PHARMACY REVIEW Flashcards
Who can issue prescription drugs?
Written by an accredited authorized provider.
Controlled substances are ordered with what form?
DD 1289
what other form can non controlled meds be ordered on?
poly-prescription NAVMED 6710/6
what information is required to be written on a prescription?
patients full name date prescription written age or date of birth full name of drug, form of drug, dosage size or strength quantity dispensed signa (patient directions no abbreviations) provider signature refill authorization
Can an IDC refill controlled drugs?
NO
define pharmacokinetic
activities of the drug after it enters the body. Includes absorption, distribution, metabolism, excretion
Define bioavailability
the percentage of the drug dose that reaches the systemic circulation
What factors alter bioavailability?
drug form route changes in liver metabolism GI mucosa and motality food and drugs solubility
A patient with what condition may require a lower dose of a medication?
Liver disease
define pharmacodynamics and the two effects
the drugs actions and effect within the body
- primary or desired effect
- secondary or side effects; desired or undesired
Define Physical Dependence
a compulsive need to use a substance repeatedly to AVOID mild to severe withdrawal symtpoms
What is an Agonist
Drug that binds with a receptor to produce the
therapeutic response
What is Antagonist
Drug binds to receptor stronger than the
agonist thus producing no pharmacologic effect
What is a cumulative drug effect
A drug effect that occurs when the body has
not fully metabolized a dose of a drug before the next dose is given.
Describe an additive drug effect
when the combined
effect of two drugs is equal to the sum of each drug given alone.
Describe synergism
when drugs produce an effect that is greater than the sum of their separate actions.
Which factors affect the influence of a drug effect
- Age
- Weight
- Gender
- Disease
- Route of administration
- Drug use and pregnancy (CAT A+B safe)
What are the main routes of drug administration?
Oral
Parenteral
Skin/Mucus membrane
What are the routes within Oral administration?
Nasogastric
Buccal
Sublingual
What are the routes within Parenteral administration?
Subcutaneous
Intramuscular
Intravenous
Intradermal
What are the routes within skin/mucus membrane administration?
Topical
Transdermal
Inhalation
Which administration route offers an almost immediate effect
IV
Which route of administration offers a systemic effect
Transdermal
Which route of administration offers a LOCAL effect on the lungs
inhalation
