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Exploring the potential impacts of individual factors on ADME

Scenario:

Joanne is a 35-year-old female with a medical history of stomach complaints but no evidence of ulcer. When Joanne visited the clinic this morning, she weighed in at 324 pounds. ¡ She presented with upper respiratory symptoms attributable to allergy and was prescribed a decongestant and an antihistamine.

 

  1. Read the scenario a couple of times, making sure to pay attention to the details.
  2. Write down factors about the individual that you can identify from the scenario.
    § Think about the factors discussed on slides 4 and 5
  3. Look at the factors that you listed in Step 2 and write out the ones that you
    believe should be considered when determining the drug dose that should be
    given.
    § Are there any factors that you believe would require the drug dose to be
    increased or decreased?
  4. For each factor you identified in Step 3, write down what part of ADME they could
    affect.
    § In some instances, it could be more than one.
    § You can also consider administration here.
  5. Pick one of the factors you identified in Step 4 and one of the parts of ADME (if
    there is more than one) and explain in detail how that factor affects that part of
    ADME.
  6. Make a recommendation, based on the explanation that you provided in Step 5,
    for how the drug dose or other feature should be changed.
  7. Repeat steps 5 and 6 for each of the other factors you identified, each time
    focusing on a different part of ADME (or another feature).

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