CHN CU:8 Flashcards

1
Q

any noxious, unintended, and undesired effects of
a drug which occurs at doses in human for prophylaxis, diagnosis or therapy.

A

Adverse Drug Reaction (ADR)

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2
Q

any injury that results in medications used

A

Adverse Drug Event (ADE)

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3
Q

what the body does to the drug

A

Pharmacokinetic Changes

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4
Q

is an estimate of Glomerular Filtration (GFR) and
decreases with age.

A

Creatinine clearance

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5
Q

normal creatinine level of male and female

A

Male : 0.7 – 1.7 mg/dl
Female : 0.4 – 1.4 mg/dl

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6
Q

Used as the gross
measure of glomerular function and the production and
excretion of urea.

A

Blood Urea Nitrogen (BUN)

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7
Q

normal BUN level

A

7-23 mg/dl

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8
Q

Indicator of liver disease

A

Alkaline Phosphatase

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9
Q

normal level of alkaline phosphatase

A

34-122 u/l

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10
Q

what then drug does to the body?

A

Pharmacodynamic Changes

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11
Q

the presence or absence of any food that may reduce or
increase the bioavailability of a medication, leading to unanticipated effects

A

Drug-Food Interactions

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12
Q

an interaction between one drug and another can result from altered pharmacokinetics or
pharmacodynamics.

A

DRUG-DRUG INTERACTION

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13
Q

Certain disease states may be exacerbated by specific drug therapies, and these
drugs may be contraindicated in patients with a coexisting underlying disease

A

Drug-Disease Interactions

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14
Q

Prescription, administration, or use of more medications than are clinically
indicated in a given patient.

A

Polypharmacy

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15
Q

Problems with medication use in the nursing facility have prompted federal legislation

A

Omnibus Budget Reconciliation Act (OBRA) 1987

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16
Q

Omission or commission of an act that departs from acceptable and reasonable
standards, which can take several forms

A

ETHICAL PRINCIPLES

17
Q

committing an unlawful or improper act.

A

Malfeasance

18
Q

performing an act improperly

A

Misfeasance

19
Q

failure to take proper action

A

Nonfeasance

20
Q

failure to abide by the standards of one’s profession

A

Malpractice

21
Q

disregard to protection the safety of another person

A

Criminal negligence

22
Q

refers to loyalty and a championing of the needs and interest of others, to educate and informed the patients about their rights and access benefits entitled for them

23
Q

is the concept that each person has a right to make independent choices and
decisions

24
Q

concepts of do good

A

BENEFICENCE

25
do no harm
NONMALEFICENCE
26
emphasizes respect for human dignity that is demonstrated in daily work.
CONFIDENTIALITY
27
refers to keeping promises or being true to another, being faithful to commitments and responsibilities
FIDELITY
28
refers to using both fiscal reserves and caregiving resources wisely, potentially requiring a cost-benefit analysis to facilitate decision making
FIDUCIARY RESPONSIBILITY
29
refers to fairness of an act situation
JUSTICE
30
value of life and the right to live.
QUALITY AND SANCTITY OF LIFE
31
s a feature of integrity concerned with the ability to be true to one’s self while respecting and supporting the values and views of another.
RECIPPROCITY
32
means truthfulness and refers to telling the truth, or at the least, not misleading or deceiving patients or their families
VERACITY
33
issues- between family members and caregivers represent the elderly or assist them in decision-making.
Actual Conflict of Interest
34
which include those which are not actual conflicts in the course of care but may later become conflicts when the elder patient’s interest diverge from those who provide the care
Perceived Conflicts of Interest
35
in caring for an elderly patient, invariably, there is disclosure made by the family and relatives regarding information that may otherwise be personal and confidentiality to the patient alone
Issues on Confidentiality
36
Many times, the older patient’s decision-making capacity ( also referred to as “ competence”) may be required for certain decisions
Issues on Decision- Making Capacity
37
moral principles that govern a person's behavior or the conducting of an activity.
ETHICS
38
deviation from standard of care
MALPRACTICE
39
failure to conform to the standard of care
NEGLIGENCE