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Pharm Week 2 - JN

Definitions

TermDefinition
Low Dose-Effect Curve – Measuring the response to the dose of the drug
Potency – The amount of drug required to produce an effect.
Efficacy – related to the maximal effect of a drug regardless of dose
Therapeutic action/effect – the intended or desired results
Therapeutic range – range between the dose causing the minimum effect and the dose causing the minimum adverse effect.
Therapeutic index (TI) – number that determines the safety of a drug. (the greater the TI, the safer the drug)
Efficacy – is the maximum intensity of effect or response that can be produced by a drug
Renal– Kidney kidney
hepatic liver
Biotransformation – is the body’s way of changing a drug so that it can be more easily excreted by the kidneys.
Tolerance – the need for an increasingly larger dose of the drug to obtain the same effects as the original dose
Duration– is the length of a drug’s effect
Half-Life – the half-life of a drug is the amount of time that passes for its concentration to fall to half (50%) of its original blood level.
Median effect dose (ED50) – is the dose required to produce a desired clinical effect in 50% of test subjects. A low effective dose is preferred because it means less drug is needed to achieve the desired therapeutic effect.
Lethal Dose (LD50) – is the amount of a substance that causes death in 50% of a test population. A lower LD means the substance is more toxic
Intravenous: Drug directly enters the systemic circulation
intramuscular: Drug is injected into muscles because of the high volume of blood flow in those areas
Subcutaneous: Drug is injected under the skin but not into the muscles
Cell Membranes are composed of Lipids (fats), Proteins, and Carbohydrates.
Lipids- Make the membrane relatively impermeable to ions and polar molecules
Proteins – Help move the molecules across the membrane
carbohydrates – are combined with either proteins or lipids
pKa = acid dissociation constant of drugs
Phase I reactions: require very little energy. Lipid soluble molecules go through this phase. They are metabolized by three processes: 1) Oxidation, 2) reduction and 3) hydrolysis
Phase II reactions: Involves conjugation, most common conjugation is with glucuronic acid termed glucuronidation. This mechanism allows the body to convert a lipid-soluble drug to a more polar compound with the use of enzymes called transferases.
Additional Excretion Routes Extrarenal routes: • Lungs • Bile • Gastrointestinal tract • Saliva • Gingival crevicular fluid • Sweat • Mammary Glands (Breast Milk) • Breath
Half-life: The time it takes for body to eliminate half of drug present in the body
FACTORS THAT ALTER DRUG EFFECTS Patient adherence Psychological factors Tolerance Pathologic state Time of administration Route of administration Sex Genetic Variation Drug interactions Age and weight Environment
Created by: JNguyenDH
 

 



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