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Definition
1. passive diffusion: diffuses across membranes like gases and lipophiles 2. active transport: transport against concentration gradient with ATP (acid base excretion renal) 3. facilitated diffusion - only via concentration gradient (adenosine) 4. receptor mediated endocytosis: peptide hormones |
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Definition
mvmnt for water soluble drugs -applies to fetus -bbb stops water soluble drug entry (tight junctions) |
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acidification traps charged form weak bases!
alkalinization traps charged form weak acid |
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Definition
MDR expressed everywhere (organic cation) |
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Definition
Much of the drug is absorbed and metabolized within stomach/liver before entering systemic circ. |
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drugs bound to serum proteins |
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Definition
1.albumin = warfarin 2. glycoprotein = lidocian 3. lipoproteins - propofol |
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Definition
Volume distribution...larger means undergoes tissue binding |
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Term
zero order vs first order |
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Definition
zero = constant rate (sat receptor) 1st = proportional to concentation (most drugs) |
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Definition
phase 1 = oxidation by p450s phase 2 = conjugation
t1/2 = .693/ke |
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Definition
additive, used as measure of loss of particular concentration of fluid
C=ke * vd |
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two compartment dist phase |
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Definition
I-injection co II - entry tissues co III - slow elimniztion IV
distribution phase ends when periphral and circ enter equillibrium (III) |
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Term
when to use large dosing fraction and why |
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Definition
less frequent dosing...large theraputic window only
smaller f keeps concentration in smaller window but needs admin more often |
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Term
nonlinear dose dependant drugs |
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Definition
peak concentration changes non-proportionately to dose
occurs saturated kinetic process
may not reach steady state at higher doses |
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Term
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Definition
= drug plasma/drug alveolus
decreasing solubility = decreasing coefficient = equilibruim faster |
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