Role of the Nurse

Question 1

Are generic and trade name drugs identical?

Answer 1

No. Fillers and interactions may differ.

Question 2

What are the four phases for therapeutic drug review?

Answer 2

1) Preclinical investigation
2) Clinical investigation
3) Review of the NDA
4) Postmarketing surveillance

Question 3

What is the average time to get new drugs on the market?

Answer 3

11 years

Question 4

What is withdrawal?

Answer 4

Physical discomfort felt by an individual when substance is no longer available.

Question 5

What did the controlled substances act of 1970 implement?

Answer 5

Schedules, federal oversight. Every dose must be accounted for.

Question 6

Other drugs with abuse potential?

Answer 6

Nicotine, alcohol, caffeine.

Question 7

How many levels are there for drug abuse potential? What is the least likely and most likely abuse category?

Answer 7

Five levels of abuse potential. Class 1 is most likely to abuse and class 5 is least likely to abuse.

1 - Abuse potential (highest), Physical dependency (high), psychological dependence (high)
2 - Abuse potential (high), physical dependence (high), psychological dependence (high)
3 - abuse potential (moderate), physical dependence (moderate), psychological dependence (high)
4 - abuse potential (lower), physical dependence (lower), psychological dependence (lower)
5 - abuse potential (lowest), physical dependence (lowest), psychological dependence (lowest)

Question 8

What are some examples of class 1 drugs?

Answer 8

Heroin, Marijuana, ecstasy

Question 9

What are some examples of class 2 drugs?

Answer 9

Hydromorphone, methadone, oxycodone, codeine, morphine, meperidine, oxycontin.

Question 10

What are some examples of class 3 drugs?

Answer 10

<15 mg hydrocodone, ketamine, anabolic steroids, benzphetamine.

Question 11

What are some examples of class 4 drugs?

Answer 11

Alpazolam, diazepam, clonazepam.

Question 12

What are some examples of class 5 drugs?

Answer 12

Cough preparations <200 mg codeine

Question 13

What is a teratogen?

Answer 13

Substance that has the potential to cause a defect in an unborn child during pregnancy.

Question 14

What are the categories for classifying pregnancy risk? Which is the safest and most dangerous.

Answer 14

A, B, C, D, and X
Category A is the safest
Category X poses the most danger.

Question 15

Describe pregnancy category A?

Answer 15

No risk to fetus.

Question 16

Describe pregnancy category B?

Answer 16

Little or no risk in pregnant women.

Question 17

Describe pregnancy category C?

Answer 17

Risk to fetus; risk vs benefit.

Question 18

Describe pregnancy category D?

Answer 18

Proven risk to fetus; risk vs benefit; used in life threatening conditions.

Question 19

Describe pregnancy category X?

Answer 19

Proven risk to fetus; risk outweighs benefit; drug avoided during pregnancy.

Question 20

What do you do if a drug you are prescribed to give to a patient is expired?

Answer 20

Contact pharmacist and exchange for dose that isn’t expired.

Question 21

What is ADPIE?

Answer 21

Assess
Diagnose - Nursing problems
Planning - setting goals/outcomes
Implementing - nursing care
Evaluate - goals achieved?