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57) What does pharmacotherapeutic mean?
What the drug is used for
58) What does pharmacodynamics mean?
How the drug affects the organism
59) What does pharmacokinetics mean?
How the organism affects the drug (duration of the drug)
60) What are the 4 phases in pharmacokinetics, in order?
Absorption
Distribution
Metabolism
Excretion/Clearance
61) What are four transport mechanisms that a drug can use to cross membranes?
Passive diffusion
Facilitated diffusion
Aqueous channels
Active transport
62) In which of the four transport mechanisms is energy used?
Active transport
63) In which of the four transport mechanisms is a carrier protein needed?
Facilitated diffusion
Active transport
64) What are the 4 drug-associated factors that influence absorption?
Ionization state
Molecular weight
Solubility (water vs lipid soluble)
Formulation (solution vs tablet)
65) What is the patient-associated factor that influences drug absorption?
Depends on route of administration
66) Regarding patient-associated factors that influence absorption: What are 3 ways that absorption of oral medicines is affected by the patient?
The presence of food in the GI tract slow absorption of oral meds.
Excess or decreased stomach acidity affects absorption of oral meds.
Decreased blood flow to the GI tract slows absorption of oral meds.
67) What are 3 things that affect drug distribution?
Membrane permeability
Plasma protein binding
Depot storage
68) For a drug to enter an organ, what must the drug do?
It must permeate all membranes that separate that organ from the site of drug administration.
69) What is the Blood-Brain Barrier (BBB)?
The brain has protective cells that do not let most drugs through. That limits the number of drugs available to treat brain and spinal cord disorders, including anxiety and convulsions.
70) What common medicine for anxiety and convulsions can cross the BBB?
Benzodiazepines (valium)