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38 Cards in this Set

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Therapeutic Classification

describes what condition is being treated by the drug; often identified with the prefix "anti"




ex: anti-seizure, antihypertensive, anti-inflammatory

Pharmacological Classification

describes drug mechanism of action




more specific based on understanding of biochemistry and physiology




Ex:


calcium channel blocker (blocks heartcalcium channels)


norepinepherine

First pass effect

drug becomes completely metabolized to an active form on their first trip to the liver

pharmacotherapy

Medical treatment using drugs

pharmacokinetics

movement of drugs throughout the body

pharmacodynamics

what the drugs do to your body, mean of action

generic name

assigned by the US Adopted Name Council

Trade Name

brand name

therapeutic dose

amount of drug needed to reach therapeutic effect

what does half life mean?

how long it takes for 1/2 the drug to be metabolized

potency

the more potent the medication, the less drug you will need for it to have a therapeutic effect on the patient

what is additive effect

2 drugs from a similar therapeutic drug class, when combined, produce a greater response




1+1=2

synergistic effect

two drugs produce an effect that is much greater than expected from simply adding two individual drugs




1+1 = 3

antagonist effect

adding a second drug creates diminished response




1+1 = 0

tolerance

the need for more medication in order for a therapeutic effect to happen

dependence

need to have the drug or withdrawal symptoms occur

teratogens

drug that causes birth defects




ex: alcohol, smoking

What effect does grapefruit juice have on some medications?

increases absorption (reduces metabolism);




as drugs are absorbed they are not activated and higher amounts reach circulation

Pregnancy Categories

A: No increase risk to fetus. Safe! Ex. prenatel vitamins


B: No increase risk to fetus


C: Shows some adverse effects, still okay


D: Risk to fetus, benefits must outweigh risks


X: NEVER ever give this medication to a pregnant woman

Scheduled Drugs

Schedule I: high abuse potential; no acceptable medical use


Schedule II: used therapeutically w/ prescription, no refills ex: morphine


Schedule III: used therapeutically w/ prescription 5 refills in 6 mo.


Schedule IV: low potential for abuse, no prescription needed, OTC drugs

10 rights of medication administration

1. Time 7. Patient


2. Route 8. Documentation


3. Assessment 9. Teaching


4. Dose 10. Medication


5. Evaluation


6. Refusal

What organ is involved with ABSORPTION?

small intestine

What organ is involved with DISTRIBUTION?

blood?




movement of pharmacological agents throughout the body after they are absorbed

What organ is involved with METABOLISM?

liver

What organ is involved with EXCRETION?

kidney

The FDA is responsible for regulating drugs and herbal medicine. True or False?

False. They do not regulate herbal medicine or supplements.

What is a pro-drug?

It has to go through the liver in order to produce its effect.

What is idiosyncratic response?

Not a common side effect of the drug.




EX: drug usually causes constipation, but for someone it caused diarrhea

What is bioavailability?

The rate and extent to which the active ingredient is absorbed from a drug product and becomes available at the site of drug action to produce its effect.



What is a combination drug?

A drug with more than 1 active ingredient

Prototype drug?

A single drug selected from a class and compared to all other medications in the class.




Can predict adverse effects.

How are pharmacologic drugs classified?

based on the drug mechanisms of action

How are therapeutic drugs classified?

on their usefulness in treating a disease


(what disease is being treated)

To basic drug classifications

pharmacological & therapeutic

What are endorphins?

natural pain killers

What is the gate control theory?

A mechanism where the faster alpha and beta fibers reach the gate first and close it before C fibers can reach it

What is a drug interaction?

Occurs when a substance increases or decreased drug action.

What is addiction?

An overwhelming compulsion that drives someone to repeat drug-taking behavior, despite serious health and social consequences.