Human Biology Overview

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Questions and Answers

What does the first-pass effect refer to?

  • The reduction in drug concentration due to metabolism in the liver. (correct)
  • The absorption of drugs in the digestive system.
  • The activation of drugs in the bloodstream.
  • The excretion of drugs through urine.

Which type of drug is generally absorbed more quickly?

  • Fat-soluble drugs.
  • Oral drugs requiring extensive digestion.
  • Liquid drugs. (correct)
  • Solid tablets.

How do fat-soluble drugs differ from others in terms of distribution?

  • They tend to be eliminated faster.
  • They easily pass into the brain. (correct)
  • They require higher doses for effectiveness.
  • They are less likely to bind to proteins.

What role do CYP450 enzymes play in drug metabolism?

<p>They facilitate the breakdown of drugs in the liver. (D)</p> Signup and view all the answers

What can be a consequence of drugs that are highly protein-bound, such as warfarin?

<p>They can increase levels of unbound drugs leading to side effects. (C)</p> Signup and view all the answers

Which route of administration allows for the fastest absorption and 100% availability?

<p>IV (A)</p> Signup and view all the answers

How does food intake influence drug absorption?

<p>It can change how much of the drug is absorbed. (A)</p> Signup and view all the answers

What is the main disadvantage of enteral routes of drug administration?

<p>Possible first-pass metabolism (B)</p> Signup and view all the answers

Which of the following describes a type of drug that requires metabolic activation in the liver?

<p>Prodrugs like codeine. (B)</p> Signup and view all the answers

Which of the following statements is true regarding oral drug administration?

<p>It can be self-administered easily. (C)</p> Signup and view all the answers

Which factor can significantly alter a drug's metabolism in the body?

<p>Genetic variants (B)</p> Signup and view all the answers

What can antacids affect regarding drug interactions?

<p>They can reduce the absorption of some drugs. (D)</p> Signup and view all the answers

How does the first-pass effect influence oral medications?

<p>It can reduce the amount of active drug available in circulation. (D)</p> Signup and view all the answers

Which of the following is a characteristic of parenteral drug administration?

<p>It allows for faster and more reliable absorption. (D)</p> Signup and view all the answers

What is a key feature of rectal administration of drugs?

<p>It is often used when a patient is vomiting. (A)</p> Signup and view all the answers

Which characteristic is associated with the oral route of administration?

<p>It is generally non-sterile. (D)</p> Signup and view all the answers

What is the primary mechanism of action of NSAIDs?

<p>Inhibit COX-1 and COX-2 enzymes (A)</p> Signup and view all the answers

Which of the following is a common adverse effect of acetaminophen?

<p>Liver toxicity (B)</p> Signup and view all the answers

Which of the following OTC analgesics is contraindicated in children due to the risk of Reye's syndrome?

<p>Aspirin (D)</p> Signup and view all the answers

COX-2 inhibitors primarily target which enzyme?

<p>COX-2 (B)</p> Signup and view all the answers

Which of the following uses does acetaminophen serve?

<p>Fever reduction (B)</p> Signup and view all the answers

What adverse effect is commonly associated with long-term use of NSAIDs?

<p>GI ulcers/bleeding (A)</p> Signup and view all the answers

Which of the following is a major use of COX-2 inhibitors?

<p>Acute pain management (B)</p> Signup and view all the answers

Which OTC analgesic should be limited to a maximum of 4g per day to avoid toxicity?

<p>Acetaminophen (D)</p> Signup and view all the answers

Which neurotransmitter is primarily associated with arousal and is linked to both anxiety and depression?

<p>Norepinephrine (D)</p> Signup and view all the answers

What is the primary function of oxytocin during childbirth?

<p>Facilitates emotional bonding (B)</p> Signup and view all the answers

Which hormone is crucial in maintaining elevated levels of progesterone and estrogen during pregnancy?

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

Which neurotransmitter's low levels are closely associated with mood disorders such as depression and anxiety?

<p>Serotonin (A)</p> Signup and view all the answers

In the context of pain transmission, which substance is directly involved in signaling pain?

<p>Substance P (B)</p> Signup and view all the answers

What is one of the main effects of estrogen during pregnancy?

<p>Stimulates growth of reproductive tissues (D)</p> Signup and view all the answers

Which substance is primarily responsible for regulating blood flow and is important for cardiovascular health?

<p>Nitric Oxide (D)</p> Signup and view all the answers

Which physiological response is associated with both histamine and norepinephrine?

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

During pregnancy, which hormone is primarily secreted by the corpus luteum and plays a key role in preventing premature labor?

<p>Progesterone (D)</p> Signup and view all the answers

Which mineral or vitamin is crucial for supporting fetal development during pregnancy?

<p>All of these are important (D)</p> Signup and view all the answers

What type of interaction occurs when two drugs combine their effects?

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

Which combination of drugs is an example of a synergistic interaction?

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

Which term describes the unwanted harmful effects of a drug at normal doses?

<p>Adverse effects (A)</p> Signup and view all the answers

How can genetic variants influence pharmacodynamics?

<p>They can change receptor sensitivity, impacting drug effect. (C)</p> Signup and view all the answers

Which neurotransmitter's low levels are associated with Parkinson's disease?

<p>Dopamine (A)</p> Signup and view all the answers

What effect does GABA generally have in the nervous system?

<p>Inhibits neuronal activity (C)</p> Signup and view all the answers

Which drug requires close monitoring due to its narrow therapeutic index?

<p>Warfarin (D)</p> Signup and view all the answers

What is a common outcome of receptor agonists over time?

<p>Tolerance development (B)</p> Signup and view all the answers

How does serotonin primarily impact the body?

<p>Modulates mood and emotion (A)</p> Signup and view all the answers

Which neurotransmitter is categorized as excitatory and is involved in learning and memory?

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

What is the main function of the presynaptic neuron in neurotransmission?

<p>Releases neurotransmitters into the synapse. (D)</p> Signup and view all the answers

What is an example of a side effect that may arise from antihistamines?

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

What happens during the process of neurotransmitter reuptake?

<p>Neurotransmitters are taken back into the presynaptic neuron. (C)</p> Signup and view all the answers

What is true about an idiosyncratic response to a drug?

<p>It can vary significantly between individuals. (B)</p> Signup and view all the answers

What major organs begin to form during the embryonic period?

<p>Heart and lungs (A)</p> Signup and view all the answers

Which of the following statements accurately describes the fetal period?

<p>It involves organ growth and maturation. (B)</p> Signup and view all the answers

How does fetal hemoglobin differ from maternal hemoglobin?

<p>It can carry 20-50% more oxygen. (D)</p> Signup and view all the answers

What is meant by 'cephalocaudal' pattern of growth?

<p>Development from head to toe. (D)</p> Signup and view all the answers

During which phases do rapid growth spurts occur in pediatric development?

<p>Puberty and the first two years of life. (A)</p> Signup and view all the answers

Which factor can significantly impact pediatric development during critical periods?

<p>Toxic exposures (A)</p> Signup and view all the answers

What is the role of folic acid during pregnancy?

<p>Essential for neural tube development. (C)</p> Signup and view all the answers

Which vitamin supports calcium absorption and is vital for maintaining bone health?

<p>Vitamin D (D)</p> Signup and view all the answers

What is a common effect of aging on drug absorption in neonates and infants?

<p>Altered pH levels (A)</p> Signup and view all the answers

Which dietary source is essential for iron, particularly important in infants and toddlers?

<p>Red meat (B)</p> Signup and view all the answers

What common misconception exists about the development impacts of culture?

<p>Cultural practices influence growth and behavior. (D)</p> Signup and view all the answers

What role does family structure play in pediatric development?

<p>It influences emotional support and healthcare access. (B)</p> Signup and view all the answers

What is a potential consequence of excess Vitamin A during pregnancy?

<p>Causes toxicity. (B)</p> Signup and view all the answers

Which statement regarding factors influencing growth is most accurate?

<p>Genetics play a role in growth and development. (C)</p> Signup and view all the answers

Flashcards

Enteral drug administration

Drug administration through the gastrointestinal (GI) tract.

Parenteral drug administration

Drug administration that bypasses the GI tract.

First-pass effect

Drug metabolism in the liver before reaching systemic circulation, reducing effectiveness.

Oral route (Enteric)

Drug administration through the mouth, absorbed via GI tract.

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IV administration

Drug delivery directly into the bloodstream, bypassing GI tract.

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Onset of action

Time it takes for a drug to produce its effect after administration.

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Oral (GI tract) Absorption

Drugs absorbed in the intestines, then metabolized by the liver.

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First-Pass Metabolism

Drug metabolism in the liver by reducing efficacy.

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Drug absorption

Process of drug entering the bloodstream after administration.

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Drug distribution

Movement of drugs throughout the body.

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Drug metabolism

Liver's breakdown of drugs into active or inactive forms.

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Factors influencing PK

Variables affecting how drugs are absorbed, distributed, metabolized, and eliminated.

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Drug interactions

Effects that occur when two or more drugs are taken together.

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Absorption method (oral vs liquids)

Different routes of drug entry into bloodstream affecting speed and effectiveness.

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Protein binding of drugs

Drugs bind to proteins, altering their distribution and potential interactions.

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Histamine

A chemical released by the body during an immune response, causing inflammation, itching, and other allergic symptoms.

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Norepinephrine

A neurotransmitter that plays a role in arousal, focus, and the fight-or-flight response.

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Serotonin

A neurotransmitter that influences mood, sleep, appetite, and overall well-being.

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Oxytocin

A hormone often called the 'love hormone', associated with bonding, social connection, and maternal behaviors.

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Substance P

A neurotransmitter that transmits pain signals to the brain, contributing to chronic pain conditions.

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hCG (Human Chorionic Gonadotropin)

A hormone produced by the embryo and placenta during pregnancy, responsible for maintaining the corpus luteum and supporting early pregnancy.

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Estrogen in Pregnancy

A hormone produced by the corpus luteum and placenta that stimulates the growth of the uterus, breasts, and external genitalia during pregnancy.

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Progesterone in Pregnancy

A hormone produced by the corpus luteum and placenta, vital for maintaining a successful pregnancy by supporting early embryo nutrition and preventing uterine contractions.

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Placenta Formation

The placenta develops from the trophoblast cells after the blastocyst implants in the endometrium.

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Placenta Function

The placenta serves as a vital organ, facilitating the exchange of nutrients, oxygen, and waste products between the mother and developing fetus.

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Drug Interaction: Additive

Two or more drugs working together to produce an effect greater than the sum of their individual effects.

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Drug Interaction: Synergistic

Two or more drugs working together to produce an effect greater than the sum of their individual effects.

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Drug Interaction: Antagonistic

One drug reduces or blocks the effect of another drug.

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Drug Agonist

A drug that activates a receptor to produce its effect.

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Drug Antagonist

A drug that blocks a receptor, preventing other substances from activating it.

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QT Prolongation

A drug effect that increases the risk of heart arrhythmias.

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Therapeutic Index

The ratio of a drug's toxic dose to its effective dose.

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Therapeutic Effect

The desired and intended effect of a drug.

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Adverse Effect

Unintended harmful effects of a drug at normal doses.

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Side Effect

Secondary effects that often occur at therapeutic doses.

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Neuron: Dendrites

Branch-like extensions receiving signals from other neurons.

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Neuron: Cell Body (Soma)

Processes incoming signals, contains the cell's nucleus.

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Neuron: Axon

Carries the electrical signal away from the cell body to the synapse.

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Neuron: Axon Terminals

Release neurotransmitters to communicate with other neurons.

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Fetal Period

The stage of prenatal development from week 9 to week 40, characterized by organ growth and maturation.

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Cephalocaudal Development

The pattern of growth and development that proceeds from the head downward.

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Proximodistal Development

The pattern of growth and development that proceeds from the center of the body outward.

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Critical/Sensitive Periods

Specific time frames during development where external factors have a significant impact on outcomes.

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Genetics Influence

Inherited traits that influence growth and development, including physical characteristics and predispositions.

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Environmental Influence

External factors that impact growth and development, such as nutrition, toxins, and emotional support.

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Cultural Influence

Cultural practices that influence growth and behavior, such as diet and child-rearing styles.

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Health Status Influence

Overall health, including chronic illnesses and nutrition, affects growth and development.

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Folic Acid

Essential for DNA synthesis and neural tube development, especially crucial during early pregnancy.

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Iron

Critical for red blood cell production and oxygen transport, especially important in infants, toddlers, and pregnant women.

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Calcium

Essential for bone and dental development, particularly important during pregnancy, lactation, and adolescence.

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Vitamin D

Promotes calcium absorption and bone health, obtained from sunlight, fortified foods, and fatty fish.

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Omega-3 Fatty Acids

Support brain development and cognitive functions.

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Vitamin A

Essential for vision and immune function, available in carrots, sweet potatoes, and spinach.

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Absorption Age Effects

Neonates and infants experience slower gastric emptying, altered pH, and delayed enzyme activity, affecting drug absorption.

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What are NSAIDs?

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of medications that reduce pain, fever, and inflammation by inhibiting the production of prostaglandins. They act by blocking COX enzymes, specifically COX-1 and COX-2, which are responsible for producing prostaglandins.

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How do NSAIDs work?

NSAIDs work by inhibiting COX-1 and COX-2 enzymes. These enzymes are responsible for producing prostaglandins, which are involved in inflammation, pain, and fever. By blocking COX enzymes, NSAIDs reduce the production of prostaglandins and, consequently, reduce pain, fever, and inflammation.

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What are the common adverse effects of NSAIDs?

NSAIDs can cause several side effects, including gastrointestinal ulcers and bleeding, renal damage, and cardiovascular problems. Long-term use is associated with increased risk of these side effects.

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Acetaminophen: What is it?

Acetaminophen, also known as paracetamol, is an over-the-counter (OTC) analgesic and antipyretic drug. Acetaminophen is used for mild to moderate pain, fever reduction, and some cases of headache.

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Acetaminophen: How does it work?

Acetaminophen primarily inhibits the production of prostaglandins in the central nervous system, mainly in the brain. It has less effect than NSAIDs on the periphery.

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Acetaminophen: What are the potential dangers?

Overdosing on acetaminophen can lead to liver toxicity, which can be serious. It's vital to follow the recommended dosage and be careful when combining acetaminophen-containing medications to avoid exceeding the safe daily limit.

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What are COX-2 inhibitors?

COX-2 inhibitors are a newer class of NSAIDs that selectively block COX-2 enzyme without significantly inhibiting COX-1. This selectivity makes them effective against pain and inflammation, but with a potentially lower risk of GI side effects than NSAIDs.

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What are the potential risks of COX-2 inhibitors?

While they might have fewer GI side effects compared to traditional NSAIDs, COX-2 inhibitors have been linked to increased cardiovascular risks, such as heart attack and stroke. They can also affect the kidneys.

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Study Notes

Key Points

  • Various topics related to human biology were discussed in the provided text.
  • Key concepts in Genetics, Protein Production, and Cell Communication were described, as well as factors influencing pharmacodynamics and pharmacokinetics.
  • The text also includes details about the autonomic nervous system, receptors, and their effects.
  • Principles of drug administration routes, and pharmacokinetics (ADME) were also explored.
  • Information about various aspects of human development including physiological and psychosocial changes associated with aging.
  • Aspects of normal human development from transition to adulthood to healthy aging were explored; the physiological and psychosocial aspects of aging were linked to health risks. Details about nursing considerations associated with common physiologic changes in a dying person
  • The text presented details about hormone changes in pregnancy, blood flow through the placenta.
  • Various aspects of neurotransmitters, including their effects on the body, were presented,
  • Information was provided about the inflammatory process, wound healing, immunizations, various aspects of pain, and the mechanism of action of analgesics, as well as nursing considerations associated with the proper use of pain medications.
  • The text also contains details on factors influencing pediatric growth and development.
  • Information about genetic variants influencing drug metabolism was presented.

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