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Pharmacokinetics
determines how a drug moves through the body, how the body acts on a drug
Pharmacodynamics
how a drug acts on the body
Absorption
movement of drugs from the site of administration to the blood stream
Distribution
movement of drugs from throughout tissues, from the bloodstream to the cells and back again. Transportation of medication to sites of action
Factors influencing distribution
circulation/perfusion (heart, lung, brain, kidneys get the most), permeability of cell membrane, and plasma protein binding
Metabolism
changes medication into less active or inactive forms
Where does metabolism occur
liver, kidneys, lungs, intestines, and blood
Outcomes of metabolism
renal excretion, inactivation, increased therapeutic effect, decreased toxicity, and increased toxicity
Excretion
elimination of medications from the body, primarily through the kidneys
First pass effect
when a med passes through the liver and starts to break down before it reaches the desired site
Therapeutic index
drug levels that provide adequate action but minimal adverse effects
Half life
how long it takes half of the drug to be reduced
When do we take trough levels?
right before the next dose
When do we take peak levels?
30 - 60 minutes after the dose is given
Chemical drug name
precise drug description of the chemical structure of the drug
Generic drug name
selected by the original manufacturer, gives some information about the chemical makeup of the drug, no restrictions on use, not capitalized
Brand/trade name of a drug
used by companies to emphasize that the drug oriented from its lab, use of nake is restricted, capitalize, name may evoke how drug works
OTC vs Prescription
Over the counter medications are medications that you do not need a prescription for and can buy at a local pharmacy or store. Prescription medications have to have a doctors order to be filled and given out to a patient.
Fastest route of medication administration
intravenous
Adverse reaction
a severe reaction to a medication that normally does not happen (MI, stroke, anaphylactic shock,)
Side effect
a normal reaction that may happen while taking a medication (headache, nausea, fatigue)
Factors affecting absorption
solubility of the drug, route of administration, and degree of blood flow through the tissue where the med is found