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1000 g =
1 kg
___ tsp= 5mL
1
how should you position a client’s head for nasal drug administration
position head to target sinus
drug-herb interactions
herbs interacting w drugs
distribution is
movement of drugs through the body
define pharmacology
scientific study of the biological effects of chemicals
_____ are chemicals introduced into the body to induce change
drugs
who administers drugs?
nurses
drugs are used for (3)
treat, prevent, and diagnose disease
drug sources (5)
Chemicals, plants, inorganic compounds, animal byproducts, and synthetic sources
what does a chemical have to do to become a drug?
has to have therapeutic value and efficacy
what are 4 inorganic compounds
aluminum, fluorine, gold, and iron
how does a plant become a drug
a synthetic version of the active chemical found in the plant will be processed
what do animal byproducts replace?
human chemicals
why are animal byproducts necessary?
they will produce what the patient’s body will not
the ideal drug is (3)
effective, safe, and selective
what are the 3 drug effects?
therapeutic, adverse, and side
what is the therapeutic effect?
good and what the drug is intended for
what is the adverse effect?
bad, can be fatal or life threatening, will result in discontinuation of drug
what is the side effect?
common and usually mild but can be unpleasant effects not life threatening
pharmacokinetics
body on drugs
four phases of pharmacokinetics
absorption, distribution, metabolism, and excretion
absorption is
how the drug gets into the body
what is the fastest transport system
blood
what is the safest transport system
oral
metabolism is
the drug being converted into its active/ less active form
main organ in metabolism
liver
excretion is
the removal of the drug from the body
main organ in excretion
kidneys
who is likely to have unhealthy kidneys
elderly and infants
what undesirable effects can unhealthy kidneys have
the patient can struggle to rid the body of the administered drug
pharmacodynamics
drug on the body
agonist
good drugs
antagonist (aka __________)
blockers, bind to active site and prevet agonist from being effective
potency
strength of drug based on dose/concentration
efficacy
the effect we want the drug to cause
therapeutic index
when a drug becomes toxic/ the concentration at which the drug is effective
oral medication
prolonged effect of drug, takes longer to be in effect
IV
instant effect, wears off quicker than oral route
loading dose
higher dose of medication to kickstart therapeutic index, drug will be given in a smaller dose after loading dose to keep drug in therapeutic index
what is tolerance
the body can become tolerant to some drugs causing them to not work or produce effects on the body
what are some causes of tolerance
prolonged exposure to the drug
typical solution for tolerance?
increased dosage of medication
what regulates drugs in the usa
FDA
what does the fda do?
regulate drugs, tests drugs, makes sure theyre safe for the public
what does the dea do?
works with controlled substances
who determines the abuse potential of drugs?
FDA
who enforces controls of controlled substances?
DEA
what are the schedules of classified drugs? least to most potential of abuse
Schedule 5- schedule 1
schedule 1
high abuse potential, no accepted medical use
schedule 2
high abuse potential w severe dependence, accepted medical use
schedule 3
less abuse potential and moderate dependence includes some control but not a lot
schedule 4
less abuse potential, limited dependence
schedule 5
limited abuse potential, may be OTC medicatiosn
teratogenic
chemical or drugs that causes adverse effects to a fetus
categories of drugs for pregnancy safety
a-x
A
OK to be used based on studies
B
may be ok in humans
c
caution
d
do not use
x
risks outweigh the benefits
types of drug naming (3)
chemical, generic, and trade/brand
chemical drug naming
chemical structure, not used by nurses
generic drug naming
original designation of drug, safe effective and cost-effective
trade/ brand naming
given to by pharmaceutical company (ibuprofen)
orphan drugs
drugs that are created for very rare disease, not owned by anyone, made in other countries and not approved by the fda, may have adverse effects
OTC drugs
no prescription required, grandfathered (used to need a prescription but has been proven safe for OTC use), tested and regulated by the FDA, NEED TO KNOW IF PATIENT IS TAKING ANY OTC DRUGS
Vitamins
fat and water soluble, NEED TO KNOW WHAT VITAMINS A PATIENT IS TAKING
fat soluble vitamins
found naturally in the body, can have too much
water soluble vitamins
b vitamins, excreted by kidneys
drug labeling
name, generic name, strength, lot #, expiration date, manufacturing company, how to store drug, administration, warnings, NDC number (identification of drug)
package inserts
prepared by manufacturers, chemical and study info, intended targets are healthcare professionals
factors that influence drug effects
age, dosage, body weight, attitude, tolerance, interactions w other drugs, purity of drug, method of administration, rates of absorption and metabolism, general health
drug-drug interaction
two drugs reacting to one another
pharmacokinetic drugs
can cause drugs to not work or can cause them to become toxic depending on drug plasma concentration
drug-food interaction
results from drugs interacting with food and or beverages
herbs (aka )
alternatives, may mask serious underlying conditions
adverse drug reactions | toxicity:
drug accumulation ( increased adverse effects)
allergic reactions are
largely unpredictable
idiosyncratic effect
unexpected reactions the first time a drug is given
lactogenic disease
affects production of breastmilk and can be transferred to child through breastmilk
physical dependence
when one requires a drug to function
carcinogenic effect
drugs that cause cancer
teratogenic effect
drugs that harm fetuses
teratogenicity
drugs that can result in death or congenital defects
organ specific toxicity | nephrotoxicity
medications can cause damage to nephrons, decreased ability to excrete waste, inability to maintain body fluid and electrolyte balance
hepatotoxicity
oral drugs are absorbed and passed through the liver
dermatologic reactions
affect the skin (rashes)
superinfections
overuse of antibiotics
blood dyscrasia
drugs that affect your blood system, can decrease blood marrow (higher cancer risks)
altered glucose metabolism
drugs can make your glucose high and low
hypoglycemia
low blood sugar
hyperglycemia
high blood sugar
hypokalemia
low serum of potassium
hypokalemia symptoms
cramps, tingliness, numbness, NVD, weakness, disorientation
hyperkalemia
weakness, muscle cramps, EKG abnormalities (spiked T wave)
ocular toxicity
vision toxicity (blurred vision, blindness, color vision changes, corneal damage)
ototoxicity
balance as well as hearing, damage to hearing, dizziness, tinnitus, loss of balance, hearing loss
what can cause ototoxicity
pushing a medication too fast