Drug Relation Flashcards
Nurse prepping to administer anti-htn drug. Nurse assesses the pt’s blood pressure at 110/70mmHg. What action should the nurse take??
Don’t want it to drop too low, want to MAINTAIN. Look for last dose…Check chart! *Assess the pt’s baseline bp and the bp before and after the last dose of this med to determine if the medication should be administered.
Who will be in a phase 1 Clinical trial?
Healthy college age males
Who will be in a clinical trial?
“preclinical research” This will happen in a lab on an animal, not a human.
Which phase of a trial would you want your family member in?
Phase 3…but you still don’t know all the adverse affects.
Once is a drug is in post-market surveillance, can it be taken off the market?
Yes.
RCTs… What does this mean?
A group gets a placebo, it’s controlled, providers don’t know who gets what.
Limitations of Testing Procedure
Limited info for women and children b/c less testing info. Big Financial Game and thus failure to detect all adverse affect.
Why would a drug be for RX only
Addictive, harmful for self administration, treat complex conditions, requires skills to administer, pt. must receive authorization to receive, provider can watch pt. more carefully.
OTC drug benefit
Treat yourself, does not require authorization, carefully follow directions, no monitoring from health care provider needed.
Too much Tylenol affects
liver
Too much Aspirin affects
Coagulation
With most illnesses, initial therapy consists of ____, ________.
Self care and self medication with an OTC drug.
OTC risks
may not choose the right one, no assistance from provider, may interact with food or herbs
Reclassification is popular after…
they lose their patent.
Supplements:
- Herbals, dietary supplements are not drugs
- Not subjected to same regulatory process
- can cause side effects and interact with medications.
Scheduled Drugs:
- Drugs with high potential for dependence or frequently abused.
- Sale and dist. are highly restricted.
- Placed in one of five categories called schedules
- Registration number needed to purchase and prescribe.
- Special restrictions.
Which Schedule of Drugs has the highest rate of abuse??
Schedule I
When preparing discharge instructions for a patient, what should the nurse do?
Review the prescriptions written for discharge and include the stated trade name and generic name in discharge teaching.
A patient has been taking a brand-name drug for a chronic condition for several years. Recent changes in his insurance plan require the use of generic drugs whenever they are available. The patient asks the nurse if he should pay out of pocket to continue receiving the brand-name drug. The nurse’s response should be based on which fact(s)?
- Drugs requiring monitoring of blood levels should have levels checked when changing from brand-name to generic drugs.
- That generic drugs contain the same active ingredients as their brand-name counterparts.
