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82 Cards in this Set

  • Front
  • Back

Adverse reaction

Undesirable drug effect

Allergic reaction

Immediate hypersensitive reaction by the immune system

Anaphylactic shock

Sudden, severe hypersensitive reaction with symptoms that progress rapidly and may result in death

Absorption

A drug is moved from site of administration to body fluids; first process during pharmacokinetics

Angioedema

Localized wheals or swelling in subcutaneous Tissues or mucous membranes, which may be due to an allergic response

Controlled substances

Drugs that have the potential for abuse or dependency

Cumulative drug effect

When the body is unable to metabolize and excrete one dose of a drug before the next is given

Distribution

Drug moves from circulation to body tissue or a Target site

Drug idiosyncrasy

Any unusual or abnormal response that differs from the the response normally expected to a specific drug or dosage

Drug tolerance

Decreased response to a drug, requesting an increase in dosage to achieve to be desired effect

First pass effect

Action by which an oral drug is absorbed and carried directly to the liver, where it is inactivated by enzymes before it enters the blood stream

Half life

Time required for the body to eliminate 50% of a drug

Hypersensitivity

Undesirable reaction produced by a normal immune system

Metabolite

Drug is changed to a form that can be excreted

Pharmaceutic

Pertaining to the phase during which a drug dissolved in the body

Pharmacodynamics

Study of the drug mechanisms that produced biochemical or physiologic changes in the body

Pharmacokinetics

Study of drug transit or activity after adminstration

Receptor

A reactive site on the surface of a cell; when a drug binds to and interacts with the receptor, a pharmacologic response occurs

Teratogen

Drug or substance that causes about abnormal development of the fetus, leading to deformities

The study of drugs and their action on living organism

Pharmacology

What could impair ability to metabolize or detoxify a drug

Liver disease

An effect greater than the sum of the separate actions of two or more drugs is called what

Synergistic drug effect

Term that means comfort

Palliative

Base line conversion

Absorption > distribution > metabolism > excretion

Pharmacokinetic phase

Solid form (tablet/capsule) dissolves > liquid form

Pharmaceutic phase

What deals with the drug actions and effects in the body?

Pharmacodynamics

Phase the drug dissolves?

Pharmaceutic phase

What may affect absorption?

The first pass effect

When mixing of a drug and another substance, causes the drug to become more powerful, possibly leading to death



Example : hypnotic and alcohol

Synergistic drug reaction

When taking one drug interferes with the action of another drug, it's called what?

Antagonistic drug reaction

What weight are general dosages based on?

170lbs

What route produces the most rapid drug reaction?

Intravenous

How are drug classified? (2)

By use (anti-inflammatory/ antihistamines)



By their potential to be harmful (prescription/controlled)

PH of gastric acid is higher

Drug response in child

Less protein> less binding of a drug

Drug response in child

Greater amount of circulating a drug

Drug response in child

Natural, synthetic, semi-synthetic, biotechnology

Sources of drugs

Schedule 1 drugs are

High abuse potential

Schedule V drugs are

Lowest risk for abuse

When did the controlled substance act become finalized?

1970

SR

Slow release

What in our blood determines how hard a drug hits us and how long it lasts

Our albumin levels

Where's the primary site if drug metabolism?

Liver

A percentage of the drug binds with the protein albumin in the blood stream

Protein binding effect

Short half life

2-4hrs

Long half life

21-24hrs

OD

Given in right eye

OS

Given in left eye

OU

Given in both eyes

qd

Once a day

b.i.d

Twice a day

t.i.d

Three times a day

q.i.d

Four times a day

q.h.s

Before bed

q.o.d

Every other day

a.c.

Before meals

p.c.

After meals

Have not shown any hard to pregnancy

Category A

Animal studies haven't shown negative effects, but no studies on pregnant women have been conducted

Category B

Animal studies have shown risk to fetus

Category C

Studies have shown there's a risk to fetus- only to use in emergency situations where the threat outweighs the risk

Category D

Fetus abnormalities are almost guaranteed

Category X

Drug is not classified by the FDA

Category N

ADR stands for

Adverse drug reaction

MAR stands for

Medication administration record

One drug modified the action of another

Drug interactions

Adequate fluid intake in vital for patients to eliminate drugs properly. What amount is recommended?

50mL/kg/day

Lowest concentration of drugs in the system is called?

Trough levels

Highest concentration of drugs in the system is called what?

Peak

Drugs that produce a response are called?

Agonists

Drugs that block a response are called?

Antagonists

Serious side effects are in the________ on warning labels

Black Box

SL stands for

Sublingual to place under the tongue

Medication is injected into the intrathecal space of spinal column

Intrathecal

Right drug


Right dose


Right route


Right time


Right patient


Right documentation

Six Rights

Elderly often have decrease albumin, causing an increase in unbound drug in circulation. What could this lead to?

Toxicity

Most drugs are metabolized by the liver and exerted by the _____

Kidneys

Intended effect is the

Primary

Unintended or side effect is the

Secondary

Stimulation or depression,


Replacement,


Inhibition or killing,


Irritation

Four types of drug actions

When medication is given to children, what is the dose based on?

Age and weight