Routes of administration of drugs and Posology (Exam 1) Flashcards

1
Q

2 factors affecting selection of the route of administration

A
  1. therapeutic factors

2. drug factors

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2
Q

therapeutic factors

A
  1. onset and duration of action
  2. site of action
  3. adverse reactions
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3
Q

drug factors

A
  1. irritation
  2. solubility
  3. pH
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4
Q

routes of administration

A
  1. local

2. systemic

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5
Q

local routes of administration

A

site of administration is where action is
skin, nasal, conjunctival, urethral and bladder, vaginal, rectal, mammary, sublingual, GI tract, otic, epidural, intraspinal, intrasynovial (intra-articular), intramedullary (into bone marrow)

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6
Q

systemic routes of administration

A

distributed all over the body to reach site of action

  1. oral (per os, enteral)
  2. paternal or by injection (IV, SQ, IM, IP)
  3. inhalation (gases, vapors, aerosols)
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7
Q

What does IP stand for?

A

Intraperitoneal

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8
Q

advantages of oral administration

A
  1. safe
  2. convenient in some animals
  3. economical
  4. no problem of infection
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9
Q

disadvantages of oral administration

A
  1. inactivation of some drugs by gastric acidity, digestive enzymes or rumen microflora
  2. the presence of food may affect absorption
  3. the presence of drugs may affect absorption
  4. activity of the GI tract affects absorption
  5. irritant drugs may cause vomiting and diarrhea
  6. onset of action is slow
  7. unpalpability of some drugs
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10
Q

advantages of intravenous

A
  1. accurate
  2. fast onset of action
  3. irritating, hypertonic, acidic or basic drugs can be given
  4. large volumes can be given
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11
Q

disadvantages of intravenous

A

dangerous (leak, overdose, can’t find vein, costly)

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12
Q

advantages of intramuscular (IM)

A
  1. rapid absorption
  2. Duration of action is longer than intravenous
  3. suspensions can be injected
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13
Q

disadvantages of IM

A

irritant, hypertonic, acidic or basic drugs may cause tissue damage

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14
Q

advantages of subcutaneous (SQ)

A
  1. slow absorption but constant

2. longer duration of action

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15
Q

disadvantages of SQ

A
  1. slow onset

2. irritating drugs can not be used

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16
Q

What is posology?

A

the study of doses

17
Q

What is the difference between dose and dosage?

A

dose is the amount of drug given to an animal and dosage is the amount of drug per unit body weight

18
Q

What are the 3 types of doses?

A

therapeutic (effective) dose
toxic dose
lethal dose

19
Q

minimal therapeutic dose

A

smallest amount that has a therapeutic effect

20
Q

maximal therapeutic dose

A

largest amount that can be tolerated without producing toxic effect

21
Q

therapeutic dose

A

optimal dosage which lies some place between the minimal and maximal therapeutic doses

22
Q

What is ED50?

A

the effective dose in 50% of animals

aka median effective dose

23
Q

True/False LD0 is nontoxic

A

False. it doesn’t kill, but it is toxic

24
Q

lethal dose

A

dose that causes death

25
Q

toxic dose

A

amount that produces undesirable effects

26
Q

What are the two ways relative safety is evaluated?

A

the therapeutic index and the standard safety margin

27
Q

what is the therapeutic index?

A

the ratio between the LD50/ED50. the larger the therapeutic index, the wider the margin of safety of a drug

28
Q

what is the standard safety margin and how do you measure it?

A

expresses the percentage dose increase between ED99 and LD1

(LD1/ED99 - 1) x 100

29
Q

the wider the margin between ED99 and LD0 for a drug the _____ the drug

A

safer

30
Q

which is more accurate- the therapeutic index or the SSM?

A

standard safety margin

31
Q

what is the therapeutic window?

A

difference b/w minimal and maximal effective dose