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FA pharm

Terms

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maximal effect of a drug
efficacy
amt of drug needed for a given effect
potency
zero-order elimination
phenytoin ethanol aspirin
weak acids
phenobarbital, methotrexate, TCAs, aspirin. treat OD with bicarb
weak base
amphetamines treat OD with NH4Cl
redox, hydrolysis
phase I lost first in elderly metabolites water soluble and often still active
acetylation, glucuronidation, sulfation
Phase II very polar, inactive metabolites excreted in urine
Calculate loading dose.
=Cp x Vd/F does NOT need to be changed in pts with impaired renal/hepatic fct
Calculate maintenance dose.
=Cp x CL/F must be LOWERED in pts with impaired liver/kidney fct
Calculate Vd.
= amt of drug in the body / plasma drug concentration
Vd 4-8 L
distribute in blood
medium Vd
distribute in extracellular space or body water
Vd > body weight
distribute in tissues
Calculate CL.
= rate of elimination of drug / plasma drug concentration = Vd x Ke (elimination constant)
Calculate t1/2.
= (0.7 x Vd) / CL drug reaches 94% of steady state after 4 half lives.
A competitive antagonist shifts the curve ______, causing potency to _____.
the right decrease
A noncompetitive antagonist shifts the curve ________, causing efficacy to ______.
downward decrease

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kathartic2

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