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Sherpath
Week 3 Sherpath Pharmacokinetics
Question | Answer |
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Match the factor affecting absorption with its characteristics. Explains why oral drugs are formulated to be absorbed from small intestine Surface area Drug that easily crosses membranes that separate it from the blood Lipid soluble Process where dru | surface area lipid soluble pH partitioning rate of dissolution |
Which route of administration provides rapid onset of delivery to enhance safety and efficacy? | Intravenous |
Which route of administration provides rapid onset of delivery to enhance safety and efficacy? | Rectal drugs are rapidly absorbed. Absorption of rectal drugs is unpredictable. Defecation can interrupt absorption of rectal drugs. |
Which factors affect drug distribution? | Blood flow to tissues Ability of drug to exit blood vessels Ability of drug to enter cells |
Which statements about protein binding are accurate? | The portion of drug that remains unbound is active. Only unbound drugs can exert pharmacologic responses. The portion of drug that is bound cannot exit blood vessels. |
Which drugs are able to cross the blood-brain barrier (BBB)? | Highly lipid-soluble drugs Low molecular weight drugs Drugs bound to transport proteins |
The liver metabolizes drugs into which component for renal excretion? | Water-soluble substance |
Only _______ of the 12 closely related cytochrome P450 enzyme families metabolize drugs. Use numbers only. | 3 |
Which factors decrease drug metabolism? | Malnutrition Kidney disease Cardiovascular disease |
Match each step in renal drug excretion to its definition. Moves drugs from blood to urine Lipid-soluble drugs move back into the blood “Pumps” for organic acids and bases move drugs from blood to urine | Glomerular Filtration Passive Tubular Reabsorption Active Tubular SEcretion |
Which organ accounts for most drug excretion, thereby limiting the duration of action of many drugs? | kidneys |
Drugs are excreted by which routes? | Feces Lungs Breast milk |
Which route of drug administration is most likely to be reversible? | oral |
Which route of drug administration delivers drugs directly to the tissue where they exert their actions? | Inhalational |
Which factors may affect drug absorption? | Surface area Lipid solubility Rate of dissolution |
Which conditions decrease blood flow to tissues, thereby reducing the effectiveness of drug therapy? | Abscess Solid tumor |
The nurse knows that warfarin is 99% protein bound, whereas bupropion is 84% protein bound. If both of these drugs are administered concurrently, which events could occur? | Warfarin could displace bupropion from its binding site. Bupropion could accumulate to toxic levels. |
To safely administer drugs, nurses must understand that only certain drugs can cross the blood-brain barrier (BBB), including those that are highly lipid soluble and of low molecular weight. Which drug can cross the BBB? | Diazepam |
Match the possible consequence of drug metabolism to its example. Conversion of procaine into para-aminobenzoic acid (PABA) Conversion of codeine into morphine Conversion of acetaminophen into metabolite Conversion of lipid-soluble drugs into water-so | Drug inactivation Increased therapeutic action Increased toxicity Increased renal secretion |
Which routes of administration can be used to avoid the first-pass effect? | Topical Intranasal Intravenous Inhalational |
Which factors alter drug metabolism in older adults? | Decreased liver mass Decreased hepatic blood flow |
Kidney stones and urinary obstruction alter which pharmacokinetic principle? | excretion |
Certain drugs must undergo which process before enterohepatic recirculation can occur? | Glucuronidation |
Drugs with which property are excreted in breast milk? | Lipid soluble |