Chapter 2 Vocab Flashcards

1
Q

Additive effects

A

Drug interactions in which the effect of a combination of two or more drugs with similar actions is equivalent to the sum of the individual effects of same drugs given alone. EX: 1+1=2

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2
Q

Adverse drug effect

A

Any undesirable occurrence related to administering or failing to administer a prescribed medication

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3
Q

Adverse drug reaction

A

Any unexpected, unintended, undesired, or excessive response to a medication given at therapeutic dosages.

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4
Q

Adverse effects

A

A general term for any undesirable effects that are a direct response to one or more drugs.

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5
Q

Agonist

A

A drug that binds to and stimulates the activity of one or more receptors in the body

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6
Q

Allergic reaction

A

An immunologic hypersensitivity reaction resulting from the unusual sensitivity of a patient to a particular medication; a type of adverse drug event.

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7
Q

Antagonist

A

A drug that binds to and inhibits the activity of one or more receptors in the body. Antagonists are also called inhibitors.

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8
Q

Antagonistic effects

A

Drug interactions in which the effect of a combination of two or more drugs is less than the sum of the individual effects of the same drugs given alone. EX: 1+1=less than 2

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9
Q

Bioavailability

A

A measure of the extent of drug absorption for a given drug and route

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10
Q

Biotransformation

A

One or more biochemical reactions involving a parent drug. Bio transformation occurs mainly in the liver and produces a metabolite that is either inactive or active. (aka metabolism)

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11
Q

Blood-brain barrier

A

The barrier system that restricts the passage of various chemicals and microscopic entities between the bloodstream and the CNS. It still allows for the passage of essential substances

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12
Q

Chemical name

A

The name that describes the chemical composition and molecular structure of a drug.

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13
Q

Contraindication

A

Any condition, especially one related to a disease state or patient characteristic, including current or recent drug therapy, that renders a particular form of treatment improper or undesirable.

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14
Q

Cytochrome P-450

A

The general name for a large class of enzymes that play a significant role in drug metabolism and drug interactions.

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15
Q

Dependence

A

A state in which there is a compulsive or chronic need, as for a drug.

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16
Q

Dissolution

A

The process by which solid forms of drugs disintegrate in the gastrointestinal tract and become soluble before being absorbed into circulation.

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17
Q

Drug-induced teratogenesis

A

The development of congenital anomalies or defects in the developing fetus caused by toxic effects of drugs.

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18
Q

Drug interaction

A

Alteration in the pharmacologic or pharmacokinetic activity of a given drug caused by the presence of one or more additional drugs; it is usually related to effects on the enzymes required for metabolism of the involved drugs.

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19
Q

Duration of action

A

The length of time the concentration of a drug in the blood or tissues is sufficient to elicit a response.

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20
Q

Enzymes

A

Protein molecules that catalyze one or more of a variety of biochemical reactions, including those related to the body’s physiologic processes as well as those related to drug metabolism.

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21
Q

First-pass effect

A

The initial metabolism in the liver of a drug absorbed from the GI tract before the drug reaches systemic circulation through the bloodstream

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22
Q

Generic name

A

Name given by the US Adopted Names Council. Also called the non-proprietary name. Shorter and simpler, not protected by trademark.

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23
Q

Glucose-6-phosphate dehydrogenase deficiency

A

A hereditary condition in which RBC break down when the body is exposed to certain drugs.

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24
Q

Half-life

A

In pharmacokinetics, the time required for half of an administered does of drug to be eliminated by the body, or the time it takes for the blood lever of a drug to be reduced by 50%.

25
Q

Idiosyncratic reaction

A

An abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient.

26
Q

Incompatibility

A

The characteristic that causes two parenteral drugs or solutions to undergo a reaction when mixed or given together that results in the chemical deterioration of at least one of the drugs.

27
Q

Intraarterial

A

Within an artery

28
Q

Intraarticular

A

Within a joint

29
Q

Intrathecal

A

Within a sheath EX: the theca of the spinal cord or subarachnoid space.

30
Q

Medication error

A

Any preventable adverse drug event involving inappropriate medication use by a patient or health care professional; it may or may not cause patient harm.

31
Q

Medication use process

A

The prescribing, dispensing, and administering of medications, and the monitoring of their effects.

32
Q

Metabolite

A

A chemical form of a drug that is the product of one or more biochemical reactions involving the parent drug.

33
Q

Active metabolite

A

Those that have pharmacologic activity of their own, even if the parent drug is inactive.

34
Q

Inactive metabolite

A

Lack pharmacologic activity and are simply drug waste products awaiting secretion from the body.

35
Q

Onset of action

A

The time required for a drug to elicit a therapeutic response after dosing.

36
Q

Parent drug

A

The chemical form of a drug that is administered into its active or inactive metabolites. A parent drug that is not pharmacologically active itself if called a prodrug.

37
Q

Peak effect

A

The time required for a drug to reach its maximum therapeutic response in the body.

38
Q

Peak level

A

The maximum concentration of a drug in the body after administration, usually measured in a blood sample for therapeutic drug monitoring.

39
Q

Pharmaceutics

A

The science of preparing and dispensing drugs, including dosage form design.

40
Q

Pharmacodynamics

A

The study of the biochemical and physiologic interactions of drugs at their sites of activity. It examines the physiochemical ptoperities of drugs and their pharmacologic interactions with body receptors.

41
Q

Pharmacoeconomics

A

The study of economic factors impacting the cost of drug therapy.

42
Q

Pharmacogenomics

A

The study of the influence of genetic factors on drug response, including the nature of genetic aberrations that result in the absence, overabundance, or insufficiency of drug-metabolizing enzymes.

43
Q

Pharmacognosy

A

The study of drugs that are obtained from natural plant and animal sources.

44
Q

Pharmacokinetics

A

The study of what happens to a drug from the time it is put into the body until the parent drug and all metabolites have left the body. Pharmacokinetics represent the drug absorption into, distribution and metabolism within and excretion from the body.

45
Q

Prodrug

A

An inactive drug dosage form that is converted to an active metabolite by various biochemical reactions once it is inside the body.

46
Q

Receptor

A

A molecular structure within or on the outer surface of a cell.

47
Q

Steady state

A

The physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose.

48
Q

Substrates

A

Substances (drugs or natural biochemicals) on which an enzyme acts.

49
Q

Synergistic effects

A

Drug interactions in which the effect of a combination of two or more drugs with similar actions is greater that the sum of the individual effects of the same drugs given alone. EX: 1+1=more than 2

50
Q

Therapeutic drug monitoring

A

The process of measuring drug levels to identify a patient’s drug exposure and allow adjustment of dosages with the goals of maximizing therapeutic effects and minimizing toxicity.

51
Q

Therapeutic effect

A

The desired or intended effect of a particular medication

52
Q

Therapeutic index

A

The ratio between the toxic and therapeutic concentrations of a drug.

53
Q

Tolerance

A

Reduced response to a drug after prolonged use.

54
Q

Toxic

A

The quality of being poisonous.

55
Q

Toxicity

A

The condition of producing adverse bodily effects due to poisonous qualities.

56
Q

Toxicology

A

The study of poisons, including toxic drug effects, and applicable treatments.

57
Q

Trade name

A

The commercial name given to a drug product by it’s manufacturer; also called the proprietary name.

58
Q

Trough level

A

The lowest concentration of drug reached in the body after it falls from its peak level, usually measured in a blood sample for therapeutic drug monitoring.