Basic concepts of Pharmacology
- Pharmakon (Drug or Medicine)
 - Logos (Science)
 
- Minerals (Paraffin, Magnesium sulfate)
 - Animals (Insulin, Thyroid)
 - Plants (Morphine, Quinine)
 - Synthetic (Aspirin, Sulfonamides)
 - Microbes (Penicillin & other antibiotics)
 - Genetical engineering (Human insulin, Hormones)
 
- Tablets
 - Capsules
 - Injection
 - Infusion
 - Solution
 - Cream
 - Suspension
 - Aerosol etc
 
- Oral (PCM tablet)
 - Sublingual (Nitroglycerine tablet)
 - Rectal (Dulcolax suppositories)
 - Intravenous (Vancomycin Inj)
 - Intramuscular (Testosterone Inj)
 - Subcutaneous (Insulin Inj)
 - Inhalational (Nitrous oxide)
 - Intravaginal (Estrogen)
 
- Pharmacokinetics
 - Pharmacodynamics
 
- Absorption (moving of drug in blood stream)
 - Distribution (moving of drug to various organs)
 - Metabolism (breakdown of drug)
 - Excretion (removal of drug from the body)
 
- Drug action (interaction of drug with the body cells)
 - Drug effect (physiological reactions after the interaction of cell & drug)
 - Onset time (time taken by drug to produce a therapeutic effect)
 - Peak time (time taken by drug to reach at its maximum therapeutic response)
 - Duration (time between the start and ending of a therapeutic response)
 
Terminology
Used in Pharmacology
·      
Absorption (dissolution of a drug into the
blood)
·      
AUC (Area Under Curve, measures of drug
exposure)
·      
Bioavailability (fraction of an administered
dose that reaches the systemic circulation unchanged)
·      
Bioequivalence (equal effect of two different
drugs on the same biological body)
·      
Clearance (measures of drug elimination in
relation to the plasma)
·      
Distribution Volume (factor that relates the
amount of drug in the body to the concentration of plasma)
·      
GFR (Glomerular Filtration Rate, kidney
function)
·      
Metabolism (breakdown and formation of new
molecules)
·      
Adverse Drug Reaction (undesirable effects of
a drug)
·      
Genotype (genetic constitution of an
individual)
Classification
of Drugs
Abbreviations Used in Pharmacology
Drug Dose Calculation
·      
Basic Formula
o  
(D/H) x V = A
§  A= Calculated amount to be given to the client
§  D= Desired dose (drug dose ordered by the health care
provider)
§  V= Vehicle (drug form in which drug comes)
§  H= On hand (dose mentioned on the container)
·      
Ratio and Proportion
o  
H : V = D : X
§  H= on hand
§  V= Vehicle
§  D= Desired dose
§  X= Unknown amount to give
·      
Fractional Equation
o  
H/V = D/X
·      
Body Weight
o  
Client dose/day = (drug dose) x (body weight)
·      
Body Surface Area
o  
Client dose/day = (drug dose) x (square
metre)
Fried’s Rule
·      
Applies to the child younger than 1yr of age
·      
Child Dose = {Infant age (months) x Adult
average dose} x 150 months
Young’s Rule  
·      
Applies to children 1-12 years old
·      
Child Dose = {Childs age (yrs) x Adult
average dose} x Childs age (yrs) + 12
Clark’s Rule
·      
Uses child’s weight to calculate the dose and
assumes that the adult dose is based on 150 lb person
·      
Child Dose = {Childs weight (pounds) x Adult
average dose} x 150lbs (pounds)
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