Module 1: Pharmacology

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199 Terms

1

1000 g =

1 kg

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___ tsp= 5mL

1

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3

how should you position a client’s head for nasal drug administration

position head to target sinus

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drug-herb interactions

herbs interacting w drugs

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distribution is

movement of drugs through the body

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define pharmacology

scientific study of the biological effects of chemicals

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8

_____ are chemicals introduced into the body to induce change

drugs

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9

who administers drugs?

nurses

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10

drugs are used for (3)

treat, prevent, and diagnose disease

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11

drug sources (5)

Chemicals, plants, inorganic compounds, animal byproducts, and synthetic sources

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what does a chemical have to do to become a drug?

has to have therapeutic value and efficacy

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13

what are 4 inorganic compounds

aluminum, fluorine, gold, and iron

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14

how does a plant become a drug

a synthetic version of the active chemical found in the plant will be processed

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what do animal byproducts replace?

human chemicals

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why are animal byproducts necessary?

they will produce what the patient’s body will not

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17

the ideal drug is (3)

effective, safe, and selective

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what are the 3 drug effects?

therapeutic, adverse, and side

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19

what is the therapeutic effect?

good and what the drug is intended for

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what is the adverse effect?

bad, can be fatal or life threatening, will result in discontinuation of drug

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what is the side effect?

common and usually mild but can be unpleasant effects not life threatening

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pharmacokinetics

body on drugs

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four phases of pharmacokinetics

absorption, distribution, metabolism, and excretion

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absorption is

how the drug gets into the body

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what is the fastest transport system

blood

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what is the safest transport system

oral

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metabolism is

the drug being converted into its active/ less active form

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main organ in metabolism

liver

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excretion is

the removal of the drug from the body

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main organ in excretion

kidneys

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who is likely to have unhealthy kidneys

elderly and infants

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what undesirable effects can unhealthy kidneys have

the patient can struggle to rid the body of the administered drug

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pharmacodynamics

drug on the body

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agonist

good drugs

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antagonist (aka __________)

blockers, bind to active site and prevet agonist from being effective

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potency

strength of drug based on dose/concentration

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efficacy

the effect we want the drug to cause

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therapeutic index

when a drug becomes toxic/ the concentration at which the drug is effective

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oral medication

prolonged effect of drug, takes longer to be in effect

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IV

instant effect, wears off quicker than oral route

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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

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42

what is tolerance

the body can become tolerant to some drugs causing them to not work or produce effects on the body

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what are some causes of tolerance

prolonged exposure to the drug

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typical solution for tolerance?

increased dosage of medication

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what regulates drugs in the usa

FDA

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what does the fda do?

regulate drugs, tests drugs, makes sure theyre safe for the public

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what does the dea do?

works with controlled substances

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48

who determines the abuse potential of drugs?

FDA

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who enforces controls of controlled substances?

DEA

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50

what are the schedules of classified drugs? least to most potential of abuse

Schedule 5- schedule 1

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51

schedule 1

high abuse potential, no accepted medical use

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schedule 2

high abuse potential w severe dependence, accepted medical use

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schedule 3

less abuse potential and moderate dependence includes some control but not a lot

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schedule 4

less abuse potential, limited dependence

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schedule 5

limited abuse potential, may be OTC medicatiosn

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teratogenic

chemical or drugs that causes adverse effects to a fetus

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categories of drugs for pregnancy safety

a-x

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A

OK to be used based on studies

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B

may be ok in humans

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c

caution

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d

do not use

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x

risks outweigh the benefits

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types of drug naming (3)

chemical, generic, and trade/brand

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chemical drug naming

chemical structure, not used by nurses

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generic drug naming

original designation of drug, safe effective and cost-effective

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trade/ brand naming

given to by pharmaceutical company (ibuprofen)

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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

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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

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Vitamins

fat and water soluble, NEED TO KNOW WHAT VITAMINS A PATIENT IS TAKING

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fat soluble vitamins

found naturally in the body, can have too much

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water soluble vitamins

b vitamins, excreted by kidneys

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drug labeling

name, generic name, strength, lot #, expiration date, manufacturing company, how to store drug, administration, warnings, NDC number (identification of drug)

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package inserts

prepared by manufacturers, chemical and study info, intended targets are healthcare professionals

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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

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drug-drug interaction

two drugs reacting to one another

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pharmacokinetic drugs

can cause drugs to not work or can cause them to become toxic depending on drug plasma concentration

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drug-food interaction

results from drugs interacting with food and or beverages

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herbs (aka )

alternatives, may mask serious underlying conditions

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adverse drug reactions | toxicity:

drug accumulation ( increased adverse effects)

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allergic reactions are

largely unpredictable

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idiosyncratic effect

unexpected reactions the first time a drug is given

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lactogenic disease

affects production of breastmilk and can be transferred to child through breastmilk

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physical dependence

when one requires a drug to function

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carcinogenic effect

drugs that cause cancer

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teratogenic effect

drugs that harm fetuses

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teratogenicity

drugs that can result in death or congenital defects

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organ specific toxicity | nephrotoxicity

medications can cause damage to nephrons, decreased ability to excrete waste, inability to maintain body fluid and electrolyte balance

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hepatotoxicity

oral drugs are absorbed and passed through the liver

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dermatologic reactions

affect the skin (rashes)

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superinfections

overuse of antibiotics

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blood dyscrasia

drugs that affect your blood system, can decrease blood marrow (higher cancer risks)

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altered glucose metabolism

drugs can make your glucose high and low

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hypoglycemia

low blood sugar

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hyperglycemia

high blood sugar

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hypokalemia

low serum of potassium

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hypokalemia symptoms

cramps, tingliness, numbness, NVD, weakness, disorientation

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hyperkalemia

weakness, muscle cramps, EKG abnormalities (spiked T wave)

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ocular toxicity

vision toxicity (blurred vision, blindness, color vision changes, corneal damage)

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ototoxicity

balance as well as hearing, damage to hearing, dizziness, tinnitus, loss of balance, hearing loss

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what can cause ototoxicity

pushing a medication too fast

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