Clinical Significance of pKa in Pharmacology
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Questions and Answers

What are the main routes of drug administration mentioned in the text?

  • Oral, subcutaneous, nasal, topical
  • Buccal, intrathecal, intraventricular, intra-articular
  • Intramuscular, intravenous, intradermal, transdermal
  • Oral, sublingual, rectal, inhalation (correct)

Which of the following factors influences drug absorption related to the absorbing surface?

  • Body weight
  • Local blood flow (correct)
  • Eye color
  • Hair length

In which pH environment are acidic drugs more ionized?

  • Basic
  • Neutral
  • Acidic
  • Alkaline (correct)

Which route of administration is generally the fastest for drug absorption?

<p>Intravenous (C)</p> Signup and view all the answers

What type of drugs are more absorbed: ionized or nonionized?

<p>Nonionized (non polar, non charged) drugs (B)</p> Signup and view all the answers

How does ischemia affect drug absorption?

<p>Decreases absorption (B)</p> Signup and view all the answers

What is the formula for calculating the volume of distribution (Vd) of a drug?

<p>Vd = Total amount of the drug in the body / Plasma concentration of the drug</p> Signup and view all the answers

What does a total Vd of less than 5 L indicate about the drug's distribution in the body?

<p>The drug is present only in the vascular compartment and can be removed by dialysis.</p> Signup and view all the answers

How can toxicity with acidic drugs be treated effectively?

<p>By alkalinization of urine, which renders the drug more ionized in urine and less reabsorbable.</p> Signup and view all the answers

In what pH environment are basic drugs more likely to be trapped in breast milk?

<p>Basic drugs with pKa &gt;7.2 are more likely to be ionized and trapped in breast milk due to its pH of 7.</p> Signup and view all the answers

What does a total Vd greater than 41 L indicate about a drug's distribution in the body?

<p>The drug is highly bound to tissue proteins and cannot be removed by dialysis.</p> Signup and view all the answers

How can toxicity with basic drugs be effectively managed?

<p>By acidification of urine, which renders the drug more ionized in urine and less reabsorbable.</p> Signup and view all the answers

What is the purpose of phase I metabolism in drug metabolism?

<p>Introducing a polar group to render the molecule polar and water soluble for excretion.</p> Signup and view all the answers

Which enzymes are responsible for catalyzing phase I metabolism?

<p>Cytochrome p450, esterases, deaminases.</p> Signup and view all the answers

What is the role of glucuronyl transferase in phase II metabolism?

<p>It catalyzes conjugation reactions with glucuronic acid to form water soluble conjugates.</p> Signup and view all the answers

Define 'First-Pass' Metabolism in the context of drug administration.

<p>Metabolism of drug at the site of administration before it reaches systemic circulation.</p> Signup and view all the answers

What is the bioavailability of a drug administered via the intravenous (IV) route?

<p>100%</p> Signup and view all the answers

How does the bioavailability of atenolol compare to lidocaine, propranolol, and morphine?

<p>Atenolol has complete bioavailability, while lidocaine has partial bioavailability. Propranolol and morphine are in between.</p> Signup and view all the answers

What is the formula to calculate the loading dose needed to attain a desired plasma concentration?

<p>LD = Vd x Cp</p> Signup and view all the answers

Why is it essential to consider drug clearance in pharmacokinetics?

<p>Clearance (Cl) helps determine the rate at which a drug is removed from the body, influencing dosing frequency and overall drug effectiveness.</p> Signup and view all the answers

How does binding of drugs to plasma proteins impact drug efficacy?

<p>The effect of a drug is related only to its free part, as the bound part acts as a reservoir that prolongs the drug's effect.</p> Signup and view all the answers

Which organ is the major site of drug metabolism in the body?

<p>Liver</p> Signup and view all the answers

Give an example of a drug that undergoes metabolism to produce an active metabolite.

<p>Codeine to morphine</p> Signup and view all the answers

How can diseases affecting albumin levels impact drug therapy?

<p>Diseases like chronic liver disease, pregnancy, and renal failure can alter albumin levels, affecting drug binding and potentially leading to drug-related issues.</p> Signup and view all the answers

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