Principles of Biomedical Technology (Principles of Biomedical Science)
Unit 3: Unit 3.2 Emergency ResponsePBS 3.2Handling, Preparation, Storage and Disposal

Explain Drug Metabolism

Apply emergency or public-health rules to explain drug metabolism.

Builds on (2 levels back)inferred · high confidence
  • Read a protocol: Emergency decisions must follow the stated rule in order.
  • Balance benefit and risk: Interventions should help while minimizing harm.

Prerequisites are inferred: pending teacher review.

Re-learn the skill with worked practice and clear examples.

The liver metabolizes a drug, meaning it chemically changes the drug, often into a form the kidneys can remove.

Step 1: Spot the metabolizing organ
The liver is the main site of drug metabolism. It uses enzymes to change the drug's chemical structure.
StepWhat happensWhere
Absorbdrug enters the bloodgut
Distributedrug travels to tissuesbloodstream
Metabolizedrug is chemically changedliver
Excretedrug leaves the bodykidneys
ADME table: absorb, distribute, metabolize, excrete with the organ for each step
Step 2: Know what 'change' means
Metabolism does not just move the drug; it turns it into a different chemical (a metabolite).
Step 3: Connect to excretion
After the liver changes the drug, the kidneys excrete it. Change comes before removal.
Practice

Using the table, which organ chemically changes a drug into a new form?

Reviewed
StepWhat happensWhere
Absorbdrug enters the bloodgut
Distributedrug travels to tissuesbloodstream
Metabolizedrug is chemically changedliver
Excretedrug leaves the bodykidneys
ADME table: absorb, distribute, metabolize, excrete with the organ for each step
  1. A.Liver
  2. B.Gut
  3. C.Bloodstream
  4. D.Kidneys
Show the worked solution ▾

Answer: A. Liver

  1. Step 1: Find the 'Metabolize' row: Metabolize is the chemical-change step.
  2. Step 2: Read its 'Where' column: The Metabolize row lists the liver.

Why it's right: The Metabolize row pairs 'drug is chemically changed' with the liver, so the liver does the chemical change.

Why the others miss:
  • B: The gut is where the drug is absorbed, not chemically changed.
  • C: The bloodstream distributes the drug but does not change it.
  • D: The kidneys excrete the drug after it is changed; they do not metabolize it.

Aligned to Handling, Preparation, Storage and Disposal · reading level ~grade 9

Where you'd see this
  • A nurse explains to a patient that the liver breaks the medicine down, so liver problems can change the dose.
Video library
Watch: Explain Drug Metabolism
Pharmacokinetics: How Drugs Move Through the Body
Professor Dave Explains · 7:55
Guided notes

Fill these in as you work through the lesson.

Big idea: The body handles a drug in four steps (ADME); the liver metabolizes the drug, chemically changing it before the kidneys remove it.
Key terms: write the meaning
  • ADME (absorb, distribute, metabolize, excrete):  
  • Metabolize (chemically change the drug):  
  • Liver (main organ that metabolizes drugs):  
  • First-pass (liver changes a swallowed drug before it reaches the body):  
The rule

In ADME, the   step chemically changes the drug, and it mostly happens in the  .

Check yourself
  1. What do the four letters in ADME stand for? 
  2. Which ADME step means the drug is chemically changed? 
  3. Why might a swallowed dose need to be larger than an injected dose? 
Work one example

Trace ibuprofen through ADME: absorbed in the gut, distributed by the blood, metabolized (changed) by the liver, then excreted by the kidneys. Name the step that changes the drug.