration

A
Oral 
Sub-lingual 
Transdermal 
Intramuscular 
intravenous
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7
Q

what is bioavailability

A

the fraction of unchanged drug that reaches the systemic circulation
IV = gives 100% as its direct into the systemic circulation

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8
Q

what are the four ways that small molecules cross the cell membranes

A
  1. diffuse directly through the lipid = lipid solubility highly important
  2. diffuse through aqueous pores = diffusion of gases
  3. transmembrane carrier protein = solute carriers
  4. pinocytosis = macromolecules not drugs
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9
Q

queous, polar media

A

Blood plasma, cytosol and interstitial fluid

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10
Q

non-polar

A

interior of the lipid bilayer and fat

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11
Q

weak to strong acid drugs

A
paracetamol
phenytoin 
warfarin 
aspirin 
penicillins
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12
Q

weak to strong base drugs

A
diazepam 
codeine 
noradrenaline 
atropine 
amphetamine
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13
Q

pH around the body

A
Gastric acid (pH 1.0–3.0) 
Large intestine (pH 8.0) 
Small intestine (pH 5.0–6.0)
 Plasma (pH 7.4)
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14
Q

factors that effect drug absorption

A

lipophilicity and ionisation

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15
Q

what factors effect distribution

A
degree of drug ionisation 
lipid solubility 
pH of compartments 
cardiac output and blood flow 
capillary permeability 
plasma protein binding
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16
Q

biphosphonates and bone

A

these have a high affinity for calicum and quickly distribute around the skeleton
these are taken orally as alendronate
and through IV yearly as zoledronate

17
Q

what kinds of plasma proteins to drugs bind to

A
  • albumin
  • alpha 1 acid glycoprotein
  • lipoproteins
  • globulins
18
Q

% of body mass compartments

A
trans-cellular water = 2%
plasma water = 5%
interstitial water = 16%
fat = 20%
intercellular water = 35%
19
Q

what effects distribution between body fluid compartments

A
  • permeability across tissue barriers
  • binding within compartments
  • pH partition
  • fat:water partition
20
Q

pilocarpine

A
non-selective muscarinic agonist
USES:
- contraction of pupils 
- glaucoma
- xerostomia
21
Q

bethanechol

A

non-selective muscarininc agonist
USES:
- bladder and GI hypotonia