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48 Cards in this Set

  • Front
  • Back
The study or science of drugs -
Pharmacology
Molecular strucure or chemical composition -
Chemical Name
Name given by Adopted Name Council -
Generic Name
Generic name becomes this name -
Official Name
Proprietary name - registered trademark
Trade name
The rate at which the drug leaves the site of administration and the extent to which it occurs -
Absorption
Transport of a drug in the body by the bloodstream to its site of action -
Distribution
Biologic transformation of a drug into an inactive metabolite, a more soluble compound or a more potent metabolite -
Metabolism
Elimination of the drug from body -
Excretion
In which route is a drug absorbed through the mucosa of the stomach and/or small or large intestine -
Enteral Route
Drugs taken by enteral route are taken via -
orally / swallow
Absorption changes in the stomach can be altered by -
age of the patient
presence & types of meds
patients w/ parts of small intestine removed
presence or absence of food / fluids
Durgs that are absorbed into highly vascularized tissue under the tongue (the oral mucosa) is called -
Sublingual & Buccal Routes
Drugs using the sublingual route are absorbed quickly because -
the tongue has a large blood supply
Which adminstration route uses the first pass effect?
Enteral Route
This route is the fastest route by which a drug can be absorbed -
Paraenteral
Any route of administration other than the GI tract is known as
Pareneteral route
Drugs given by the parenteral route are given by way of -
IV
Does the parenteral route use the first-pass effect?
No, they are adminstered by IV directly into the bloodstrem.
Does the sublingual / buccal routes for adminstration bypass the first-pass effect?
yes, they are absorbed under the tongue directly into the bloodstream.
Topical route drugs involve medications to which body surfaces -
skin, eyes, ears, nose, lungs, rectum, or vagina
Transdermal route is delivered how -
thru adhesive patches
Inhaled drugs are delivered how -
thru the lungs
Are drugs that are administered and delivered via Hepatic arterial thru to the liver, oral, portal venous (IV) and rectal involved in the first-pass effect?
Yes
Are drugs that are administered aural (in the ear), buccal (cheek), sublingual (tongue), transdermal (patch), inhaled, intrarterial, intramuscular, intranasal, intraocular, intravenous, or subcutaneous involved int he first-pass effect?
No
The study of what the drugs do to the body or the drug action on living tissues is known as -
Pharmacodynamics
Name the 3 basic mechanisms of action involved in Pharmacodynamics -
Pharmaceutical phase
Pharmacokinetic phase
Pharmacodynamic phase
What can alter the rate of absorption of a drug?
dosage
acid changes in stomach
age of patient (illness)
presence of medications
those with portions of their small intestine removed
more rapid delivery for those with gastric bypass surgery
absorption changes in the intestine
presence / absence of food or fluid
This type of therapy often involves more intense drug treatment and is implemented in those with rapid onset illness and used to treat disease or sustain life..
Acute therapy
This type of therapy typically does not eradicate problems the patient may have, but does prevent progression of a disease or condition.
Maintenance Therapy
This type of therapy supplies the body with a sustance needed to maintain normal function either because the body doesn't make it or it's made in insufficient quantity.
Supplemental Therapy
This type of therapy's goal is to make the patient as comfortable as possible. Typically used in the end stages of illness when all attempts at curative therapy have failed.
Palliative Therapy
This type of therapy maintains the integrity of body functions while the patient is recovering from illness or trauma.
Supportive Therapy
This is a type of drug therapy provided to prevent illness or other undesirable outcomes during planned events.
Prophylactic Therapy
The study of natural (vs. synthetic) drug sources (plants, animals, minerals / the origin of drugs is known as -
Pharmacognosy
List the four major sources of drugs and give an example of a drug derived from each source -
plants - foxglove (cardiac glycosides)
animals - horses (hormones)
Laboratory Synthesis - recombinant DNA (many drugs)
Minerals - aluminum hydroxide (antacids)
The Kefauver-Harris amendment of 1962 was enacted due to what tragic event?
The thalidomide tragedy that occured in Europe between the 1940's - 1960's. Many pregnant women took this sedative-hypnotic drug and gave birth to babies who were seriously deformed.
Another, is the sulfanilamide tragedy of 1937 where over 100 deaths occured in the US when peole ingested a diethylene glycol solution of sulfanilamide that was marketed as a therapeutic drug. It was never tested for its toxicity.
This Act required drug manufacturers to list onthe product label the presence of dangerous & possibly addicting substances.
Federal Food & Drugs Act
What are the two publications that set the standards for drugs in the US -
USP Designation
The US Pharmacoia
What is the dispensing restrictions of a C-I class drug -
NONE - Basically no approved uses
What is the dispensing restrictions for a C-II drug?
Written Rx required
No refills
Needs warning labels
What is the dispensing restrictions for a C-III drug?
Written Rx required
No more than 5 refills in 6 mths
Needs warning labels
What is the dispensing restrictions for a C-IV drug?
Rx expires in 6 mths
no more thand 5 refills in 6 mths
needs warning labels
What is the dispensing restrictions for a C-V drug?
May need Rx in some states. These are cough suppressants and anti-diarrheal meds that contain small amounts of opioid-controlled substances
What defines the nurses role?
Nurse Practice Acts
Standards of Care
Policy & Procedures
List the 6 rights
Right patient
Right drug
Right dose
Right time
Right route
Right documentation
Study of what the body does to the drugs -
Pharmacokinetics
What is the primary purspose of the drug acts/legistlation and HIPPA -
ensure the safety and efficiency of new drugs and in the case of HIPPA, to protect patient confidentiality.