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Pharm Principles
Pathopharm Exam 1
Term | Definition |
---|---|
Drugs have three names | Chemical Name Generic Name Trade Name |
Absorption | Movement of substance across membranes into body fluids; dependent on route of administration |
Distribution | Transport through body |
Metabolism | Body takes the drug and breaks it down; some drugs are not active until metabolized |
Excretion | Exiting the body |
Schedule I Drug | No known medical purpose/political reason; high abuse potential |
Schedule II Drug | Known medical purpose; high potential for abuse (stimulants/cocaine/hydrocodone) |
Schedule III Drug | Potential for abuse; medical purpose |
Schedule IV | less potential for abuse; medical purpose |
Schedule V | Most OTC medications |
Bioavailability | amount of drug after first pass available to be used by the body; affected by the route of admine |
First Pass Effect | drug pass through stomach and is taken up to the liver for metabolism, then absorbed into systemic circulation for use. Part of drug no longer available. |
Organs responsible in metabolism | liver = most; kidneys, lungs, plasma, intestinal mucosa also |
Half Life | time it takes for 1/2 of the original amount of the drug in the body to be removed |
Therapuetic Index | the minimum effective concentration to the amount of toxicity |
Plateau Principle | the "steady state"; maintainence |
Pharmacodynamics | the way a drug works on the body |
Receptors | where the drug binds |
Enzymes | breakdown/cause action |
Non-specific effect | act without receptors; work independently; once bound, may cause a second reaction. |
Pharmocotherapeutics | SMART; what is the expected outcome? |
Supplemental Drugs | When body is missing something |
Palliative Drugs | makes better, but no cure |
Prophylactic Drugs | prevent (antibiotics sometimes/birth control) |
Accumulation | a drug being absorbed more quickly than it can be eliminated or when it is administered before the previous dose has been metabolized |
Synergistic effects | combined drug effects are greater that when given separately |
Teratogenic effects | structural defect in the unborn fetus |
Category A Drug | Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester; the least harmful |
Category B Drug | Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women. |
Category C Drug | Animal reproduction studies have shown an adverse effect on the fetus and there are no studies in humans, but potential benefits may warrant use despite risks |
Category D | there is positive evidence of fetal risk but the benefits from use may be acceptable |
Category X | fetal abnormalities and evidence of risk based on human experience; The most harmful |
Mutagenic | changes in genetic composition |
carcinogenic | cancer causing agent |