Pharmacology Key Concepts

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Questions and Answers

The dose-response curve primarily illustrates the relationship between medication dose and which of the following?

  • The overall cost of the medication regimen
  • The medication's half-life in the body
  • Side effects experienced by the patient
  • Efficacy or the ability to produce a desired effect (correct)

Stimulation of beta-1 adrenergic receptors is most likely to directly cause which effect?

  • Increased heart rate and contractility (correct)
  • Vasoconstriction in peripheral blood vessels
  • Decreased respiratory rate
  • Bronchodilation in the lungs

Bioavailability refers to what characteristic of a medication?

  • The fraction of unchanged medication reaching systemic circulation (correct)
  • The body's decreasing response to a drug
  • The medication's capacity to bind to its receptors
  • The ratio between toxic and therapeutic doses

What is the correct sequence in the body's natural production of the sympathomimetic hormones?

<p>Dopamine, then norepinephrine, then epinephrine (D)</p> Signup and view all the answers

A medication is categorized as an antagonist if:

<p>It binds to a receptor site with greater affinity than the body's own chemical mediator, preventing the mediator from binding (B)</p> Signup and view all the answers

Which components are represented by the mnemonic SLUDGEM related to cholinergic effects?

<p>Salivation, Lacrimation, Urination, Defecation, GI Upset, Emesis, Miosis (D)</p> Signup and view all the answers

Which of the following options correctly lists typical anticholinergic symptoms a patient might exhibit?

<p>Flushed skin, dry mouth, pupil dilation, confusion (C)</p> Signup and view all the answers

A patient experiencing cholinergic toxicity is most likely to exhibit which of the following symptoms?

<p>Bradycardia, pinpoint pupils, salivation, diarrhea (A)</p> Signup and view all the answers

Which of the following medication groups are classified as adrenergic receptor agonists?

<p>Dopamine, Dobutamine, Epinephrine (D)</p> Signup and view all the answers

Which of the following sets of medications are known as adrenergic receptor antagonists?

<p>Atenolol, Labetalol, Metoprolol (A)</p> Signup and view all the answers

Which set of medications would be classified as cholinergic receptor antagonists?

<p>Atropine, Scopolamine (A)</p> Signup and view all the answers

In which organ does a medication typically undergo first-pass metabolism?

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

What is the primary intended effect of administering Dobutamine to a patient?

<p>Increased inotropy (force of heart contraction) (B)</p> Signup and view all the answers

Activation of alpha-1 receptors in the body typically leads to which of the following?

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

If a medication possesses a negative chronotropic effect, it will directly cause:

<p>A decrease in heart rate (A)</p> Signup and view all the answers

Stimulation of beta-1 receptors in the heart primarily results in which combination of effects?

<p>Increased heart rate and contractility (B)</p> Signup and view all the answers

What physiological response is most directly associated with the stimulation of beta-2 receptors?

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

Which of the following is a direct effect of stimulating alpha-1 receptors in the body?

<p>Vasoconstriction and blood pressure elevation (C)</p> Signup and view all the answers

Stimulation of alpha-2 receptors typically results in:

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

When does the first-pass metabolism of a medication occur?

<p>When a drug's bioavailability is reduced before reaching systemic circulation (D)</p> Signup and view all the answers

What type of drug would you administer to cause a negative inotropic effect on the heart?

<p>Beta-1 antagonist (D)</p> Signup and view all the answers

A client experiences profound sedation when fentanyl is administered alongside midazolam due to synergistic effects. This effect is called:

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

What does the therapeutic index of a medication indicate?

<p>The difference between the median effective dose and the median toxic dose (C)</p> Signup and view all the answers

Which of the following is a common toxic effect associated with beta-blocker medications?

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

If a medication is said to have a high affinity for a specific receptor, what does this imply about the medication?

<p>It binds strongly to the receptor. (C)</p> Signup and view all the answers

A medication that acts as a partial agonist will likely do which of the following?

<p>Produce a smaller maximal effect than a full agonist. (D)</p> Signup and view all the answers

Cytochrome P450 enzymes are primarily involved in which process related to medication?

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

Two medications are known to compete for the same binding sites on plasma proteins. What is a likely outcome of administering these medications together?

<p>Increased free concentration of one or both drugs (B)</p> Signup and view all the answers

What is the main implication of a drug having a narrow therapeutic window?

<p>The dose needs to be carefully titrated to avoid toxicity (A)</p> Signup and view all the answers

If a drug is described as having a high first-pass effect, which route of administration would likely result in the lowest bioavailability?

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

What does the term 'up-regulation' of receptors refer to?

<p>An increase in the number of receptors on a cell surface (A)</p> Signup and view all the answers

Which factor primarily determines the duration of action of a drug?

<p>The rate at which the drug is metabolized and excreted (C)</p> Signup and view all the answers

What is the primary effect of a drug that acts as a competitive antagonist?

<p>Competes with the agonist for the same binding site. (D)</p> Signup and view all the answers

A drug interaction that results in one drug inhibiting the metabolism of another would likely lead to:

<p>Increased blood levels of the inhibited drug. (A)</p> Signup and view all the answers

If a medication is highly protein-bound, what effect will this have on its distribution in the body?

<p>It will remain primarily in the bloodstream. (C)</p> Signup and view all the answers

Which of the following routes of administration typically results in the most rapid onset of drug action?

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

What is the primary purpose of administering a loading dose of a medication?

<p>To rapidly achieve a therapeutic plasma concentration. (B)</p> Signup and view all the answers

Describe the term 'steady state' in pharmacokinetics.

<p>When the rate of drug elimination equals the rate of administration. (A)</p> Signup and view all the answers

Flashcards

Dose-response curve

Relationship between medication dose and its effectiveness.

Beta-1 adrenergic receptor stimulation

Increases heart rate.

Bioavailability

Percentage of unchanged medication reaching systemic circulation.

Sympathomimetic hormone production order

Dopamine -> Norepinephrine -> Epinephrine

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Antagonist medication definition

Has higher affinity for receptor than chemical mediator.

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SLUDGEM meaning

Salivation, Lacrimation, Urination, Defecation, GI upset, Emesis, Miosis

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Anticholinergic symptoms

Flushed skin, dry mouth, pupil dilation, confusion.

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Cholinergic symptoms

Bradycardia, pinpoint pupils, salivation, diarrhea.

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Adrenergic receptor agonist medications

Dopamine, Dobutamine, Epinephrine

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Adrenergic receptor antagonist medications

Atenolol, Labetalol, Metoprolol

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Cholinergic receptor medications

Atropine, Scopolamine

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First-pass metabolism organ

Liver

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Dobutamine's primary effect

Increased inotropy

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Alpha-1 receptor stimulation effect

Vasoconstriction

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Negative chronotropic effect

Cause a decrease in heart rate

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Beta-1 receptor stimulation effects

Increased heart rate and contractility

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Beta-2 receptor stimulation effect

Bronchodilation

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Alpha-1 receptor stimulation causes

Vasoconstriction and blood pressure elevation

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Alpha-2 receptor stimulation causes

Vasodilation

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First-pass metabolism of a medication

A drug's bioavailability is reduced before systemic circulation

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Negative inotropic effect agent

Beta-1 antagonist

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Fentanyl and midazolam interaction

Synergism

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Therapeutic index

Difference between the median effective dose and the median toxic dose

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Toxic effect from beta blockers

Bradycardia

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Study Notes

Dose-Response Curve

  • Illustrates the relationship between medication dose and efficacy.

Beta-1 Adrenergic Receptors

  • Stimulation leads to an increased heart rate.

Bioavailability

  • The percentage of an unchanged medication that reaches systemic circulation.

Sympathomimetic Hormone Production

  • The body's natural production order is: Dopamine, Norepinephrine, Epinephrine.

Antagonist Medication

  • A medication with a higher affinity for the receptor site than the chemical mediator.

SLUDGEM Mnemonic

  • Stands for: Salivation, Lacrimation, Urination, Defecation, GI upset, Emesis, Miosis.

Anticholinergic Symptoms

  • Include flushed skin, dry mouth, pupil dilation, and confusion.

Cholinergic Symptoms

  • Include bradycardia, pinpoint pupils, salivation, and diarrhea.

Adrenergic Receptor Agonist Medications

  • Examples include Dopamine, Dobutamine, and Epinephrine.

Adrenergic Receptor Antagonist Medications

  • Examples include Atenolol, Labetalol, and Metoprolol.

Cholinergic Receptor Medications

  • Examples include Atropine and Scopolamine.

First-Pass Metabolism

  • Occurs in the liver, reducing a drug's bioavailability before systemic circulation.

Dobutamine's Primary Effect

  • Increased inotropy (increased force of muscular contraction).

Alpha-1 Receptor Stimulation

  • Results in vasoconstriction.

Negative Chronotropic Effect

  • Causes a decrease in heart rate.

Beta-1 Receptor Stimulation

  • Causes increased heart rate and contractility.

Beta-2 Receptor Stimulation

  • Causes bronchodilation.

Alpha-1 Receptor Stimulation

  • Causes vasoconstriction and blood pressure elevation.

Alpha-2 Receptor Stimulation

  • Causes vasodilation.

First-Pass Metabolism Effect

  • Reduces a drug's bioavailability before systemic circulation.

Negative Inotropic Effect

  • Achieved by administering a Beta-1 antagonist.

Synergism

  • Occurs when fentanyl is given with midazolam, leading to profound sedation

Therapeutic Index

  • The difference between the median effective dose and the median toxic dose.

Toxic Effects of Beta Blockers

  • Include bradycardia.

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