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Notes in
09 Pharmacokinetics
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Published
12/13/2023
{{c2::Ionized::ionized/nonionized}} drugs are {{c1::water::lipid or water}}-soluble.
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12/13/2023
When the pKa = pH, then the ratio of ionized:non-ionized drug is {{c1::50/50}}.
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{{c1::Nonionized::Ionized/nonionized}} molecules are metabolized by the liver.
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{{c1::Ion trapping}} is a build up of a higher concentration of a drug across a cell membrane due to differences in {{c2::environmental pH}}.
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Highly protein-bound drugs tend to be more {{c1::lipid::water or lipid}} soluble.
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12/13/2023
Lidocaine may accumulate in a fetus because of the {{c1::lower pH}} of fetal blood, which increases the {{c2::ionized}} fraction of lidocaine.
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12/13/2023
Molecules that are too large to be filtered by the glomerulus can be cleared by drug secretion in the {{c1::proximal tubule}}.
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12/13/2023
The P450 enzymes are primarily located in the {{c1::smooth endoplasmic reticulum}} of hepatocytes.
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Drug clearance is {{c1::directly}} proportional to blood flow to the clearing organ.
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Drug clearance is {{c1::directly}} proportional to the extraction ratio.
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Drug clearance is {{c1::directly}} proportional to the drug dose.
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Drug clearance is {{c1::inversely}} proportional to the half life.
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Drug clearance is {{c1::inversely}} proportional to the concentration in the central compartment.
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Where in the body do Hofmann elimination and ester hydrolysis occur?{{c1::Plasma (organ-independent)}}
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During {{c1::steady state}} infusions, the rate of administration is equal to the rate of elimination.
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Elimination half-{{c1::time}} is the time for 50% of the drug to be removed from the plasma during the elimination phase.
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12/13/2023
A base donates {{c1::OH-}}
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{{c2::Nonionized::ionized/nonionized}} drugs are {{c1::lipid::lipid or water}}-soluble.
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12/13/2023
Fetal blood is more {{c1::acidic::acidic/basic}} than maternal blood.
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12/13/2023
Maternal {{c1::alkalosis::alkalosis/acidosis}} worsens fetal ion trapping (e.g. lidocaine).
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Fetal {{c1::acidosis::alkalosis/acidosis}} worsens fetal ion trapping (e.g. lidocaine).
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The half-life of albumin is {{c1::3 weeks}}.
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Albumin has a {{c1::negative}} charge.
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Chronic liver disease presents with a {{c1::low}} albumin level.
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The primary determinant of plasma oncotic pressure is {{c1::albumin}}.
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How does aging affect albumin levels?{{c1::Decreased}}
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In zero order kinetics, there is {{c1::more::more/less}} drug than enzyme.
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12/13/2023
In first order kinetics, there is {{c1::less::more/less}} drug than enzyme.
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Most drugs are metabolized via {{c1::first}} order kinetics.
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Which anticoagulants are eliminated via zero order kinetics?{{c1::Heparin, warfarin, and aspirin::(3)}}
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12/13/2023
Which bronchodilator is eliminated via zero order kinetics?{{c1::Theophylline}}
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12/13/2023
Phase {{c2::III}} of drug metabolism is {{c1::elimination}}.
Status
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