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149 Cards in this Set

  • Front
  • Back
Def- Study of effects of chemical substances on living tissue
Pharmacology
Def- The application of pharmacology to prevent or treat disease- 2 terms
Pharmacotheraputics or clinical pharmacology
What year was the Drug Regulation Reform Act passed?
1906
Def- Regulates perscription drugs in the US
Federal Food and Drug Administration (FDA)
This act was passed to protect the public by controlling the sales of drugs which were altered, dangerous, and falsely labeled.
The Federal Food and Drug Act of 1906
This was designed in 1906 as the official listings of all drugs legally available in the US
US Pharmacopeia
This was designed in 1906 as the official listing of all drugs available in the US
The National Formulary
Which amendment was passed to prohibit drug companies from making false claims about their products? What year was it passed?
FDA-Sherley Amendment passed in 1912
What act defined the legal term "Narcotic" and regulated the important, manufacturing and sale of opium, cocaine, and their derivatives? What year was this first narcotic act passed?
The Harrison Narcotic Act passed in 1914
What law enabled pharmaceutical companies to manufacture and market a drug under the generic name and to apply their own trade name once the patent held by the original manufacture expired. What year was this law passed?
Generic Drug Law passed in 1984
How many years and how much does it cost to bring a new drug to the market?
14 years and can cost up to 980 million dollars
How long is a patent usually granted for?
13-17 years from the time the drug is invented.
During this stage in the drug trial drugs are administered to animals
Pre-clinical trials
How many stages does the clinical trial on humans progress through?
Four
In this Phase the drug is given to a small number of healthy volunteers to determine the biological effects of the drug in humans and dosage ranges. This usually takes place in out-patient clinical research centers.
Phase I
In this stage the drug is only given to a small number of volunteers who have the disorder the drug is intended to treat
Phase II
In this phase the drug is perscribed to a large number of patients who have the disorder the drug is intended to treat. In this stage the drug may be compared with a placebo or with an established drug.
Phase III
After what stage can the pharmaceutical company submit a "new drug application"
Phase III
This phase is refered to as the post-marketing surveillance. During this phase adverse side effects may be encountered resulting in drug being pulled from the market. FDA and pharmecutical company revceive feedback from HCP.
Phase IV
What are the three main factors that clinical trials are currently surrounded by ethical issues?
1) fewer people in america are volunteering for clinical trials
2) the pharmaceutical companies incur large research and development costs during all phases of the clinical trials
3) The FDA imposes rigid regulations on drug testing on humans.
What three names are drugs given?
1) chemical
2) generic
3) trade. brand or proprietary
Which name can vary from company to company?
brand name
Def- Taking many drugs that interact with each other, one drug causes a reaction and another drug is given to treat
Polypharmacy
What are the FIVE "R"'s?
Right Patient, Right Drug, Right Time, Right Route, Right Dose
TRUE OR FALSE
Agency policies cannot be broader than the state nurse practice act.
TRUE
TRUE OR FALSE
The nurse is legally responsible for knowing the purpose, therapeutic effects and possible adverse effects of drugs administered.
TRUE
Is q.d. or Q.D. on the Do Not Use List?
If so what should be used?
example of DO NOT USE;
"daily" or "every day" should be used
Do Not USE?
q.o.d. , Q.O.D
What should be used?
DO NOT USE; "every other day" should be used
Do NOT USE?
U
DO NOT USE;
"unit" should be used
DO NOT USE?
IU
DO NOT USE;
"INternational Unit" should be used
DO NOT USE?
MS, MSO4
DO NOT USE;
"morphine sulfate" should be used
DO NOT USE?
MgSO4
DO NOT USE;
'magnesium sulfate" should be used
TRUE FALSE? always add a zero before a decimal point?
TRUE; .6 should be recorded as 0.6
TRUE FALSE? DO NOT ADD A DECIMAL POINT OR A ZERO AFTER A WHOLE NUMBER?
TRUE ; 1.0mg should be written 1mg
c.c.
preferred abbreviation "mL" milliliter
ug
preferred abbreviation "mcg"
microgram
>
perferred write out 'greater than"
<
preferred write out "less than"
TRUE FALSE? Drug abbreviations can be used?
FALSE Write the whole word out
Apothecary units should be replaced with what?
metric units instead
@
write "at"
cap
Capsule
dr
dram
elix
elixir
g,gm, G, GM
gram
gr
grain
gtt
drops
kg
kilograms
l,L
liter
m2
square meter
mcg, ug
microgram
mEq
milliequivalent
mg
milligram
mL, ml
milliliter
m, min
minim
oz
ounce
pt
pint
qt
quart
SR
sustained release
__
ss., ss
one half
supp
suppository
susp
suspension
T.O.
telephone order
T, tbsp
tablespoon
t, tsp
teaspoon
V.O.
verbal order
A.D. ad
right ear
A.S. as
left ear
A.U. au
both ears
ID
intradermal
IM
intramuscular
IV
intravenous
IVPB
intravenous piggyback
KVO
keep vein open
L
left
NGT
nasogastric tube
O.D. od
right eye
O.S. os
left eye
O.U. ou
both eyes
PO po os
by mouth
SC subc sc SQ subQ
subcutaneous
SL sl subl
sublingual
TKO
to keep open
Vag
vaginal
AC ac
before meals
ad lib
as desired
B.i.d b.i.d
twice a day
_
c
with
Hs
hour of sleep
NPO
nothing by mouth
PC pc
after meals
PRN p.r.n.
whenever necessary, as needed
Q
every
Oam
every morning
Qh
every hour
q2h
every 2 hours
q4h
every 4 hours
q6h
every 6 hours
q8h
every 8 hours
__
s
without
SOS
once if necessary: if there is a need
Stat
immediately
T.i.d t.i.d.
three times a day
adverse to fetus
teratogenic
No risk to fetus. Studies have not shown evidence of fetal harm
A
no risk in animal studies, and well controlled studies in pregnant women are not available. It is assumed there is little to no risk in pregnant women.
B
Animal studies indicate a risk to fetus. Controlled studies on pregnant women are not available. Risk versus benefit of the drug must be determined.
C
A risk to the human fetus has been proved. Risk versus benefit of the drug must be determined. It could be used in life-threatening conditions.
D
A risk to human fetus has been proved. Risk outweighs the benefit, and drug should be avoided during pregnancy.
X
PEG
percutaneous endoscopic gastic tube
PR
rectal
IVP
intravenous push
hs
hour of sleep, bedtime
cc
cubic centimeter
ss
1/2
I
one
V
five
X
ten
1 gram = _______ mg
1000mg
1mg=________mcg (ug)
1000 mcg (ug)
1 liter= _____mL
1000mL
1 meter (m) = _____ millimeters (mm) & = _______ centimeters (cm)
1000 mm
100 cm
1 cm= ___ mm
10 mm
1 grain (gr) = ___ or____ mg
60 or 65
15 or 16 grains (gr) = ____ grams (g, gm)
1 gram
16 ounces (oz) = ____ pounds (Ib)
1 pound (lb)
2.2 pounds = ___ kg
1 kg
1 inch = ___ cm
2.54cm
1 mL= ___to___ minims (m)
15-16 minims
1 dram (dr) = ___ mL
4 mL
1 ounce (oz) = ____ mL
30 mL
1 pint (pt)= ___mL
500mL
2 pints = ___ quart (qt)
1 quart
1 qt = ___ liters
1 liter
4 qt = ___ gallons
1 gallon
1 teaspoon =__ mL
5 mL
3 teaspoons =___ tbsp
1 tbsp
1 cup= ___oz
8 oz
8 oz = ____ mL
240mL
To calculate Fahrenheit to Celsius?
(F-32) /1.8 = C
To calculate Celsius to Fahrenheit?
[ 1.8 (C) ] + 32 = F
Opposite of intended effects
Paradoxic
pt knows options, benefits, cost, and signs consents, knows why med is being given verbal and written
informed consent
pt has the right to refuse medication, right to self determination.
Autonimy
an unintended unknown effect is presented after administration of a drug
idiosencratic
intended effect is presented after administration of a drug
theraputic
unintended but known side effect is presented after administration of a drug
side effect
problems occur which are major
adverse effect
too much drug administered in system severe adverse effect
toxic