Pharmacology Lecture notes, Study notes of Pharmacy

Pharmacology Lecture notes study notes

Typology: Study notes

2023/2024

Available from 02/13/2024

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Pharmacology Lecture notes
Pharmacokinetics -
• refers to how medication's travel through the body
• they undergo a variety of biochemical processes that result in absorption, distribution,
metabolism, and excretion
Phases of pharmacokinetics -
1. Absorption
2. Distribution
3. Metabolism
4. Excretion
Phases of pharmacokinetics: Absorption -
• the transmission of medication's from the location of administration to the blood
stream
(GI, tract muscle, skin, mucus, membranes, or subcutaneous tissue)
• most common routes of administration are enteral (through the G.I. tract) and
parenteral (by injection)
• the rate of medication absorption determines how soon the medication will take affect
• the amount of medication the body absorbs determines the intensity of its effects
Phases of pharmacokinetics: Distribution -
• the transportation of medication's to sites of action by bodily fluids
Factors influencing distribution include: -
• circulation: conditions that inhibit blood flow or perfusion can delay, medication,
distribution (peripheral, vascular, or cardiac disease)
• permeability of the cell membrane: the medication must be able to pass through
tissues and membranes to reach its target area. Medication's that are lipid soluble or
have a transport system can cross the blood brain barrier and the placenta.
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Pharmacology Lecture notes

Pharmacokinetics -

  • refers to how medication's travel through the body
  • they undergo a variety of biochemical processes that result in absorption, distribution, metabolism, and excretion Phases of pharmacokinetics -
  1. Absorption
  2. Distribution
  3. Metabolism
  4. Excretion Phases of pharmacokinetics: Absorption -
  • the transmission of medication's from the location of administration to the blood stream (GI, tract muscle, skin, mucus, membranes, or subcutaneous tissue)
  • most common routes of administration are enteral (through the G.I. tract) and parenteral (by injection)
  • the rate of medication absorption determines how soon the medication will take affect
  • the amount of medication the body absorbs determines the intensity of its effects Phases of pharmacokinetics: Distribution -
  • the transportation of medication's to sites of action by bodily fluids Factors influencing distribution include: -
  • circulation: conditions that inhibit blood flow or perfusion can delay, medication, distribution (peripheral, vascular, or cardiac disease)
  • permeability of the cell membrane: the medication must be able to pass through tissues and membranes to reach its target area. Medication's that are lipid soluble or have a transport system can cross the blood brain barrier and the placenta.
  • plasma protein binding: medications compete for protein binding sites within the bloodstream (primarily albumin). The ability of a medication to buy into a pro. Tien can affect how much the medication will leave in travel to target tissues.
  • two medication can compete for the same binding sites resulting in toxicity Phases of pharmacokinetics: metabolism -
    • changes medication into less active or inactive forms by the actions of enzymes
  • this occurs primarily in the liver, but also takes place in the kidneys, lungs, intestines, and blood Factors influencing the rate of medication, metabolism -
    • age
  • increase in some medication-metabolizing enzymes
  • first - pass effect: the liver inactivated some medication's on their first pass through the liver and thus they require an non-enteral route, because of their high first pass effect
  • similar metabolic pathways: when the same pathway metabolizes to medication's, it can alter the metabolism of one or both of them
  • nutritional status Phases of pharmacokinetics: excretion -
    • the elimination of medication's from the body
  • primarily through the kidneys
  • illumination can also take place through the liver, lungs, intestines, and exocrine glands (such as breastmilk) Oral medication: barriers to absorption - Medication's must pass through the layer of epithelial cells that line the G.I. tract Sublingual and buccal medication: barriers to absorption - Swallowing before dissolution allows gastric PH to inactivate the medication Inhalation via mouth and nose medication: barriers to absorption -

Agonists - Medication's that buying two or mimic the receptor activity that endogenous mean compounds regulate drugs which mimic the activity of neurotransmitters

  • binds to the cell and produces a reaction Example of agonists - Morphine is an agonist because it activates receptors that analgesia, sedation, constipation, and other side effects Antagonists - Are medication's that can block the usual receptor drugs that block the function of a neurotransmitter
  • blocks the work of the agonist
  • makes the cell unusable and unable to bind to the agonist Example of antagonists - Naloxone (Narcan)
  • Heroin is an agonist for the opioid receptor if someone has taken a potentially fatal heroin overdose, Narcan Kim, reverse the effects Narcan works by blocking or occupying, all the opioid receptors, preventing heroin from binding and activating them An overdose victim, who is unconscious, and near death, can become fully conscious quite dramatically within seconds of receiving Narcan. Partial agonists - acts as agonists and antagonists with limited affinity to receptor sites Example of partial agonists - Nalbuphine acts as an antagonist at mu receptors and an agonist at kappa receptors, causing analgesia with minimal respiratory depression at low doses Sublingual - under the tongue

Buccal - Between the cheek and gum Advantages to oral medication -

  • safe
  • inexpensive
  • east and convenient Disadvantages to oral medication -
  • oral medication's have highly variable absorption
  • inactivation can occur in the G.I. tract or by first pass effect
  • a client must be cooperative and conscious Chemical name -
  • The name of the medication that reflects it's chemical composition and molecular structure
  • Ex: isobutylphenylpropanoic acid Generic name -
  • The official name, or non-proprietary name the United States Adopted Names council gives a medication
  • Each medication only has one generic name
  • Ex: ibuprofen Trade name -
  • The brand name or proprietary name, the company that manufactures the medication gives it
  • what medication can I have multiple trade names
  • Ex: Advil, Motrin Uncontrolled substances -
  • easy to administer
  • Chemically stable
  • simple name
  • simple instructions The first principle of pharmacology -
    • no drug has only one effect *
  • every drug is a potential poison * Pharmacotherapeutics - Administration of drugs to treat disease and alleviate suffering Therapeutic classification - Organization of drugs, based on their used in treating specific diseases or disorders Mechanism of action -
    • How a drug produces its physiologic effect
  • how a drug works at the molecular, tissue, or body system level Pharmacological classification - Organization of drugs, based on mechanism of action Combination drugs - A combination of two drugs put together in one tablet or one capsule Pharmacokinetics - How drugs travel through the body, undergoing a variety of biochemical processes Pharmacokinetics: Absorption - From the route of administration to the bloodstream Pharmacokinetics: Distribution - From the bloodstream to the sites of actions Pharmacokinetics: Metabolism - Metabolizing enzymes - enzyme induction and inhibition

Pharmacokinetics: Excretion - elimination of drugs from the body Onset - Time from administration to therapeutic effect Duration - Time that therapeutic effect is maintained Peak - When drug reaches its highest concentration Trough - When a drug has reached its lowest concentration, after being broken down and metabolized Half life - The time for plasma, concentration of the drug to decrease by half after administration Loading dose - Relatively high dose of a drug administered to achieve a therapeutic effect more quickly Maintenance dose - Dose(s) administered before the plasma. Drug levels can drop back toward zero in order to maintain a therapeutic level (effect) Pharmacodynamics - How drugs, interact with target cells, organs, and body systems

  • these interactions are what caused the effects that bring about the drugs mechanism of action Six Rights of Medication Administration -
    1. Right patient
  1. Right medication
  2. Right dose
  3. Right time
  • super infection (yeast infection)
  • immune suppression Stomatitis - An irritation on the oral mucosa or throat What is hepatotoxicity? - liver damage Because most medication's are metabolized in the liver, the liver is particularly vulnerable to drug-induced injury What is nephrotoxicity? - kidney (renal) damage Can occur with a number of medication's, but it's primarily the result of certain antimicrobial agents and NSAIDs Damage to the kidneys can interfere with medication, excretion, leading to medication accumulation an adverse effects What is angioedema? - A severe allergic reaction that affects deep tissue (blood vessels, skin, subcutaneous, tissue, mucous membranes) Generally, this involves the lips, face, or oropharyngeal cavity and neck, but it can also affect the intestinal system in other parts of the body What is anaphylaxis? - A life-threatening, immediate systemic reaction, calls from an allergic response to a medication, due, food, or insect bite or sting What is immunosuppression? - Decreased or absent immune system What is Oculotoxicity? - Eye injury What is ototoxicity? - Ear injury/toxicity

What is neurotoxicity? - CNS injury Anticholinergic effects - Drugs that block, the action of acetylcholine (a neurotransmitter)

  • acts as an antagonist to acetylcholine Pharmaceutics - Address how various drug forms affect the dissolution of a drug, the absorption rate of a drug, and subsequently, it's onset of action A Drugs onset of action - The amount of time it takes for the drug to demonstrate a therapeutic response A Drugs peak effect - The time it takes the drug to demonstrate it's for therapeutic effect A Drugs duration of action - The length of time the drugs, therapeutic affect lasts, without additional doses Trough level of a drug - The point in time when the drug is at its lowest level in the body Peak level of a drug - The point in time when the drug is at its highest level in the body Adverse drug reactions (ADRs) - The non-therapeutic, unintended affects of a drug that occur at a therapeutic dose They may be predictable and well-known or unpredictable These can range from annoying, but tolerable to life-threatening Drug tolerance - The bodies decreased response to a drug it receives over a period of time For the drug to continue to exert a therapeutic effect, providers must increase the dosage

Bruxism - Grinding in clenching of teeth, usually during sleep Therapeutic uses of sertraline - Panic disorder OCD Social anxiety disorder PTSD Therapeutic uses for paroxetine - Generalized anxiety Panic disorder OCD Social anxiety disorder Trauma and stressor related disorders Disassociative disorders Depressive disorders Adjustment disorders Therapeutic uses for fluoxetine - panic disorder OCD PTSD Therapeutic uses Escitalopram - Generalized anxiety disorder (GAD) OCD

Therapeutic uses for Fluvoxamine - OCD social anxiety disorder Teratogen - Something that can cause birth defects or abnormalities in a developing embryo or fetus upon exposure. Example of teratogen -

  • recreational drugs
  • some medications
  • tobacco products
  • chemicals
  • alcohol
  • certain infections Herbal drugs - Herbal medicine is the use of plants to treat disease and enhance general health and wellbeing A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which pulse? - Carotid What is transdermal administration? - Administration through the skin often using a patch What is topical administration? - Application of drug directly where action is desired including skin, mucous membranes, eyes, lungs