From NHA - NHA: Basic Pharmacology Flashcards
Analgesics
Relieve Pain
Acetametaphin, hydrocodone, codeine
Antacids / anti ulcer
GERD
Esmoprazole, famotidine, calcium carbonate
Antibiotics
Bacterial Infections
Amoxicillin, ciprofloxin, sulfamethoxazole
Anticholinergics
Smooth Muscle Spasm
Ipratropium, dicyclomine, hyoscyamine
Anticoagulants
delay blood clots
Warfarin, heparin
Anticonvulsants
seizure control prevention
Clonezepam, gabapentin
Antidipressants
Relieve depression
Doxepin, fluoxdtine, duloxetine
Antidiarrheals
Reduce Diarrhea
Bismuth, loperamide
Antiemetics
Reduce nausea vomiting
Antifungals
Fungal infections
Fluconazole, miconazole,
Antihypertension
lower BP
Metoprolol, valsartan, clonidine
Antihistimines
Relieve allergies
Dipenhhydramie, loratidine
Anti infammatories
Reduce inflammation
ibuprofen, naproxen
Antilpemics
lower cholesterol
Atorvastatin, cholestyramine
Antimigrane
Relieve migranes
Topiramate, rizatriptan
Anti osteoporosis
Improve bone density
calcitronin, alendronate
Antipsychotics
Psychosis
Quetiapine, haloperidol
Antipyretics
Reduce fever
Acetametaphin, aspirin, ibuprofen
Skeletal / muscle relaxants
Reduce / prevent muscle spasms
Cyclobenzaprine, methoscarbamol
Antitussives / expectorants
Control cough
Dextromethorphan, guaifenesen, codine
Antiviral
Viral infections
Acyclovir, interferon
Anxiolytics (anti anxiety)
Reduce anxiety
Clonezepam, diazepam, lorazepam
Brochodilators
relax airway muscles
albuterol, isoproterenol
CNS Stimulats
Reduce hyperactivity
methylphenidate, dextroamphetamine
Contraception
prevent pregnancy
medroxyprogesterone, wthinyl estradiol
Decongestants
Relieve nasal congestion
pseudoephedrine, phenylphrine
Diuretics
Elimate excess fluid
Furosemide, bumetanide
Laxatives, stool softeners
promote bowel movements
Magnesium hydroxide
Oral hypoglemics
reduce blood glucose
metformin, pioglitazone,
Sedatives - hypnotics
induce sleep
Zolpidem temazepam, eszopiclone
Schedule 1 controlled substance
high potential for abuse, no approved medical use in US - ILLEGAL
Schedule 2 controlled substance
high potential for abuse, dangerous and can lead to dependence.
Schedule 3 controlled substances
Moderate to low potential for dependence. K
Schedule 4 controlled substance
low potential for abuse and dependence.
Schedule 5 controlled substancecs
contain Limited quantities of some narcotics for antitussive, antidiarrheal, analgesic.
Schedule 3,4,5 filled refilled
may not be filled more than 6 months after issue date and not more than 5 times in 6 months
Schedule 1 and 2 re: Refills
1 - drugs not in US
2- cannot include refills
Therapeutic Effect
Good effects prescribed for
Side effects
unintentional undesirable actions on body
Adverse effects
unintended harmful actions of meds
Indictations
problems for which provider prescribed med
Contraindications
symptoms or conditions that make treatment or med inadvisable
Precautions
problems that pose a less risk but require observation and monitoring
METRIC SYSTEM - weight
kg kilograms
g grams
mg miligrams
mcg mmicrograms
Metric System - Volume
dL Deciliters
L liters
mL mililiters
Metric System - length
km kilometers
m meters
cm centimeters
mm mililiters
household value - metric equivalent up to one cup
15 drops = 1mL
1 tsp = 5mL
1 tbsp = 15 mL
1 fluid ounce, 2 tbsp = 1 cup
1 cup = 240 ml
Household value - metric equivalent over 1 cup
1 pint = 480mL
1 quart = 960 mL
1 gallon = 3,30 mL
2.2 pounds - 1kg
Dosage by weight
2.2lb = 1kg
88 lbs = 40kg
Aerosoles
inhalation
caplets
oral
capsules
oral
creams
topical, vaginal, rectal
Drops
otic, opthalmic, nasal
dry power for inhalation
inhalation
elixirs
oral
Emulsions
oral
foams
vaginal
gels
topical, oral, rectal
injectable liquids
IV, IM, SUBQ, ID
liniments
Topical
lotionsq
topical
lozenges
oral
mist
inhalation, nasal
ointment
topical, opthalmic, otic, vaginal, rectal
Patches
topical
powders
topical
Powders for reconstituion
IV, IM, SUBQ, ID
Solid or fluid extracts
oral
solutions
topical, nasal, inhalation, sublingual
steam
inhalation
suppositiores
vaginal, rectal
suspensions
oral
syrups
oral
tablets
oral, buccal, sublinqual, vaginal
tinctures
oral, topical
medications - THREE CHECK
- check med against prescription
- check med and prescription when preparing dose
- recheck med before restockig bottle
avoid errors in look and sound alike
no abbreviations
use tall man (mixed case) to emphasize (ceffoTEtan)
Change appearance of loo alike meds to alert staff
store in sep areas
Alter computer screes to avoid look alikes to be consecutive
Create labels with indications for use
oral route
mouth, stomach, intestines
Intradermal - injectable liquid
skin of upper chest, forearms, upper back
Intramuscular - IM, injectable liquid
Deltoid, vastus lateralis, ventrogluteal muscles
Subcutaeous - SQ, or Sub Q injectable liquid
upper arms, abbdomen, buttocks, upper outer thighs
topical - on the skin
gels, tinctures, solutions, ointments, lotions, creams, liniments, powders, patches, sprays
Vaginal / rectal - vagina, vulva, rectum, anus
suppositories, solutions, creams, ointments, gels, foams.
action of pharmokinetics that changes active forms of medication into harmless metabolites
metabolism
5 rights of medication administration
right patient
right med
right dose
right time
right route
right med
check three times
*check when taking med container from cabinet
*check when taking med from container to prepare to administer
*check when putting back
right patient
two identifyers
then verify with medical records
right dose
compare dose on prescription in medical record on providers order with the dosage on medications’ label
Right time
confirm timing specifications such as empty stomach or after taking another med
right route
compare route on prescription to medical record and confirm route is appropriate patient and the formulation is right for that route.
right technique - intramuscular
angle of insertion of needle is 90 degrees
right technique - intradermal
angle of intradermal is 10-15 degrees
right technique - subcutaneous
Angle of injection - 45 degrees
right documentation
always document after if not before, includes date, time, quantity, med, strength, method and location of administration, lot number, manufacturer, exp date and patient outcome