PHARM QUIZ 1 - Intro to Pharm Flashcards

1
Q

drug

A

any chemical that can affect living processes

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2
Q

pharmacology

A

the study of drugs & their interactions with living systems

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3
Q

clinical pharmacology

A

the study of drugs in humans

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4
Q

therapeutics

A

the use of drugs to diagnose, prevent, or treat disease or to prevent pregnancy

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5
Q

3 properties of an ideal drug

A
  • effectiveness (solves problems)
  • safety (ideally has no side effects, not possible)
  • selectivity (treat what it is intended for)
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6
Q

3 properties of an ideal drug

A
  • effectiveness (solves problems)
  • safety (ideally has no side effects, not possible)
  • selectivity (treat what it is intended for)
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7
Q

3 properties of an ideal drug

A
  • effectiveness (solves problems)
  • safety (ideally has no side effects, not possible)
  • selectivity (treat what it is intended for)
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8
Q

3 properties of an ideal drug

A
  • effectiveness (solves problems)
  • safety (ideally has no side effects, not possible)
  • selectivity (treat what it is intended for)
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9
Q

ideal drug considerations

A
  • reversible action - able to be metabolized by the body or chemically nullified
  • predictability - knowing how the pt will respond
  • ease of administration - convenient route, low number of doses/day
  • freedom from drug interaction - to not intensify/ reduce effects of other drugs
  • low cost - easily affordable
  • chemical stability - indefinitely retain effectiveness & potency
  • simple generic name - easy to recall/ pronounce
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10
Q

what is the therapeutic objective of drug therapy?

A

to provide maximum benefit while doing minimal harm

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11
Q

toxicity

A

too much of a drug

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12
Q

what happens when too little of a drug is administered?

A

it is not effective

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13
Q

what factors can cause drug variation?

A
  • age
  • gender
  • weight
  • poor liver/ kidney function
  • multi-drug or food interactions
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14
Q

pharmacokinetics

A

how the drug moves through the body

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15
Q

pharmacodynamics

A

how the drug affects the body

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16
Q

APIE

applying the nursing process in drug therapy

A
  • Assessment & Analysis
  • Planning
  • Implementation
  • Evaluation
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17
Q

APIE

applying the nursing process in drug therapy

A
  • Assessment & Analysis
  • Planning
  • Implementation
  • Evaluation
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18
Q

what must be done before doing any med administration?

A
  • vitals
  • head to toe assessment
  • establish a baseline
19
Q

goals of preadministration assessment

3

A
  1. collect baseline data - vitals, pain assessment, head to toe
  2. identify high-risk pts - liver/kidney disease
  3. assess pt’s capacity for self-care - learning disabilities, alzheimers/ mental condition, physical disabilities
20
Q

why do we collect baseline data?

A
  • safety
  • response
  • identiying high-risk pts
  • assesing a pt’s self-care ability
21
Q

what does baseline data include?

A
  • pt h&p
  • lab results
  • bp & vitals
  • bgl
  • ht/wt
22
Q

high risk pts

A
  • liver impairment (primary organ that metabolizes drugs) & kidney impairment (filters drugs) - VERY IMPORTANT
  • genetic factors
  • drug allergies - VERY IMPORTANT
  • pregnancy
  • elderly - slower metabolism, drugs stay longer
  • pedi - slower metabolism, decrease dosage
23
Q

can RN make a medical diagnosis?

A

no

we can use nursing judgement to have a working nursing diagnosis

(preventions/plan)

24
Q

can RN make a medical diagnosis?

A

no

we can use nursing judgement to have a working nursing diagnosis

(preventions/plan)

25
can RN make a medical diagnosis?
no | we can use nursing judgement to have a working nursing diagnosis ## Footnote (preventions/plan)
26
nursing diagnosis | 3 parts
* **judge** - appropriateness of prescribed regimen * **identify** - potential health problems that the drug might cause * **determine** - pt's capacity for self-care
27
planning | 3 parts
* **define goals** - ex: pain free in 6 hours, walk * **set priorities** * **identify specific interventions**
28
what is the goal of planning?
to establish objective criteria for evaluation
29
implementation
* **drug admin** * **pt educaiton** * **interventions**: promote **therapeutic** efffects, minimize **adverse** effects, minimize **adverse drug interactions**
30
evaluation
* therapeutic responses (f/u w your goal (pain, N/V)) * adverse drug reactions & interactions * adherence to prescribed regimen * satisfaction w treatment
31
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
32
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
33
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
34
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
35
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
35
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
35
how are new drugs developed & tested?
randomized controlled trials (RCT) | control use, randomizatin, blinding (single or double)
36
stages of new drug development | 3
* preclinical testing * clinical testing (phase I, II, III, & IV) * limitations
37
phases of clinical testing | I - IV
* **phase I** - testing with healthy volunteers/ pts * **phase II** - therapeutic use & dose range * **phase III** - drug is safe & effective (FDA approval granted) * **phase IV** - post-clinical trials/ surveilance (drug is on market/released) in **phases II and III**, drug is tested on pts for which the drug was intended
38
types of drug names | 3
* **chemical** (not memorized) * **generic** - acetaminophen * **trade** - Tylenol
39
what percentage of medications administered are OTC?
60%
40
what percentage of illnesses are initially self-treated with OTC drugs?
60-90% | pts tend to treat themselves first with OTC drugs before medical help
41
OTC drug label requirements | 3
* plain language * readable type * user-friendly format
42
OTC drug label requirements | 5
* active ingredients listed first * uses * warnings * directions * inactive ingredients