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What is the potential consequence of two highly protein-bound medications competing for binding sites on albumin molecules?
What is the potential consequence of two highly protein-bound medications competing for binding sites on albumin molecules?
An increase in free or unbound drug, leading to unpredictable drug responses or drug-drug interactions.
Describe the role of blood flow in the distribution stage of pharmacokinetics and provide two examples of how it can affect drug distribution.
Describe the role of blood flow in the distribution stage of pharmacokinetics and provide two examples of how it can affect drug distribution.
Blood flow plays a crucial role in the distribution stage of pharmacokinetics as it determines the rate at which a drug is delivered to different organs. Areas with high blood flow such as the liver, heart, and kidneys receive the drug quickly, whereas areas with low blood flow like skin and fat receive it slowly.
What is the primary focus of pharmacokinetics in the study of drug interactions?
What is the primary focus of pharmacokinetics in the study of drug interactions?
The absorption, distribution, metabolism, and excretion of a drug in the body.
Explain how the presence of food in the gastrointestinal (GI) tract can influence the absorption of drugs and provide one example of a circumstance where this may occur.
Explain how the presence of food in the gastrointestinal (GI) tract can influence the absorption of drugs and provide one example of a circumstance where this may occur.
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How do receptors influence the therapeutic effects of drugs?
How do receptors influence the therapeutic effects of drugs?
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What is the term for the study of the biochemical and physiological interactions of drugs at their sites of activity?
What is the term for the study of the biochemical and physiological interactions of drugs at their sites of activity?
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Describe the role of enzymes in the metabolism stage of pharmacokinetics and explain how enzyme inducers and inhibitors can impact drug metabolism.
Describe the role of enzymes in the metabolism stage of pharmacokinetics and explain how enzyme inducers and inhibitors can impact drug metabolism.
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Explain how liver function can affect the excretion stage of pharmacokinetics and provide one example of a circumstance where this may occur.
Explain how liver function can affect the excretion stage of pharmacokinetics and provide one example of a circumstance where this may occur.
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What is the term for the phenomenon where the presence of one drug affects the actions of another drug administered concurrently?
What is the term for the phenomenon where the presence of one drug affects the actions of another drug administered concurrently?
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Compare and contrast the distribution of drugs to rapid and slow distribution areas in the body.
Compare and contrast the distribution of drugs to rapid and slow distribution areas in the body.
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What is a primary concern when administering medications to patients under 12 years old?
What is a primary concern when administering medications to patients under 12 years old?
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What is a significant issue in the elderly population when it comes to pharmacokinetics?
What is a significant issue in the elderly population when it comes to pharmacokinetics?
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How does the GI tract emptying/motility affect drug absorption in pediatric patients?
How does the GI tract emptying/motility affect drug absorption in pediatric patients?
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What is a reliable source for drug information?
What is a reliable source for drug information?
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What is the primary pharmacokinetic issue in the very young?
What is the primary pharmacokinetic issue in the very young?
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How does the slow acetylation of certain drugs affect their metabolism and what might be the consequence on drug dosage?
How does the slow acetylation of certain drugs affect their metabolism and what might be the consequence on drug dosage?
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What might be the pharmacogenetic profile of a patient who reports that Codeine, a prodrug, has never worked for them?
What might be the pharmacogenetic profile of a patient who reports that Codeine, a prodrug, has never worked for them?
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How does the CYP450 enzyme system affect the ability to metabolize drugs and what is the impact on drug response?
How does the CYP450 enzyme system affect the ability to metabolize drugs and what is the impact on drug response?
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What might be the consequence of being a rapid acetylator on drug metabolism and dosage?
What might be the consequence of being a rapid acetylator on drug metabolism and dosage?
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How does the study of pharmacogenomics relate to the response of individuals to different drugs?
How does the study of pharmacogenomics relate to the response of individuals to different drugs?
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What is the primary pharmacokinetic process studied in relation to pharmacogenetics, and why is it significant in understanding individual variations in drug response?
What is the primary pharmacokinetic process studied in relation to pharmacogenetics, and why is it significant in understanding individual variations in drug response?
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How do genetic factors influence the response to antihypertensive drugs in different ethnic groups, and what implications does this have for clinical trials and drug development?
How do genetic factors influence the response to antihypertensive drugs in different ethnic groups, and what implications does this have for clinical trials and drug development?
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What is the significance of polymorphism in pharmacogenetics, and how does it impact drug development and response?
What is the significance of polymorphism in pharmacogenetics, and how does it impact drug development and response?
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How do slow acetylators, such as individuals of European and African descent, affect the development and response of drugs, particularly in clinical trials?
How do slow acetylators, such as individuals of European and African descent, affect the development and response of drugs, particularly in clinical trials?
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What is the role of pharmacogenomics in understanding the relationship between genetic factors and drug response, and how does it impact clinical trials and drug development?
What is the role of pharmacogenomics in understanding the relationship between genetic factors and drug response, and how does it impact clinical trials and drug development?
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In pharmacokinetics, what is the significance of half-life, and how does it relate to the elimination of a drug from the body?
In pharmacokinetics, what is the significance of half-life, and how does it relate to the elimination of a drug from the body?
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What is the steady state in pharmacokinetics, and how is it achieved?
What is the steady state in pharmacokinetics, and how is it achieved?
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How do hydrophilic and lipophilic medications differ in terms of their volume of distribution and blood concentrations?
How do hydrophilic and lipophilic medications differ in terms of their volume of distribution and blood concentrations?
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What is the difference in the expected time frame for Drug A, Drug B, and Drug C to clear from the body based on their half-lives?
What is the difference in the expected time frame for Drug A, Drug B, and Drug C to clear from the body based on their half-lives?
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How much of the original dose of acetaminophen 500mg po would you expect to be circulating 4 hours later, given its half-life of 2 hours?
How much of the original dose of acetaminophen 500mg po would you expect to be circulating 4 hours later, given its half-life of 2 hours?
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What is the main consequence of a drug-drug interaction that occurs in the absorption phase, and how can it affect the therapeutic response of a medication?
What is the main consequence of a drug-drug interaction that occurs in the absorption phase, and how can it affect the therapeutic response of a medication?
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How do competing protein-binding sites between two medications impact the actions of the medications, and what is the potential outcome?
How do competing protein-binding sites between two medications impact the actions of the medications, and what is the potential outcome?
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What is the primary focus of pharmacokinetics in the study of drug interactions, and how does it relate to drug metabolism?
What is the primary focus of pharmacokinetics in the study of drug interactions, and how does it relate to drug metabolism?
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What is the term for the phenomenon where the presence of one drug affects the actions of another drug administered concurrently, and what is the potential outcome?
What is the term for the phenomenon where the presence of one drug affects the actions of another drug administered concurrently, and what is the potential outcome?
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How do antacids affect the absorption of levofloxacin, and what is the potential outcome?
How do antacids affect the absorption of levofloxacin, and what is the potential outcome?
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What is the result of competition for the same hepatic enzymes between erythromycin and cyclosporine, and what is the potential outcome?
What is the result of competition for the same hepatic enzymes between erythromycin and cyclosporine, and what is the potential outcome?
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How does the presence of probenecid affect the excretion of amoxicillin, and what is the potential outcome?
How does the presence of probenecid affect the excretion of amoxicillin, and what is the potential outcome?
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What are the six primary patient rights in the nursing process, and at what phase do they most often occur?
What are the six primary patient rights in the nursing process, and at what phase do they most often occur?
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What are the essential elements of a medication order, and how do they contribute to safe and effective medication administration?
What are the essential elements of a medication order, and how do they contribute to safe and effective medication administration?
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What is the primary focus of the video 'Pharmacology and the Nursing Process', and how does it relate to medication administration?
What is the primary focus of the video 'Pharmacology and the Nursing Process', and how does it relate to medication administration?
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Study Notes
Pharmacokinetics and Pharmacodynamics
- Pharmacokinetics: the study of what happens to a drug from the time it is put into the body until the parent drug and all metabolites have left the body
- Pharmacokinetics represents the drug absorption, distribution, metabolism, and excretion from the body
- Pharmacodynamics: the study of the biochemical and physiologic interactions of drugs at their sites of activity
- Pharmacodynamics examines the effect of the drug on the body
Pharmacodynamic Processes
- The three primary pharmacodynamic processes by which drugs exert their therapeutic effect:
- Receptor Interactions: the joining of the drug molecule with a reactive site on the surface of a cell or tissue
- Enzyme Interactions: the inhibition or activation of enzymes by drugs
- Chemical Interactions: the interaction of drugs with other chemicals in the body
Pharmacokinetic Processes
- The four primary pharmacokinetic processes:
- Absorption: the process by which medications enter the body and travel from the site of administration into the body's circulation
- Distribution: the process by which medication is spread throughout the body
- Metabolism: the process by which the body breaks down a drug molecule
- Excretion: the process by which the body eliminates waste
Factors Affecting Pharmacokinetics
- Route of administration
- Food in the GI tract
- Motility of the GI tract
- Blood flow to different organs
- Type of medication
- Enzyme inhibitors and inducers
- Liver function
- Kidney function
- Genetic factors
Pharmacokinetics in Pediatric and Geriatric Patients
- In pediatric patients (under 12):
- Dosage is often based on weight
- Increased GI tract emptying and motility may affect absorption
- Slower metabolism may affect drug concentrations
- In geriatric patients:
- Polypharmacy (taking multiple medications) is common
- Decreased GI tract emptying and motility may affect absorption
- Slower metabolism may affect drug concentrations
- Decreased liver and kidney function may affect excretion
Pharmacogenetics
- The study of genetics in drug response
- Variations in response to drugs due to age, sex, size, and body composition
- Metabolism is the most studied pharmacokinetic process in relation to pharmacogenetics
- Polymorphism: variation in response to a drug due to genetic factors
Pharmacokinetic Parameters
- Half-life: the time required for half of an administered dose of drug to be eliminated by the body
- Steady state: the physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose
- Calculating expected time to clear a drug from the body: based on the drug's half-life
- Calculating expected time to reach steady state: based on the drug's half-life
Hydrophilic and Lipophilic Medications
- Hydrophilic: highly water-soluble, smaller volume of distribution, and high blood concentrations
- Lipophilic: highly lipid-soluble, larger volume of distribution, and lower blood concentrations
- Lipophilic medications are more likely to cause toxicity due to accumulation in tissues
Drug-Drug Interactions
- Occur when the presence of one drug decreases or increases the actions of another drug
- Can occur in any of the pharmacokinetic processes: absorption, distribution, metabolism, and excretion
- Examples of drug-drug interactions:
- Antacids with levofloxacin: decreased absorption of levofloxacin
- Warfarin with amiodarone: increased levels of free warfarin and amiodarone
- Erythromycin with cyclosporine: decreased metabolism of cyclosporine
- Amoxicillin with probenecid: increased levels of amoxicillin
Patient Rights and Medication Orders
- Six primary patient rights:
- Right Drug
- Right Dose
- Right Time
- Right Route
- Right Patient
- Right Documentation
- Right Reason
- These rights occur during the administration phase of the nursing process
- Six essential elements of a medication order:
- Patient's name
- Medication name
- Dosage
- Route
- Time
- Frequency
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Description
Understand the 4 pharmacokinetic processes and how situational factors can impact each process. Learn about absorption, distribution, metabolism, and excretion in pharmacokinetics.