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DRUG ABSORPTION
Team Kester
What is the process by which drugs are
transferred from the site of entry into the
body to the bloodstream?
Age Groups
 Neonate- birth to 1
    year of age


                  Pediatric- 1 to 17
                    years of age


Geriatric- 65 years
    old and up
What Factors Affect Absorption?
• Vehicle administration of drug
• Food and fluid taken with drug
• Properties/formulation of drug
• Rate of blood flow
• Stomach acidity
• GI mobility
Vehicle Administration of Drug
 • Enteral (oral, buccal, rectal)
 • Parenteral (Intravenous- fastest
   delivery, intramuscular,
   subcutaneous)
 • Topical (skin, lungs, vagina, ears,
   nose, eyes)
Enteral
• In geriatric patients, oral medications are often taken
 with food to assist with administration
Parenteral
  • In pediatric patients, intramuscular injections
    are avoided due to tissue damage
  • In neonate patients, intramuscular absorption is
    erratic due to lack of muscle and fat tissue
Topical




  • In neonate patients, topical medications are
    absorbed faster because their skin is very thing
    and they have a large body surface area
  • In pediatric patients, skin disruptions such as
    burns and eczema increase absorption
Frequent feeding of infants impedes drug
absorption.
Physicochemical Properties/Dosage
          Form of Drug
• Liquid and syrups offer a faster delivery
  of drugs than enteric-coated tablets
• Lipid solubility, molecular weight and
  polarity
Rate of Blood Flow
• In geriatric patients, reduced blood
  flow to GI tract
• In neonate patients, decreased
  renal blood flow
• In pediatric patients, diminished
  muscle mass may reduce blood
  flow
Stomach Acidity
• In neonate patients, variable
  gastric pH leads to diminished
  absorption
• In pediatric patients, gastric pH is
  less acidic
• In geriatric patients, gastric acid
  secretin is decreased
Gastrointestinal Mobility
• In neonate patients, prolonged
  gastric transit time leads to
  diminished absorption
• Gastric emptying rates are faster for
  pediatric patients than in neonates
• In geriatric patients, gastric
  emptying time is increased
Why does a nurse need to know
about absorption?
 They do not

 To know which route of drug administration to use

 Both B and D

 To make sure medications are given safely

 All of the above
What Difference Does Absorption Make in
              Patient Care
• Provides higher quality health care
 • Deliver the right medication in the right dosage to
     the right patient type.
• Improves patients experiences
   • They are getting the correct drug in the correct form
     in the correct dosage
• Increases efficiency
   • The correct drug is going to the correct patient
     (hopefully without human error)
Credits
• RN, Carol Taylor, CSFN, MSN, PhD Carol Lillis RN, MSN Priscilla
 LeMone RN, DSN, FAAN Pamela Lynn RN, . Fundamentals of Nursing,
 7th Edition. Lippincott Williams & Wilkins.
 <vbk:9781451105957#page(1683)>.

• http://www.merckmanuals.com/professional/clinical_pharmacology/pharmaco
 kinetics/drug_absorption.html

• http://howmed.net/pharmacology/factors-affecting-absorption-of-drugs/


• http://www.clinchem.org/content/35/7/1337.full.pdf

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Pharm Absorption

  • 2. What is the process by which drugs are transferred from the site of entry into the body to the bloodstream?
  • 3. Age Groups Neonate- birth to 1 year of age Pediatric- 1 to 17 years of age Geriatric- 65 years old and up
  • 4. What Factors Affect Absorption? • Vehicle administration of drug • Food and fluid taken with drug • Properties/formulation of drug • Rate of blood flow • Stomach acidity • GI mobility
  • 5. Vehicle Administration of Drug • Enteral (oral, buccal, rectal) • Parenteral (Intravenous- fastest delivery, intramuscular, subcutaneous) • Topical (skin, lungs, vagina, ears, nose, eyes)
  • 6. Enteral • In geriatric patients, oral medications are often taken with food to assist with administration
  • 7. Parenteral • In pediatric patients, intramuscular injections are avoided due to tissue damage • In neonate patients, intramuscular absorption is erratic due to lack of muscle and fat tissue
  • 8. Topical • In neonate patients, topical medications are absorbed faster because their skin is very thing and they have a large body surface area • In pediatric patients, skin disruptions such as burns and eczema increase absorption
  • 9. Frequent feeding of infants impedes drug absorption.
  • 10. Physicochemical Properties/Dosage Form of Drug • Liquid and syrups offer a faster delivery of drugs than enteric-coated tablets • Lipid solubility, molecular weight and polarity
  • 11. Rate of Blood Flow • In geriatric patients, reduced blood flow to GI tract • In neonate patients, decreased renal blood flow • In pediatric patients, diminished muscle mass may reduce blood flow
  • 12. Stomach Acidity • In neonate patients, variable gastric pH leads to diminished absorption • In pediatric patients, gastric pH is less acidic • In geriatric patients, gastric acid secretin is decreased
  • 13. Gastrointestinal Mobility • In neonate patients, prolonged gastric transit time leads to diminished absorption • Gastric emptying rates are faster for pediatric patients than in neonates • In geriatric patients, gastric emptying time is increased
  • 14. Why does a nurse need to know about absorption? They do not To know which route of drug administration to use Both B and D To make sure medications are given safely All of the above
  • 15. What Difference Does Absorption Make in Patient Care • Provides higher quality health care • Deliver the right medication in the right dosage to the right patient type. • Improves patients experiences • They are getting the correct drug in the correct form in the correct dosage • Increases efficiency • The correct drug is going to the correct patient (hopefully without human error)
  • 16. Credits • RN, Carol Taylor, CSFN, MSN, PhD Carol Lillis RN, MSN Priscilla LeMone RN, DSN, FAAN Pamela Lynn RN, . Fundamentals of Nursing, 7th Edition. Lippincott Williams & Wilkins. <vbk:9781451105957#page(1683)>. • http://www.merckmanuals.com/professional/clinical_pharmacology/pharmaco kinetics/drug_absorption.html • http://howmed.net/pharmacology/factors-affecting-absorption-of-drugs/ • http://www.clinchem.org/content/35/7/1337.full.pdf