Unit 1 Flashcards
Pharmacokinetic Phase
- Delivery and removal.
- absorption
- Metabolism
- Distribution
- Excretion
Pharmacology
- Safety
- Nursing Process
- Education
- Make sure you’re advocating for your patient
- The study of drugs that alter functions of living
organisms.
Aspirin
Thin your blood
Risk for bleed
Never for kids
Major problem with elderly
Heart
Pharmaceutic Phase
- Pill disintegrates into particles to cross the biologic membrane.
- Particles -> dissolution and prep for G.I. tract into bloodstream
Absorption
GI tract to blood by passive absorption, active absorption, or pinocytosis.
Distribution
Delivery to site of action (May be affected by half-life of the drug size of dose, blood flow, etc.)
Metabolism
- Biotransformation
* Inactivation
Elimination
- Kidneys !
- Removal from the body; changes in kidneys can reduce elimination,
causing accumulation of the drug in turn becoming toxic, - cretin clearance best indicator of kidney function
Digoxin
Anything greater than 2.5 bradycardia and hypertension.
Agonist
Do more of something
Antagonist
Do less of something
Brand name: Bactrim
What is the generic name?
Trimethoprim sulfamethoxazole
Alpha 1 receptors are located ?
In blood vessels, eye, bladder, and prostate.
A2 receptors are located where ?
Postganglionic sympathetic nerve endings
Barbiturates are for short or long term ?
Short term not long term
Reyes Syndrome
- Fatty build up around the liver.
- Fatal
- Ages between 4-16
- Kids if they get a viral infection
Excretion organ
Kidneys
Organ that metabolizes
Liver
Narcan is to reverse what?
Opioids especially Morphin
Cognex side effect
Bradycardia and Hypotention
Morphine Adverse Reaction
Hypotention, seizures, ileus
Acetometrophine class ?
NSAID
Anticholinergics
Atropean
Dry secretion so they don’t aspirated
Tetracycline
No dairy
Milk
Cheese
Wine
Pharmakonetics
Absorption
Distribution
Metabolism
Excretion
INH
TB
Antibiotic
Amoxicillin
Cold nursing intervention
Get vaccinated
Scopolamine
Every 3 days and for motion sickness
Brand Drug: Flagyl
Generic name: Metrodonazole
Side Effect is ?
Dizziness Depression Confusion Headache Irritability Weakness Insomnia Dry mouth
Brand name: Tylenol, Anacin- AF
Generic: ?
Acetaminophen
Brand name: MS Contin, Roxand
Generic: ?
Class: ?
Morphin Sulfate
Opioid
Generic: Albuterol
Side Effect: ?
Tremor Restless Sweating Flushing Hoarseness Hypertension Blurred Vision
Generic: Morphine Sulfate
Purpose: ?
Side Effect: ?
- To relieve pain
* Anorexia, nausea, vomiting, constipation, blurred vision, bradycardia
Nursing Consideration for Morphine Sulfate ?
Constipation and Hypotension
Anti-biotic Therapy: Important Education
Compliance is important and birth control cancels them out. 30 days
Polypharmacy
Considered more than 3 drugs.
What are the adverse reaction for Epi ? The side effects
- Tachycardia, severe hypertension and cardiac dysrhythmia
- Make sure the BP goes down because if it stays up then it can stroke
him out and cause cardiac damage.
Patients we need to consider before slamming with Epi ?
- Cardiac Patients, Elderly, Pacers, Diabetics
* So we don’t send them into a dysrhythmia
What do we give a patient after putting him under ? Why ?
- Atropine to dry up secretion so they don’t aspirated.
* It’s for everyone.
Drugs that are Opioids ?
Morphine, demoral,
Risks for opioids ?
Constipation, respiratory, depress that CNS
Narcan is an antagonist for ?
Opioids
Cognex side effect ?
Risk for ?
Dizziness, bradycardia, hypotension.
Risk for syncope (falls)