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Pharmacology Psychiatric Mental Health Nurse Practitioner

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Pharmacology Psychiatric Mental Health Nurse Practitioner

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Pharmacology
psychiatric mental
health nurse
practitioner
What are the five factors that influence absorption? - answer-gastric emptying

Time of contact with intestinal wall

Bowel perfusion

Food

Formation of non-absorbable complexes



Explain the hepatic first pass. - answer-part of the drug is metabolized by the liver before it
reaches the blood.



Explain bioavailability. - answer-percentage of administered drug that reaches systemic
circulation.



Name the 3 highly water-soluble drugs. - answer-lithium, amisulpride, paliperidone

, What are the 7 inhibitors of cyp? - answer-paroxetine, fluoxetine, fluvoxamine, fluconazole,
ciprofloxacin, ritonavir, grapefruit juice



What are the 6 inducers of cyp? - answer-carbamazepine, phenytoin, phenobarbital, primidone,
smoking, st-john's wort



What are the 6 factors that influence pharmacokinetics? - answer-age, pregnancy, obesity, sexe,
comorbidities, genetics



Explain the half-life. - answer-the time it takes for the concentration of a drug to be reduced by
50%



What are the 11 indications for tdm. - answer-non-compliance/toxicity

Lack of efficacy/adverse effects at normal dose

Relapse in maintenance treatment

Change in drug formulation

Pregnancy

Age

Comorbidities

Drug interactions

Change in bmi

Finding the optimal drug concentration

Genetic polymorphisms



What are the 4 factors influencing receptor binding? - answer-affinity

Specificity

Saturability

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