Drug Interactions: Part 2 Flashcards

1
Q

__% of all illnesses are initially treated with OTC drugs

A

90

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2
Q

Aspirin has been known to cause what?

A

Many deaths in the US because of bleeding

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3
Q

________ ______ are a major cause of morbidity and mortality

A

Medication errors

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4
Q

Definition of medication error

A

Any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medication is in the control of the healthcare professional, patient or consumer

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5
Q

Who makes medication errors?

A

Doctors, nurses, patients, consumers

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6
Q

Types of medication errors

A
Wrong patient
Wrong dose
Wrong drug
Wrong time
Wrong route
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7
Q

Causes of med errors

A
Human error
Communication
Name confusion
Packaging issues
Medication labels
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8
Q

How can you reduce med errors?

A

Eliminate dangerous abbreviations
Develop limitations regarding verbal orders
Triple check on medication administration
Computer order sheets

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9
Q

At birth, babies’ stomachs are very…

A

Alkaline (slower absorption)

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10
Q

Breast fed babies have a much _______ GI transit time

A

Faster

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11
Q

Infant body = __% water

A

70

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12
Q

If you have a water soluble drug, babies need…

A

More because they have more water to dissolve it in

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13
Q

Pediatric metabolism

A

P450 enzymes reach adult levels at 2 years of age

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14
Q

Pediatric excretion

A

Do not have full renal function until 9 months

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15
Q

Atraumatic care

A

Will do anything we can to get babies to take drugs without traumatizing them

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16
Q

Geriatric absorption

A

Decreased blood flow and GI motility

17
Q

Geriatric pharmacology

A

Decreased total body water and loss of protein-binding sites

18
Q

Geriatric metabolism

A

Hepatic blood flow decreased by 40-45%

19
Q

Geriatric excretion

A

Decreased CO and declining kidney function

20
Q

Geriatric water soluble drugs

A

Be careful because elderly people do not have as much body water to diffuse it

21
Q

Hypnotics

A

Any drugs of sleep or anxiety

22
Q

Antidepressants are often contingent on…

A

Total body water

23
Q

Diuretics and anti-hypertensives can cause..

A

Falls because of lowering BP

24
Q

Anti-cholinergic

A

Blocks parasympathetic nervous system

25
Q

Side effects of anti-cholinergic drugs

A

Dry mouth, blurred vision, constipation, urinary retention, tachycardia, sedation

26
Q

Anticoagulants in elderly

A

99% protein bound, if albumin is low then there is more free drug circulating

27
Q

GI drugs in elderly

A

Tagamet can sometimes cause marked confusion in elderly patients