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Kinetics and Dynamics
ADMD
34
Nursing
Undergraduate 3
05/07/2011

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Cards

Term
What is normal Creatine level?
Definition
.8-1.4
Term
What is Pharmacodynamics?
Definition
How drug affects body
Term
What is Pharmacokinetics?
Definition
How the drug moves in the body
Term
Differences between Prescribed, OTC, and dietary supplements
Definition
OTC-FDA approved
Dietary-FDA warned
Term
what are LASA drugs?
Definition
look alike sound alike
Term
What is absorption
Definition
medicine getting into the blood
Term
How does food effect bioavailability?
Definition
decreases effect of absorption
Term
Critical point with extended release drug formulations
Definition
DO NOT CRUSH--- affects delivery system---toxicity can occur
Term
Local drug administration examples
Definition
inhalers, ointments, nasal sprays, eyedrops
Term
Which route of administration is more likely to cause side effects?
Definition
Systemic
Term
What are the 4 factors affecting absorption?
Definition
Food, Blood flow and health status, stomach pH and other drugs
Term
What are systemic formulation examples?
Definition
IV, patches
Term
What is distribution?
Definition
How drug moves in the body; is "distributed" in body tissues
Term
Ionization and bioavailability
Definition
Like absorbs like

acidic-stomach
alkaline-small intestine
Term
What are patient factors that contribute to low albumin (value <3.o
Definition
liver dysfunction, malnutrition
Term
What is the difference between a bound drug and a free drug?
Definition
a bound drug is bound to the protein, a free drug is in the plasma.
more free drug can lead to toxicity.
Term
What is metabolism?
Definition
allows drug to change to get out of the body
Term
What are some CYP450 inducers and what do they do?
Definition
Grapefruit, Nicotine..
speed up the metabolism by increasing enzymes
Term
What are some CYP450 inhibitors and what do they do?
Definition
Tagamet, Alcohol
decrease metabolism by decreasing enzymes
Term
What is the first pass effect?
Definition
PO, how much of a drug is left after being metabolized in the liver.
Term
What is excretion?
Definition
Drug leaving the body
(sweat, poop, urine, breath)
Term
What does it mean when your creatine is high?
Definition
Clearance is low; renal dysfxn
Term
What is a half-life?
Definition
time it takes for drug to decrease by 1/2
Term
What is steady state?
Definition
half life times 4.
.. amount of drug removed via elimination equal amount of durg absorbed.
Term
What is a loading dose and why do we give it?
Definition
a larger than maintenance dose is given in order to reach a therapeutic level quicker.
Term
What is a drugs ACTION?
Definition
how the drug works--- interaction between cell and drug
Term
What is a drugs effect?
Definition
the results; therapeutic response
Term
What is a therapeutic response?
Definition
the desired or intended response
Term
What is an Adverse response?
Definition
unpredictable, undesired effect of drug
Term
What is affinity?
Definition
strength of attraction between drug and binding site.
Term
What is an agonist
Definition
stimulator; works with drug
Term
What is an antagonist?
Definition
Inhibitor; works against drug or blocks effect
Term
What are signs/symptoms of hypokalemia?
Definition
N/V, tremors, weakness, constipation
Term
What are s&s of hyPERkalemia?
Definition
N/V, muscle spasms, cardiac dysrhytmias, diarrhea
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