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58 Cards in this Set
- Front
- Back
Pharmacotherapeutics
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the use of drugs to alleviate the s/s of disease,delay or cure disease
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Pharmacodynamics
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what biologically active compunds do in the body
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pharmacokinetics
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what the body does to a drug
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4 components of pharmacokinetics
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absorption,distibution,metabolism and excretion
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absorbtion
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a drug transferred from its site of administration into the bloodstream
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name the routes of administration
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oral-PO
parenteral-IM,IV and SubQ rectal topical inhalation |
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Factors that influence drug absorption are
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drug formulation
route of administration patient age pregancy disease states |
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Will food in the stomach decrease or increase the rate of drug absorption when orally administered
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decrease
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drugs are _____ via the circulation to plasma and tissue binding site and the to the site of action and the organs of excretion
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distributed
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the process of making a drug more polar and water soluble
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metabolism
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It is found in liver cells and is responsible for metabolism of drugs
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cytochrome P450
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increase
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induce
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the degree to which a drug is able to induce maximal effects is
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efficacy
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any unexpected or unintended response to a therapeutic dose of a drug is an
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adverse effect
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the strength of a drug's binding to receptors is
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affinity
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drug,hormones, and neurotransmitters that activate receptors are called
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agonists
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a genetically determined unusual or abnormal response to a drug is
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idiosyncratic reaction
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opposite of the desire effect of a drug is a
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paradoxical reaction
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4 drug interactions
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additive
synergistic potentiation antagonism |
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_____ _____ occur when the response elicited by the combined drugs is equal to the combined response of the individual drugs
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additive interactions
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A ___ ___ is elicited when the effects of the combined drugs are greater than the combined responses of the individual drugs
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synergistic interaction
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____ occurs when a drug that has nof effect itself enhances the effect of a second drug
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Potentiation
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_____ occurs when on drug inhibits the action of another drug
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antagonism
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the stronger the ____ for the receptor, the ____ the drug action
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affinity, longer
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Antagonism occurs when on drug ____ the action of another drug
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inhibits
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teratogenic drugs cause ___ ___
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fetal harm
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it is used for the treatment of chronic illnesses such as HTN
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maintenance therapy
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supplies the body with a substance needed to matain normal function
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supplemental therapy
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this substance may be needed either because it cannot be made by the body or because it is produced in insufficient quantity
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replacement therapy
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this is used to make the Pt. as comfortable as possible
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palliative Therapy
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It maintains the integrity of body functions while th Pt. is recovering from illness or trauma
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supportive therapy
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used when Pt. has dental procedures are performed in Pts. with mitral valve plrolapse and or Teflon grafts
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Prophylactic Therapy
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therapy that does not have a scientific basis but instead is based on experience
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Empiric Therapy
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predictable reactions to drug therapy
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adverse effects
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alteration of the action of one drug by another is
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drug interaction
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two drugs with similar actions are given together they can have
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additive effects
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two drugs administered together interact in such a way that their combined effects are greater than the sum of the effects for each drug given alone
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synergistic effects
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The combination of two drugs results in drug effects that are less than the sum of the effects for each drug given separately
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antagonistic effects
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also called drug misadventure
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adverse drug event(ADE)
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unexpected or undesirable and occurs at therapeutic drug dosages
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adverse drug reaction(ADR)
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A preventable situation in which there is a compromise in the 5 rights of drug administration
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medication error
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a permanent changes in the genetic composition of living organisms and consist of alterations in chromosome structure
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mutagenic effects
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what deficency can lead to hemolysis of RBC's when exposed to aspirin, sulfa drugs, antimalarials
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G6PD
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Glucose-6-Phosphate Dehydrogenase Deficiency is abbreviated as
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G6PD
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increases gastic pH, preventing the breakdown of ketoconazole
and effects what phase of pharmakinetics? |
antacid with ketoconazole
Absorption |
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both drugs compete for the same protein binding sites and effects what phase of pharmakinetics?
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warfarin with amiodarone
Distribution |
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bothe drugs compete for the same hepatic enzymes
and effects what phase of pharmakinetics? |
erythromycin with cyclosporine
Metabolism |
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inhibits the secretion of amoxicillin into the kidneys
and effects what phase of pharmakinetics? |
amoxicillin with probenecid
excretion |
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Amoxicillin therapy can be enhanced if taken with
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probenecid
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decreased metaboslim of cyclosporins can lead to
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toxicity
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higher levels of free warfarin and amiodarone which can lead to an _____ in both drugs
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increase
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not permitted to mark a refill on the prescription is what category?
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C-11
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heroine, LSD, and marijuana are what category?
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C-1
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the nurse is aware that the ethical principle of "Do no harm" is known as:
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nonmaleficence
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an inert substance that is not a drug
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placebo
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protein albumin binding sites are ____ because of decreased protein.
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reduced
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in elderly the gastric pH is ____ acidic because of decreased hydrochloric acid production
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less
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fat content is increased because of decreased _______ and altered total body _____
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lean body mass
water |