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NSG 318 TOPIC 2, TOPIC 3, AND TOPIC 4 COMBINED WITH COMPLETE SOLUTIONS !!

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NSG 318 TOPIC 2, TOPIC 3, AND TOPIC 4 COMBINED WITH COMPLETE SOLUTIONS !!...

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NSG 318 TOPIC 2, TOPIC 3, AND TOPIC 4 COMBINED WITH
COMPLETE SOLUTIONS 2025-2026!!


NSG318 Topic 2

NSG318 Topic 3

NSG318 Topic 4



NSG318 Topic 2

What are the pharmacokinetic phases? - ANSWER>>absorption

distribution

metabolism

excretion



absorption - ANSWER>>the passage of the drug from the GI tract into the bloodstream
after administration



distribution - ANSWER>>the passage of drugs from circulation into body tissues



metabolism (biotransformation) - ANSWER>>the body chemically changes drugs to an
excretable form



excretion - ANSWER>>the removal of drugs from the body

disintegration - ANSWER>>the breakdown of oral drug into smaller particles



dissolution - ANSWER>> the process of dissolving small particles of a drug into a
solution

,What two methods of transport involve passive? - ANSWER>> diffusion and facilitated
transport



diffusion - ANSWER>> The drugs movement through a cell membrane from high to low
concentration.



facilitated transport - ANSWER>> utilizes a carrier protein to transport drug from an
area of high to low concentration



active transport - ANSWER>> Requires ENERGY (ATP) requires a carrier substance
usually an enzyme



pinocytosis - ANSWER>>cell carries drug across membrane by engulfing drug particles



What factors affect absorption? - ANSWER>>blood circulation

pain, stress

food texture, fat content, temperature

pH

route of administration



How do drugs move from the GI tract to the liver? - ANSWER>>via the hepatic portal
vein



What is the first pass effect? - ANSWER>>After oral administration, many drugs are
absorbed intact from the small intestine and transported first via the portal system to
the liver, where they undergo extensive metabolism, therefore usually decreasing the
bioavailability of certain oral medications.



bioavailability - ANSWER>>percent of administered drug available for activity

what reaches systemic circulation (blood stream)

, Which has more bioavailability oral route or IV? - ANSWER>>oral route will have less
bioavailability because it passes through the liver

IV administration bypasses the liver



What are factors that affect bioavailability? - ANSWER>>drug form

route of administration

gastric mucosa and motility

administration with food and other drugs

changes in liver metabolism



What happens when 2 highly protein bound drugs are administer together? -
ANSWER>>the drugs will compete for protein binding sites and this will lead to an
increase in the free drugs of the drug that had the lower percent of protein binding



free drugs - ANSWER>>can exit blood vessels and reach their site of action causing
pharmacological response

(too high of free drug accumulation can cause side effects, adverse effects, or toxicity)



What are the requirements of a drug to pass the blood brain barrier? - ANSWER>>high
lipid soluble

low molecular weight

and can pass with a transport protein



half life (t1/2) - ANSWER>>time it takes for the amount of drug in the body to be
reduced by half



loading dose - ANSWER>>a large initial dose given to achieve a rapid minimum
effective concentration in the plasma

therapeutic effects can be obtained while steady state is reached

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