chapter 1

Question 1

Schedule 1

Answer 1

high abuse, no medical usage, Heroine LSD

Question 2

Schedule 2

Answer 2

high abuse potential. high dependecy, prescriptions only opiates, barbiturates, methamphetamine, cocaine, adderall,

Question 3

Schedule 3

Answer 3

less abuse potential, tylenol with codeine, steroids, testosterone,

Question 4

schedule 4

Answer 4

even less abuse potential. Ambien, benzodiazepines

Question 5

schedule 5

Answer 5

limited abuse potential. Robitussin and Lomotil (some do not require prescription limited amounts

Question 6

onset of action

Answer 6

how long it takes for the therapeutic effects of a drug to take place the beginning of effects

Question 7

peak effect

Answer 7

full therapeutic effect

Question 8

duration of action

Answer 8

the length of time the therapeutic effects last. determines frequency of administration

Question 9

peak level

Answer 9

when drug is at the highest level
taking blood sample 1 to several hours after administration

Question 10

through level

Answer 10

drug at lowest level
blood sample prior to administration

Question 11

critical concentration

Answer 11

the concentraion a drug must reach in order to cause the desired therapeutic effects

Question 12

dynamic equilibrium

Answer 12

the actual concentration that a drug reaches the body

Question 13

anaphylaxis

Answer 13

hives, rash, dyspnea, dilated pupils, piaphoresis, increased heart rate, extremely low BP, swelling of face, wheezing, repiratory distress
epinephrine .3mg

Question 14

dermatalogic reaction (skin)

Answer 14

assessment: redness, blisters
may need to discontinue medication in severe cases

Question 15

stomatitis

Answer 15

inflammation of mucous membranes
frequent oral care

Question 16

GI irritation

Answer 16

irritation of GI tract with mucous membrane damage
assess: heart burn, nausea, vomiting, diarreah, constipation, abdominal bloating
take medications with food, motility stimulants for constipation

Question 17

super infections

Answer 17

fever, diareah, vaginal dischard, black or hairy tongue
mouth/skin supportive care, antifungal medications, stop drug responsible if needed

Question 18

blood dyscrasis

Answer 18

bone marrow supression by drug effects rapidly multiplying on bone marrow
fever, chills, sore throat, weakness, back pain, dark urine, pancytopenia
monitor blood counts CBC, protective isolation, protection from bleeding or injury

Question 19

liver (Hepatoxicity)

Answer 19

fever, malaise, nausea, jaundice, change in color of urine, elevated liver enzymes(ALT,AST, Bilirubin)
discontinue med

Question 20

Kidney (nephrotoxicity)

Answer 20

change in urinary pattern, elevated BUN and creatine, electrolyte imbalance
notify physician, may need to stop drug

Question 21

hypoglycemia

Answer 21

low Blood sugar fatigue, drowsiness, hunger, anxiety, headache, cold and clammy skin, increased HR BP
restore glucose, monitor glucose levels

Question 22

hyperglycemia

Answer 22

fatigue, polyuria, polydipsia, deep respirations, restlessnes, nausea, vomiting, fruity odor to breath
administer insulin therapy to decrease glucose level

Question 23

hypokalemia

Answer 23

low potassium levels
weakness, numbness, tingling of extremeties, nausea, vomitting, diareah, muscle cramps, irregular pulse
replace serum potassium levels, monitor levels

Question 24

hyperkalemia

Answer 24

high potassium levels
weakness, cramps, tingling, high heart rate
decrease serum potassium concentration, monitor levels, monitor cardiac rhythm

Question 25

ocular damage

Answer 25

visual changes, blurring, color changes
monitor for changes
discontinue if needed

Question 26

auditory damage

Answer 26

diziness, ringing, loss of balance, loss of hearing
monitor for hearing loss
discontinue if decrease of hearing is documented

Question 27

CNS effects

Answer 27

confusion, delerium, insomnia., drowsiness, dreams, numbness, tingling
prevent injury, consult to discontinue or decrease

Question 28

atropine-like (anticholingergic)

Answer 28

dry mouth, urinary retention, blurred vision
sugarless lozenges to keep mouth moist, have pt voud before administration

Question 29

parkinson like syndrome

Answer 29

dopamine levels
drooling, tremors, rigidity
discontinue

Question 30

malignant hyperthermia

Answer 30

high fever, can be fatal
slow refluxes, fever, rigid, involuntary movements, hypertension, elevated heart rate
discontinue, administer dantrolene

Question 31

nurses 8 rights to drug admin

Answer 31

client, drug, time, storage, route, dose, preparation, recording

Question 32

drug orders

Answer 32

name, dose, route, frequency(PRN)