Pharmakokinetik: Eine Einführung
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2. Elimination . . . . . . . . . 102 a) Krankhafte Veränderungen des eliminierenden Organs 102 b) Altersabhängige Veränderungen der Elimination . . . 104 c) Pharmakogenetische Faktoren. . . . . . . . . . . 105 d) Abhängigkeit der Eliminationsgeschwindigkeit vom Säure-Basen- Haushalt . . . . . . . . . . . . . . . . . . . 106 e) Cicadiane Rhythmik der Eliminationsgeschwindigkeit . 108 f) Wasserdiurese und Eliminationsgeschwindigkeit 108 g) Lösungsmittelmangel . . . . . . . . . . . . . . 108 h) Enzyminduktion . . . . . . . . . . . . . . . . 109 i) Hemmung der Elimination durch toxische Wirkung. 113 cx) Verdrängung aus der Eiwei bindung . . . . . . 113 ) Clearancedepression . . . . . . . . . . . . . 114 y) Beschleunigung der Elimination durch enteral verabreichte Komplexbildner und Adsorbentien 114 3. Verteilungsvolumen . . . . . . 115 a) Dehydratation - Hydratation 115 b) Hydropische Zustände 116 4. Schlu bemerkung . . . . . . 116 IX. Verwendung von Analog-Rechnern in der Pharmakokinetik . 118 1. Einführung . . . . . . . . . . . . . 118 2. Arbeitsprinzip des Analogrechners. . . . 119 3. Die Programmierung des Analogrechners . 122 4. Anwendung . . . . . . . . . . . . . 124 x. Praktische Anwendung pharmakokinetischer Verfahren . . . . . . . . 130 (Von W. -H. Wagner) 1. Einleitung. . . . . . 130 2. Me verfahren . . . . 130 130 a) Mikrobiologische Methode 131 b) Chemisch-analytische Methode. c) Nachweis mittels radioaktiv markierter Substanz 131 3. Bewertung der Ergebnisse von Tierversuchen . . . 132 4. Gewinnung pharmakokinetischer Grö en und Konstanten . 133 a) Bestimmung aus der graphischen Darstellung . . . . 133 b) Verwendung programmierter Verfahren. . . . . . . . 133 5. Mathematische Grundlagen der programmierten Verfahren. 134 XI a) Verteilung einer Substanz in mehreren Kompartimenten. 134 b) Blutspiegelverläufe bei reiner Invasion. . . . . . . . . 135 c) Blutspiegelverläufe bei reiner Elimination . . . . . . . 137 d) Blutspiegelverläufe bei gleichzeitiger Invasion und Elimination (Bateman-Funktion) . . 137 e) Kumulation, Grenzkurve 142 f) Dosierungsschema 142 6. Auswertungsbeispiele . 143 Weiterführende Literatur. 154 Sachverzeichnis . . . .
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