Test 4 Flashcards
Teratogens
Adversely affects the fetus
Polypharmacy
Multiple medication use common in the elderly
Geriatrics
Anything over 65
Biotransformation
Alteration of medications within the body to prepare for excretion from body, semicolon, metabolism
What factors are important to know regarding the geriatric patient ad related to unexpected reactions
Slow gastric and intestinal mobility that is very common in elderly pharmacology
Is patient compliance important
Yes
What may be some factors in patient compliance
Convenient time they can take meds, a form for taking meds, give a reason to take them
90% of non-compliance is due to what
Side effects
Name important variables that affect drug dosage and drug actions
Age, diet, gender, height, weight, genetics, current disease
Which is the most important for dosage? Age or size and function
Size and function
What variables interplay in patients responses to medications
Cultural differences, language barriers, how person may feel about taking medication, personal belief, history of previous medication, time meds taken
For current dosing of pediatric patient get
Ht and Wt every time
Can you rely on a patient to respond the same way each time they take a medication: why/why not
No. Change in diet, tolerance, drinking, amount of alcohol, other meds
The FDA considers what category of medications safe for use during pregnancy
Category A
What is your opinion on the following question:
Terminally I’ll patients can receive as much meds as requested
Yes. Keep them comfortable
Can children take Tetracyline
No. Not safe for children. Stains their teeth
Young children are more vulnerable to meds due to
Small sizes and immature organs
(not fully developed
Organs)
Positive attitude more likely to cause
A positive response to medications
Category A
Remote risk of fetal harm
least harmful
Category B
Slightly more risk
Category C
Greater risk
Category D
Proven risk of fetal harm, but indication for use may be present
Category X
Proven fetal risk, no indication for use.
greatest risk