Clinical Pharmacology

2020 ◽  
Author(s):  
Molly Droege ◽  
Eric W. Mueller

Critically ill patients often require surgical procedures and therapeutic interventions that produce significant pathophysiologic changes. Drug pharmacology can be greatly altered in this population wherein comorbid diseases, varied organ function, and polypharmacy can produce adverse drug reactions (ADRs). This review aims to describe basic pharmacokinetic principles (absorption, distribution, metabolism, elimination) and changes in these processes due to altered organ function in critically ill surgical patients. This knowledge is a key factor in reducing ADRs. This review contains 10 figures, 2 tables, 101 references Keywords: adverse drug reactions, drug interactions, obesity, pharmacodynamics, pharmacokinetics, plasma protein binding, therapeutic drug monitoring  

2020 ◽  
Author(s):  
Molly Droege ◽  
Eric W. Mueller

Critically ill patients often require surgical procedures and therapeutic interventions that produce significant pathophysiologic changes. Drug pharmacology can be greatly altered in this population wherein comorbid diseases, varied organ function, and polypharmacy can produce adverse drug reactions (ADRs). This review aims to describe basic pharmacokinetic principles (absorption, distribution, metabolism, elimination) and changes in these processes due to altered organ function in critically ill surgical patients. This knowledge is a key factor in reducing ADRs. This review contains 10 figures, 2 tables, 101 references Keywords: adverse drug reactions, drug interactions, obesity, pharmacodynamics, pharmacokinetics, plasma protein binding, therapeutic drug monitoring  


2020 ◽  
Author(s):  
Molly Droege ◽  
Eric W. Mueller

Critically ill patients often require surgical procedures and therapeutic interventions that produce significant pathophysiologic changes. Drug pharmacology can be greatly altered in this population wherein comorbid diseases, varied organ function, and polypharmacy can produce adverse drug reactions (ADRs). This review aims to describe basic pharmacokinetic principles (absorption, distribution, metabolism, elimination) and changes in these processes due to altered organ function in critically ill surgical patients. This knowledge is a key factor in reducing ADRs. This review contains 10 figures, 2 tables, 101 references Keywords: adverse drug reactions, drug interactions, obesity, pharmacodynamics, pharmacokinetics, plasma protein binding, therapeutic drug monitoring  


2012 ◽  
Vol 5 (6) ◽  
pp. 319-324
Author(s):  
Helen E. Smith

Adverse drug reactions are a major cause of morbidity, complicating over 5% of therapeutic drug courses. The majority of these events are due to common predictable mechanisms linked to the way the drug works, but about 5% of all reactions are immune-mediated and constitute true allergy. Drug allergy is one of the potential causes of anaphylaxis, angioedema and urticaria and should always be considered when a patient presents with one of these conditions.


1994 ◽  
Vol 22 (6) ◽  
pp. 956-959 ◽  
Author(s):  
JUHA M. GröNROOS ◽  
KARI KUTTILA ◽  
TIMO J. NEVALAJNEN

2007 ◽  
Vol 35 (11) ◽  
pp. 2538-2546 ◽  
Author(s):  
Baoli Cheng ◽  
Guohao Xie ◽  
ShangLong Yao ◽  
Xinmin Wu ◽  
Qulian Guo ◽  
...  

2018 ◽  
Vol 34 (1) ◽  
pp. 142-147 ◽  
Author(s):  
Tiffany M. N. Otero ◽  
Cecilia Canales ◽  
D. Dante Yeh ◽  
Ali Elsayes ◽  
Donna M. Belcher ◽  
...  

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