Chapter 33

Question 1

What are the 3 classifications of drugs?

Answer 1

Chemical name, generic name, and trade name

Question 2

Who can prescribe medications?

Answer 2

Physicians, dentists, osteopaths, veterinarians

Question 3

What are some factors affecting absorptions or medications?

Answer 3

1) Route of administration
2) lipid solubility
3)pH
4)blood flow
5)local conditions at the site of administration
6) Drug dosage

Question 4

Finish the absorption rate:
Skin (transdermal)

Answer 4

Slow absorption

Question 5

Finish the absorption rate:
Mucous membranes

Answer 5

quick absorption

Question 6

Finish the absorption rate:
Respiratory tract

Answer 6

Quick absorption

Question 7

Finish the absorption rate:
Oral

Answer 7

Slow absorption

Question 8

Finish the absorption rate:
Intramuscular

Answer 8

Depends on the form

Question 9

Finish the absorption rate:
Subcutaneous

Answer 9

Slow absorptions

Question 10

Finish the absorption rate:
Intravenous

Answer 10

Most rapid absorption

Question 11

What are some considerations to think of before putting IV for infants and children?

Answer 11

1) age
2) Size
3) Weight

Question 12

What are some considerations for the elderly?

Answer 12

1) may become more quickly dehydrated
2) may have decreased kidney functions
3) May have limited financial resources
4) may have limited vision
5) may have had a previous stroke
6) may not be able to open childproof bottles
7) may be noncompliant

Question 13

What are some reasons that patients will not take prescript medications?

Answer 13

1) Do not comprehend the action of the drug or why it is being taken
2) Cannot tolerate a side effect of the drug
3) Inability to purchase a medication
4) Do not like to have to depend on a chemical to get well or maintain health

Question 14

What are some knowledge of pharmacology do nurses need to know?

Answer 14

-Appropriate dosage for the patient
-Generic and trade names for drugs
-Desired effect of the drug, possible adverse reactions, and expected side effects
-Drug-drug interactions, drug-food interactions
-Preparation of the drug for administration

Question 15

True or false, medication error does not need to be reported.

Answer 15

False, Medication errors must be reported

Question 16

administered directly into the gastrointestinal (GI) tract

Answer 16

Enteral

Question 17

applied directly to the skin, mucous membranes of the eyes, nose, respiratory tract, vagina, rectum, and urinary tract

Answer 17

Topical

Question 18

administered by injection using a needle and syringe or a catheter

Answer 18

Parenteral

Question 19

Where one drug modifies the action of another

Answer 19

Drug interactions

Question 20

Points you need to remember about the drug or include in your patient education

Answer 20

Nursing implications

Question 21

Name not protected by trademark

Answer 21

Generic name

Question 22

Name protected by a trademark

Answer 22

Trade name

Question 23

break down

Answer 23

Degrade

Question 24

The study of how drugs enter the body and reach their site of action, and how they are metabolized and excreted

Answer 24

Pharmacokinetics

Question 25

The study of a drug's effect on cellular physiology and biochemistry and its mechanism of action is known as ____

Answer 25

Pharmacodynamics

Question 26

Unintended actions

Answer 26

Side effects of

Question 27

Undesirable effects with more serious consequences

Answer 27

Adverse effects

Question 28

Occurs when the highest blood or plasma concentration of the drug is achieved

Answer 28

Peak action

Question 28

Highest concentration

Answer 28

Peak

Question 29

the time it takes excretion to lower the drug concentration by half

Answer 29

Half-life

Question 30

Lower concentration

Answer 30

Trough

Question 31

for certain drugs to ensure an effective concentration level

Answer 31

Levels

Question 32

Drugs that produce a response

Answer 32

Agonists

Question 33

Drugs that block a response

Answer 33

Antagonists

Question 34

Severe allergic reaction

Answer 34

Anaphylaxis

Question 35

Is the range of levels of the drug in the blood that will produce the desired effect without causing toxic effects

Answer 35

Therapeutic range

Question 36

Harmful effects

Answer 36

Toxic effects

Question 37

is the strongest warning by the FDA that a medication can carry and still remain on the market in the United States

Answer 37

Black box warning

Question 38

Medications errors can result in __________

Answer 38

Adverse drug reactions (ADR) or adverse drug event (ADE)

Question 39

Is the science and related activities involved in "detection, assessment, understanding, and prevention of adverse effects" or other drug related problems

Answer 39

Pharmacovigilance

Question 40

Is the process of receiving the patient's complete medication regimen at admission, transfer, and discharge and comparing it with the new regimen proposed for the new care setting

Answer 40

Medication reconciliation

Question 41

Reasons not to administrator

Answer 41

Contraindications

Question 42

Record listing medications prescribed and times to be given

Answer 42

Medication administration record (MAR) or electronic medication administration record (eMAR)