Chapter 33 - deWitt Flashcards

1
Q

Where one drug modifies the action of another

A

interactions

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2
Q

Are nurses legally held responsible for the safe and therapeutic effects of the drugs they are administering?

A

yes

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3
Q

Points you need to remember about the drug or teach to the patient

A

nursing implications

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4
Q

Drug name not protected by trademark

A

generic name

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5
Q

Drug name protected by a trademark

A

trade name

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6
Q

These drugs inhibit clotting of blood (Sodium warfarin, heparin)

A

Anticoagulants

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7
Q

These drugs increase blood flow to the heart (Nitroglycerin, isosorbide dinitrate diltiazem)

A

Antianginals

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8
Q

These drugs regulate the heart rate (Lidocaine, atropine, amiodarone)

A

Antiarrhythmics

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9
Q

These drugs control high blood pressure (Atenolol, enalapril maleate, captopril, clonidine)

A

Antihypertensives

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10
Q

These drugs lower abnormal blood lipid levels (Lovastatin, atorvastatin)

A

Antilipidemics

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11
Q

These drugs inhibit platelet aggregation (Clopidogrel bisulfate)

A

Antiplatelets

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12
Q

These drugs strengthen the contraction of the heart (Digoxin, digitalis)

A

Cardiotonics

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13
Q

These drugs reduce edema and increase urine output (Furosemide, cholorthiazide, bumetanide)

A

Diuretics

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14
Q

These drugs promote clotting of blood (Vitamin K5, absorbable gelatin sponge (Gelfoam))

A

Hemostatics

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15
Q

These drugs relieve anxiety, reduce activity, and promote sleep (Chloral hydrate, secobarbital, flurazepam, zolpidem tartrate)

A

Hypnotics, sedatives

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16
Q

These drugs increase mental alertness and function (Caffeine, methyphenidate, dextroamphetamine, modafinil)

A

Stimulants

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17
Q

These drugs relieve depression (Amitriptyline, doxepin)

A

Tricyclic antidepressants

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18
Q

These drugs relieve depression (Paroxetine, fluoxetine, citalopram, sertraline)

A

Selective serotonin reuptake inhibitors (SSRIs)

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19
Q

These drugs relieve anxiety (Lorazepam, buspirone, diazepam)

A

Anxiolytics

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20
Q

These drugs relieve psychotic symptoms (Aripiprazole, haloperidol, olanzapine, ziprasidone)

A

Antipsychotics

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21
Q

These drugs reduce congestion and allergic reactions (Diphenhydramine, chlorpheniramine)

A

Antihistamines

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22
Q

These drugs control muscle spasms and tension (Baclofen, carisoprodol)

A

Muscle relaxants

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23
Q

These drugs relieve moderate to severe pain (Morphine, codeine, meperidine, hydromorphone, fentanyl, oxycodone)

A

Narcotics (opioids)

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24
Q

These drugs relieve mild pain (Aspirin, acetaminophen)

A

Non-narcotics (nonopioids)

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25
Q

These drugs reduce inflammation and pain (Ibuprofen, naproxen, sulindac)

A

Nonsteroidal anti-inflammatory drugs (NSAIDs)

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26
Q

These drugs slow progression of disease (Donepezil, rivastigmine)

A

Alzheimer disease drugs

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27
Q

These drugs control epileptic seizures and tremors (Phenytoin, paramethadione, phenobarbital)

A

Antiepileptics

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28
Q

These drugs relieve cough (Codeine, dextromethorphan, guaifenesin)

A

Antitussives

29
Q

These drugs relieve obstruction of air passages (Terbutaline, albuterol, metaproterenol)

A

Bronchodiliators and expectorants

30
Q

These drugs neutralize stomach acid (Aluminum hydroxide, magaldrate, aluminum carbonate)

A

Antacids

31
Q

These drugs decrease gastric acid secretion (Ranitdine, omeprazole, pantoprazole, Iansoprazole)

A

Antisecretories

32
Q

These drugs reduce spasms and secretions of stomach (Propantheline)

A

Anticholinergics

33
Q

These drugs reduce bowel irritability and movement (Diphenoxylate, kaolin and pectin, loperamide, octreotide)

A

Antidiarrheals

34
Q

These drugs relieve nausea and control vomiting (Promethazine, metoclopramide, dolasetron mesylate, ondansetron)

A

Antiemetics

35
Q

These drugs promote bowel movements (Bisacodyl, magnesium hydroxide, senna)

A

Cathartics, laxatives

36
Q

These drugs add water or bulk to stool and aid defecation (Docusate calcium, docusate sodium)

A

Stool softeners

37
Q

These drugs inhibit the growth of or kill microorganisms (Erythomycin, cephalosporin, penicillin, vancomycin, ciprofloxacin, clarithromycin)

A

Antibiotics

38
Q

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

A

pharmacokinetics

39
Q

break down

A

degrade

40
Q

The study of a drug’s effect on cellular physiology and biochemistry and its mechanism of action

A

pharmacodynamics

41
Q

unintended actions

A

side effects

42
Q

undesirable effects with more serious consequences

A

adverse effects

43
Q

Drugs that produce a response

A

agonists

44
Q

Drugs that block a response

A

antagonists

45
Q

highest concentration

A

peak level

46
Q

lowest concentration

A

trough level

47
Q

severe allergic reaction

A

anaphylaxis

48
Q

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

A

therapeutic range

49
Q

harmful effects

A

toxic effects

50
Q

an FDA designation that the drug may have serious side effects or health risks

A

“black box” warnings

51
Q

combined interaction

A

synergistic effect

52
Q

medication is given by mouth and swallowed with fluid

A

oral (PO)

53
Q

Drug is placed under the tongue, where it readily dissolves. Should not be swallowed

A

Sublingual (SL)

54
Q

Solid medication is placed in the mouth against the mucous membrane of the cheek until it dissolves. Should not be chewed or swallowed

A

Buccal

55
Q

Medication is injected into the dermis just under the epidermis

A

Intradermal

56
Q

Medication is injected into the tissues just below the dermis of the skin

A

Subcutaneous

57
Q

Medication is injected into a muscle

A

Intramuscular (IM)

58
Q

Medication is injected into a vein

A

Intravenous (IV)

59
Q

Medication is injected into the epidural space of spinal column

A

Epidural

60
Q

Medication is injected into the intrathecal space of spinal column

A

Intrathecal

61
Q

Medication is applied to the skin, eye, or ear for local effect

A

Topical

62
Q

Medication is applied in a small area for slow systemic absorption

A

Transdermal

63
Q

Medication is inserted into vagina for local treatment

A

Vaginal

64
Q

Medication is inserted into rectum for local or systemic effect

A

Rectal

65
Q

Medication is inhaled into the nose or lungs for local and systemic effect

A

Inhalation

66
Q

The process of identifying all the patient’s medications and communicating this information to the patient and staff

A

Medication reconciliation

67
Q

reasons not to administer a drug

A

contraindications

68
Q

a record listing medications prescribed and times to be given

A

medication administration record (MAR)

69
Q

The right drug, dose, route, time, and patient should be checked how many times?

A

Three