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24 Cards in this Set

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Pharmacology
Study of history, sources, physical and chemical properties of drugs; and how drugs affect living systems
FATHER OF PHARM: Paracelsus
Drug
Chemical substance that affects living systems by changing their structure or function
Pharmacodynamics
study of biochemical and physiological effects of drugs; and drugs' mechanisms of action
Pharmacokinetics
study of absorption, distribution, biotransformation (metabolism), and excretion of drugs
Sources of Drugs
Natural - animals, plants, minerals
Semisynthetic
Synthetic
Biotechnology
Drug uses (Pharmacotherapeutics)
Treatment of symptoms
Prevention of disease
Diagnose
Cure
Maintain health
Contraception
Drug Names
Chemical Name
Generic Name
Brand/Trade Name
Classification of Drugs
Prescription (legend drugs)
NonPrescription (OTC)
Investigational
Illicit (street)
Controlled Substances
Ability to cause physical and/or psyc. dependence
Legal & ethical nursing responsib.
Controlled substance Act of 1970; 5 categories or schedules
Principles of Drug Action
Drugs alter existing cellular functions
Drugs interact w/ body in sev. ways
Better fit w/ it's receptor, stronger drug's affinity and the lower dose req.
Agonists
Drugs which interact with a receptor to produce a response
Antagonists
Drugs which inhibit the action of an agonist
Adverse Drug effects
Negative side effects
Toxic effects
Allergic reactions
Idiosyncratic reactions
Teratogenic drug
Drug tolerance
Pharmacokinetic Factors
Liberation
Absorption
Distribution
Biotransformation/metabolism
Elimination
Measuring drug action
Absorption
Drug passes from site of administration into body fluids
First step in the passage of a drug through the body
Factors influencing gastric absorption
food
Stomach acidity
Distribution
Drug carried from site of absorption to site of action
Determined by the physical & chemical characteristics of a drug; solubility
Distribution, cont'd
Drug molecules that are bound to protein are inactive; unbound molecules are active
Biotransformation
Convert drug to a water soluble form for excretion
Most biotrans. reactions occur in liver
Elimination
Kidney (ph of urine may affect rate of excretion)
Feces
Respiratory tract - exhaled
Breast milk
Saliva
Sweat
Drug half life
ie: half-life 4 hours
amt of drug initially = 100%
rem. after 4 hrs = 50%
rem. after 8 hrs = 25%
rem. after 12 hrs = 12.5%
rem. after 16 hrs = 6.25%
Monitoring Drug Therapy
Observe client for desired therap. effect
Measure a biochem. change
Measure plasma conc. of the drug
Drug Interactions
Pharmacological effects of one drug are potentiated or diminished by another drug
Interaction may be with foods, lab test, substances, environmental
Synergistic
Pharmacological response greater than that expected by individual effects of each drug together.