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89 Cards in this Set
- Front
- Back
Pharmacology
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branch of medicine concerned with the uses, effects & actions of drugs
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Drug
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substance used in diagnosis, treatment or prevention of a disease
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Before marketed for public us in U.S,
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drugs must be recognized by U.S. Food Drug & Cosmetic Act
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Organic Drugs
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from live organisms ie plants, animals
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Inorganic Drugs
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synthesized in lab
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Most Drugs today are
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derived from chemical source
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Drug manufacturing happens in
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pharmaceutical lab
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3 names of Drugs
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*Chemical name
*Generic name *Brand name |
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Chemical name
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atomic/molecular structure of drug N-(4-hydroxyphenyl)
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Generic name
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shorthand version of chemical name=acetaminophen
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Brand name aka Trade name
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controled by pharmaceutical co as regestered trademark =Tylenol
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2 Drug Categories
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*patent drugs (OTC)
*ethical drugs |
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Patent Drugs (over the counter)
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acquired without prescription
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Ethical Drugs (prescription drugs)
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prescription filled by pharmacist
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5 schedules of drugs covered under
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Federal Comprehensive Drug Abuse Prevention & Control Act
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Schedule I Drugs
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*NO current accepted medical usefulness
*HIGH Potential for abuse *CANNOT be prescribed example **Herion** |
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Schedule II Drugs
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*HIGH potential for abuse
*accepted medical usefulness *prescription CANNOT be renewed example **opium, cocaine, morphine oxycodone |
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Schedule III Drugs
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*LESS potential for abuse than I & II
*prescriptions CAN be renewed example ** Tylenol w codeine** |
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Schedule IV Drugs
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*LOW potential for abuse
*accepted medical usefulness *5 refills in 6 month period *example ** valium** |
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Schedule V Drugs
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*lowest potential for abuse
* accepted medical usefulness example ** cough meds w codeine** |
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Prescription
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written order provided by physician or Dentist for preparation & administration of medicine
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Only a professional legally authorized to prescribe meds
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may write a prescription
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Handwritten
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prescriptions
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Superscription
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px name & address & date & Rx symbol
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Rx
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latin for recipe
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Inscription
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name & drug quantity
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Subscription
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directions fo mixing meds.......completed by pharmacist
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Signature
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how to take meds--instruction
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Narcotics CANNOT be
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ordered without prescription
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Illegal for Dental Assistant to
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"Call In" prescription
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When pharmacist calls
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notify Dentist immediately
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a.a.
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of each
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a.c.
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before meals
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a.m.
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morning
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b.i.d.
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twice a day
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d.i.s.
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dispense
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H
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Hour
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h.s.
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@ bedtime
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NPO
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nothing by mouth
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p.c.
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after meals
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prn
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as needed
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q.
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every
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q.d.
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once a day
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q.i.d.
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four times a day
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SL
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Sublingual
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t, tsb
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teaspoon
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T, Tbs
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Tablespoon
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t.i.d.
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three times a day
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Dose
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amount of drug patient takes
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Dosage
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amount of drug to be administered in specific time, often according to body weight
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Factors considered and determine dosage
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*Age
*Weight *Time of day to be taken *Patient tolerance |
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Drugs manufactured in
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pills, capsules, liquids,drops, ointments, sprays, gases, & lotions
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Drug applied directly to site of use
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local-action drug aka local drug (only effects area of body where applied)
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Drug taken internally
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systemic-action drug aka systemic drug
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Systemic Drug
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affects whole body through circulatory system
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4 stages when Meds enter body
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*Absorption
*Distribution *Metabolism *Excretion |
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Absorption
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drug is absorbed into entry site
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Distribution
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drug enters blood stream
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Metabolism
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chemical compound released, drug becomes metabolized -- excreted through liver or kidneys
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Excretion
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drug leaves body via kidneys, liver,saliva breast milk & sweat
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Drugs prescribed in Dentistry
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*Analgesics
*Antibiotics *Antifungal Agenta *Antiviral Agenta *Antianxiety Agents |
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Analgesics
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for Pain....acute, chronic & post op pain
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Nonopioid & Opioid
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2 Analgesic categories
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Nonopioid
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non steroid antiinflammitory ie Tylenol, Advil, Motrin & Aspirin
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Opioid
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moderate to moderately severe pain.....ie codeine
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Antibiotics
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Bactericidal Antibiotics ie Penicillin kill infecting organisms...
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Penicillin
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*most important antibiotics
*most effective/least toxic example **amoxicillin** |
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Cephalosporins
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*related to penicillin
*if allergic to penicillin, could be allergic to cephalopsorin example **keflex** |
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Erythromycin
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alternate when penicillin is contraindicated
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Chlorhexidine
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antibiotic used to control plaque & gingivitis
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Tetracyclines
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reduces or temporarily eliminates bacteria associated with perio disease
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Antibiotic Prophylaxis
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prescribing an antibiotic to prevent bacterial colonization
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Antifungal Agents
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better at fighting certain types of fungi......example Nystatin
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Antiviral Agents
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prescribed in capsule tablet, liquid & ointment forms
example......Zovirax |
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Antianxiety Agents
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large part of "pain free dentistry"
example....diazepam, Valium |
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Drugs commonly prescribed in medicine
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*Cardiovascular
*Respiratory *Gastrointestinal *Neurologic *Psychoactive |
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Statins---lowers cholesterol
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*Lipitor*
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Diuretics--reduce fluid
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*HCTZ*
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Anticoagulants--longer to blod colt
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*Heparin*
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Antiplatlet--slows blood clot formation
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*Aspirin*
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BeteBlockers--control BP
slow fast arrhythmias reduce chest pain |
*Levatol, Lopressor*
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Digitalis--stimulate heart to beat more forceful
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*Digoxin*
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Vasodilators--reduce work for heart
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Nitroglycerine
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Angiotensin ACE Inhibitors---lowers BP
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Altace
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Inhibitors or Anti Inflammitory--Inhalers
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Beclovent
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Bronchodilators---acute bronchospasm
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Proventil
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Acid Reflux--neutralize stomach
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Tagamet
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Antidiarrheal --- treats diarrhea
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Pepto-Bismol
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Crohns--resistance to infection
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Prednisone
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