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Pharmacokinetics
study of how drug moves into, through, and out of the body
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Pharmacodynamics
study of how the drug produces its effect on the body
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Therapeutic range, or therapeutic window
ideal range of drug concentrations within the body
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Max effective concentration
top end of the therapeutic range and represents the border between those concentrations that are beneficial and those at which signs of toxicology develop
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Min. effective concentration
bottom end of the normal therapeutic range
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subtherapeutic
below therapeutic range, insufficient drug, will not achieve benefical effect
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loading dose
larger than the drug's maintenance dose and is designed to raise the drug concentration to the therapeutic range in a short time
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Maintenance dose
smaller amount of drug given more frequently; used to maintain the therapeutic concentrations established by the loading dose
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Dosage interval
the time between administration of separate drug doses
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Total daily dose
the combined amount of drug administered in a given day
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Dosage regimen
dosage interval of 24 hours
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IV
Intravenous; drug injected into vein, drug is carried from the tissues toward the heart where it is diluted by the venous blood returning to the heart from the body
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Intravenous bolus
single injection, large volume at one time
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intravenous infusion
slowly injected or "dripped" into a vein over a period of several seconds, minutes, or hrs
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Steady state
when drug concentration plateaus and remain there until infusion is stopped
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Extra-vascular injection or perivascular injection
accidental injection of an IV administered drug outside the blood vessel; some can cause extreme tissue inflammation and tissue necrosis (tissue death)
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Intraarterial injection
places the drug directly into the blood vessel; injected into artery and thus carries the injected drug away from the heart and toward a specific tissue or organ; produces local toxicosis
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Intramuscular administration
within the muscle
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Subcutaneous injections
beneath the skin
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Intradermal injections
administered within the skin with very small needles, reserved for skin testing
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Intraperitoneal injections
administered into the abdominal body cavity and frequency used when IV or IM are not practical or when volumes of solution must be administered for rapid absorption
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Topically administered drugs
drugs applied to the surface of the skin such as lotions and liniments
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Aersol administration
meaning "air or gas solution", indicates that the drug is administered in an inhaled mist or gas and absorbed at different speed and efficiency
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Passive Diffusion
majority of drug movement through tissue fluid or membrane barriers; random movement of drug molecules from high to low concentration
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Concentration gradient
movement of drug molecules from area of high concentration to an area of low concentration or vice versa
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Facilitated diffusion
passive transport mechanism across cell membrane that involves a special "carrier molecule" located in the cell membrane
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Active transport
involves a specialize carrier molecule and energy expended to either move the drug across the membrane or to "reset" the carrier molecule after transport so that it can transport again
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Pinocytosis
meaning cell drinking; involves a small invagination forming in the cell membrane that surrounds the drug molecule and brings it into the cell; require energy
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Phagocytosis
meaning cell eating, a process in which most or the entire cell surrounds the drug molecule; require energy
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Saturated transport system
when more drug molecules are available for transport than available carrier molecules; all carrier molecules are continuously occupied with drug molecules
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Transportation max
rate at which drug molecules move across the membrane, cannot be increased
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Lipophilic
fat loving, nature of the molecule- reflecting the molecule's ability to dissolve in phospholipids of the cell membrane
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Hydrophilic
water loving; molecules that do not readily dissolve in fat or oil
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4 Steps of pharmacokinetics
- 1. Absorption
- 2. Distribution
- 3. Metabolism
- 4. Excretion
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Absorption
of a drug is defined as the movement of drug molecules from the site of administration to the system circulation
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Bioavailability
the degree to which an administered drug is absorbed
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Plasma (serum) concentrations
blood concentrations of drug because mostly occupy only fluid or water component of blood and not within the blood cells
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Acid drug
drug whose chemical structure causes it to release a hydrogen ion or proton into the liquid as the drug is placed in increasingly alkaline environments; becomes more hydrophilic as it is placed in a more basic environment
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Basic drug
becomes more hydrophilic when placed in an increasing acidic environment and more lipophilic when placed in a more alkaline environment
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Different compartments of the body have different pH environments:
-Stomach
-Duodenum
-Cells and body fluid
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Ion trapping
when lipophilic drug passes through a cell membrane and enters a body compartment whose pH results in a significant shift to hydrophilic form which leads to the drug molecule not being able to exit the compartment
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Dissolution
dissolving of the drug, critical step in absorption for PO drugs
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Gastric Motility
refers to stomach contractions that mix mix stomach contents and move the contents from the stomach to the small intestine
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Intestinal Motility
defined as the mixing and propulsive contractions of the intestine
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Hepatic portal system
conducts the blood from the intestine to the liver, where the materials from the intestine can be acted on
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Xenobiotics
foreign substances
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First pass effect
the phenomenon by which the liver removes so much of the drug that little reaches the systemic circulation; those with extensive FPE are not recommended PO administration
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Perfusion
the extent to which a tissue is supplied with blood
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Vasodilation
dilation of blood vessels; enhances perfusion of tissues and therefore increases drug absorption in SC tissue and muscle
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Vasocontriction
can be caused by the sympathetic nervous system, contrict blood vessels, decreases perfusion of tissue and drug absorption
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Distribution
movement of a drug from the systemic circulation into the tissues
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Fenestrations
small gaps, "windows," parts of the body capillary walls between adjacent cells; allows water and small drug molecules to pass through; not in brain
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Blood-brain barrier
made up from astrocytes and glial cells around the capillaries to provide for additional barrier
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Equilibrium
when concentrations between the blood and perfused tissues (brain) are equal
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Redistribution
movement of drug from the blood, to the tissue (brain), back to the blood, and then to a second tissue (fat), continues until equilibrium is reached
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Free form of the drug molecules
small enough to distribute through the capillary fenestrations; in equilibrium with protein-bound molecules
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Protein-Bound Pool
acts as a storage pool and component of the drug dose that is largely inactive
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Volume distribution, Vd
pharmacokinetic value that provides an approximation of the extent to which a drug is distributed throughout the body; larger Vd= more tissues the drug appears to be able to penetrate = lower drug concentration in the blood
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Receptor
specifically shaped protein located on the cell's surface or within the cell that drug molecules combine with for cells to respond
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Agonists
bind to receptor to exert a certain effect
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Antagonists
block effect of other drugs, ex. antidotes
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Competitive antagonism/ reversible/ surmountable
when 2 drugs have an equal opportunity to exert their own effect on the cell; determined by which drug is present in greater quantity
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Noncompetitive antagonism/ irreversible/ insurmountable
a drug has a greater affinity for the receptor than another or it may alter the shape so that the other drug will not fit into receptor
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Partial Agonist
two drugs attaching to a receptor may have different levels of intrinsic activity
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Partial antagonist
one drug is more powerful than another but produces same effect
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Intrinsic activity
when drug combines with its receptor to produce a specific effect on the cell
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Non-receptor mediated reactions
some drugs produce an effect without combining to receptors; mannitol: osmotic diuretic
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Chelators
types of compounds used as drugs that physically combine with ions or other specific compounds in the environment to produce thier effects
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Biotransformation/ Metabolism
process by which many drugs are altered by the enzymes and chemical reactions in the body before they are eliminated
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Metabolite
altered drug molecule
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Conjugation
enzymatic process where the metabolite is combined with another molecule
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Mixed function oxidase
most common biotransformation enzyme system in the liver
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Metabolic Induction
the effect of repeated exposure to a drug resulting in an increase rate of biotransformation for the drugs
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Routes of Elimination
kidney (urine) and liver (bile to feces)
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Renal elimination
circulating drugs are cleared from the blood through filtration and active secretion
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Filtration
passive process that occurs as the blood flows from renal arteriole through the glomerulus
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Glomerulus
specialized tuft of capillaries in the kidney
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Bowman's Capsule
first part of renal nephron; its wall structure prevents blood cells and larger protein molecules from leaving the blood
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Protein bound drugs
not filtered through unless in free form
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Proximal Convoluted tubule
active segment of the nephron that contains many active transport mechanisms for moving electrolytes, glucose and drug molecules back and forth among the urine, renal tubular cells, and the surrounding capillaries
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Active secretion
process where some drug molecules are actively transported from the peritubular capillaries into the urine; not dependent on concentration gradient
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Loop of Henle
where some of the drug molecules may move from the filtrate back into circulation, which is called reabsorption (passive diffusion; reabsorbed molecules must be in lipophilic form)
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Drug is considered to have been eliminated or excreted from the body by the time the urine filtrate moves through the _____,________, and into the ______ and _________
- - distal convoluted tubule
- - collecting ducts
- - renal pelvis
- - ureter
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Biliary excretion or Hepatic excretion
elimination of drugs by the liver
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Enterohepatic circulation
movement of drug from the liver to the intestinal tract and back to the liver
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Drug's Clearance
measure of how fast a volume of blood is cleared of the drug and is typically expressed as a volume of blood cleared over time
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Drug's half life of elimination
time value that describes how long the drug concentration takes to decrease by 50%
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Withdrawal time
time (usually in days) after drug administration during which the animal cannot be sent to market for slaugher and the eggs or milk must be discarded
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alkaline pH
pH greater than 7
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excretion
removal from body
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Sig
SIGNA: to write or label
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Therapeutic effect
desired effect wanting to achieve
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Toxic effect
when administering drugs long-term and they may pass therapeutic effect
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ED50=effective dose 50
dose of drug that is effective for 50 % of the population
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Indiosyncratic reactions
individual reactions to a particular drug from an individual animal (not expected, rare)
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emesis
vomiting; may be induced to help during toxicity of certain substances; not for corrosive substances or when patient is semiconscious or unconscious; certain species do not vomit (ruminants)
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Gastric lavage
flush out stomach contents with pump
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Acetominophen
lethal in cats, dogs tolerate it, toxicity signs: depression, weakness, ICTERUS (jaundice), hepatic failure; antidote: acetylcysteine
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Ibuprofen/ Aspirin
fatal for cats, may cause liver disease; usually given to dogs for arthritic pain but if given over a period of days may cause gastric ulcers (sign may vomit)
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5FU
anti cancer cream, interferes with DNA/RNA transcription; dogs love it; sloughs off lining of intestinal tract; lead to gastric and intestinal lavage
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Chocolate
in high concentration can kill a dog, active ingredient is thiobromine, causes nervous system stimulation, heart rate increases, seizures; induce emesis and give activated charcoal
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Drug absorption is governed by
- 1. solubility
- 2. route of administration
- 3. chemical properties
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Dose response relationship (DR)
determines how much of a dose to be given; if they have the same mechanism of actions you are able to determine the potency by looking at the curve
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Potency
administer less concentration to produce effect; Effective dose
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Time response curve
to determine at which interval to give drug
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Lethal Dose, LD50
dose that will kill 50% of the population
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(TI)Therapeutic index
LD50/ED50 : gives estimate of relative safety of drug
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Toxicology
the study of harmful effects of chemical compounds on biologic systems, including their properties, actions, and effects
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toxic agent
toxicant or poison
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toxicosis, posioning, and intoxication
the disease produced by a toxicant
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toxicity
amount of a toxicant necessary to produce a detrimental effect
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hazard
describes the likelihood of poisoning under conditions of use
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Emetic agents
- -hydrogen peroxide 3%
- -apomorphine (dogs): can be given subconjuctively
- -dexdomitor (dogs)
- -xylazine (cats)
- -syrup of ipecac- only if directed
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Xylitol
artifical sweetener, highly toxic to dogs, behaves as glucose in the body and increases insulin causing severe hypoglycemia leading to coma, respiratory depression, or death
- treat with IV dextrose
- in some gum
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Rodenticides
Rat baits; Vitamin K can be an antidote for one type
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Toxic plants
lilies, onions and garlic, grapes and raisins, not pointsettas
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Household Hazards
- Acids- burn mucosa or intestinal lining (usually dogs)
- Alkalines- worse burns
- Detergents
- Ant baits- dogs will usually just vomit
- Silica gel- low toxicity
- Toilet bowl tablets- if dilute not has harmful as if they chew the tablet
- Glow necklaces
- Liquid potpourri- very toxic
- batteries- acids will cause ulcers
- nicotine- highly toxic, stimulant
- pennies- 99.7% zinc, starts to dissolve quickly- highly toxic, cause liver failure
- mothballs- all are toxic
- moldy foods- common, fungi release cause tremors and neurologic disorder, worse case: seizures
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Ethylene glycol
antifreeze is the active ingredient, worse toxicans seen routinely ingested, cause renal failure, crystal clogs renal tubules, death within 18-24 hours; paladin (antidote, enzyme competitor, must be given before crystals form or before 12 hours pass)
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