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78 Cards in this Set

  • Front
  • Back

What must be present before any med can be prescribed

VCPR

What are some drug sources

Botanical


Animal


Minerals


Synthetic

What is part of a regimen

Route
Dosage
Frequency
Duration

What is pharmacotherapeutics

Treating a problem with drugs

What are the methods of drug selection

Diagnostic


Empirical


Symptomatic


Cost


Owner compliance

What are the different classifications of drugs

Prescription


Extra-label use


Over-the-counter

What is extra-label use

Used in a way not specified by the FDA

What is pharmacokinetics

Complex sequence of events that occur after administration of a drug

What is a loading dose

Drug is administered at a high dose until an appropriate blood level is reached

What is a steady state

The point at which drug accumulation equals drug elimination

What can influence blood concentration and patient response

Rate of drug absorption into bloodstream


Amount of drug absorbed


Distribution of drug throughout the body


Drug metabolism and biotransformation


Rate and route of excretion

What are the factors that influence drug administration routes

Pharmaceutic availability


Physical or chemical properties


How quickly onset of action should occur


Patient tolerance


Nature of condition being treated

What will influence absorption of oral meds

pH of drug


Solubility


Size and shape of molecule


Presence or absence of food


Degree of GI motility


Presence and nature of disease processes

What is a parenteral administration

Any injectable drug

What should never be given IV

Oil-based drugs


Cloud or thick drugs

What should never be given IM

Irritating drugs

What should never be given SQ

Irritating or hyperosmotic solutions

What is a intramedullary injection

Directly into bone marrow

What is a intrathecal injection

Directly into CSF

What is bioavailability

The degree to which a drug is absorbed and reaches the general circulation

What can affect absorption

Manufacturing process


Mechanism of absorption


pH and ionization status of drug


Absorptive surface of the site


Blood supply to area


Solubility of drug


Dosage form


Status of GI tract


Interaction w other meds

What are the three methods of absorption

Passive absorption


Active transport


Pinocytosis

What is pinocytosis

Cells engulf molecules by having their cell membranes to form a vesicle

What are possible storage sites

Fat


Liver


Kidney


Bone

What are barriers

Placenta


Blood/Brain


The eyes

What are some disease that interfere with distribution

Abscesses


Heart failure


Shock


Kidney failure


Liver failure

What is biotransformation

The body's ability to change a drug from chemical form into a form that can be eliminated by the body

Where does most biotransformation occur

Liver

Where are other sites of biotransformation

Bile (biliary system)


Kidney


Lung


Nervous system

What can alter drug metabolism

Species


Age


Nutritional Status


Tissue storage


Health status

What is the first pass effect

Orally administered drugs are removed by the liver before they are able to affect the rest of the body

What is a drug half-life

Time required for the amount of a drug present in the body to be reduce by half

What is pharmacodynamics

The study of the mechanisms by which drugs produce physiologic changes in the body

What is affinity

Tendency of a drug to combine with a receptor

what is an agonist

A drug with a high level of affinity and efficacy

What is a partial agonist

A drug with less affinity and efficacy

What is an antagonist

A drug that blocks another drug form combining with a receptor

What is potency

The amount of drug needed to produce a desired response

What is efficacy

The degree to which a drug produces its desired response in a pt

Increasing a drug once efficacy has been reached does what

Does NOT improve the effect

What is a therapeutic index

The relationship bw a drug's ability to achieve the desired effect and its tendency to produce toxic effects

If a drug has a low therapeutic index it means

There is a high risk of toxic effects

What are the blood proteins that can bind with drugs

Albumin


Lipoproteins


Glycoproteins


x,b, y globulins

What can affect protein binding

Amount of proteins available


Quality of proteins

Why is protein binding important

Helps prevent toxicity

What is a adverse drug reaction

Undesirable response to a drug that can range from mild to deadly

What is a drug interaction

an altered pharmacologic response to a drug that is caused by the presence of a second drug

What are the different types of drug interactions

Pharmacokinetic


Pharmacodynamic


Pharmaceutic

What is a pharmacokinetic interaction

Plasma or tissue levels of drugs are altered due to changes in absorption, distribution, metabolism, or excretion

What is pharmacodynamic interaction

The action or effect of one drug is altered by another

What is pharmaceutic interaction

Physical or chemical reactions take place as a result of mixing two drugs in one container

What are the names of a drug

Chemical name-chemical structure


Code/laboratory-Abbreviations and code #


Compendial-Name listed in USP


Official-Same as Compendial


Proprietary-Name chosen by manufacturer


Generic-Common Name(same as official or compendial)



What must be on a drug label

Drug name(generic and trade)


Concentration and quanity


Name and address of manufacturer


Controlled sub status


Manufacturer's control or lot number


Drug's expiration date


Instructions for use and warning of possible adverse effects


Withdrawal time

What does the FDA regulate

The development and approval of animal drugs and feed additives through center for veterinary medicine

What does the EPA regulates

Development and approval of animal topical pesticides

What does the USDA regulate

Development and approval of biologics

What information is found in FARAD

Food Animal Residue Avoidance Databank

What did the AMDUCA approved

The extralabel use of approved veterinary drugs

What conditions are needed for compounded

Identification of legitimate veterinary medical need


Need for an appropriate regimen for particular species, size, gender, or medical condition


Lack of an approved animal or human drug that when used as labeled will treat condition


Too long a time interval for securing the drug to treat the condition

What did the veterinary feed directive acomplished

The needed of a VFD issued by a veterinarian to use antimicrobial animal feed additives

What is the AVMA recommendation of handling unwanted drugs

Incineration


Landfill


Reverse distributors

Adverse drug event

Harm to a pt caused by a therapeutic or preventive intervention

Adverse drug reaction

An usdesirable response to a drug by a pt

Agonist

A drug that brings about a specific action by binding with the appropriate receptor

Antagonist

A drug that inhibits a specific action by binding with a particular receptor

Compounding

Any manipulation performed to produce a dosage-form drug, other than the manipulation described in the directions for use on the labeling of an approved drug product

Drug

A sub used to diagnose, prevent, or treat disease

Efficacy

The extent to which a drug causes the intended effects in a pt

Extralabel use

The use of a drug that is not specifically listed on the U.S. Food and Drug Administration approved label

Half life

The amount of time that it takes for the quantity of a drug in the body to be reduced by 50%

Metabolism (biotransformation

The biochemical process that alters a drug from an active form to a form that is inactive or that can be eliminated from the body

Parenteral

The route of administration of injectable drugs

Partition coefficient

The ratio of the solubility of sub bw two states in which they may be found

Prescription drug

A drug that is limited to use under the supervision of a veterinarian because of potential danger, difficulty of administration, or other considerations

Regimen

A program for administration of a drug that includes the route, the dose, the frequency, and the duration of administration

Residue

An amount of a drug still present in animal tissue or products at a particular point

Veterinarian-client-patient relationship

The set of circumstances that must exist bw the veterinarian, the client, and the patient before the dispensing of prescription drugs is appropriate

Withdrawal time

The length of time it takes for a drug to be eliminated form animal tissue or products after it is no longer used