TDM Flashcards
(33 cards)
The analysis, assessment and evaluation of circulating concentrations of drugs in serum, plasma, or whole blood
therapeutic drug monitoring
biochemical pathway responsible for the greatest portion of drug metabolism
MFO system
100% bioavailability
intravenous (IV)
0.7% bioavailability
oral administered drug
inhalation
asthma
release of drug
liberation
transport of drug from the site of administration to the blood
absorption
these type of drugs requires dissolution being being absorbed
tablets and capsule
absorbed in the stomach
weak acid
absorbed in the intestines
weak base
factors affecting absorption
- pH
- Inflammation
- Presence of food & other drugs
- Changes in intestinal movement
delivery of the drug to the tissues
distribution
location where the drugs are effective
body tissues (not blood)
drug diffuse throughout the body from ___ concentration to ___ concentration
high, low
process of chemical modification by the cells
metabolism
relationship between the tissue and blood levels
distribution space
process in which drug metabolite is excreted by the body
excretion
Dependent not only on the type of drug itself but
also to the patientʼs capacity to metabolize and excrete
rate of clearance
all drugs are excreted from ___
urine
site where conversion of parent drug to its metabolite occurs
liver
enzyme responsible for drug conversion
hepatocyte cytochrome P450
Fraction of the dose that reaches the blood
Bioavailable fractions F
- 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
Vd (D)
drugs that are transported to the liver lost a
fraction of its bioavailability before the drug reaches the general circulation
First pass hepatic metabolism