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69 Cards in this Set

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The broadest term for the study or science of drugs
Pharmacology
Name given by the US Adopted Names Council -
Generic name
The generic name becomes this -
Official name
Proprietary name & registered trademark -
Trade name
Study of what body does to the drugs
Pharmacokinetics
ADME stands for
Absorptions
Distribution
Metabolism
Excretion
Rate at which the drug leaves the site of administration and the extent to wihch it occurs
Adsorption
Biologic transformation of a drug into an inactive metabolite, a more soluble compound, or a more potent metabolite -
Metabolism
The elimination of the drug from the body
Excretion
Enteral Route means medications are taken how?
orally / swallow
The study of what happens to the drug from the time it enters the body until it and all its metabolites are excreted.
Pharmakokinetics
Transport of a drug in the body by the bloodstream to its site of action -
Distribution
Drugs that are absorbed through the GI tract will pass through the liver and begin to be metabolized before getting to the systemic circulation -
First pass effect
This reduces the bioavailability of a drug to less than 100% -
First pass effect
Which dosage form is absorbed into circulation from the stomach or small intestine -
Enteral
Which dosage form do drugs not pass thru the GI tract?
Parenteral
Name the dosage form where drugs are applied to a body surface?
Topical
This dosage route passes thru the GI tract -
Enteral
What types of things can affect absorption -
dosage form
acid changes in stomach
absorption changes in the intestine (diarrhea)
Presence / absence of food
Application of heat or cold
Massage
Condition of the skin (blister/cut)
The major protein that binds during distribution is -
Albumin
During distribution these bind to and carry drugs throughout the body -
3 proteins
What should you do is your patients albumin level is too low?
Check the dosage and lower it (call doctor for prescription change)
What major organ is involved in metabolism?
Liver
Biostransformation happens during which phase?
Metabolism
What can affect the metabolism of drugs?
Liver issues - alcoholic
What is the result of metabolism -
increase the water solubility and ease of excretion
Elimination from the body is known as -
Excretion
The major organ involved in excretion is -
Kidney
Site of Glomerular Filtration -
Kidney
This organ takes the drug and releases it into bile and excretes it in stool -
Liver
The time it takes for 1/2 of the original amount of the drug to be excreted.
half-life
The amount of drug excreted is equal to the amount absorbed with each dose -
Steady state
Time required for the or the drug to give a therapeutic response -
Onset
Time required for the drug to give the maximum therapeutic response -
Peak
Length of time that the drug concentration is high enough to give a therapeutic response -
Duration
The study of what the drug does to the body
Pharmacodynamics
In pharmacodynamics what are the three mechansims of action -
receptor interaction
enzyme interaction
non-specific interaction
A reactive site on the surface of a cell or tissue -
receptor
What binds with the receptor to produce the pharmacologic response -
a drug molecule
These drugs bind to the receptor site and cause a response -
agonist
These drugs bind to a receptor site and stop the response -
antagonist
During this interaction a drug alters a physiologic response by inhibiting a certain enzyme by "fooling" the enzyme into binding to it instead of the normal target cells -
enzyme interaction
During this type of interaction no receptors or enzymes are involved and the cell's membranes and various cellular processes are the main site of action -
non-selective interactions
What affects drug therapy effectiveness?
dose (duration)
route (how fast work/absorbed)
health status of patient
gender
nutritional/fluid balance
The treatment of pathological conditions through the use of drugs -
Pharmacotherapeutics
List the 4 aspects of pharmacotherapeutics -
Assessment
Implementation
Monitoring
Reassessment
The first step of the nursing process is
Assessment
Lookng at the patients medical and social history as well as current medications being used, pregnancy, and current illnesses is done during which process -
Assessment
Initiation of the drug therapy is done during which process -
implementation
This process involves evaluating -
Monitoring
Ratio between a drugs therapeutic benefit adn its toxic effects(can have a very narrow window) -
Therapeutic index
Levels drawn to determine either therapeutic levels or toxic levels is known as -
Drug concentration
Decreasing response to repetative doses -
Tolerance
Physiologic or psychologic need for a drug -
dependence
Can you take medications with antacids?
No
Alteration of the action of one drug by another -
interaction
ADE stands for
adverse drug events
Adverse effects is also known as -
side effects
Are side effects predictable?
Yes
An extension of the drug's effects (lowers the BP too much)
Pharmacologic
No reason is known for the reaction - genetic trait -
Idosyncratic
The patients immune system sees the drug as a dangerous foreign substance and tries to eliminate it by causing an allergic reaction -
Hypersensitivity
Two drugs interact and produce an unwanted effect -
Drug interaction
The patients condition changes and the treatment plan should be changed to accomodate -
reassessment
The study of drug sources or origins -
Phamacognosy
The 4 major sources of Pharmacognose are
plants (foxglove)
animals - horses (hormones)
laboratory synthesis - (recombinant DNA)
minerals (aluminum hydroxide (antacids)
Which Act protected the public from adulterated or mislabeled drugs, packing to state presence of dangerous or addicting drugs and designated USP and NF as official standards?
Pure Food & Drug Act of 1906
Which Act prohibited marketing of drugs before safety testing -
Food, Drug & Cosmetic Act of 1938
What Act designated certain drugs as "legend drugs" and make have a prescription requred -
Durham-Hump