Pharmacology for EMS - Week 3
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Questions and Answers

What does pharmacodynamics primarily explain?

  • The routes of drug administration
  • How drugs are metabolized in the liver
  • How a drug works and interacts with various receptors (correct)
  • The distribution of drugs in the bloodstream
  • Which term describes a drug that binds to a receptor but produces a reduced response?

  • Antagonist
  • Non-competitive antagonist
  • Partial agonist (correct)
  • Agonist
  • What is the effect of a non-competitive antagonist on a receptor?

  • It binds irreversibly to the receptor site (correct)
  • It increases the effectiveness of the agonist
  • It can be displaced by a stronger agonist
  • It temporarily activates the receptor
  • Which type of antagonist diminishes the effect of an agonist by competing for the same binding site?

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

    Which principle describes the interaction between drugs and their receptors like a key fitting into a lock?

    <p>Lock &amp; key principle (B)</p> Signup and view all the answers

    What is the mechanism of action that allows a drug to function at its target tissue called?

    <p>Mechanism of action (A)</p> Signup and view all the answers

    What happens when a medication binds to a receptor site?

    <p>It triggers a biological response (A)</p> Signup and view all the answers

    Which of the following statements about drug targets is correct?

    <p>Drug targets can include receptor sites (C)</p> Signup and view all the answers

    What determines the degree of biological response to a medication?

    <p>The number of drug receptor sites (C)</p> Signup and view all the answers

    What are the four main kinds of regulatory proteins involved as drug targets?

    <p>Receptors, Ion Channels, Enzymes, Carrier molecules (C)</p> Signup and view all the answers

    Which principle describes how receptors interact with molecules based on shape, size, and charge?

    <p>Lock and Key Principle (D)</p> Signup and view all the answers

    Which type of drug interaction involves the alteration of normal metabolic function of cells and tissues?

    <p>Drug enzyme interactions (D)</p> Signup and view all the answers

    What is the first step when a drug is introduced to the body?

    <p>It may or may not enter the bloodstream (D)</p> Signup and view all the answers

    How does a drug bind to a receptor according to the lock and key principle?

    <p>The drug must have the right dimensions and properties. (B)</p> Signup and view all the answers

    What happens when a drug binds irreversibly to a receptor?

    <p>The drug causes a prolonged effect. (A)</p> Signup and view all the answers

    Which type of receptor is considered functionally silent when not engaged by a binding molecule?

    <p>Beta-adrenoreceptor. (A)</p> Signup and view all the answers

    What role do enzymes play in drug interactions?

    <p>They assist in chemical reactions by binding to a substrate. (B)</p> Signup and view all the answers

    Nonspecific drug interactions occur through which mechanism?

    <p>Direct contact with the cell or membrane. (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a reversible binding drug?

    <p>It can alter the receptor structure permanently. (B)</p> Signup and view all the answers

    Which example demonstrates a drug that mimics a naturally occurring substrate?

    <p>A drug that binds but does not activate the receptor. (B)</p> Signup and view all the answers

    What is the effect of medications containing electrolytes administered to affect fluid concentrations?

    <p>They directly affect the cells or membranes. (C)</p> Signup and view all the answers

    What is the relationship between drug dose and the physiological effect?

    <p>Higher the dose, the higher the concentration and effect until a plateau is reached. (B)</p> Signup and view all the answers

    What is meant by drug affinity in pharmacological terms?

    <p>The likeliness of a drug to interact and bind with a receptor. (C)</p> Signup and view all the answers

    What occurs when all receptor sites have been occupied?

    <p>The physiological response reaches maximum capacity. (C)</p> Signup and view all the answers

    How does a drug with high affinity behave at low concentrations?

    <p>It effectively binds to receptors and produces a significant response. (C)</p> Signup and view all the answers

    What is the primary reason different drugs produce varying physiological responses at the same concentration?

    <p>Differences in the affinity and binding strength to receptors. (A)</p> Signup and view all the answers

    Which factor primarily contributes to a greater physiological response from a drug?

    <p>Increasing the dose of the drug. (C)</p> Signup and view all the answers

    What defines a drug's potency?

    <p>Its ability to produce a biological response at low concentrations. (C)</p> Signup and view all the answers

    What happens to drug efficacy as the dose increases beyond a certain point?

    <p>Efficacy reaches a peak and then plateaus. (A)</p> Signup and view all the answers

    What happens when drug concentration exceeds 80% of maximum response?

    <p>It achieves minimal additional therapeutic effect. (B)</p> Signup and view all the answers

    What factors influence the concentration of medication at a receptor site?

    <p>Absorption rate and metabolism. (D)</p> Signup and view all the answers

    How is drug efficacy related to receptor activation?

    <p>Efficacy requires both receptor occupation and activation. (A)</p> Signup and view all the answers

    What does higher efficacy in a drug indicate?

    <p>Greater physiological response. (C)</p> Signup and view all the answers

    What is a sub-therapeutic dose?

    <p>A dose that does not produce measurable biological effects. (C)</p> Signup and view all the answers

    What does drug efficacy in the 'lock and key' analogy refer to?

    <p>The likelihood of activating the receptor. (B)</p> Signup and view all the answers

    Which of the following most accurately describes the relationship between absorption rate and drug response?

    <p>Absorption rate plays a crucial role in determining medication concentration. (A)</p> Signup and view all the answers

    What is a full agonist capable of producing?

    <p>A maximal physiological response (B)</p> Signup and view all the answers

    What does efficacy explain regarding receptor occupancy?

    <p>Why drugs can bind without producing effects (B)</p> Signup and view all the answers

    Which statement about antagonists is true?

    <p>Antagonists can inhibit other drugs from binding (B)</p> Signup and view all the answers

    How do competitive antagonists interact with receptors?

    <p>Bind temporarily and can be overcome by increased agonist dose (B)</p> Signup and view all the answers

    What is a characteristic of noncompetitive antagonists?

    <p>They permanently bind and cannot be overcome by increasing agonist doses (B)</p> Signup and view all the answers

    What does desensitization refer to in drug administration?

    <p>Gradual diminishing of drug effects with continuous use (D)</p> Signup and view all the answers

    Which of the following statements best describes the affinity of a drug?

    <p>It is the ability to occupy receptors without activating them (D)</p> Signup and view all the answers

    What happens when a drug with high affinity but no efficacy binds to a receptor?

    <p>It prevents other drugs from binding without causing an effect (B)</p> Signup and view all the answers

    Flashcards

    Pharmacodynamics

    How a drug works and interacts with receptors, other drugs, and enzyme systems in the body.

    Agonist

    A drug that produces a desired response after binding to a receptor.

    Antagonist

    A drug that diminishes or stops the response caused by an agonist.

    Competitive Antagonist

    A temporary or reversible antagonist where increasing the agonist can overcome.

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    Non-competitive Antagonist

    A drug that binds irreversibly at the receptor site, regardless of agonist amount.

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    Mechanism of action

    How a drug works at the target tissue level. It describes the specific molecular interactions and processes that lead to the drug's effect.

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    Drug targets

    Specific molecules or sites on the cells or tissues that drugs bind to in order to produce their effects.

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    Receptors

    Specialized protein molecules on cell surfaces or within cells that bind to specific drugs and initiate a biological response.

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    Drug-receptor interaction

    The binding of a drug to its receptor, leading to a change in the receptor's activity and ultimately a physiological effect.

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    What are the four main kinds of regulatory proteins?

    The four main kinds of regulatory proteins commonly involved as drug targets are: 1) Receptors, 2) Ion Channels, 3) Enzymes, 4) Carrier Molecules (Transporters).

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    How are receptors specific?

    Receptors are specific in terms of which molecules they interact with. This specificity is based on factors like shape, size and charge.

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    Lock and Key Principle

    The idea that a drug molecule must fit perfectly into a receptor site, like a key in a lock, to activate a response.

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    Receptor Specificity

    Cells only respond to drugs that match their specific receptors.

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    Similar Drug Names

    Drugs that interact with the same receptor and produce similar effects often have similar generic names.

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    Reversible Binding

    When a drug temporarily attaches to a receptor, then detaches, stopping the effect.

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    Irreversible Binding

    When a drug permanently attaches to a receptor, causing a long-lasting effect.

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    Drug Enzyme Interactions

    Drugs influence chemical reactions in the body by interacting with enzymes, either speeding them up or slowing them down.

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    Nonspecific Drug Interactions

    Drugs that work directly on cells or membranes, without needing receptors or enzymes.

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    Electrolytes in Medications

    Some medications contain electrolytes to influence fluid concentrations in the body.

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    Drug Dose

    The amount of medication administered, usually measured in milligrams (mg) or grams (g).

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    Dose-Response Relationship

    The relationship between the amount of drug given and the effect it produces. Higher doses generally lead to stronger effects, but there's a limit.

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    Dose-Response Curve

    A graph that shows how the effect of a drug changes as the dose increases.

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    Drug Affinity

    The tendency of a drug to bind to a specific receptor. Higher affinity means the drug is more likely to bind and stay bound.

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    Potent Drug

    A drug that produces a strong effect even at low concentrations. This is because it has high affinity.

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    Receptor Occupation

    The process where a drug binds to a receptor. It's needed for the drug to have an effect.

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    Maximum Capacity

    The point where all receptors in a cell are occupied by a drug. Further increasing the dose won't have a greater effect.

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    Concentration and Response

    Increasing the concentration of a drug increases the number of receptors occupied, leading to a stronger effect. However, there is a limit.

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    Full Agonist

    A drug that can produce the maximum possible effect when it binds to a receptor, given enough drug concentration.

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    Partial Agonist

    A drug that can only produce a sub-maximal effect, even when all receptors are occupied.

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    Efficacy

    The ability of a drug to produce a response after binding to a receptor. It explains why some drugs can't achieve the maximum effect even when all receptors are occupied.

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    Desensitization

    The effect of a drug gradually decreases when given continuously or repeatedly.

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    Affinity

    The tendency of a drug to bind to a receptor.

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    Drug Efficacy

    The ability of a drug to activate a receptor after binding. It's a graded response, meaning the stronger the efficacy, the greater the physiological response.

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    Sub-therapeutic Dose

    A dose of medication that is too low to have a measurable effect on the body.

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    Drug Concentration

    The amount of a drug present in a specific volume of blood or tissue.

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    Therapeutic Window

    The range of drug concentrations that produces the desired therapeutic effect without causing unacceptable side effects.

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    Adverse Reactions

    Unwanted or harmful effects of a drug.

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    What influences drug concentration?

    The dose administered, its absorption rate, distribution throughout the body, and metabolism all affect the concentration of a drug at its target site.

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    Why is drug concentration important?

    The strength of a drug's effect on a receptor depends on the concentration of the drug at that site.

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    What does efficacy determine?

    Efficacy determines the magnitude of the physiological response a drug can produce, even if it binds to a receptor.

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    Study Notes

    Pharmacology for EMS - Week 3

    • The lecture covers Basic Principles of Pharmacology Part 1 - Pharmacodynamics.
    • Objectives for the week include explaining pharmacodynamics, drug receptor interactions (lock & key), and enzyme systems.
    • The module will cover routes of administration, drug movement in the body, target tissues/cells, mechanism of action, drug metabolism, and drug removal from the body.
    • Pharmacodynamics explains how a drug works and interacts with receptors, other drugs, and enzyme systems within the body.
    • Agonist: a drug that produces the desired physiological response following binding with a receptor.
    • Partial agonist: binds to the receptor and produces a reduced response, decreasing the efficacy of other similar agonists.
    • Antagonist: a drug that diminishes or stops the physiological response of an agonist.
    • Competitive antagonist: binds temporarily or reversibly to the receptor site. Increased agonist concentration can overcome the antagonist's effect.
    • Non-competitive antagonist: binds irreversibly to the receptor site, preventing the agonist from binding, regardless of the agonist concentration.
    • Drugs work by initially being introduced to the body through an administration route, and either enter or do not enter the bloodstream. The introduction triggers a physiological response via a series of chemical interactions. Examples of a physiological response are: contraction, relaxation, activation, excretion, and up or down regulation.
    • The mechanism of action is the way a drug functions at the target tissue.
    • Drug targets are primarily protein molecules, including receptors, ion channels, enzymes, and carrier molecules.
    • Receptors are specialized sites present on or within cells. They bind medications and mediate the pharmacological response.
    • The biological response is proportional to the number of drug receptor sites.
    • Enzymes are proteins that assist chemical reactions in the body. Drugs can either increase or decrease the rate of these chemical reactions. Some drugs mimic substrates and block chemical reactions, while others accelerate them.
    • Nonspecific drug interactions occur when a drug interacts directly with the cell or cell membrane, affecting fluid concentrations, pH, or promoting excretion.
    • Drug dose refers to the amount of medication administered (e.g., milligrams). Higher doses usually result in a greater physiological effect at the receptor site, but there's a point where increasing the dose doesn't increase the response, known as the dose-response relationship or curve.
    • The affinity of a medication to bind with a receptor is vital to stimulating a biological effect. This interaction is referred to as 'lock and key'.
    • A receptor must be occupied and activated for a drug to stimulate a biological effect.
    • A full agonist can stimulate the maximum physiological response at a sufficient drug concentration.
    • A partial agonist can only produce a submaximal response even with 100% receptor occupancy.
    • Antagonists reduce the physiological response of another drug.
    • Competitive antagonists temporarily bind to receptor sites, while non-competitive antagonists bind permanently.
    • Desensitization occurs when the effect of drugs gradually diminishes or is reduced with continuous or repeated administration. This may require higher doses to achieve the same effect.
    • Tachyphylaxis is rapid desensitization following administration, and it exhibits rapid tolerance to the drug.
    • Drugs must be studied for use and assessment purposes.
    • The next week's class will focus on specific drugs such as Saline, Oxygen, and Aspirin – topics for assessment and study.

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    Description

    This week’s lecture delves into the basic principles of pharmacology, focusing on pharmacodynamics. You will learn about drug-receptor interactions, the mechanisms of drug action, and how drugs are metabolized and removed from the body. Key concepts such as agonists, antagonists, and routes of administration will be discussed in detail.

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