Intro to Pharmacology (Chapter 23)

Question 1

Drug Names (three)

Answer 1

Chemical Name
Generic name
Brand Name

Chemical Name: The atomic or molecular structure of the drug, which is usually too complex for general use.
Generic name: The official name assigned by the United States Adopted Names (USAN) Council. Generic names are used by government officials, doctors, and researchers to refer to the drug itself.
Brand Name: Used by doctors and perscribers, the big store names

Question 2

Drug Classification (three)

Answer 2

Usage
Body System
Chemical and Pharmalogical Class

drugs can be in multiple classes bc of multiple uses behind the drug

Question 3

Medication Chain of Command

Answer 3

FDA (federal)
|
State Board
|
Facility Policy and Procedure

Question 4

Controlled Substance Schedule 1

Answer 4

high risk for abuse and overdose
no medical benefit

herioin, extcasy, LSD

Question 5

Controlled Substance Schedule 2

Answer 5

Acceptable Medical use, high potential for abuse

aderall, ridilin

Question 6

Controlled Substance Schedule 3

Answer 6

Acceptable for medical use, may cause low dependency

ketamine, tylenol with codeine

Question 7

Controlled Substance Schedule 4

Answer 7

Acceptable for medical use, may cause mild dependency

xanax, ativan

Question 8

Controlled Substance Schedule 5

Answer 8

Acceptable for medical use, limited dependency to none

robitussin

Question 9

What is a stock supply?

med administration

Answer 9

Bulk quantitiy at med cart, cental location, not specific to one client…

big bottle of tylenol for everyone in the facility

Question 10

What is a Unit Dose?

med administration

Answer 10

individually dosed for client (blister packs) pharmacy gives 24hr supply for specific client, stored in a locked cart

Question 11

what is an Automated Dispenser?

med adminsitration

Answer 11

locked cart with needed password, computerized tracking, combo of stock and unit dose

Question 12

Self Administered Medication

med administration

Answer 12

medication the client can have at their bedside

Question 13

Pharmacokynetics

definiti0n

Answer 13

what happens to the drug in the body (ADME)

Question 14

Pharmacodynamics

definiti0n

Answer 14

how does the drug effect the body? (mechanism of action)

Question 15

Local Effects

definition

Answer 15

drugs administered for the site of application (topical)

Question 16

Systemic Effects

definition

how har they administered? where does the medication go after?

Answer 16

Drugs administered throuhg IV that have to enter and be absorbed through the blood stream

Question 17

Pharmacokynetics (ADME breakdown)

Answer 17

Absorbtion
Distribution
Metabolism
Excretion

Absorbtion: Administration, then movement of the durg through the blood stream
Distribution how the drug spreads through the body
Metabolism : processing of the drug by the body (liver biotransformation)
Excretion: elimination of the drug.. kidney, GI, lIver, lungs

Question 18

Pharmacodynamics (primary/secondary effects)

Answer 18

Primary effects: the desired, intended, therapudic use, and predicted outcome of using the medication (For GOOD)
Secondary effects: unintended and **non therapudeic **, effects, side effects, toxic reactions, allergic reactions

Question 19

Drug Abuse Tolerance

Definition

Answer 19

a decrease in resonse due to hig hlevels of use

caffiene

Question 20

Drug Abuse Dependency

Definition

Answer 20

a persons relaince or need for a drug

Question 21

Drug Abuse Misuse

Definition

Answer 21

improper use of

alcohol, weed, opiates

Question 22

Drug Abuse Abuse

Answer 22

innapropriate intake of drugs

alcohol at work bc its “needed”

Question 23

Drug Abuse Illicit drugs

Definition

illicit means illegal

Answer 23

hydrocodone obtained on their own bc the persription ran out

Question 24

Drug on Drug interactions

Answer 24

one drug alters or modifies the action of another drug

Question 25

Drug Antagonist | interaction ## Footnote the antagonist is a person who strongly opposes or is hostile to someone or something

Answer 25

one drug interferes with the the drug, decreases the result of the drug

Question 26

Drug Synergistic | interaction

Answer 26

an additive effect, both drugs together (a greater effect)

Question 27

Drug Incompatabilities | interactions

Answer 27

2 or more drugs mixed and cause for detereiration

Question 28

Idiosyncratic | definition

Answer 28

an uncommon or unexpected effect

Question 29

Standard Written perscription | Types of perscriptions

Answer 29

without a renewal date; taken/administered until finished

Question 30

Automatic stop dates | Types of perscriptions

Answer 30

use for narcotics; a new perscription is needed after bottle is fnished

Question 31

STAT perscription | Types of perscriptions

Answer 31

a single does given **immediately**, within 30 minitues, only once

Question 32

Single Perscription | Types of perscriptions

Answer 32

one single dose given @ specific time

Question 33

Standing perscriptions | Types of perscriptions

Answer 33

perscriptions that hte nurses have to routinely give to patients

Question 34

Complete percription written out

Answer 34

Dose, route, frequency of administration (time)

Question 35

Error Preventing Technology

Answer 35

Computerized Provider Order entry Smart Pumps Barcode Scanner Automated Dispensing Cabnets

Question 36

When to asses patient for medication administration

Answer 36

Before giving Meds During admin of meds After giving Meds

Question 37

Three Checks | checking medication

Answer 37

1. Before you Pour (check lable) 2. After you Prepare verify label again) 3. Before you Administer at the bedside

Question 38

Clients Rights of Medication (Six)

Answer 38

Right Medication (Drug) Right Time Right Route Right Patient Right Documentation Right Dose

Question 39

Oral Medication Routes

Answer 39

Tablets/Capsules Buccal (absorbed) Subluingal (Absorbed) Liquids

Question 40

Topical Medication Routes

Answer 40

directly to skin: lotion > loacal effect Transdermal patches > systemic effect

Question 41

Olhthalmic Medication

Answer 41

Eye Medication

Question 42

Otic Medication

Answer 42

dropped into the Ear

Question 43

Parenteral Medication Administration (types)

Answer 43

Intravenous (IV) > In the vein Intradermal > into top layer of skin (10*-15*) Subcutaineous > into layer below the dermis (45*-90*) Intramuscular > into the muscle (90*)

Question 44

Indtradermal Injections Amdin ## Footnote guage and how big is the syringe

Answer 44

1mL syringe 26-28 gauge 1/4- 5/8in short bevel

Question 45

Subcutaineous Injection Admin ## Footnote guage and drug used for

Answer 45

25-27 gauge 3/8-5/8 inches insulin

Question 46

Intramuscular Injection Admin

Answer 46

20-25 guage 1-1.5 inches (adults) 5/8 inches (children) in delt muscle or anterolateral thigh

Question 47

Intravenous Medication

Answer 47

Iv push, Piggy Back, Medicated Drips