Liver Flashcards
(14 cards)
Explain the first pass metabolism
Explain the first pass metabolism - medication is administered orally/enterally and then absorbed via the GI tract which then travels via the hepatic portal vein to the liver. In the liver, it is partially metabolised before it enters the circulatory system. This reduces the bioavailability of the medication.
What is bioavailability?
the amount of drug that reaches the circulatory system after undergoing first pass metabolism.
What does half-life of a drug means?
the time it takes for the plasma concentration (amount of drug in the body) to be reduced by 50%W
What does pro-drugs mean?
these are drugs that must be metabolised in order to have action.
What does ADME mean?
absorption, distribution, metabolism and excretion
What is the process of pharmacokinetics?
ADME
Explain the process of absorption
the process that brings drugs from the administration into the systemic circulation. It affects the speed and concentration at which a drug may arrive at its desired location of effect.
Give the different routes of drug administration
- Oral (swallowing, chewing, dispersible)
- Enteral – administering medication into the gastrointestinal tract via a nasogastric tube
-Rectal - Intranasal
- Inhalation
- Intramuscular
- Subcutaneous
- Transdermal
- Sublingual
- Vaginal
Explain the process of distribution?
Refers to the movement of the drug to and from the blood and various tissues of the body where the goal of distribution is to achieve what is known as the effective drug concentration. This is the concentration of the drug at its designated receptor site.
Explain the process of metabolism?
The processing of drugs by the body into subsequent compounds. It is used to convert the drug into more water-soluble substances that will progress to renal clearance.
Where is the principal site of drug metabolism?
liver
Explain the process of excretion
Removal of the waste product from the body
What is the main organ of elimination?
kidney
How does kidney eliminate drugs?
by clearing metabolic waste and foreign substances by filtering the blood.