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89 Cards in this Set

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