TDM Flashcards

(33 cards)

1
Q

The analysis, assessment and evaluation of circulating concentrations of drugs in serum, plasma, or whole blood

A

therapeutic drug monitoring

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2
Q

biochemical pathway responsible for the greatest portion of drug metabolism

A

MFO system

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3
Q

100% bioavailability

A

intravenous (IV)

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4
Q

0.7% bioavailability

A

oral administered drug

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5
Q

inhalation

A

asthma

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6
Q

release of drug

A

liberation

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7
Q

transport of drug from the site of administration to the blood

A

absorption

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8
Q

these type of drugs requires dissolution being being absorbed

A

tablets and capsule

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9
Q

absorbed in the stomach

A

weak acid

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10
Q

absorbed in the intestines

A

weak base

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11
Q

factors affecting absorption

A
  1. pH
  2. Inflammation
  3. Presence of food & other drugs
  4. Changes in intestinal movement
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12
Q

delivery of the drug to the tissues

A

distribution

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13
Q

location where the drugs are effective

A

body tissues (not blood)

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14
Q

drug diffuse throughout the body from ___ concentration to ___ concentration

A

high, low

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15
Q

process of chemical modification by the cells

A

metabolism

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16
Q

relationship between the tissue and blood levels

A

distribution space

17
Q

process in which drug metabolite is excreted by the body

18
Q

Dependent not only on the type of drug itself but
also to the patientʼs capacity to metabolize and excrete

A

rate of clearance

19
Q

all drugs are excreted from ___

20
Q

site where conversion of parent drug to its metabolite occurs

21
Q

enzyme responsible for drug conversion

A

hepatocyte cytochrome P450

22
Q

Fraction of the dose that reaches the blood

A

Bioavailable fractions F

23
Q
  • represents the dilution of the drug after it is distributed in the body
  • Used to estimate the peak drug blood level after the dose is given
  • the principal determinant of the dose
24
Q

drugs that are transported to the liver lost a
fraction of its bioavailability before the drug reaches the general circulation

A

First pass hepatic metabolism

25
represents a linear relationship between the drug amount eliminated per hour and blood level of the drug
First order elimination
26
the time required to reduce a drug level to half of its initial value
Half life (t 1/2)
27
highest concentration of drug obtained in the dosing interval.
peak concentration
28
the relationship between **drug concentration** at the target site and **response to the tissue**
pharmacodynamics
29
**study of genes** that affects the performance of a drug in an individual
pharmacogenomics
30
the mathematical expression of the relationship between drug doses and drug level
pharmacokinetics
31
ratio between the **minimum** toxic and **maximum** therapeutic serum concentration.
therapeutic index
32
difference between the highest and lowest effective dosage.
therapeutic range
33
the lowest concentration of a drug obtained in the dosing interval.
trough concentration