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define pharmacokinetics
what body does to drug
what is the 4 step process
absorption
distribution
metabolism/biotransformation
excretion
define absorption
how drug moves from site of administration to blood stream
what effects absorbability (2)
blood supply
amount of drug
define bioavailability
degree to which a drug is absorbed and becomes available by the general circulation
what are the passive process methods of absorption
simple diffusion
facilitated diffusion
define passive process
no energy required
define simple diffusion
molecules move from an area of higher concentration to an area of lower concentration across a semi-permeable lipid membrane
define Facilitated diffusion
define active process
requires energy to move against concentration gradient.
what are 2 active processes of absorption
Pinocytosis
Phagocytosis
factors that affect drug absorption (7)
Route of administration
Drug solubility (fat vs H20)
Size of drug molecule
Ionization of drug molecule
Formulation of the drug
Concentration of the drug
Blood supply to the absorptive tissues
why inhaled drugs absorbed so fast
because of Rapid absorption due to large surface area with rich blood supply
which absorbs faster lipid or water soluble
lipid-soluble
which is easier to absorb small or large drug
small
— - — drugs diffuse through cell membranes easier than molecules with a charge
non-ionized
do acidic drugs do better in acidic or basic environments
acidic
which has a faster absorption low or high concentration
high
define distribution
how the drug moves from circulation to target site
what effects distribution (2)
health status
hydration status
define bioavailability
amount of drug that reaches target site
what happens if a patient is hyperproteinemiac
protiens will absorb more so need more drug
define pharmacodynamics
how much drug takes effect on patient
what happens if a drug is stored in tissues (2)
can result in prolonged effect as drug is gradually released
can become trapped causing decreased blood circulation
define metabolism/biotransformation
changing drug to a form that can be excreted
define half life
how long it takes to half its concentration in the plasma
define summation
Final response is equal to sum of individual responses
define synergism
Final response to using two or more drugs is greater than the sum of the individual responses
define antagonism
drug binds with another drug target receptor