Lecture 7

1.
What are the classes of drug administartion?
Topical, enteral, paraenteral
2.
What are enteral methods?
Oral, sublingual, rectal
3.
What are paraenteral methods?
Intravenous, subcutaneous, transdermal, intramuscular
4.
What is the rate of absorption?
How quickly a drug gets from the site of administration to systemic circulation
5.
List the methods of administration in order of absorption rates?
IV < inhalation < intramuscular < subcutaneous < rectal/ligual < oral < topical < transdermal
6.
How is the amount of drug entering the bloodstream measured as?
Bioavailability (F)
7.
What is the bioavailability of IV administation?
1
8.
When might IV be suitable?
Emergency, when drugs are irritating
9.
What are the disadvatages of IV treatment?
Requires hospitalisation, careful preparation, sterile, no recall
10.
What are advantages of oral administration?
Safe, convenient, economic, recall (vomiting/charcoal)
11.
What are the disadvatages of oral administration?
Slow, unpredictable (rate, extent, reproducibility)
12.
What inhibits absorption in the stomach?
Acidic pH, small area, thick mucous
13.
What are pro-absorption features of the small intestine?
Villi (surface area)
14.
Why is the large intestine not very absorptive?
Enzymes and microbiota break down drug
15.
What drug characteristics affect GI absorption?
Dosage, form, dissolution rate, H2O and lipid solubility, ionisation, stability to pass through stomach, liability for metabolism (lipases, proteases)
16.
What patient characteristics affect drug absorption?
Gastric emptying rate, intestinal motility, drug/food interation
17.
What can accelerate gastric emptying?
Fasting, positive mind, mild exercise
18.
What can slow gastric emptying?
Volume, hot meals, emotion, vigourous exercise, disease, childbirth, drugs
19.
What foods affect drugs?
Grapefruit inhibits enzymes (increases drug conc.), dairy products for insoluble complex (reducing absorption)
20.
What type of drugs can cross the blood brain barrier?
Lipid soluble
21.
What is the average size of fluid compartments?
42 L
22.
What organs receive the most blood/drug?
Heart, lungs, brain, liver, kidney
23.
What are the features of a carrier bound drug?
inactive, protected
24.
What determines release and equilibrium of plasma protein bound drugs?
Plasma protein affinity