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相关概念视频

Drug Excretion: Miscellaneous Routes01:10

Drug Excretion: Miscellaneous Routes

52
Drug excretion involves various organs, including the liver, intestines, skin, and eyes. In the case of drugs or toxins, they can be actively secreted into bile by transporters in the hepatocyte's canalicular membrane. These substances enter the GI tract during digestion and may be reabsorbed into the body from the intestine. This process, known as enterohepatic recycling, can significantly prolong the presence and effects of a substance in the body. To interrupt this cycle, specific...
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Drug Excretion: Pulmonary and Glandular Routes01:22

Drug Excretion: Pulmonary and Glandular Routes

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Gaseous substances like general anesthetics are absorbed and excreted through the lungs via simple diffusion. This process depends on factors such as pulmonary blood flow, respiration rate, and the substance's solubility. Gaseous anesthetics like nitrous oxide with low blood solubility are excreted rapidly, while compounds like alcohol, with high blood and tissue solubility, are excreted slowly.
Drugs can also be excreted in breast milk, which is crucial for breastfeeding infants. The...
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Factors Affecting Drug Response: Overview01:21

Factors Affecting Drug Response: Overview

1.9K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.9K
Drug Elimination: Non-Renal Routes01:23

Drug Elimination: Non-Renal Routes

2.3K
The liver plays a pivotal role in eliminating drugs and their metabolites, primarily through a process known as biliary excretion. This process involves the hepatocytes, the primary cells in the liver that generate bile. A range of transporters actively expels polar drugs or hydrophilic drug metabolites into the bile, which transports the drugs and metabolites into the small intestine. From here, they are eventually expelled from the body through feces. In some instances, the original drug or a...
2.3K
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics01:23

Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics

246
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla.  Benzonatate operates peripherally within the respiratory tract by...
246
Physiological Barriers01:25

Physiological Barriers

3.5K
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
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相关实验视频

Updated: Jun 14, 2025

An Efficient Single—Person Technique for Milk Sampling from Laboratory Mice
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An Efficient Single—Person Technique for Milk Sampling from Laboratory Mice

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在哺乳期使用药物.

Margarita A P Berwick1, Anika J Heuberger2, Joimishael V Martin2

  • 1Orlando Health Winnie Palmer Hospital for Women and Babies Ob/Gyn Hospitalist Group, Orlando, FL, USA.

Seminars in perinatology
|April 2, 2025
PubMed
概括

在母乳养期间管理药物是复杂的,但很少有药物真正禁用. 基于证据的哺乳期药物使用指南正在得到改进,帮助医疗保健提供者制定安全计划.

关键词:
哺乳期 哺乳期 哺乳期药物 药物 药物 是一种药物.婴儿婴儿婴儿婴儿婴儿婴儿哺乳期 哺乳期 是一个管理 管理 管理 管理药物治疗 药物治疗 药物治疗新生儿新生儿新生儿安全的安全的安全的安全的安全.有毒性 有毒性

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科学领域:

  • 药理学和毒理学 药理学和毒理学
  • 哺乳期科学 哺乳期科学
  • 基于证据的医学基于证据的医学.

背景情况:

  • 哺乳期的药物管理对全球医疗保健专业人员来说是一个挑战.
  • 从历史上看,在母乳养期间建议不要服用许多药物,但目前的理解正在演变.
  • 从病例报告,药物转移研究和哺乳生理学中积累的数据可以为更安全的药物使用提供信息.

研究的目的:

  • 审查当前关于母乳养中药物使用的科学知识.
  • 描述影响婴儿通过母乳接触药物的药理动力学因素.
  • 提供一个实用的算法和案例研究,用于制定哺乳期患者的药物管理计划.

主要方法:

  • 病例报告,定量研究和药理动力学数据的文献综述.
  • 对哺乳期生理学和药物转移到母乳中的分析.
  • 为药物管理开发临床算法和案例研究.

主要成果:

  • 很少有药物在母乳养中绝对禁用;大多数可以通过仔细考虑来管理.
  • 药物动力学原理对于理解和最大限度地减少婴儿药物暴露至关重要.
  • 基于证据的指导越来越多地可用于支持临床决策.

结论:

  • 医疗保健提供者可以越来越多地为哺乳期间的药物使用提供基于事实的指导.
  • 综合临床资源和药理学数据的系统方法有助于安全药物管理.
  • 对于需要药物治疗的哺乳期患者来说,个性化管理计划是必不可少的.