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Questions and Answers
What is one of the main advantages of oral drug administration?
Which process occurs first when an oral drug is administered?
What does bioavailability refer to in the context of oral drug absorption?
How do capsules differ from other drug forms in terms of absorption?
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Which statement about enteric-coated drugs is accurate?
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What factor significantly affects the absorption of oral medications?
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Which type of drug form should not be crushed or chewed due to risk of overdose?
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What is the role of lipid and protein composition in drug absorption?
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What characteristic allows lipid-soluble drugs to easily pass through cell membranes?
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How does drug concentration affect the absorption of lipid-soluble drugs?
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What is a primary reason for the slower absorption of water-soluble drugs?
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What effect does the pH level have on drug ionization?
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Which part of the gastrointestinal tract is primarily responsible for drug absorption?
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How can food interactions affect drug absorption?
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What role do digestive enzymes play in the absorption of some drugs?
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What is a potential effect of fasting on drug absorption in the gastrointestinal tract?
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Study Notes
Advantages of the Oral Route
- Oral administration is considered the safest method for drug delivery.
- It is convenient, requiring no special equipment for administration.
- Usually a cost-effective option for patients compared to other routes.
Gastrointestinal (G.I.) Absorption: The Process
- Dissolution: Oral drugs first dissolve in gastrointestinal fluids before absorption.
- Membrane Passage: Drugs then traverse the G.I. membrane into the bloodstream.
- Interstitial Fluid: After passing through the membrane, drugs dissolve in interstitial fluid.
- Capillary Membrane: Finally, they cross the capillary membrane, entering systemic circulation.
Importance of Absorption
- The rate and extent of drug absorption significantly influence its therapeutic effectiveness.
- Bioavailability: Refers to the proportion of the drug that reaches the bloodstream intact, influencing its overall effectiveness.
Factors Affecting Bioavailability (Absorption)
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Drug Form: Absorption is affected by the physical form of the drug, such as:
- Capsules and tablets react differently based on disintegration and composition.
- Coatings, such as film or enteric, influence where and how quickly the drug dissolves.
- Sustained or delayed-release forms must not be crushed to prevent rapid absorption and overdose.
- Soluble liquids generally provide higher bioavailability compared to non-soluble, cloudy liquids.
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Nature of the Absorbing Surface:
- Membranes composed of lipids (fats) and proteins allow lipid-soluble drugs to pass through easily.
- Lipid-soluble drugs diffuse quickly into the bloodstream, while water-soluble drugs take longer due to their ionic charge.
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Chemical and Physical Characteristics of the G.I. System:
- pH variations impact the ionization and solubility of drugs.
- Non-ionized (lipid-soluble) drugs generally pass through membranes more readily but may dissolve less easily.
- Ionized (water-soluble) drugs dissolve well but have difficulty crossing cell membranes.
- The small intestine, with a large surface area, is the primary site for drug absorption.
Food and Other G.I. System Factors
- Certain drugs may have interactions with food, negatively affecting absorption.
- Digestive enzymes like those that break down insulin render some drugs unsuitable for oral administration.
- Stomach emptying speed can vary based on food type or body position, affecting drug absorption rates.
- Changes in pH caused by food or medications can alter where and how effectively drugs are absorbed.
- Prolonged fasting may lead to blood vessel constriction in the G.I. tract, delaying absorption.
Key Takeaways
- Grasping oral drug absorption processes is vital in pharmacokinetics for safe patient care.
- Factors such as drug form, G.I. environment, and concurrent food intake determine drug absorption efficiency.
- Anticipating these variables allows nursing students to improve medication management and therapeutic outcomes for patients.
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Description
This quiz explores the absorption of oral drugs, a crucial aspect of pharmacokinetics. Understanding how drugs are absorbed in the body is essential for effective patient care. Dive into the advantages and key concepts of the oral drug administration process.