Pharmacology Principles: Mechanisms and Drug Actions

Pharmacokinetics and Drug Transport Mechanisms

Understanding Pharmacokinetics

Pharmacokinetics is the study of the movement of drugs within the body. It describes what the body does to the drug. It includes Absorption, Distribution, Metabolism, and Excretion (ADME).

Pharmacokinetics Process Flow

  • Drug Administration → Absorption → Distribution → Metabolism → Excretion

Mechanisms of Drug Absorption

Passive Diffusion

The drug moves from a higher concentration to a lower concentration. No energy is

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Human Endocrine System and Hormone Functions

The Endocrine System

The endocrine system is a collection of glands that produce hormones to regulate many physiological functions in the body, such as growth, metabolism, and sexual function.

What are Glands?

Glands are specialized organs or tissues that produce and secrete substances such as hormones, enzymes, or other body fluids to regulate various bodily functions. They are classified into two types:

  • Exocrine Glands: These glands release substances through a duct or canal to a specific location.
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Orthopedic Emergencies and Clinical Management

1. Red Flags and Emergencies (Do Not Miss)

Cauda Equina Syndrome

  • Back pain and sciatica
  • Saddle anesthesia or reduced perianal sensation
  • Urinary retention leading to late incontinence
  • 👉 Management: Urgent MRI of the spine

Epidural Abscess or Discitis Complication

  • Back pain, fever, and neurological signs
  • Risk factors: Intravenous drug use (IVDU), infective endocarditis
  • Organism: Staphylococcus aureus
  • 👉 Management: MRI; consider echocardiogram if discitis is present

Compartment Syndrome

  • Pain out of proportion
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Managing Ruminant Metabolic Disorders and Milk Fever

Dietary Anions for Milk Fever Prevention

Adding anions such as chloride (Cl) or sulfate (SO42-) to the diet of dairy cows during the last 10–21 days of pregnancy is a highly effective prevention method for milk fever (parturient paresis). This practice induces a mild metabolic acidosis, which lowers blood pH and enhances tissue responsiveness to parathyroid hormone (PTH). Consequently, both bone resorption and intestinal absorption of calcium are increased.

Commonly used salts include CaCl2, NH4Cl,

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Med chem

ANTI-ARRHYTHMIC DRUGS It is the improper beating of the heart, whether irregular, too fast, or too slow.

Normal range of heart beat: 60–100 bpm (normally about 72 bpm).

It occurs when electric impulses in the heart do not work properly.

Also occurs due to other heart diseases such as myocardial ischemic disease, etc.

Causes of Arrhythmia

Bradycardia (Reduced Automaticity)

↑ Parasympathetic system Sleeping Disease (Heart disease) Other drugs such as Beta blockers, antiarrhythmic drugs, etc. Conduction

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Different btn wind in high pressure zone and low pressure zone

1. ASTHMA

Diagnosis (Adults)

  • First-line tests:
    • Blood eosinophils OR FeNO
  • Diagnostic thresholds:
    • FeNO ≥ 50 ppb OR raised eosinophils → asthma diagnosed
  • If unclear:
    • Bronchodilator reversibility (BDR)
      • ↑ FEV1 ≥ 12%
  • If still unclear:
    • PEF variability (2 weeks)
  • If still suspected but tests negative:
    • Bronchial challenge test (specialist)

Severity (Acute Asthma)

  • Severe:
    • PEFR 33–50%
    • RR > 25
    • Pulse > 110
    • Unable to complete sentences
  • Life-threatening:
    • PEFR < 33%
    • Confusion
    • Exhaustion
    • Cyanosis
    • Silent chest
    • Normal or
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