Nurs 615 Pharmacology
Exam 1 - Maryville
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, Step 4 of the WHO approach: Start the treatment
Step 5 of the WHO approach: Educate the patient
Step 6 of the WHO approach: Monitor the treatment
Phase 1 of drug development: The drug is tested on healthy volunteers
Phase 2 of drug development: trials with people who have the disease for which the drug is thought to be
effective
Phase 3 of drug development: Large numbers of patients in medical research centers receive the drug in
phase 3. This larger sampling provides information about infrequent or rare
adverse effects. The FFA will approve a new drug application if phase 3 studies
are satisfactory.
Phase 4 of drug development: This phase is voluntary and involves postmarket surveillance of the drug's
therapeutic effects at the completion of phase 3. The pharmaceutical company
receives reports from doctors and other health care professionals about the
therapeutic results and adverse effects of the drug. Some medications, for
example, have been found to be toxic and have been removed from the
market after their initial release.
Explain first pass metabolism much of the drug is lost in the absorption process. The liver metabolizes many
drugs, thus reduces the bioavailabilty of the drug.
What is the fasted route of absorption: The fastest route of absorption is inhalation, and not as mistakenly considered
the IV administration.
Why does the GI tract take longer to absorb? The GI tract is lined with epithelial cells; drugs must permeate through these
cells in order to be absorbed into the circulatory system.
What is One particular cellular barrier that may prevent the cell membrane. Cell membranes are essentially lipid bilayers which form a
absorption of a given drug? semipermeable membrane. Pure lipid bilayers are generally permeable only to
small and uncharged solutes, hence whether or not a molecule is ionized will
affect its absorption, since ionic molecules are charged.
What is solubility? Solubility favors charged species, permeability favors neutral species. Some
molecules have special exchange proteins and channels to facilitate movement
from the lumen into the circulation.
Why does absorption occur at a slower rate for oral, IM, Absorption occurs at a slower rate because the complex membrane systems of
SQ routes? GI mucosal layers, muscle, and skin delay drug passage.