Exam 1 Flashcards
State the differences between pharmacokinetics and pharmacodynamics
pharmacokinetics - effect of the body on the drug
pharmacodynamics - effect of the drug on the body
What is half-life?
the time taken for blood concentration to decrease 50%
Discuss the difference between an allergy and adverse reaction
allergy - immune reaction to medication
adverse reaction - unintended, at normal dose
Routes that avoid first pass metabolism
intravenous, topical, buccal, sublingual
Schedule I
high abuse potential, no medical use, not safe, illegal
Schedule II
high abuse potential, accepted medical use, prescription required, no refills
Schedule III
low-moderate abuse potential, accepted medical use, prescription required, 5 refills
Schedule IV
low abuse potential, accepted medical use, prescription required, 5 refills
Schedule V
low abuse potential, accepted medical use, prescription required, 5 refills
Law that created schedules
Drug Abuse Prevention and Control Act of 1970
BID
twice a day
NPO
nothing by mouth
PO
by mouth
PR
through the rectum
PRN
as needed
q
every
q2h
every 2 hours
QID
four times a day
IM
intramuscular
IV
intravenous
QHS
every night at bedtime
TID
three times a day
lbs to kg
1 kg = 2.2 lbs
Why do medication errors occur?
- incorrect abbreviations
- miscommunication
- missing information
- lack of appropriate labeling
- environmental factors
- poor management
Which of the 7 basic food components are macronutrients?
carbohydrates, proteins, fats, water
What types of food contain fiber?
stringy parts of vegetables and grains
What is the function of fiber?
to promote bowel movements
Group of vitamins that are water-soluble
Vitamin B and C
Groups of vitamins that are fat-soluble
Vitamins A, D, E, and K
Function of Vitamin B1
coenzymes in carbohydrate metabolic processes
Deficiency due to Vitamin B1
causes Beriberi
Function of Vitamin B2
fat, carbohydrate, and protein metabolism
Deficiency due to Vitamin B2
causes cheilosis, stomatitis, glossitis, and seborrheic dematitis
Function of Vitamin B3
lowers cholesterol
Deficiency due to Vitamin B3
causes Pellagra
-dementia, dermatitis, diarrhea, and death
Function of Vitamin B5
forms coenzyme A
Deficiency due to Vitamin B5
reading available, deficiency is rare
Function of Vitamin B6
- treats hyperemesis gravidarum
- prevents/treats isoniazid toxicity
Deficiency due to Vitamin B6
deficiency is rare
Function of Vitamin B7
used as a coenzyme for metabolic reactions
Deficiency due to Vitamin B7
deficiency is rare
Function of Vitamin B9
helps create DNA
Deficiency due to Vitamin B9
causes megaloblastic anemia
Function of Vitamin B12
needed for blood development and nerve cell function
Deficiency due to Vitamin B12
causes megabloblastic anemia
Function of Vitamin C
wound healing, infection prevention, iron absorption
Deficiency due to Vitamin C
causes scurvy
Where are Vitamin K and folate found?
green leafy vegetables
Function of Vitamin A
prevents blindness, and burning/itching
Deficiency due to Vitamin A
caused night blindness, glare blindness
Types of food Vitamin A is found in
fish-liver, oils, butter, eggs
Toxicity due to Vitamin A
causes hair loss, jaundice, joint pain, liver injury
Function of Vitamin D
control calcium metabolism and bone building
Deficiency due to Vitamin D
causes Rickets (brittle bone)
Types of food Vitamin D is found in
yeast and fish liver oils, fortified food
Toxicity due to Vitamin D
calcification of soft tissue
Function of Vitamin E
antioxidant - protects red blood cells
Deficiency due to Vitamin E
causes hemolytic anemia
Types of food Vitamin E is found in
vegetable oils, nuts, fortified cereals
Toxicity due to Vitamin E
may interfere with vitamin K and clotting
Function of Vitamin K
- used for blood clotting and bone development
- can be used as antidote for warfarin
- given to newborns to prevent hemorrhage
Deficiency due to Vitamin K
is rare
Types of food Vitamin K found in
found in green leafy vegetables, liver
Toxicity due to Vitamin K
no known toxicity
What is the different between enteral and parenteral nutrition?
enteral nutrition -functioning GI tract -oral feeding through tube parental nutrition -unable to take oral supplementation -administered IV -total parenteral nutrition
Ways to prevent poisoning
- child-resistant packaging
- safe storage of toxins in homes
- poison control centers
- medication error prevention
Example of Emetics
ipecac
How does activated charcoal work?
bind poison molecules for excretion
Antidote for acetaminophen
acetylcysteine (Acetadote)
Antidote for benzodiazepines
flumazenil
Antidote for methanol
ethanol
Antidote for opiates
naloxone
Antidote for warfarin
vitamin K and blood products
Antidote for digoxin
digibing, syrup of ipecac, activated charcoal
Antidote for ethylene glycol
fomepizole, ethanol, hemodialysis
Treatment for amphetamine overdose
symptom management
Treatment for antihistamines overdose
symptom management
Treatment for bleach poisonings
dilute with milk or water
Symptoms of carbon monoxide poisoning
cherry colored skin and mucous membranes
Treatment of carbon monoxide
high oxygen concentration
Symptoms of cyanide poisoning
- bitter almond odor breath
- coma, seizures, cardiac arrest in minutes
Treatment of cyanide poisoning
administration of nitrite
Who do you call in case of poisoning/overdose?
poison control
Features of addiction
chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences
Features of tolerance
diminished response to a drug as a result of repeated use
Factors of dependence
physical condition in which the body had adapted to the presence of a drug. if drug is taken away, withdrawals will occur.
Barbiturates examples
amobarbital, secobarbital, and pentobarbital
Barbiturates common uses
sleep disorders and some forms of epilepsy
Non-barbiturate sedatives examples
zolpidem, eszopiclone, zaleplon
Benzodiazepines examples
alprazolam, diazepam, midazolam, temazepam, triazolam
Benzodiazepines common uses
used for anxiety, insomnia, muscle relaxation, and seizure prevention
Benzodiazepines withdrawal
signs/symptoms include tremors, anxiety, insomnia, psychosis, or seizures
Opioids examples
codeine, morphine, opium, fentanyl, hydrocodone, meperidine, methadone, oxycodone
Opioids common uses
used for severe pain, diarrhea, and persistent cough
Barbiturates major effects of abuse
respiratory arrest, coma and death
Benzodiazepines major effects of abuse
slurred speech, uncoordinated walking, and altered mental status
Opioids major effects of abuse
sedation, euphoria, constricted pupils, respiratory depression, increased pain tolerability
Opioids withdrawal symptoms
abdominal cramping, nausea, vomiting, flu-like symptoms, anxiety, irritability, tachycardia, high blood pressure
Alcohol major effects of abuse
vomiting, hypotension, respiratory failure, and coma
Alcohol withdrawal symptoms
life-threating condition
Cannabinoids examples
marijuana, hashish, hash oil, THC
Hallucinogens examples
LSD, Ketamine, MDMA, mescaline, PCP
Amphetamines examples
adderall
Methylphenidate uses
- ADHD
- produces calming effect in children and increases their ability to concentrate
Cocaine major effects of abuse
convulsions, dysrhythmias, stroke, and death
Caffeine examples
coffee, chocolate, soft drinks, and teas
Caffeine common uses
causes bronchodilation, increased BP, and production of stomach acid
Caffeine withdrawal
can produce fatigue, headaches, depression, decreased performance
Nicotine example
addictive chemical in tobacco
Nicotine withdrawal
anxiety, cravings, impaired attention, continual thoughts of smoking, upset stomach, headaches
Describe delirium tremens
an acute, sometimes fatal episode usually caused by withdrawal from alcohol after habitual, excessive drinking; symptoms include sweating, trembling, anxiety, confusion, and hallucinations
Withdrawal of which substances cause delirium tremens?
alcohol
what is jaundice?
when your skin turns yellow due to high levels of bilirubin
How do you treat alcohol withdrawal?
treated with benzodiazepines
What is the active ingredient in marijuana?
THC
How do you treat nicotine dependence?
- nicotine replacement therapy
- varenicline
- bupropion
Withdrawal of which substance is the most life-threating?
alcohol, benzodiazepines, and meth