Pharmacodynamics Flashcards
General pharmacology and pharmacodynamics
What are 4 sources of drugs?
plant, animals, mineral and chemical substances
What did the Federal Food, Drug and Cosmetic Act of 1938, 1952 and 1962 establish?
Pure Food and Drug Act, 1906
Purity, standards and labeling
What did the Comprehensive Drug Abuse Prevention and Control Act of 1970 establish?
Harrison Narcotics Act, 1914
Schedule of controlled substances
What did the Durham-Humphrey Amendments of 1928, 1951 establish?
Establish process of ordering and prescribing drugs
What did Kefauver- Harris Amendment of 1962 establish?
Proof of effectiveness
What is the responsibility of the FDA?
safety standards- production drugs, food, cosmetics
Regulates medical devices
What is the responsibility of DEA?
controlled substance laws
What is the responsibility of the FTC?
Protects consumes, truth-in-advertising laws
What are the 5 steps of safe and effective administration?
Drug- profile
Patient- history, current drugs
Pathology- assess pt- what is wrong?
Protocols- authorized to give without call
Technique- IM, IV, fast/slow push, repeat
What are the 6 rights?
Right patient, drug, dose, route, time, documentation
What are examples of enteral routes?
Oral, buccal, sublingual, rectal
What does parenteral route avoid? What are the benefits of this?
First pass effect. Avoiding the first pass effect leads to rapid and complete absorption with smaller doses
What are the four stages of pharmocokinetics?
Absorption
Distribution
Metabolism
Excretion
What are the three main factors affecting absorption?
Route of administration
pH and soluability
Form- solid, liquid, gas
What are the three locations of excretion?
Kidneys- urine
Liver- stool
Lungs- exhaled