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Farmacologie Plan de Lectie 1 Cai de Administrare A Medicamentelor
Farmacologie Plan de Lectie 1 Cai de Administrare A Medicamentelor
com
DISCIPLINA DE FARMACOLOGIE
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CE ESTE FARMACOLOGIA?
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ADMINISTRAREA
• ORALA
• SUBLINGUALA
• RECTALA
• PARENTERALA
• INHALATORIE
• LOCALA
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1. ADMINISTRAREA ORALA
• Caracteristici:
a) Locul de absorbtie:
- intestinul
- stomacul
b) Factorii care influenteaza absorbtia
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VENA PORTA
“
EFECTUL
PRIMULUI
PASAJ ” FICAT
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“CICLUL HEPATO-ENTERO-HEPATIC”
FICAT
INTESTIN DUODEN
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AVANTAJE DEZAVANTAJE
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INUTILIZABILA
comatosi
sindrom de varsatura
convulsii
psihotici
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2. ADMINISTRAREA SUBLINGUALA
- doar
doar M
M ce
cu se dizolva
gust rapid=timp
si miros de stationare scurt
acceptabil
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3. ADMINISTRAREA RECTALA
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AVANTAJE DEZAVANTAJE
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4. ADMINISTRAREA PARENTERALA
(INJECTABILA)
• Administrarea M pe cai artificiale (provocate) cu
seringa!
ID IV IA IM
SC
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AVANTAJE DEZAVANTAJE
SM trebuie sa fie:
Sterile
Apirogene
Limpezi
Neutre
Izotonice
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a) CALEA INTRADERMICA
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b) CALEA SUBCUTANATA
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c) CALEA INTRAVENOASA
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AVANTAJE DEZAVANTAJE
SOC ANAFILACTIC
CRIZA DE AB
ARSURI
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d) CALEA INTRAARTERIALA
• Arteriopatie diabetica
• Neoplasme
• Radiologie
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e) CALEA INTRAMUSCULARA
• Incidente
flegmoane,posibile:
intepare abcese,
de vas
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f) CALEA INTRACARDIACA
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g) ADMINISTRAREA IN SEROASE
(PLEURA, PERICARD, PERITONEU)
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5. ADMINISTRAREA INHALATORIE
• GENERALE: anestezice generale volatile
• LOCALE: bronhodilatatoare in flacoane
presurizate dozate
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6. ADMINISTRAREA LOCALA
• cu efect local (dermatologie)
• cu efect sistemic
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• rezerva provizorie a SM
• favorizeaza absorbtia
• determina alergia medicamentoasa
• hipoproteinemiile (CIROZA) => intoxicatiile medicamentoase
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DISTRIBUTIA M IN ORGANISM
ADMINISTRARE=>ABSORBTIE=>DISTRIBUTIE
• NEUNIFORMA
• UNIFORMA
• REDISTRIBUTIE
-• Poate fi in:
COMPARTIMENTUL VASCULAR (Vd mic)
- macromolecule
- complexe SM-PP
• COMPARTIMENTUL INTERSTITIAL (Vd mijlociu)
• COMPARTIMENTUL INTRACELULAR (Vd mare)
• DEPUNEREA SM IN TESUTUL ADIPOS (Vd MARE)
• Vd = volum de distributie
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Distributia in SNC:
Neuniforma
Permeabilitate crescuta in bolile inflamatorii
Permeabilitate crescuta la NN
Numar redus de receptori la varstnici
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