Pharmacology Chapter on Absorption

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Questions and Answers

What factors influence the rate and extent of drug absorption?

  • The age of the patient.
  • The environment where the drug is absorbed. (correct)
  • The time of day the drug is administered.
  • The body weight of the patient.

Which of the following is NOT a factor affecting drug absorption?

  • Bioavailability.
  • Route of administration.
  • Chemical characteristics of the drug.
  • Duration of treatment. (correct)

How does the route of administration impact drug absorption?

  • It alters the chemical structure of the drug.
  • It influences bioavailability. (correct)
  • It determines the patient’s adherence to medication.
  • It affects the patient's tolerance to the drug.

Which statement is true regarding the chemical characteristics of a drug?

<p>They determine the drug's solubility and permeability. (B)</p> Signup and view all the answers

What is the relationship between absorption and bioavailability in drug administration?

<p>Bioavailability can be influenced by the route of administration, which impacts absorption. (D)</p> Signup and view all the answers

What primarily determines the rate of blood flow to tissues?

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

Which factor is associated with capillary permeability?

<p>Chemical nature of the drug (C)</p> Signup and view all the answers

Which aspect does NOT affect blood flow to tissues?

<p>Lipid levels in the tissue (D)</p> Signup and view all the answers

What plays a critical role in determining how blood flows within capillaries?

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

Which of the following factors influences the effectiveness of a drug at the tissue level?

<p>Rate of blood flow to tissues (B)</p> Signup and view all the answers

What is passive diffusion in the context of drug absorption from the gastrointestinal tract?

<p>The drug moves from a region of high concentration to one of lower concentration. (C)</p> Signup and view all the answers

Which statement best describes the conditions under which passive diffusion of drugs occurs?

<p>In any condition but it is more efficient when concentration gradients are significant. (D)</p> Signup and view all the answers

In which scenario would passive diffusion not effectively transport a drug?

<p>When the drug is a large polar molecule. (B)</p> Signup and view all the answers

How does passive diffusion affect the rate of drug absorption?

<p>It tends to increase absorption rate when there is a high concentration gradient. (C)</p> Signup and view all the answers

Which of the following factors does not influence passive diffusion of drugs?

<p>The price of the medication. (D)</p> Signup and view all the answers

What effect does first-pass hepatic metabolism have on drug levels in systemic circulation?

<p>It decreases the amount of unchanged drug entering the systemic circulation. (D)</p> Signup and view all the answers

What happens to a drug that is rapidly metabolized during first-pass hepatic metabolism?

<p>The amount of unchanged drug entering systemic circulation is decreased. (D)</p> Signup and view all the answers

Which statement about the first-pass effect is true?

<p>It primarily takes place in the liver or gut wall. (D)</p> Signup and view all the answers

Why is first-pass metabolism clinically significant?

<p>It can influence dosage adjustments for drugs. (D)</p> Signup and view all the answers

In the context of first-pass hepatic metabolism, what is primarily affected?

<p>The concentration of unchanged drug in systemic circulation. (D)</p> Signup and view all the answers

What effect does reversible binding of a drug to plasma proteins have?

<p>It sequesters drugs in a non-diffusible form. (C)</p> Signup and view all the answers

Which mechanism is primarily affected by the binding of drugs to plasma proteins?

<p>The transfer of the drug out of the vascular compartment. (D)</p> Signup and view all the answers

What is the consequence of drugs being sequestered in a non-diffusible form?

<p>It prolongs the drug's presence in the bloodstream. (A)</p> Signup and view all the answers

How does reversible binding impact drug availability?

<p>It decreases the fraction of free drug available to exert therapeutic effects. (B)</p> Signup and view all the answers

What property of drug binding to tissue proteins can influence its therapeutic outcomes?

<p>Reversible binding allows for sustained drug release. (D)</p> Signup and view all the answers

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Study Notes

Drug Absorption Overview

  • Absorption rate and extent influenced by the environment of absorption, drug's chemical characteristics, and route of administration.
  • Route of administration significantly affects bioavailability, which is the proportion of a drug that enters systemic circulation unchanged.

Mechanisms of Drug Absorption from the GI Tract

  • Passive Diffusion: Drugs move from areas of high concentration to low concentration without energy expenditure.
  • First-Pass Hepatic Metabolism: Rapid metabolism in the liver or gut wall reduces the amount of unchanged drug that reaches systemic circulation.

Key Factors Affecting Drug Absorption

  • Blood Flow: Variability in blood flow to various tissues impacts drug absorption and distribution.
  • Capillary Permeability: Determined by capillary structure and the chemical nature of the drug, affects the movement of drugs into tissues.

Drug Binding

  • Binding to Plasma and Tissue Proteins:
    • Reversible binding of drugs to plasma proteins results in a non-diffusible form, delaying transfer from vascular compartments.
    • High protein binding limits the free drug available for action and alters distribution.

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