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58 Cards in this Set

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