Pharmacokinetics Overview
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Questions and Answers

What is the primary function of drug metabolism in the body?

  • To enhance the drug's potency
  • To increase the drug's binding affinity to proteins
  • To prolong the drug's active duration
  • To make the drug easier to excrete (correct)

Which type of drugs are most likely to remain sequestered in the plasma due to their properties?

  • Small lipophilic drugs
  • Large hydrophobic drugs
  • Protein-bound drugs (correct)
  • Hydrophilic drugs

Where is the primary site of drug metabolism in the body?

  • Kidneys
  • Intestinal lining
  • Lungs
  • Liver (correct)

What role do plasma or tissue proteins play in drug binding?

<p>They sequester the drug in a non-active form (C)</p> Signup and view all the answers

Which of the following statements about drug characteristics and their distribution is true?

<p>Small lipophilic drugs can leave plasma for global distribution (D)</p> Signup and view all the answers

What is the primary cause of differences in drug absorption rates among individuals?

<p>Genetic variations affecting metabolic enzymes (A)</p> Signup and view all the answers

In pharmacokinetics, which term best describes the time it takes for the plasma concentration of a drug to reduce by half?

<p>Half-life (C)</p> Signup and view all the answers

What factor can significantly impact the distribution of a drug within the body?

<p>The solubility of the drug (A)</p> Signup and view all the answers

Which phase of drug metabolism primarily involves the modification of drug structure to facilitate excretion?

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

Which dosing strategy is primarily used to quickly achieve a therapeutic concentration of a drug in system circulation?

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

What is the primary challenge of achieving ideal total body clearance for a drug?

<p>Adjusting dosage based on individual renal function (D)</p> Signup and view all the answers

What describes the therapeutic window of a drug?

<p>The range between the minimum effective and minimum toxic concentrations (D)</p> Signup and view all the answers

Which of the following drug delivery methods is designed to bypass the acidic environment of the stomach?

<p>Enteric-coated pills (B)</p> Signup and view all the answers

What is the primary mechanism by which water-soluble drugs cross cell membranes?

<p>Facilitated diffusion via carrier proteins (B)</p> Signup and view all the answers

Which of the following factors directly influences the rate of drug absorption in the gastrointestinal tract?

<p>The pH of the intestinal contents (C)</p> Signup and view all the answers

Which type of membrane transport requires energy and can be saturated?

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

Which of these is NOT a factor influencing drug absorption?

<p>The drug's half-life (C)</p> Signup and view all the answers

Which of the following statements about P-glycoprotein is TRUE?

<p>It transports drugs out of cells, potentially reducing their absorption (D)</p> Signup and view all the answers

Which transport mechanism is most likely to be involved in the absorption of very large drug molecules?

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

Which of the following is a key factor that determines the rate of absorption of a drug through passive diffusion?

<p>The concentration gradient of the drug across the membrane (B)</p> Signup and view all the answers

What is the primary difference between facilitated diffusion and active transport?

<p>Facilitated diffusion requires energy, while active transport does not (D)</p> Signup and view all the answers

Which of these factors would likely increase the rate of absorption of a lipid-soluble drug?

<p>Increased pH of the absorption site (B)</p> Signup and view all the answers

What is the primary role of absorption in pharmacokinetics?

<p>The process by which a drug enters the bloodstream from its administration site. (D)</p> Signup and view all the answers

Which factor does NOT affect the distribution of a drug in the body?

<p>The drug's metabolic rate. (C)</p> Signup and view all the answers

What characterizes the metabolism of a drug?

<p>It alters drugs, potentially resulting in inactive or toxic substances. (B)</p> Signup and view all the answers

In the context of elimination, which statement is true?

<p>Some metabolites retain therapeutic activity even after metabolism. (C)</p> Signup and view all the answers

Which route of administration would likely yield the fastest absorption of a drug?

<p>Sublingual administration. (A)</p> Signup and view all the answers

What type of formulation typically involves a drug that is absorbed when melted at body temperature?

<p>Suppository formulation. (D)</p> Signup and view all the answers

Which factor affects drug distribution to tissues the least?

<p>Effectiveness of the active ingredient. (A)</p> Signup and view all the answers

Which liquid formulation is NOT commonly used for medicinal purposes?

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

What term describes the process by which drugs are removed from the body?

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

What is the primary characteristic of continuous infusion regarding its administration?

<p>Administered continuously until the condition resolves. (D)</p> Signup and view all the answers

Which of the following statements about intermittent infusion is correct?

<p>It may be given at regular intervals over a defined time. (D)</p> Signup and view all the answers

What distinguishes a rapid bolus dose from other types of dosing?

<p>Administered very rapidly as a single dose. (C)</p> Signup and view all the answers

Which of the following is NOT a route of administration for nebulized medication?

<p>Intranasal injection. (C)</p> Signup and view all the answers

How is a slow bolus dose characterized in its administration?

<p>Administered as a single dose over several minutes. (C)</p> Signup and view all the answers

What is the significance of enteral route absorption?

<p>Highly affected by gastric pH and absorption complexities. (D)</p> Signup and view all the answers

Which administration method is used for administering medication at 75 mL/h IV?

<p>Continuous infusion. (D)</p> Signup and view all the answers

What does the term 'loading dose' refer to in IV dosing?

<p>A single large dose administered before maintenance dosing. (D)</p> Signup and view all the answers

What is a common characteristic of oral dosing as compared to intravenous dosing?

<p>May involve both multiple administrations and single doses. (A)</p> Signup and view all the answers

What is an important consideration when understanding 'beer before liquor, never sicker' in relation to therapeutic dosing?

<p>Beer has a lower alcohol concentration than other liquors affecting absorption. (A)</p> Signup and view all the answers

Flashcards

Pharmacokinetics

The study of how the body absorbs, distributes, metabolizes, and eliminates drugs.

Absorption

The process by which a drug enters the bloodstream from its administration site.

Distribution

The distribution of a drug throughout the body to reach its target sites.

Metabolism

The process by which the body breaks down drugs into inactive metabolites.

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Elimination

The removal of drugs and their metabolites from the body.

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Half-Life

The rate at which a drug is eliminated from the body, measured as the time it takes for the drug concentration in the blood to decrease by half.

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Total Body Clearance

The amount of drug that is eliminated from the body per unit time.

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Solution

Solid drug form dissolved in liquid.

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Powder

Solid drug form in a dry form.

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Suppository

Medication carried in a solid base compound that melts at body temperature allowing the drug to dissolve and be absorbed.

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Inhalant

Powdered or liquid form of medication that is intended to be inhaled and absorbed across the lining of the lung.

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Drug Absorption

The movement of a drug from its administration site into the bloodstream.

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Drug Distribution

The process where a drug travels from the bloodstream to various parts of the body.

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Drug Metabolism

The breakdown of a drug into inactive metabolites, primarily in the liver.

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Drug Elimination

The elimination of drugs and their metabolites from the body, mainly through urine and feces.

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Drug Half-Life

The time it takes for the concentration of a drug in the bloodstream to decrease by half.

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Enteric-Coated Pills

A type of drug delivery system that protects the drug from stomach acid, releasing it in the small intestine.

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Extended-Release Pills

A medication that slowly releases the drug over an extended time, providing a longer duration of action.

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Passive Diffusion

The movement of a drug across a cell membrane following its concentration gradient, without the use of energy.

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Facilitated Diffusion

The movement of a drug across a cell membrane with the help of carrier proteins, without requiring energy.

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Rapid Bolus Dose

A single drug dose given over a short period of time to achieve a rapid therapeutic effect.

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Slow Bolus Dose

A single drug dose administered slowly over several minutes to minimize side effects.

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Intermittent Infusion

Fluid or medications given at regular intervals for a specified time.

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Continuous Infusion

Fluid or medications administered continuously until the condition is resolved.

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Intravenous (IV) Dosing

The process of administering a drug directly into the bloodstream.

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Oral Dosing

The process of administering a drug orally.

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Loading Dose

A large initial dose of a drug given to achieve a therapeutic level quickly.

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Enteral Route

Drugs absorbed through the oral mucosa, gastric mucosa, or intestinal mucosa.

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Therapeutic Dosing

The use of a drug to treat a specific condition in a way that maximizes its effectiveness and minimizes side effects.

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Drug Dosing

The amount of drug administered at a specific time.

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What is drug metabolism?

The process by which the body chemically alters a drug, usually making it easier to excrete. This often involves rendering the drug inactive, though some metabolites can have biological activity.

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Where does drug metabolism primarily happen?

The primary site where drug metabolism occurs, but other organs like the intestines, lungs, blood vessels, and kidneys can also play a role.

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How does drug binding to proteins affect its action?

Drugs binding to plasma or tissue proteins can become inactive and temporarily unavailable for action. As free drug levels drop, bound drug is released back into circulation.

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What does lipophilicity mean for a drug's action?

Lipophilic drugs easily cross cell membranes allowing them to reach target tissues more readily.

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Explain how drug distribution works within the body.

The distribution of a drug throughout the body depends on its size, whether it's bound to proteins, and its lipophilicity. Small and lipophilic drugs spread more widely than large or protein-bound ones.

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Study Notes

Pharmacokinetics

  • Pharmacokinetics is the study of how drugs move through the body
  • Includes absorption, distribution, metabolism, and elimination
  • Key concepts include:
    • routes of drug administration (enteral, parenteral, etc.)
    • drug formulations (liquids, solids, suppositories, inhalants, etc.)
    • absorption processes (passive diffusion, facilitated diffusion, active transport, etc.)
    • factors affecting absorption (pH, blood flow, surface area, contact time, P-glycoprotein)
    • distribution (blood flow, capillary permeability, drug binding to proteins, lipophilicity, volume of distribution)
    • metabolism (sites, factors affecting metabolism, first-order and zero-order kinetics, Phase I and II of metabolism, the cytochrome oxidase system)
    • elimination (sites, factors affecting elimination, renal clearance, forms of oral and IV administration, considerations for dosing and dosing intervals, therapeutic dosing goals and considerations)
    • drug dosing (continuous infusion, intermittent infusion, slow bolus dose, rapid bolus dose, oral, IV)

Absorption

  • Absorption is the process by which a drug moves from its site of administration into the bloodstream
  • Factors affecting absorption: pH, blood flow, surface area, contact time, P-glycoprotein
  • Drug formulations impact absorption rates
    • Different forms of drug formulations are absorbed differently, some are faster than others

Distribution

  • Distribution describes the movement of a drug to and from the bloodstream and tissues
  • Factors affecting distribution: blood flow, capillary permeability, drug binding to proteins, lipophilicity, volume of distribution
  • Half-life is the time it takes for the drug concentration to be reduced by 50% in the body

Metabolism

  • Metabolism is the chemical alteration of a drug by the body to make it easier for the body to process and excrete.
  • Metabolism is an important aspect of pharmacokinetics as it helps us to understand how drug concentration changes over time
  • Factors affecting metabolism: individual genetics, co-morbidities (e.g., hepatic, renal, cardiac diseases), co-ingestion, and chronic ingestion
  • There are two major phases of metabolism: Phase I and Phase II reactions that render drugs inactive
  • These reactions often convert lipophilic drugs to more water-soluble forms which are more easily eliminated
  • Enzyme activity plays a key role in drug metabolism

Elimination

  • Elimination is the removal of a drug or drug metabolite from the body
  • The primary organ for drug elimination is the kidneys
  • Renal clearance is the sum of all clearances by drug-metabolizing and drug-eliminating organs, including the liver and other tissues
  • Factors affecting elimination: rate of drug metabolism, renal and hepatic blood flow, kidney function
  • Glomerular filtration is an important step in renal clearance
  • Passive and Active diffusion affect the elimination of drugs

Dosing

  • Various drug administration methods include continuous infusion, intermittent infusion, slow bolus dose, and rapid bolus dose, all with specific considerations for timing
  • Considerations for dosing procedures involve drug concentration, half-life, therapeutic window and adverse effects
  • Patient assessments help in ensuring the right treatment and proper dose

Other Key Info from the document

  • Review assigned chapters on Brightspace for pharmacokinetics
  • Complete Nearpod exercises (links on Brightspace)
  • Consider the optional handwritten tutorials on pharmacokinetics
    • Introduction, Absorption, Distribution, Metabolism, and Excretion
  • Understand different drug formulations
  • Be familiar with routes of administration (enteral, parenteral, etc.) & their impact on drug delivery and absorption
  • Identify factors affecting each stage of pharmacokinetics and how they can influence drug action
  • Be familiar with the terms and concepts related to the different phases of drug metabolism and kinetics

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Description

This quiz explores the fundamental concepts of pharmacokinetics, focusing on how drugs are absorbed, distributed, metabolized, and eliminated in the body. Key topics include drug administration routes, absorption processes, and factors affecting drug metabolism and elimination. Test your knowledge on these crucial aspects of pharmacology!

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