chapter 1 Flashcards
Schedule 1
high abuse, no medical usage, Heroine LSD
Schedule 2
high abuse potential. high dependecy, prescriptions only opiates, barbiturates, methamphetamine, cocaine, adderall,
Schedule 3
less abuse potential, tylenol with codeine, steroids, testosterone,
schedule 4
even less abuse potential. Ambien, benzodiazepines
schedule 5
limited abuse potential. Robitussin and Lomotil (some do not require prescription limited amounts
onset of action
how long it takes for the therapeutic effects of a drug to take place the beginning of effects
peak effect
full therapeutic effect
duration of action
the length of time the therapeutic effects last. determines frequency of administration
peak level
when drug is at the highest level
taking blood sample 1 to several hours after administration
through level
drug at lowest level
blood sample prior to administration
critical concentration
the concentraion a drug must reach in order to cause the desired therapeutic effects
dynamic equilibrium
the actual concentration that a drug reaches the body
anaphylaxis
hives, rash, dyspnea, dilated pupils, piaphoresis, increased heart rate, extremely low BP, swelling of face, wheezing, repiratory distress
epinephrine .3mg
dermatalogic reaction (skin)
assessment: redness, blisters
may need to discontinue medication in severe cases
stomatitis
inflammation of mucous membranes
frequent oral care
GI irritation
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
super infections
fever, diareah, vaginal dischard, black or hairy tongue
mouth/skin supportive care, antifungal medications, stop drug responsible if needed
blood dyscrasis
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
liver (Hepatoxicity)
fever, malaise, nausea, jaundice, change in color of urine, elevated liver enzymes(ALT,AST, Bilirubin)
discontinue med
Kidney (nephrotoxicity)
change in urinary pattern, elevated BUN and creatine, electrolyte imbalance
notify physician, may need to stop drug
hypoglycemia
low Blood sugar fatigue, drowsiness, hunger, anxiety, headache, cold and clammy skin, increased HR BP
restore glucose, monitor glucose levels
hyperglycemia
fatigue, polyuria, polydipsia, deep respirations, restlessnes, nausea, vomiting, fruity odor to breath
administer insulin therapy to decrease glucose level
hypokalemia
low potassium levels
weakness, numbness, tingling of extremeties, nausea, vomitting, diareah, muscle cramps, irregular pulse
replace serum potassium levels, monitor levels
hyperkalemia
high potassium levels
weakness, cramps, tingling, high heart rate
decrease serum potassium concentration, monitor levels, monitor cardiac rhythm
