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Exam 1: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Guide |Qs & As| 100% Correct| Grade A (Verified Answers) - Maryville
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NURS 615/ NURS615
Exam 1: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Guide |Qs & As| 100% Correct| Grade A (Verified Answers)
Q: Explain first pass metabolism
Answer:
much of the drug is lost in the absorption process. The liver metabolizes many drugs, thus reduces t...
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when 2 drugs are both metabolized by the p450 syst
explain first pass metabolism
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1. Exam (elaborations) - Exam 4: nurs 615/ nurs615 (latest 2024/ 2025 update) advanced pharmacotherapeutics re...
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3. Exam (elaborations) - Exam 1: nurs 615/ nurs615 (latest 2024/ 2025 update) advanced pharmacotherapeutics co...
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1. Exam (elaborations) - Exam 1: nurs 615/ nurs615 (latest 2024/ 2025 update) advanced pharmacotherapeutics co...
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ExamI1:INURSI615/INURS615I(LatestI2024
/I2025IUpdate)IAdvancedI
PharmacotherapeuticsICompleteIGuideI|QsI
&IAs|I100%ICorrect|IGradeIAI(VerifiedI
Answers)
Q:IExplainIfirstIpassImetabolism
Answer:
muchIofItheIdrugIisIlostIinItheIabsorptionIprocess.ITheIliverImetabolizesImanyIdrugs,IthusIred
ucesItheIbio-availabilityIofItheIdrug.
Q:IWhatIisItheIfastedIrouteIofIabsorption:
Answer:
TheIfastestIrouteIofIabsorptionIisIinhalation,IandInotIasImistakenlyIconsideredItheIIVIadminist
ration.
Q:IWhyIdoesItheIGIItractItakeIlongerItoIabsorb?
Answer:
TheIGIItractIisIlinedIwithIepithelialIcells;IdrugsImustIpermeateIthroughItheseIcellsIinIorderItoI
beIabsorbedIintoItheIcirculatoryIsystem.
Q:IWhatIisIOneIparticularIcellularIbarrierIthatImayIpreventIabsorptionIofIaIgivenIdrug?
,Answer:
theIcellImembrane.ICellImembranesIareIessentiallyIlipidIbilayersIwhichIformIaIsemipermeable
Imembrane.IPureIlipidIbilayersIareIgenerallyIpermeableIonlyItoIsmallIandIunchargedIsolutes,Ih
enceIwhetherIorInotIaImoleculeIisIionizedIwillIaffectIitsIabsorption,IsinceIionicImoleculesIareI
charged.
Q:IWhatIisIsolubility?
Answer:
SolubilityIfavorsIchargedIspecies,IpermeabilityIfavorsIneutralIspecies.ISomeImoleculesIhaveIsp
ecialIexchangeIproteinsIandIchannelsItoIfacilitateImovementIfromItheIlumenIintoItheIcirculatio
n.
Q:IWhyIdoesIabsorptionIoccurIatIaIslowerIrateIforIoral,IIM,ISQIroutes?
Answer:
AbsorptionIoccursIatIaIslowerIrateIbecauseItheIcomplexImembraneIsystemsIofIGIImucosalIlay
ers,Imuscle,IandIskinIdelayIdrugIpassage.
Q:ITheIabilityIofIaIdrugItoIcrossIaIcellImembraneIdependsIon:
Answer:
whetherItheIdrugIisIwaterIorIlipidI(fat)Isoluble.ILipid-
solubleIdrugsIeasilyIcrossIthroughIcellImembranes;Iwater-solubleIdrugsIcan't.ILipid-
solubleIdrugsIcanIalsoIcrossItheIblood-brainIbarrierIandIenterItheIbrain.
Q:IAsIaIdrugItravelsIthroughItheIbody,IitIcomesIinIcontactIwith?
Answer:
,proteinsIsuchIasItheIplasmaIproteinIalbumin.ITheIdrugIcanIremainIfreeIorIbindItoItheIprotein.I
TheIportionIofIaIdrugIthat'sIboundItoIaIproteinIisIinactiveIandIcan'tIexertIaItherapeuticIeffect.I
OnlyItheIfree,IorIunbound,IportionIremainsIactive.IAIdrugIisIsaidItoIbeIhighlyIprotein-
boundIifImoreIthanI80%IofItheIdrugIisIboundItoIprotein.
Q:IIdentifyIdrugImetabolismIandItheIroleIofIisoenzymesIinItheIp450Isystem
Answer:
CYPsIareItheIareItheImajorIenzymesIinvolvedIinIdrugImetabolismIaccountingIforIaboutI75%Io
fItheItotalImetabolism.
Q:INaturallyIoccurringIcompoundsImayIinduceIorIinhibitICYPIactivity.
Answer:
ForIexample,IbioactiveIcompoundsIfoundIinIgrapefruitIjuiceIandIsomeIotherIfruitIjuicesIinclud
ingIdihydroxyIforgottenIandIparasitinIAIhaveIbeenIfoundItoIinhibitICYP3a4ImediatedImetabol
ismIofIcertainImedicationsIleadingItoIincreasedIbioavailabilityIandItheIstrongIpossibilityIofIov
erdosing.
Q:IWhatIdoesIgrapefruitIhaveItoIdoIwithICYP?
Answer:
GrapefruitIisIanIinhibitorIandIwillIdecreaseItheImetabolismIofIdrugsIbyItheIcypIenzymes
Q:IWhenI2IdrugsIareIbothImetabolizedIbyItheIp450IsystemItheIdrugIshouldIbe
Answer:
, administeredIatIseparateItimesItoIpreventItheImetabolismIofIoneIdrugIresultingIinItoxicIeffects
IofItheIotherIdrug.I(becauseIitIwouldIhaveIlessIproteinItoIbindItoo,IthusImoreIfreeIfloatingIdru
g)
Q:IWhatIisItheIefficacyIofIaIdrug?
Answer:
EfficacyIisItheImaximumIresponseIachievableIfromIaIdrug.IEffectivenessIrefersItoItheIabilityIo
fItheIdrugItoIproduceIaIbeneficialIeffect.
Q:IOnItheIdrugIconcentrationIcurveIwhatIisItheIfirstIsignIofIaItherapeuticIeffect?
Answer:
TheIonsetIofIaction
Q:IWhatIisItheIpurposeIofIaIpeakIandItroughIlevel?
Answer:
ToIdetermineIifItheIdrugIisIinItherapeuticIrange.
Q:IDescribeItheIpurposeIofIbloodIbrainIbarrier
Answer:
TheIBBBIisIaIhighlyIselectiveIpermeabilityIbarrierIthatIseparatesItheIcirculatingIbloodIfromIth
eIbrainIandIextracellularIfluidIinItheICNS.ITheIBBBIisIformedIbyIbrainIendothelialIcellsIwhic
hIareIconnectedIbyItightIjunctionsIwithIanIextremelyIhighIelectricalIresistivityIofIatIleastI0.1I
micron.ITheIBBBIallowsItheIpassageIofIwater,IsomeIgases,IandIlipidIsolubleImoleculesIbyIpas
siveIdiffusionIasIwellIasItheIselectiveItransportImoleculesIsuchIasIglucoseIandIaminoIacidsItha
tIareIcrucialItoIneuroIfunction.