Podcast
Questions and Answers
Which of the following herbs can interfere with anticoagulants and increase bleeding risk?
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?
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?
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?
What should patients be educated about regarding the use of herbal supplements?
Which herb is noted to decrease the metabolism of certain drugs, particularly those metabolized via P-450?
Which herb is noted to decrease the metabolism of certain drugs, particularly those metabolized via P-450?
What does pharmacokinetics describe?
What does pharmacokinetics describe?
Which of the following is NOT a principle of pharmacokinetics?
Which of the following is NOT a principle of pharmacokinetics?
How do free drug molecules travel to sites of action?
How do free drug molecules travel to sites of action?
What is the main organ responsible for drug metabolism?
What is the main organ responsible for drug metabolism?
Why must caution be taken with patients who have low plasma protein levels?
Why must caution be taken with patients who have low plasma protein levels?
What is the primary system responsible for excretion of drugs?
What is the primary system responsible for excretion of drugs?
What does the term 'half-life' refer to in pharmacology?
What does the term 'half-life' refer to in pharmacology?
What is the function of the P-450 enzyme in pharmacology?
What is the function of the P-450 enzyme in pharmacology?
What term describes the time required for 50% of a drug to be eliminated from the body?
What term describes the time required for 50% of a drug to be eliminated from the body?
Which of the following best describes the term 'Peak Level'?
Which of the following best describes the term 'Peak Level'?
What is the purpose of Therapeutic Drug Monitoring?
What is the purpose of Therapeutic Drug Monitoring?
Which term refers to the mechanisms through which a drug affects living tissues?
Which term refers to the mechanisms through which a drug affects living tissues?
Which type of interaction occurs when a drug binds with a specific enzyme?
Which type of interaction occurs when a drug binds with a specific enzyme?
What best defines a contraindication?
What best defines a contraindication?
What is the focus of acute drug therapy?
What is the focus of acute drug therapy?
What does duration of action refer to?
What does duration of action refer to?
Which interaction type involves drugs affecting cell membrane metabolism?
Which interaction type involves drugs affecting cell membrane metabolism?
What is the significance of trough level in drug monitoring?
What is the significance of trough level in drug monitoring?
What is the primary purpose of a prophylactic medication?
What is the primary purpose of a prophylactic medication?
Which term describes the need for a drug that results from physiological or psychological dependence?
Which term describes the need for a drug that results from physiological or psychological dependence?
What does a small therapeutic index indicate about a medication?
What does a small therapeutic index indicate about a medication?
What action should be taken if an IV bag shows cloudiness or particulates?
What action should be taken if an IV bag shows cloudiness or particulates?
What is an adverse drug reaction (ADR)?
What is an adverse drug reaction (ADR)?
What term describes drugs that can cause structural defects in babies during pregnancy?
What term describes drugs that can cause structural defects in babies during pregnancy?
Which of the following is NOT a type of medication action?
Which of the following is NOT a type of medication action?
What do drug interactions often lead to?
What do drug interactions often lead to?
Which statement best describes a supplemental medication?
Which statement best describes a supplemental medication?
Medication errors most commonly involve a compromise in which principle?
Medication errors most commonly involve a compromise in which principle?
Flashcards
Cranberry and Medications
Cranberry and Medications
Cranberry can interfere with how your body removes certain medications through the kidneys.
Garlic and Medications
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 and Medications
Ginkgo biloba can increase bleeding risk when combined with blood thinners.
Grapefruit and Medications
Grapefruit and Medications
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Kava and Medications
Kava and Medications
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Drug Half-Life
Drug Half-Life
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Onset of Action
Onset of Action
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Duration of Action
Duration of Action
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Peak Level
Peak Level
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Trough Level
Trough Level
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Therapeutic Drug Monitoring
Therapeutic Drug Monitoring
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Pharmacodynamics
Pharmacodynamics
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Mechanism of Action
Mechanism of Action
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Contraindication
Contraindication
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Acute Therapy
Acute Therapy
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Supplemental Drugs
Supplemental Drugs
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Palliative Drugs
Palliative Drugs
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Supportive Drugs
Supportive Drugs
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Prophylactic Drugs
Prophylactic Drugs
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Empirical Drugs
Empirical Drugs
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Adverse Effect
Adverse Effect
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Therapeutic Index
Therapeutic Index
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Tolerance
Tolerance
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Dependence
Dependence
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Allergic Reaction
Allergic Reaction
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What is Pharmacokinetics?
What is Pharmacokinetics?
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What is Distribution?
What is Distribution?
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Why are free drug molecules active?
Why are free drug molecules active?
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What is Metabolism?
What is Metabolism?
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What is Cytochrome P450?
What is Cytochrome P450?
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What is Excretion?
What is Excretion?
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What is Half-life?
What is Half-life?
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What is the Blood-Brain Barrier?
What is the Blood-Brain Barrier?
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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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