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
These drugs reduce inflammation and pain (Ibuprofen, naproxen, sulindac)
Nonsteroidal anti-inflammatory drugs (NSAIDs)
26
These drugs slow progression of disease (Donepezil, rivastigmine)
Alzheimer disease drugs
27
These drugs control epileptic seizures and tremors (Phenytoin, paramethadione, phenobarbital)
Antiepileptics
28
These drugs relieve cough (Codeine, dextromethorphan, guaifenesin)
Antitussives
29
These drugs relieve obstruction of air passages (Terbutaline, albuterol, metaproterenol)
Bronchodiliators and expectorants
30
These drugs neutralize stomach acid (Aluminum hydroxide, magaldrate, aluminum carbonate)
Antacids
31
These drugs decrease gastric acid secretion (Ranitdine, omeprazole, pantoprazole, Iansoprazole)
Antisecretories
32
These drugs reduce spasms and secretions of stomach (Propantheline)
Anticholinergics
33
These drugs reduce bowel irritability and movement (Diphenoxylate, kaolin and pectin, loperamide, octreotide)
Antidiarrheals
34
These drugs relieve nausea and control vomiting (Promethazine, metoclopramide, dolasetron mesylate, ondansetron)
Antiemetics
35
These drugs promote bowel movements (Bisacodyl, magnesium hydroxide, senna)
Cathartics, laxatives
36
These drugs add water or bulk to stool and aid defecation (Docusate calcium, docusate sodium)
Stool softeners
37
These drugs inhibit the growth of or kill microorganisms (Erythomycin, cephalosporin, penicillin, vancomycin, ciprofloxacin, clarithromycin)
Antibiotics
38
The study of how drugs enter the body and reach their site of action, and how they are metabolized and excreted
pharmacokinetics
39
break down
degrade
40
The study of a drug's effect on cellular physiology and biochemistry and its mechanism of action
pharmacodynamics
41
unintended actions
side effects
42
undesirable effects with more serious consequences
adverse effects
43
Drugs that produce a response
agonists
44
Drugs that block a response
antagonists
45
highest concentration
peak level
46
lowest concentration
trough level
47
severe allergic reaction
anaphylaxis
48
The range of levels of the drug in the blood that will produce the desired effect without causing toxic effects
therapeutic range
49
harmful effects
toxic effects
50
an FDA designation that the drug may have serious side effects or health risks
"black box" warnings
51
combined interaction
synergistic effect
52
medication is given by mouth and swallowed with fluid
oral (PO)
53
Drug is placed under the tongue, where it readily dissolves. Should not be swallowed
Sublingual (SL)
54
Solid medication is placed in the mouth against the mucous membrane of the cheek until it dissolves. Should not be chewed or swallowed
Buccal
55
Medication is injected into the dermis just under the epidermis
Intradermal
56
Medication is injected into the tissues just below the dermis of the skin
Subcutaneous
57
Medication is injected into a muscle
Intramuscular (IM)
58
Medication is injected into a vein
Intravenous (IV)
59
Medication is injected into the epidural space of spinal column
Epidural
60
Medication is injected into the intrathecal space of spinal column
Intrathecal
61
Medication is applied to the skin, eye, or ear for local effect
Topical
62
Medication is applied in a small area for slow systemic absorption
Transdermal
63
Medication is inserted into vagina for local treatment
Vaginal
64
Medication is inserted into rectum for local or systemic effect
Rectal
65
Medication is inhaled into the nose or lungs for local and systemic effect
Inhalation
66
The process of identifying all the patient's medications and communicating this information to the patient and staff
Medication reconciliation
67
reasons not to administer a drug
contraindications
68
a record listing medications prescribed and times to be given
medication administration record (MAR)
69
The right drug, dose, route, time, and patient should be checked how many times?
Three