* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download 教案编写基本格式与要求
Polysubstance dependence wikipedia , lookup
Compounding wikipedia , lookup
5-HT3 antagonist wikipedia , lookup
Discovery and development of beta-blockers wikipedia , lookup
Toxicodynamics wikipedia , lookup
Discovery and development of angiotensin receptor blockers wikipedia , lookup
Cannabinoid receptor antagonist wikipedia , lookup
Nicotinic agonist wikipedia , lookup
Pharmaceutical industry wikipedia , lookup
Prescription drug prices in the United States wikipedia , lookup
Prescription costs wikipedia , lookup
NK1 receptor antagonist wikipedia , lookup
Pharmacogenomics wikipedia , lookup
Drug design wikipedia , lookup
Pharmacognosy wikipedia , lookup
Drug discovery wikipedia , lookup
Pharmacokinetics wikipedia , lookup
Drug interaction wikipedia , lookup
Psychopharmacology wikipedia , lookup
Theralizumab wikipedia , lookup
Teaching Plan of International Edcation School of KMU Teaching Department: the department of pharmacology Class time: 2016.9.3-2016.9.5 subject pharmacology gra 2014 major clinical de professionals Name of Wang Lei professiona Lecture Lecture or Lecture Class 6 teacher l title experiment hour topic( chapter) Chapter 3 pharmacodynamics teaching material(book Lippincott’s pharmacology, Michelle A. Clark, Richard Finkel, Jose A. title , chief editor , Rey, Karen Whalen, Wolters Kluwer Company, 2011, 5th edition publishing house , publishing time , edition) Teaching aims & requirements: (1). To grasp: ①Aderverse drug reaction: idiosyncratic reaction and drug tolerance; ②Dose-effect relationships of drugs; Graded and quantal response; therapeutic index; potency and efficacy; ③Receptor theory; ④Basic principles of drug action;affinity and intrinsic activity; agonists; competitive and non-competitive antagonists; partial agonists. (2). To be familiar with: ①Drug action and pharmacological effects; ②Second Messengers; Receptor Regulation; ③Factors modifying drug response (3). To understand: Selectivity; Structure-effect relationship; pD2; pA2; Types of Receptors; Two-state Model Key teaching points & difficult points: Key teaching: basic principle in pharmacodynamics Difficult points: Basic principles of drug action;affinity and intrinsic activity; agonists; competitive and non-competitive antagonists;partial agonists. Factors modifying drug response; Dose-effect relationships of drugs; Graded and quantal response; therapeutic index; potency and efficacy Teaching methods: 1) Lecture. Various teaching methods are furnished in pharmacology lectures. Multimedia courseware in aid of blackboard is the common way of teaching. Animations are also used to illustrate the mechanism of drugs, making the abstracts lively and easy to understand. 2) “Case based learning” (CBL) mode. Using a case-based approach engages students in discussion of specific scenarios that resemble or typically are real-world examples. This method is learner-centered with intense interaction between participants as they build their knowledge and work together as a group to examine the case. The instructor's role is that of a facilitator while the students collaboratively analyze and address problems and resolve questions that have no single right answer. With case-based teaching, students develop skills in analytical thinking and reflective judgment by reading and discussing complex, real-life scenarios. Design of PPT and blackboard-writing: 1 Contents 1. Definition of pharmacodynamics. Involves how the drugs act on target cells to alter cellular function. 2. Mechanisms of Drug Action ; Drugs and receptors A. Receptor and non-receptor mechanisms: Most of the drugs act by interacting with a cellular component called receptor. Some drugs act through simple physical or chemical reactions without interacting with any receptor. • Receptors are protein molecules present either on the cell surface or with in the cell e.g. adrenergic receptors, cholinoceptors, insulin receptors, etc. • The endogenous neurotransmitters, hormones, autacoids and most of the drugs produce their effects by binding with their specific receptors. • Aluminium hydroxide and magnesium trisilicate, which are used in the treatment of peptic ulcer disease act by non-receptor mechanism by neutralizing the gastric acid. Many drugs are similar to or have similar chemical groups to the naturally occurring chemical and have the ability to bind onto a receptor where one of two things can happen- either the receptor will respond or it will be blocked. A drug, which is able to fit onto a receptor, is said to have affinity for that receptor. Efficacy is the ability of a drug to produce an effect at a receptor. An agonist has both an affinity and efficacy whereas antagonist has affinity but not efficacy or intrinsic activity. When a drug is able to stimulate a receptor, it is known as an agonist and therefore mimics the endogenous transmitter. When the drug blocks a receptor, it is known as antagonist and therefore blocks the action of the endogenous transmitter (i.e. it will prevent the natural chemical from acting on the receptor). However, as most drug binding is reversible, there will be competition between the drug and the natural stimulus to the receptor. The forces that attract the drug to its receptor are termed chemical bonds and they are (a) hydrogen bond (b) ionic bond (c) covalent bond (d) Vander waals force. Covalent bond is the strongest bond and the drug-receptor complex is usually irreversible. 3. Quantifying Drug-Target Interactions: DOSE-RESPONSE RELATIONSHIPS The exact relationship between the dose and the response depends on the biological object under observation and the drug employed. When a logarithm of dose as abscissa and responses as ordinate are constructed graphically, the “S, ,shaped or sigmoid type curve is obtained. The lowest concentration of a drug that elicits a response is minimal dose, and the largest concentration after which further increase in concentration will not change the response is the maximal dose. supplementary means and time allotment 2min 4min 40min 40min 30min 30min 10min 20min 2 30min Graded dose–response relations Graded dose effect: As the dose administered to a single subject or tissue increases, the pharmacological response also increases in graded fashion up to ceiling effect. - It is used for characterization of the action of drugs. The concentration that is required to produce 50 % of the maximum effect is termed as EC50 or ED50. Quantal Dose–Response Relationships Quantal dose effect: It is all or none response, the sensitive objects give response to small doses of a drug while some will be resistant and need very large doses. The quantal dose- effect curve is often characterized by stating the median effective dose and the median lethal dose. Median lethal dose or LD50: This is the dose (mg/kg), which would be expected to kill one half of a population of the same species and strain. Median effective dose or ED50: This is the dose (mg/kg), which produces a desired response in 50 per cent of test population. Drug Safety & the Therapeutic Index Therapeutic index: It is an approximate assessment of the safety of the drug. It is the ratio of the median lethal dose and the median effective dose. Also called as therapeutic window or safety. The larger the therapeutic index, the safer is the drug. Penicillin has a very high therapeutic index, while it is much smaller for the digitalis preparation. Note: The contents of the teaching plan mainly includes the specific teaching content, time arrangement, the use of teaching aids, important professional vocabulary, complement of teaching content, etc. 3 Pharmacodynamics is the study of the biochemical and physiologic effects of drugs and their mechanisms of action. Drug effects may be desired (therapeutic effects) as antihypertesive, antidiabetic, anticoagulant effect or undesired (adverse effects) which means any effect produced by the drug other than the therapeutic effect. No therapy that is effective is free of adverse effects. Summary 1. Describe the Factors Modifying Drug Action. 2. Compare the potency and efficacy. 3. Compare the Graded dose–response relations and Quantal Dose–Response Relationships Assignments pharmacokinetics Preview Implementation and analysis Comments of Department Head of Department: Date: 4