BVS 6210 Systemic Pharm MT1

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ctuong2013  on November 15, 2010

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BVS 6210 Systemic Pharm MT1

Pharmacology
study and science of the effects of drugs on organism and systems
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Terms

Definitions

Pharmacology study and science of the effects of drugs on organism and systems
Clinical Pharmacology effects of drugs on physiological systems and/or patients
Pharmacotherapeutics use of drugs for therapeutic purposes
Diagnostic Pharmacotherapeutics drugs used to aid in examination, evaluation and diagnosis of the patient or patient condition. ex: contrast media, adenosine, fluorescein
Prophylactic pharmacotherapeutics drugs used to prevent an illness, infection, complication, adverse effect, etc. ex: annual influenza vaccination, using proparacaine prior to administration of dilating drops
Treatment Pharmacotherapeutics drugs used in the therapeutic mgmt of dz or medical conditions. ex: metoprolol for the tx of htn, moxifloxacin for tx of bacterial conjunctivitis
drugs chemical entities/compounds that affect the actions of physiologic processes, tissues, systems and/or organs.
pharmacokinetics distinct processes, factors, and processes whereby drugs are absorbed and distributed in the body, biotransformed, and excreted from the body
pharmacodynamics properties of drug effects, incl. time to onset of action, time to reach peak effects, duration of action, and expected times for drug clearance. Pharmacodynamics can be impacted by pharmacokinetic changes.
pharmacogenetics relationship(s) btwn genetic factors and drug responses
therapeutic effect desired pharmacologic effect(s) of a drug
tolerance decreased effectiveness of a drug over time with repeated use
drug idiosyncracy unusual or unexpected response to a drug
adverse drug effect (ADE) undeseriable (or side) effect a drug that is other than the intended clinical or therapeutic effect(s). also referred to as ADRs (adverse drug rxns)
drug dependence condition generated by repeated exposure to a drug in which reliance on the drug develops
physiologic dependence occurs when the body physically/physiologically develops reliance on a drug. abrupt drug discontinuance can lead to adverse effects including (but not limited to) withdrawal, rebound, etc.
psychological dependenceoccurs when an individual develops strong psychological reliance on a drug. investigations continue into what might be physiologic components to this condition, but it is known that individuals will continue to seek the drug to continue feeling the drug's effect, or to minimize the consequential feelings that can occur when the drug's effects are not being felt.
drug withdrawal effects that occur when one or more drugs that a person has become dependent on has been discontinued. some withdrawal syndromes are unpleasant but not life-threatening. others can result in serious effects
drug interactions effects caused by a combination of 2 or more drugs
altered absorption combination of 2 or more drugs impedes or inhibits the absorption of one or more of the drugs being taken/administered. drugs may inhibit absorption of other drugs across the physiologic membranes
additive effects response elicted by combined drugs is equal to the combined responses of the individual drugs "1 + 1 = 2"
synergism the response elicited by combined drugs is GREATER than the combined responses of individual drugs "1 + 1 = 3"
antagonism drug inhibits the effect of another drug. usually the antagonist has no inherent activity "1 + 1 = 0"
potentiation a drug which has no principal effect enhances the effect of a second drug "0 + 1 + 2"
altered absorption drugs may inhibit absorption of other drugs across physiologic membranes
altered metabolism interactions can occur when P450 enzyme are inhibited or induced.
altered excretion drugs may act on the kidneys to reduce or enhance excretion of specific drugs
competition for serum protein binding drugs that bind to serum proteins may compete with other drugs for the protein binding sites. displacement of drug "A" from serum proteins by drug "B" may increase the concentration of unbound drug "A" in the serum
chemical names name of the chemical entity, usually reference the chemical structure of the drug
generic name (non-proprietary name) the non-proprietary, common name by which the drug is known (irrespective of manufacturer).
trade name (proprietary name) proprietary (manufacturer's) name. aka "brand name"
aa of each
A.C. before meals
A.M. morning
app applicator, apply
ATC around the clock
B.I.D. two times a day
Cap capsule
C.C. with meals
DC discontinue
gm gram
gr grain
gtt drop
hr, h hour
H.S. at bedtime
INJ inject
I.M. intramuscular
I.V. intravenous
L liter
lb pound
mcg microgram
mEq microequivalent
mg milligram
mL milliliter
oz ounce
P.C. after meals (food)
P.O orally (by mouth)
P.R.N. as needed
P.R. rectally
P.V. vaginally
Q, q every
qAM every morning
q Day once a day
q hr every hour
Q.I.D. four times a day
Q.O.D. every other day
qPM every evening
qAM every morning
qs "up to"
Sig directions
ss one half
STAT now/immediately
Supp suppository
Tab tablet
tbs tablespoon, tablespoonful
T.I.D. three times a day
tsp teaspoon, teaspoonful
U.D. as directed
Ung ointment
W.A. while awake
half-life amount of time that it takes for 50% of serum levels (or concentration) of a drug to be eliminated, either by metabolism or excretion
distribution half-life (T1/2-alpha) decrease in drug serum concentration as the drug is distributed in the body
elimination half-life (T1/2-beta) decrease in drug serum concentration as the result of metabolic and excretion processes
single dose serum concentration rises, reaches a peak, and then decreases as the drug is distributed in the body, then eliminated
continuous infusion serum concentration of the drug reaches a steady state after 4-5 half-lives. increasing the rate of infusion will increase the serum concentration of the drug at steady study, but will not shorten the time needed to achieve steady state levels.
intermittent dose serum concentration peaks are the high points in the concentration fluctuations, troughs are the low points
leading dose first dose of drug that is calculated to be higher than the doses that will follow. loading doses are given to reach therapeutic serum drug concentrations more quickly than administering routine intermittent doses.
maintenance doses routine doses that keep steady state drug serum concentrations in the therapeutic range

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