PRINCIPLES NUR 210 EXAM 1|
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drug response - 🧠 ANSWER ✔✔the intensity of the drug response is
directly related to the concentration of the drug at the SITE OF ACTION
,Goal is to:
- maximize the beneficial effects- concentration high enough for desired
response
- minimize harm- avoid to high a concentration
Three phases of drug action - 🧠 ANSWER ✔✔1. pharmaceutic phase
(dissolution)
2. pharmacokinetic phase (drug moving through the body)
3. pharmacodynamic phase (what the drug does to the body)
1. pharmaceutic phase - 🧠 ANSWER ✔✔the drug goes into solution
- Dissolution: the process by which a drug goes into solution and becomes
available for absorption
- must be dissolved before it can be absorbed
- most absorption takes place in the small intestine
2. pharmacokinetic phase: four processes - 🧠 ANSWER ✔✔"what the
BODY does to the drug"
,- absorption
- distribution
- metabolism/ biotransformation
- exertion
pharmacokinetic phase: Absorption - 🧠 ANSWER ✔✔(small intestine) the
movement of a drug from its site of administration into the blood
pharmacokinetic phase: Distribution - 🧠 ANSWER ✔✔drug moves from
blood --> cell membrane
pharmacokinetic phase: Metabolism/biotransformation - 🧠 ANSWER
✔✔lipid soluble metabolite (liver) --> a water soluble metabolite
pharmacokinetic phase: Excretion - 🧠 ANSWER ✔✔water soluble
metabolite (kidneys)
liver - 🧠 ANSWER ✔✔breaks down the drug
kidneys - 🧠 ANSWER ✔✔excretes the drug
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, Pharmacokinetic phase movement process - 🧠 ANSWER ✔✔orally -->
stomach --> SI --> bloodstream --> site of action --> liver (broken down) -->
kidneys (excreted)
IV --> bloodstream --> cite of action --> liver --> kidneys
drugs crossing the cell membranes phospholipid cell layer - 🧠 ANSWER
✔✔-drugs must be LIPID SOLUBLE in order to pass through the
membrane
- WATER SOLUBLE drugs penetrate the cell membrane through channels
and pores
Absorption
1. direct penetration of the membranes
2. channels and pores
3. transport systems - 🧠 ANSWER ✔✔the movement of a drug from its site
of administration to the blood