Pharm #1

Front 1

Polypharmacy

Back 1

the simultaneous use of multiple medications

Front 2

Legend Drug

Back 2

AKA perscription drug

Front 3

Most common method of dosing

Back 3

Body weight dosage calculations

Front 4

When administering meds to pediatric patients

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one must take into account the body surface area including weight and height, age and organ maturity

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Age related chanes in Gastric pH (making it less acidic) may

Back 5

alter the absorption of weakly acidic drugs, such as asprin

Front 6

Metabolism issues

Back 6

all pts in liver failure will have issues with Metabolism

Front 7

Cultural Assessments

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Assess Dietary habits, AKA pt does not eat pork for religious reasons

Front 8

Informed Consent

Back 8

Involves the careful explanation to the human test pt or research subject of the purpose of the study in which he or she is being asked to participate.
Includes: The procedures to be used, possible bedefits, and risks involved.
Followed by written documentation in the form of a consent form

Front 9

Veractiy

Back 9

The duty to tell the truth

Front 10

Pt Education: Implementation

Back 10

Develop large-print hondouts that relect the verbal info presented for the elderly or sight impaired individuals

Front 11

Pt Education

Back 11

Demo return Demo
I show, you show

Front 12

Use of OTC's

Back 12

May relive symptoms of a disorder but not the cause

Front 13

Herbal Products

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Are considered 'dietary supplements'
NO proven safety ratings for pregnant women

Front 14

Stimulants-Adverse Effects

Back 14

Restlessness, Hyperactive reflexes, Talkativeness, Confusion with periods of panic, Tachycardia, Fever

Front 15

Somatic Pain

Back 15

TX with nonopiod analgesic such as indomethacin. NSAIDs

Front 16

Adverse Effects of Opiods

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Respiratory depression: Always assess the respiratory rate before administering an opioid
Constipation: most common adverse effects associated with opioid analgesics

Front 17

Opioid Tolerance

Back 17

Result: Larger dose of opioids is required to maintain the same level of analgesia

Front 18

Anorexiant
Sibutramine (Meridia)

Back 18

Sibutramine (Meridia)-avoid other sources of CNS stimulants, (Coffee, tea, and colas) due to possible additional stimulation

Front 19

ADHD Stimulants

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Last dose should be given 4-6 hours before bedtime to reduce insomnia

Front 20

Starting Ritalin therapy

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Baseline height and weight because it may cause a temporary sloing of growth in prepubescent children

Front 21

Migraine Medications

Back 21

Ergot alkaloids may cause chest pain- Contact MD immediately
Taken to relieve the migraine NOT to prevent it

Front 22

Migraine Considerations

Back 22

Assess for coronary artery disease

Front 23

Caffeine

Back 23

Should be used with caution if there is a history of peptic ulcers

Front 24

Hydantoins (seizure medication)

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Scrupulous dental care is necessary to prevent gingival hypertorphy

Front 25

Oral Antiepileptics

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Abrupt discontinuation can lead to withdrawal seizures

Front 26

AED's (Anti Epilepitc Drugs)

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shoud not be discontinued abruptly

Front 27

Opiod Analgesic Indications

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Often given with adjuvant analgesic drugs to assist the primary drugs with pain relief
(Given with NSAIDS, antidepressants, anticonvulsants, Corticosteroids)

Front 28

Dyskinesia

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Difficulty in performing voluntary movements

Front 29

Expected Therapeutic Responses from Parkinson's Disease

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Improved mental status, Increased ability to perform ADL's

Front 30

Anticholinergic Adverse Effects

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Dry mouth use artificial saliva, sugarless gum, or hard candy to counteract dry mouth, urinary retention

Front 31

Adverse Effects of Amantadine

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Dizziness
Insomnia
Nausea

Front 32

Catechol ortho-methyltransferase (COMT) Inhibitors

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Reduction in the wearing off phenomenon

Front 33

COMT Adverse Effects

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Urine discoloration- COMT inhibitors may darken a patient's urine and sweat

Front 34

Levodopa-Carbidopa

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Combination drug more efficient in increasing the dopamine level in the brain

Front 35

BuSjpar anxiolytic durg

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Precise mechanism of action unknown, Always given scheduled not PRN, Indicated for the treatment of anxiety disorders

Front 36

Tricyclic antidepressant

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overdoses are notoriously lethal. The primary organ systems affected are the sentral nervous system and the cardivascular system, and death usually results from either seizures or dysrhythmias

Front 37

Newer-Generation Antidepressants

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Still take about 4 to 6 weeks to reach maximum clinical effectiveness.

Front 38

SSRI's

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High risk for suicide during early time frame of therapy or with dosage changes

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EPS: Extrapyramidal symptoms

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Tremors and muscle twitching

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Antipsychotics-phenothiazines

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Produce anticholinergic-like adverse effects of dry mouth, urinary hesitancy, and constipation

Front 41

Antipsychotics-phenothiazines: Thorazine

Back 41

Instruct the pt to wear sunscreen because of photosensitivity

Front 42

Psychotherapeutic Drugs: Monitor for therapeutic effects

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Decreased hallucinations, paranoia, delusions, garbled speech, and inablilty to cope