Lesson 1 Flashcards

1
Q

US Pharmacopeia: NF

A

National Formulary
-recognized as official authoritative reference standards for FDA approved drugs.

-these drugs have USP behind their official name.

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2
Q

US pHarmacopeia: DI

A

Drug Information

3 volume set that is available in most hospitals and pharmacies

  • supplies monthly supplements
  • provides pharmacology, precautions, side effects, adverse effects, patient consultation, general dosing info, and dosage forms
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3
Q

Volume 1A & 1B of USP-DI

A

drug information for the healthcare provider

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4
Q

Volume 2 of USP-DI

A

drug information for the patient

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5
Q

1935: Food, Drug, and Cosmetic Act

A

empowered the FDA to ensure drug safety by monitoring and regulating the manufacture and marketing of drugs

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6
Q

1970: Controlled Substance Act

A

designed to remedy the escalating problem of drug abuse

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7
Q

4 provisions of CSA

A

(1) Promotion of drug education and research into the prevention and treatment of drug dependence
(2) strengthening of enforcement authority
(3) establishment of treatment and rehabilitation facilities
(4) designation of schedules, or categories, for controlled substances according to abuse liability

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8
Q

Schedule 1 controlled substance

A

highest abuse potential, no medical use

-Heroin, hallucinogens, LSD

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9
Q

Schedule 2 controlled substance

A

high potential for abuse/strong physical and psych dependency

  • accepted medical use
  • Demerol, Morphine, hydrocodone, dilaudid, methadone, oxycodone, codeine, amp, phenobarbital
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10
Q

Schedule 3 controlled substance

A

potential for abuse/may cause dependency

-codeine preparations, non-narcotics

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11
Q

Schedule 4

A

may cause dependence

-valium, benzodiazepines

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12
Q

Schedule 5

A

very limited potential for dependence

-opioid-controlled substances for diarrhea and cough

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13
Q

Nurse Practice Act

A

laws developed by each state that define the scope of practice

-includes legal role/responsibility in medication administration

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14
Q

The State Board of Nursing

A

regulatory board that oversees the laws of NPA

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15
Q

ANA Code of Ethics

A

guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession

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16
Q

What the nurse “should” do

A

ethical considerations

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17
Q

How does the nurse protect the patient in regards to ethics

A

-safeguards the patient’s rights, safety, and dignity

18
Q

Primary obligation of the nurse

A

the patient

19
Q

Patient has the right to….

A

know (informed consent) and refuse

20
Q

Drug approval process

A
  1. drug discovery + development (2-10 yrs)
  2. preclinical research + development (3-6 yrs)
  3. clinical trial (6-7 yrs)
  4. FDA reviews new drug application (NDA) (1-2 yrs)
  5. Manufacturing
21
Q

generic

A

official name

common

univerisal

22
Q

trade/brand

A
  • chosen by the drug company
  • Advertised name
  • Registered trademark
23
Q

chemical

A

describes the drug’s chemical structure

24
Q

FDA

A
  • approves new drugs
  • steady since 2000s
  • 23 avg approvals per year
25
Q

Drug discovery + manufacturing time

A

12-20 yrs

26
Q

Cost of manufacturing a drug

A

over $1 Billion

27
Q

Therapeutic

A

categorizes drugs by the disease state they are used to treat

28
Q

Pharmcologic

A

categorizes drugs by mechanism of action

29
Q

Pregnancy categories

A

(A,B,C,D,X)

-classification system developed by FDA that categorizes drugs based on effects to unborn child

30
Q

A + B pregnancy catergories

A

considered to within safe limits

31
Q

X pregnancy categories

A

risks outweigh benefits

-not to be used in pregnancy

32
Q

Resources for drug information

A
  • pharmacists
  • Davis Drug Guide
  • PDR
  • ISMP
  • Medline Plus
33
Q

indications

A

conditions for which the drug is meant to be used

34
Q

action

A

how drug produces the effect

what happens in the cells/tissues

35
Q

therapeutic effect

A

desired effect

36
Q

contraindication

A

conditions/situations for which the drug should not be given

37
Q

precaution

A

conditions or types of clients that warrant closer observation

38
Q

adverse reactions

A
  • more severe side effect
  • always undesirable and unintended
  • range from mild to severe
  • occurs with normal doses
39
Q

side effects

A
  • secondary physiological effects unrelated to desired effects
  • can be desired or undesired
  • some expected as part of therapy
  • some bothersome and may require dosage adjustment, change to other drug in same class, or implementing other intervention
40
Q

interactions

A

-list of drugs or foods that may alter the effect of a drug and usually should not be given during the same course of therapy