Week 2 Minority Considerations Flashcards
Factors affecting safety
Drug properties
Fetal gestational age
Maternal factors
Factors affecting paediatric Drug Dosages
-Skin is thin and permeable
-stomach lacks acid to kill bacteria
-lungs have weak mucus barriers
What does the nurse identify as a pharmacokinetic change that occurs in older adults ?
The number of intact nephrons is decreased
What are some Canadian determinate of health ?
-Income and social status
-Education
-Race
-Culture
-Physical environment
What is Ethnopharmacology ?
Provides knowledge for understanding specific impact of cultural factors on patient response
Ethnocultural assessment
-Language
-Health practices and beliefs
-Past use of medication
-Use of herbal treatment
What is Carbamazepine?
Anti-Seizure medication
What is category A?
No risk to human fetus
What is Category B?
No risk to animal fetus
What is Category C
Adverse effects on animal fetus
What is Category D?
Possible fetal risk in humans
What is Category X?
Fetal abnormalities reported and evidence of fetal risk in humans
The nurse associates use of which OTC medication with the development of hepatic toxicity?
Acetaminophen (Tylenol)
Name a food and drug interaction
-Cranberry decreases elimination of many drugs excreted by the kidney
-Coffee with antibiotics
-Ginger root with cardiac drugs
What does Grapefruit do during drug interaction?
-Decreases metabolism of drugs used for erectile dysfunction as well as other drugs
-Could increase risk of toxicity of immunosuppressants(suppresses immune response of a person) and inhibitors
Nursing implications (dk for what)
-Asses for potential drug-drug and drug-herb interactions
-Asses level of education and understanding
-Asses System functions
What are Serotogenic medications?
Antidepressants
Can you take St.johns Wort with an Antidepressant ?
You shouldn’t because it could be life threatening. Your blood levels and serotonin (hormone that releases secretion in liver) levels will be higher and could possible reduce effectiveness of medication
What are some problems that can occur when using Ginkgo?
-Risk of brushing and bleeding
-Cause of a arrhythmia (Condition in which the heart beats with an irregular or abnormal rhythm)
-Can cause headaches
List types of individuals who maybe have more frequent adverse reactions to OTC drugs?
-Patient on multiple medications
-Pregnant women
-Asthma
