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Pharmacokinetics,pharmacodynamics and pharmacotherapeutics
Pharmacokinetics,pharmacodynamics and pharmacotherapeutics
Relationship between pharmacodynamics and pharmacokinetic
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OVERVIEW
The word Pharmacokinetics was coined from Greek work Pharmakon means drugs and poisons.
Wargner in 1968 and 1975 define Pharmacokinetic as the time course of drug and metabolite concentrations or amounts in biological fluids, tissues and excreta, and also of pharmacological response, and to construct suitable models to interpret such data. In pharmacokinetics, the data are analysed using a mathematical representation of a part or the whole of an organism.
Gilbaldi and Levy in 1976 gave related definition, they defined pharmacokinetics as the study of a characterisation of time course of drug absorption, distribution, metabolism and excretion, and with the relationship of these processes to the intensity and time course of therapeutic and adverse effects of drugs.
ORIGINS OF THE SUBJECT MATTER
The first attempt into what led to pharmacokinetics/pharmacodynamics was first describe by
Buchanan Andrew in his work ”Physiological effects of the inhalation of ether ”. Buchanan pointed out that for short ether inhalations, the speed of recovery was related to redistribution of ether in the body and went further to calculate the amount of ether inhaled, exhaled and retained during induction with this short acting anesthetic (Buchanan 1847, Butler, 1964).
In 1913, Michaelis-Menten equation used to describe enzyme kinetics was published by Michaelis and Menten and equation had been used to describe the elimination kinetics of drugs (Michaelis and Menten 1913).
Another wonderful work on the origin of the subject matter is from Swedish investigators.
In 1924 Windmark and Tandberg published equations now known as (a ) the one -compartment open model with bolus intravenous injection and multiple doses administered at uniform inter- vals... ... middle of paper ...
... Schaldemose, 1959).
Another great contribution to Pharmacokinetic during this period are the (a) introduction of the curve-fitting method based on polyexponential equations (Perl, 1960); and (b) introduction of the use of analog computer for fitting and simulating pharmacokinetics data and in model building (Garrett et al, 1960; Wiegand and Taylor , 1960).
The first symposium with a title incorporating the term pharmacokinetcs, was held in Bors- tel, Germany in 1962. The proceeding of this symposium were potent forces is disseminating pharmacokinetic idea .
Experimental verification of Wagner 1976 articles which suggest that, if a panel of subjects were administered the same dose of drug by the same route of administration and resulting blood concentration time data were fitted by polyexponential equations with the statistically optimum number of terms per data set
In undertaking the experiment, the hypothesis “if the number of Alka Seltzer tablets reacted increases, then the maximum rate of reaction will increase,” was formed. When graphing the relationship between the maximum rate of reaction and the number of Alka Seltzer tablets reacting, Graph 7 produced a line of best fit with a constant increasing slope that passed through the origin (0,0). This is characteristic of linear graphs, which have the general equation, y=mx, where m is the slope, a constant term, and y and x are changing variables that are directly proportional (i.e. y ∝x). Hence, it can be deduced that Graph 7 is a linear graph, and that there is a linear relationship between the maximum rate of reaction and the number of Alka Seltzer tablets, where they are directly proportional. That is, as the number of Alka Seltzer tablets increased, the maximum rate of reaction increased, supporting the hypothesis. As the true value of the maximum rate of reaction per Alka Seltzer tablet was not known, and a value for comparison was unavailable, the accuracy of the results could not be determined. However, due to the scatter in Graphs 2 to 7, it was evident that the results had low precision. In future, repeating the experiment using different and/or new apparatus will aid in detecting systematic errors and improve the accuracy and validity of the results.
Craig, D. Q. (2002). Pharmaceutical Applications of Micro-Thermal Analysis. Journal of Pharmaceutical Science, 91(5), 1201-1213.
This paper discusses pharmacology and terminology related to “Pharmacology” which is the branch of medicine concerned with the uses, effects, and modes of action of drugs“ pharmacology. 2015. In Merriam-Webster.com. The study of different classes of drugs, routes of absorption, and drugs have effects on those consuming them. There are drugs that are necessary for illnesses and healing but, there are medicines that cause concern regarding interaction and harming the body.
Precision of a patient’s intravenous medication is essential; it must be safe from. contamination, toxicity, and side effects. Most people believe these medications are compounded or mixed by a trained and licensed individual. However, this is inaccurate because the pharmacy technician actually compounds a large percentage of a patient’s medications. Compounding involves a technician’s math skills, aseptic technique, and professional ethics.... ...
An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
...ot the drug was solely responsible for the deaths, since they died from various causes, such as pulmonary embolism or cardiac infarction.
breath and a small puff, you feel better. However, the time it took to complete the
The therapeutic aspect is focussed on the care received, and how it creates a positive outcome for the service user, this includes good communication, building strong relationships, person centred planning and the choices available to the person in receipt of care. (Miller, J, 2015) (Gibb and Miller, 2007)
Henningfield, Jack E. "Addictive Properties of Popular Drugs." Drug War Facts. 2 Aug. 1994. Web. 14 Dec. 2011. .
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
“Once the initial assessment is made, the course of treatment and therapy begins.” (Career Cruising) Treatment involves such as: co...
Cinnamic is an organic compound that slightly soluble in water, and freely soluble in many organic solvents. Cinnamic acid is used in flavors and certain pharmaceuticals. According to vernier.com, the inhibitor type of Cinnamic Acid was non-competitive inhibitor (#4 vernier.com). In order to observed and analyze the effects of changing mushroom Tyrosinase and L-dopa concentrations on reaction rates, and to figure out what type inhibitor of Cinnamic acid, we was used the data to construct the Michaelis-Menten and Lineweaver- Burk plots. The Michaelis-Menten is the common known models of enzyme kinetic. The model demonstrates how the reaction rate relates to the concentration of substrate and enzyme. The rate equation of these enzymes is characterized by a sigmoidal curve. Using this graph we can determine the Km and Vmax. The Vmax is the maximum velocity achieved at the maximum substrate concentration. Km represents the Michaelis-Menten constant. It is the substrate concentration at which the reaction velocity is ½ Vmax. At this concentration, half of the enzyme molecule in solution is bounded to the substrate (#5 chemwiki.ucdavis.edu). The Lineweaver-Burk plot is the graph obtained by taking the reciprocal of the Michaelis-Menten Kinetics equation, which give you a linear line (#5 chemwiki.ucdavis.edu). The linear data is easier to read and
Analysis of Aspirin Tablets Aim --- To discover the percentage of acetylsalicylic acid in a sample of aspirin tablets. ----------------------------------------------------------------- In order to do this, the amount of moles that react with the sodium hydroxide must be known. This is achieved by using the method of back titration.