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22 Cards in this Set

  • Front
  • Back
• The Food, Drug, and Cosmetic Act of 1938 was
the first legislation to regulate drug safety.
• The Harris-Kefauver Amendments, passed in 1962, were
the first legislation to demand that drugs actually be of some benefit
• The Controlled Substances Act, passed in 1970,
set rules for the manufacture and distribution of drugs considered to have potential for abuse.
• The FDA Amendments Act, passed in 2007,
expanded the mission of the FDA to include rigorous oversight of drug safety after a drug has been released for marketing.
the FDA has the legal authority to
require postmarketing safety surveillance studies,
order changes in a drug’s label to include new safety information, and
restrict distribution of a drug based on safety concerns
• Some drugs have an “off-label” use, which is .
a use that has not been evaluated by the FDA
• Development of a new drug is
an extremely expensive process that takes years to complete
• The randomized controlled trial is
the most reliable way to objectively assess drug therapy
• The purpose of randomization is
to prevent allocation bias
• Phase I drug testing involves
healthy volunteers
• Drug testing in Phase II and Phase III clinical trials is
limited to a relatively small number of patients, most of whom take the drug for a relatively short time
• During Phase IV:
the drug is released to the general public
• Since women and children have been excluded from drug trials in the past,
our understanding of drug effectiveness and safety in these groups is limited.
• When a new drug is released for general use,
it may well have adverse effects that have not yet been detected. Consequently, when working with a new drug, you should be especially watchful for previously unreported adverse events.
• Drugs have three types of names:
a chemical name,
a generic or nonproprietary name, and
a trade or proprietary name.
• Each drug has only one generic name but
can have many trade names
• Generic names facilitate communication and therefore are good. Trade names
confuse communication and should be outlawed. ??
• Nurses must pay specific attention to drug names because
many drugs have similar names and giving the incorrect drug can have significant complications for the patient.
• Over-the-counter (OTC) drugs are
defined as drugs that can be purchased without a prescription.
• Since the job of the drug representative is sales and not education, this person may not be your best source of
drug information—especially if you are trying to establish an unbiased comparison between the representative’s product and a drug from a competing manufacturer
• the classic text/reference on pharmacology is
Goodman & Gilman’s The Pharmacological Basis of Therapeutics (aka G & G)
Nurses must have a source of information regarding drugs that is
accurate and up to date and contains information relative to patient response, adverse effects, etc