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Basic Pharmacology Principles
LP1 Basic Pharmacology Principles
16
Nursing
Undergraduate 1
04/12/2014

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Term
MEC
Definition
Minimum effective concentration
Term
Onset of action
Definition
the time it takes to reach the MEC
Term
Peak action
Definition
occurs when the drug reaches its highest blood or plasma concentration
Term
duration of action
Definition
length of time the drug has a pharmacologic effect
Term
half life (t1/2)
Definition
the time it takes for one half of the drug concentration to be eliminated

Metabolism and elimination affect the half-life of a drug
short half life is 4-8 hours
long 24+hours
-not considered effective after 90% of the drug has been eliminated.
Term
pharmaceutic phase (dissolution)
Definition
drug becomes a solution so that it can crosss the biologic membrane

When administered parenterally by subQ, IM or IV there is no pharmaceutic phase
Term
excipients
Definition
used in drug preparation to allow the drug to take on a particular size and shape and to enhance drug dissolution
Term
disintigration
Definition
breakdown of a tablet into smaller particles

generally, drugs are both disintegrated and absorbed faster in acidic fluids with a pH of 1 or 2.
Enteric coated drugs resist disintegration in the gastric acid of the stomach , so disintegration does not occur until the drug reaches the alkaline environment of the small intestine
Term
dissolution
Definition
disolving of the smaller particles in the GI fluid before absorption
Term
rate limiting
Definition
the time it takes the drug to disintegrate and dissolve to become available for the body to absorb it
Term
first pass effect
Definition
or hepatic first pass
some drugs do not go directly into the systemic circulation but pass from the intestinal lumen to the liver via the portal vein.
Term
bioavailability
Definition
percentage of the administerd drug dose that reaches the systemic circulation

oral route is always <100%
IV usually 100%
Term
Factors that alter bioavailability
Definition
*drug form (tablet, capsule, liquid, patch, inhalation..)
*route of administration
*GI mucosa and motility
*food and other drugs
*changes in liver metabolism caused by liver dysfunction or inadequate hepatic blood flow
Term
Pharmacokinetic Phase (4 processes)
Definition
the process of drug movement to achieve drug action

1) absorption
2) distribution
3) metabolism (biotranformation)
4) excretion (or elimination)
Term
Absorption
Definition
movement of drug particles from the GI tract to body fluids by passive absorption, active absorption, or pinocytosis
Term
Distribution
Definition
process by which the drug becomes available to body fluids and body tissues
Influenced by blood flow, the drug's affinity to the tissue, and the protein-binding effect
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