Pharmacokinetics and Pharmacodynamics Quiz

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Questions and Answers

Which of the following herbs can interfere with anticoagulants and increase bleeding risk?

  • Garlic
  • St. John's Wort
  • Gingko (correct)
  • Cranberry

What is a potential risk of Kava when consumed with other substances?

  • Enhances caffeine metabolism
  • Increases elimination of renally excreted drugs
  • Increases effects of barbiturates and alcohol (correct)
  • Decreases blood sugar levels

Which statement about herbal and dietary supplements is true?

  • They are strictly regulated by the FDA.
  • They may interact with existing medications. (correct)
  • Natural substances are always safe during pregnancy.
  • Patients do not need to worry about safe use with OTC supplements.

What should patients be educated about regarding the use of herbal supplements?

<p>They can have significant drug interactions. (C)</p> Signup and view all the answers

Which herb is noted to decrease the metabolism of certain drugs, particularly those metabolized via P-450?

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

What does pharmacokinetics describe?

<p>What happens to a drug from consumption to excretion. (B)</p> Signup and view all the answers

Which of the following is NOT a principle of pharmacokinetics?

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

How do free drug molecules travel to sites of action?

<p>They can permeate the cell membranes unimpeded. (D)</p> Signup and view all the answers

What is the main organ responsible for drug metabolism?

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

Why must caution be taken with patients who have low plasma protein levels?

<p>They may have increased risk of drug toxicity. (C)</p> Signup and view all the answers

What is the primary system responsible for excretion of drugs?

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

What does the term 'half-life' refer to in pharmacology?

<p>The time required for the body to eliminate half of the drug. (C)</p> Signup and view all the answers

What is the function of the P-450 enzyme in pharmacology?

<p>To break down lipid-soluble drugs. (D)</p> Signup and view all the answers

What term describes the time required for 50% of a drug to be eliminated from the body?

<p>Half-Life (D)</p> Signup and view all the answers

Which of the following best describes the term 'Peak Level'?

<p>The highest concentration of the drug in the bloodstream (B)</p> Signup and view all the answers

What is the purpose of Therapeutic Drug Monitoring?

<p>To verify drug exposure through peak and trough levels (D)</p> Signup and view all the answers

Which term refers to the mechanisms through which a drug affects living tissues?

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

Which type of interaction occurs when a drug binds with a specific enzyme?

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

What best defines a contraindication?

<p>A patient's condition that makes drug use dangerous (B)</p> Signup and view all the answers

What is the focus of acute drug therapy?

<p>To treat diseases in an acute care setting (B)</p> Signup and view all the answers

What does duration of action refer to?

<p>The timeframe during which drug levels are therapeutic (C)</p> Signup and view all the answers

Which interaction type involves drugs affecting cell membrane metabolism?

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

What is the significance of trough level in drug monitoring?

<p>It shows the minimum drug concentration before the next dose. (A)</p> Signup and view all the answers

What is the primary purpose of a prophylactic medication?

<p>To prevent illness (C)</p> Signup and view all the answers

Which term describes the need for a drug that results from physiological or psychological dependence?

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

What does a small therapeutic index indicate about a medication?

<p>It has a greater chance for toxicity (A)</p> Signup and view all the answers

What action should be taken if an IV bag shows cloudiness or particulates?

<p>Contact the pharmacy and discard the IV bag (B)</p> Signup and view all the answers

What is an adverse drug reaction (ADR)?

<p>An unexpected or undesirable effect within the therapeutic range (B)</p> Signup and view all the answers

What term describes drugs that can cause structural defects in babies during pregnancy?

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

Which of the following is NOT a type of medication action?

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

What do drug interactions often lead to?

<p>Deterioration of one or more drugs when mixed (B)</p> Signup and view all the answers

Which statement best describes a supplemental medication?

<p>It provides substances that the body is lacking. (B)</p> Signup and view all the answers

Medication errors most commonly involve a compromise in which principle?

<p>The Six Rights of medication use (A)</p> Signup and view all the answers

Flashcards

Cranberry and Medications

Cranberry can interfere with how your body removes certain medications through the kidneys.

Garlic and Medications

Garlic might make blood sugar medications less effective and increase the risk of bleeding when taken with warfarin.

Ginkgo and Medications

Ginkgo biloba can increase bleeding risk when combined with blood thinners.

Grapefruit and Medications

Grapefruit can make some medications, especially those processed by the liver, stronger and last longer. It can also intensify caffeine effects.

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Kava and Medications

Kava can increase the effects of sedatives like barbiturates and alcohol. It can also harm the liver.

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Drug Half-Life

The time it takes for 50% of a drug to be eliminated from the body.

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Onset of Action

The time required for a drug to start having its intended therapeutic effect.

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Duration of Action

The length of time a drug's concentration remains effective without needing another dose.

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Peak Level

The highest blood level of a drug after administration.

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Trough Level

The lowest blood level of a drug between doses.

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Therapeutic Drug Monitoring

Using peak and trough levels to monitor drug exposure and ensure optimal therapy.

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Pharmacodynamics

The study of how drugs interact with living tissues and the mechanisms by which they produce their effects.

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Mechanism of Action

The specific way a drug interacts with the tissues at a cellular level.

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Contraindication

A condition that makes the use of a particular drug unsafe for a patient.

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Acute Therapy

Drug therapy used to treat an acute condition or sustain life.

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Supplemental Drugs

Drugs used to replace a missing substance in the body to maintain normal function. Example: Insulin for diabetes.

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Palliative Drugs

Drugs that relieve symptoms of a disease, improving comfort but not curing the underlying cause. Example: Pain medications for cancer patients.

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Supportive Drugs

Drugs used to support the body's function while it's recovering from an illness or injury. Example: Fluids for dehydration due to vomiting or diarrhea.

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Prophylactic Drugs

Drugs given to prevent the occurrence of a specific illness or condition. Example: Vaccines to prevent infections.

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Empirical Drugs

Drugs used to treat an illness before it's fully diagnosed, based on the most likely cause. Example: Antibiotics for a suspected urinary tract infection.

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Adverse Effect

An undesirable effect that is a direct response to a medication, and is predictable. Example: Drowsiness from an antihistamine.

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Therapeutic Index

The ratio between the toxic dose and the therapeutic dose of a drug. A small index indicates a greater chance of toxicity.

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Tolerance

A decreasing response to repeated doses of a medication, requiring higher doses for the same effect. Example: Tolerance to pain relievers.

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Dependence

A physiological or psychological need for a drug. Example: Addictive substances like heroin.

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Allergic Reaction

An unexpected and undesirable reaction to a medication that occurs within the therapeutic dose range. It involves the immune system.

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What is Pharmacokinetics?

Pharmacokinetics describes the journey of a drug from the moment it enters the body to its elimination. It encompasses the processes of absorption, distribution, metabolism, and excretion (ADME).

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What is Distribution?

The movement of a drug from the bloodstream to tissues and organs throughout the body. This allows the drug to reach its target site to exert its effect.

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Why are free drug molecules active?

Only unbound (free) drug molecules can pass through cell membranes and reach the target site. Bound drugs are attached to plasma proteins (like albumin) and remain inactive.

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What is Metabolism?

The process of breaking down drugs into smaller, inactive metabolites. This occurs mainly in the liver.

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What is Cytochrome P450?

Cytochrome P450 is a major enzyme family responsible for metabolizing a large number of medications. It helps in breaking down lipid-soluble drugs.

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What is Excretion?

The process by which the body eliminates waste products, including drugs and their metabolites. It's primarily carried out by the kidneys.

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What is Half-life?

The time it takes for the concentration of a drug in the body to reduce by half. It's used to determine how often a medication needs to be administered.

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What is the Blood-Brain Barrier?

The blood-brain barrier is a protective barrier that restricts the entry of many substances, including drugs, into the brain. It protects the brain from harmful substances.

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Study Notes

Pharmacokinetics

  • Pharmacokinetics is a group of principles describing what happens to a drug from consumption until excretion.
  • Four key concepts: Absorption, Distribution, Metabolism, and Excretion (ADME).

Distribution

  • Free drug molecules travel to action sites, unbound to plasma proteins.
  • Bound drugs are inactive.
  • Low plasma protein levels (e.g., extensive burns, malnutrition) require caution, as more drug will be unbound.
  • Drug-drug interactions can occur. These interactions can affect patient outcomes significantly.

Metabolism

  • Metabolism is the process of changing a drug.
  • The primary organ responsible is the liver.
  • Enzymes (P-450) break down lipid-soluble drugs.
  • Metabolism affects the duration and intensity of drug effects.

Excretion

  • The kidneys are the primary organ for excretion.
  • Excretion involves glomerular filtration, active tubular reabsorption, and active tubular secretion.

Pharmacodynamics

  • Pharmacodynamics is the mechanisms of drug action in living tissues.
  • Drugs interact with tissues at a cellular level.
  • Interaction types include receptor interactions and enzyme interactions.
  • Receptor interactions occur when the drug molecule attaches to a reactive receptor.
  • Enzyme interactions occur when the drug interacts with specific enzymes, either enhancing or inhibiting function.

Drug Interactions

  • Tables and visuals (e.g., Table 2.8, Figure 2.4) demonstrate drug-drug interactions.
  • Drugs may interact with food.
  • Drug incompatibility can happen when mixing intravenously.

Drug Monitoring and Therapy

  • Therapeutic drug monitoring uses peak and trough levels to monitor drug exposure.
  • Adverse effects are undesirable effects of a drug.
  • The Therapeutic Index is the ratio between drug toxicity and therapeutic effect.
  • Tolerance is a decreasing response to repeated doses.
  • Dependence describes a physiologic/psychologic need for a drug.
  • Acute drug therapy addresses immediate needs.
  • Maintenance therapy manages chronic conditions.

Additional Considerations

  • Dietary supplements and herbs can interact with medications.
  • Cranberry, garlic, ginkgo, grapefruit, and St. John's Wort are examples of herbs with potential interactions.
  • Always consult with a healthcare professional before taking any dietary supplements or herbs, especially during pregnancy.

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