Dose-Decision Making Flashcards

(51 cards)

1
Q

What is Pharmacokinetics (PK)?

A

The study of what the body does to drugs.

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2
Q

What are the four main components of Pharmacokinetics (ADME)?

A
  • Absorption
  • Distribution
  • Metabolism
  • Excretion
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3
Q

What does PK stand for?

A

Pharmacokinetics

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4
Q

What does PD stand for?

A

Pharmacodynamics

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5
Q

What is the sequence of clinical pharmacological events?

A
  • Drug Dose
  • Pharmacokinetics
  • Drug Concentration at Site of Action
  • Pharmacodynamics
  • Drug Effect/s
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6
Q

What factors determine optimal drug dosing?

A
  • Optimal plasma concentration
  • Route of administration
  • Dose
  • Dosing interval
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7
Q

What is the definition of Area Under the Curve (AUC)?

A

The fraction of the dose administered that reaches systemic circulation.

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8
Q

What is the formula to calculate Oral Availability (F)?

A

F = (AUC oral / AUC IV) x 100

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9
Q

What does a high Volume of Distribution (Vd) indicate?

A

A drug is well distributed throughout the body.

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10
Q

What is the importance of drug clearance (Cl)?

A

It determines the maintenance dose-rate to produce a constant plasma concentration (Cp).

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11
Q

What is the definition of Minimum Toxic Concentration (MTC)?

A

The lowest concentration of drug that produces toxic effects.

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12
Q

What is the definition of Minimum Effective Concentration (MEC)?

A

The lowest concentration of drug that produces therapeutic effects.

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13
Q

True or False: First Pass Metabolism can reduce oral availability.

A

True

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14
Q

What are the main routes of drug administration?

A
  • Enteral (oral, sublingual, rectal)
  • Parenteral (IV, IA, IM, SC, topical, inhalation)
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15
Q

What are the advantages of oral drug delivery?

A
  • Easy to administer
  • Inexpensive formulation
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16
Q

What are the disadvantages of oral drug delivery?

A
  • Slow onset
  • Subject to first pass metabolism
  • Not suitable for unconscious patients
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17
Q

What is the primary metabolic system involved in drug metabolism?

A

Liver enzymes, including CYP3A4.

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18
Q

What factors influence drug absorption?

A
  • Drug lipid solubility
  • Gastric pH
  • Blood flow
  • GIT transit time
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19
Q

What does the term ‘steady state plasma concentration (Cpss)’ refer to?

A

The point at which the overall intake of a drug is in dynamic equilibrium with its elimination.

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20
Q

What is the significance of half-life (t½) in pharmacokinetics?

A

It determines the duration of action after a single dose.

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21
Q

How is drug distribution affected?

A
  • Membrane permeability
  • Organ perfusion
22
Q

Fill in the blank: The extent of Drug Distribution is dependent on _______.

A

[Drug Lipid solubility, pH, Plasma and Tissue protein binding]

23
Q

What is passive transport in drug absorption?

A

The movement of drugs across membranes without energy.

24
Q

What is active transport in drug absorption?

A

An energy-dependent process that moves drugs against a concentration gradient.

25
What is the relationship between clearance and AUC?
Clearance (Cl) is inversely related to the AUC.
26
What is the impact of pH on drug ionization?
pH influences the rate of dissociation of weak acids and bases.
27
What type of drugs are more absorbed in acidic environments?
Weak acids
28
What is one advantage of inhalation drug delivery?
Allows rapid delivery directly to bronchial airways.
29
What is the effect of protein binding on drug distribution?
Only free drug can interact with receptors and produce effects.
30
Fill in the blank: The larger the Vd, the _______ the drug is distributed in the body.
[more]
31
What is the volume of distribution (Vd) for lipophilic drugs compared to hydrophilic drugs?
Lipophilic drugs have a larger Vd than hydrophilic drugs due to their ability to cross membranes readily.
32
How is the volume of distribution (Vd) calculated?
Vd = A / Cp0, where A is the amount of drug in the body and Cp0 is the initial plasma concentration.
33
What is the formula to calculate the loading dose (LD)?
LD = Vd × Css, where Css is the steady state plasma concentration.
34
What is the loading dose for Digoxin if Vd = 500L and target Cp = 1.5 µg/L?
LD = 750 µg for an IV dose.
35
If the bioavailability (F) of Digoxin is 80%, what is the corrected oral loading dose?
The corrected oral loading dose must be 937.5 µg.
36
What does t½ represent in pharmacokinetics?
t½ represents the half-life of drug elimination.
37
What factors influence the half-life (t½) of a drug?
t½ is dependent on both the volume of distribution (Vd) and clearance (CL).
38
What is the relationship between clearance (Cl) and half-life (t½)?
↑ Cl leads to ↓ t½.
39
What is the formula for half-life (t½) in relation to Vd and CL?
t½ = 0.693 × Vd / CL.
40
What is the significance of understanding Vd, t½, and Cl?
These parameters impact safe dosing protocols.
41
How does patient physiological/pathophysiological status affect drug parameters?
It impacts absorption, distribution, and excretion of drugs.
42
What are some factors that can affect drug absorption and distribution?
Co-administration of other drugs, changes in plasma protein binding, and oedema.
43
What is the abbreviation for the administered amount of drug in the body?
Ab.
44
What does AUC stand for in pharmacokinetics?
Area Under the Curve.
45
What does Tmax represent?
Time to maximum concentration.
46
What is Cmax?
Peak concentration (Concentration maximum).
47
What does Cp represent?
Concentration in Plasma.
48
Fill in the blank: The elimination rate constant can also be expressed as a function of _______.
half-life.
49
True or False: The natural logarithm of 2 is used to calculate half-life.
True.
50
What is the effect of pregnancy on drug parameters?
It may change absorption and distribution.
51
What is the effect of increasing Vd on half-life (t½)?
↑ Vd leads to ↑ t½.