UNIT 1 Exam Review Flashcards
Define Pharmacology
The study of drugs and their actions of living organisms.
Drug Names (3 Types)
- Generic
- Trade/Brand
- Chemical
Determine the drug name: Ibuprofen
Generic
Determine the drug name: Advil
Trade/Brand
Drug Categories (3 Types)
- Prescription (Stronger Drugs)
- Nonprescription (Over-The-Counter Drugs)
- Controlled Substances (Addictive Drugs)
The higher the ______ , the ______ of risk of side effects.
Dose; Higher
When tossing out controlled substances, you should be ________.
Supervised, must be documented, and substances must be wasted where it is not retrieved.
3 Phases of Drug Activity
- Pharma-ceutic
- Pharma-kinetic
- Pharma-codynamic
4 Factors of Drug Absorption
- Route of administration
- Solubility of drug
- Presence of certain bodily conditions
- First-Pass effect
What is the drug absorption time for “P.O. (By Mouth)” ?
30 Minutes
What is the drug absorption time for “I.M. (Intramuscular)” ?
15 Minutes
What is the drug absorption time for “S.Q. (Subcutaneous)” ?
15 Minutes
What is the drug absorption time for “I.V. (Intraveneous)” ?
Instant
Distribution of an absorbed drug in the body depends on what 3 factors?
- Protein Binding (Therapeutic Effect)
- Blood Flow ( Large Blood Supply)
- Solubility (Cell Membrane)
Define Metabolism
Process in which the body breaks down medication.
Organs where drugs are most metabolized
“Keep Living Life In Peace”
- Kidneys
- Liver
- Lungs
- Intestinal Mucosa
- Plasma
Define Excretion
The elimination of drugs from the body.
3 Types of Patients in Need of a Dosage Reduction
- Patients w/Kidney Diseases
- Children (Undeveloped/Immature Kidneys
- Elderly (Diminished Kidney Function)
Define Half-Life
Time required for body to eliminate 50% of drug.
When drug starts working
Onset
When drug is working at its highest point
Peak
How long the drug lasts
Duration
Drug that interacts with receptors
Agonist
A competitive/non-competitive type of drug is known as
Antagonist
Substances that causes abnormal development of fetus, often lead to severe deformation
Teratogen
5 Categories determining risk of birth defects
A - Safe B - Okay C - Maybe D - Questionable X - Not Safe
No drug should be administered during pregnancy, unless _____!
it is needed!
Define Adverse Drug Reactions
Reactions that may be mild, severe, or life threatening!
Adverse reactions may be _______
- common/may occur frequently
- can occur after 1st dose, several doses, or many doses
- may be unpredictable
Define Allergic Drug Reactions
An immediate hypersensitivity reaction.
Define Anaphylactic Shock
Extremely serious allergic reaction right after administration of a drug which the individual is sensitive towards.
5 Types of Drug Reactions
- Drug Indiosyncracy
- Drug Tolerance
- Cumulative Drug Effect (Too Much)
- Toxic Reaction (Risky)
- Pharmacogenetic Reaction (Hereditary)
4 Types of Drug-Drug Interactions
- Additive Effect
- Potentiation
- Antagonist Effect
- Increase/Decrease Absorption
5 Factors Influencing Drug Response
- Age
- Weight
- Sex
- Disease
- Route of Admission
4 Nursing Implications when Administering Drugs
- Obtain data; health/medication history
- Perform physical assessment
- Delivery of medications
- Evaluation of effectiveness of medication
8 Nursing Medication Rights
- Right Patient
- Right Drug
- Right Dose
- Right Route
- Right Time
- Right to Refuse
- Right Documentation
- Right to Educate
True/False: The Nurse MUST have a physician’s order administering any medication.
TRUE
True/False: The Nurse must not accept any medication orders from another Nurse
TRUE
4 Types of Orders
- Standing
- Single
- STAT (immediately)
- PRN (as needed)
Always check and compare label of any drug with MAR _____ times before administering to patient!
3
Score
A “dent” on a pill that is eligible to be cut in half.
What is the proper protocol when administering a pill without a score but is needing to be cut in half?
Call/Notify Pharmacy Department
What does “B.I.D.” represent?
Twice a day
What does “T.I.D.” represent?
Three times a day
What does “Q.I.D.” represent?
Four times a day
What does “Q6H” represent?
Every 6 hours
What does “NPO” represent?
Nothing by Mouth
4 Sites of Parenteral Administration
- S.Q. (Subcutaneous)
- I.M. (Intramuscular)
- I.V. (Intravenous)
- I.D (Intradermal)
3 Types of Drug Administration Through Skin
- Topical
- Transdermal
- Inhalation
2 Types of Ear Drop Administration
- Adult (3 yrs. and above); Pull ear up and back
- Children (3yrs. and under); Pull ear down and back
Nursing Process (when giving medication)
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Define Beta Blockers
Drugs that decreases the heart rate.
True/False: Always check heart rate before administering beta blockers!
TRUE
Define Beta Receptors
Drugs that increases the heart rate.
Size of Insulin Needles (Subcutaneous Injections)
28 - 1/2; 45-90 Degree Angle
Size of TB Test Needles (Intradermal Injections)
25 - 5/8; 5-15 Degree Angle
Size of EpiPen/Vaccine needles (Intramuscular Injections)
22 - 1 1/2; 72-90 Degree Angle
What is a First-Pass Effect?
Process in absorption; Drug is absorbed by small intestine, then travels to liver before being released to circulate throughout the body.