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Pharm
exam 1
74
Nursing
Not Applicable
02/14/2010

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Cards

Term
Properties of an ideal drug
Definition
safe,effective, and selective. Also reversible action, predictability, low cost, and no interactions
Term
Why does renal failure put you at risk for toxicity?
Definition
Drugs are excreted through the urine from the kidney, during failure the duration and intensity of drugs builds up because they are not able to leave the kidneys as quickly.
Term
pre-administration assesment
Definition
Collect baseline data such as vitals and allergies, identify high risk patients such as liver failure pregnancy age and genetic factors, and last assess self-care such as mental status and disabilities
Term
Nursing Process
Definition
Assessment, analysis, planning, implementations, evaluation
Term
Schedule 1 drugs
Definition
Highest risk of abuse, Cannibus, hallucinogens and heroin. No prescription use
Term
Schedule 2 drugs
Definition
High potential, can lead to dependencies. Barbituarates, opioids, stimulants
Term
Schedule 3 drugs
Definition
Lesser potential, barbituates and steroids. Paregoric
Term
Schedule 4 drugs
Definition
Low potential, psychological dependence, benzodiazepines
Term
Schedule 5 drugs
Definition
Least potential, small opioid combined with antitussive or antidiarrheal
Term
Parenteral Drug Administration advantages
Definition
Direct delivery of drugs into systemic, 100% bioavailability, immediate effects
Term
Depending on half lifes how should drugs be administered
Definition
Short half life- more frequent administration, long half life- less frequent administration
Term
3 methods of drug transport across membranes
Definition
Through channels (pores in the bilayer), through a transport system, and direct penetration
Term
Grapefruit juice can inhibit metabolism causing what
Definition
increased absorption
Term
Peak concentration level
Definition
max blood concentration level achieved through absorbtion
Term
Minimum effective concentration
Definition
Plasma drug level below which theraputic effects will not occur
Term
Therapeutic index
Definition
Measure of drugs safety...LD50/ED50
Term
LD50
Definition
lethal dose to 50%
Term
ED50
Definition
Effective dose to 50%
Term
Iatrogenic Effect
Definition
A disease produced by a drug. Drug induced.
Term
Teratogenic effect
Definition
drug induced birth defect
Term
Idiosyncratic effect
Definition
Uncommon drug response from a genetic predispostion
Term
Carcinogenic drug
Definition
Causes cancer
Term
Tonic-Clonic Seizure (grand mal)
Definition
Muscle rigidity followed by jerks. Urinate self and also loud cries involved. 90 seconds.
Term
Absence seizure (petit mal)
Definition
Loss of consciousness. 10-30 seconds. Common in children
Term
Atonic seizure
Definition
Loss of muscle tone, sudden collapse
Term
Febrile Seizure
Definition
Associated with fever. Tonic-clonic. In children, no risk of epilepsy
Term
Extrapyramidal symptoms
Definition
Movement disorders from antipsychotic drugs. Early-parkinsonism, spasms. Late-tardive, permanent
Term
Drug tolerance
Definition
Particular dose elicits smaller response then initially
Term
Drug Abuse
Definition
Using a drug inconsistantly with medical norm
Term
Physical Dependence
Definition
A abstinence syndrome will occur when use is discontinued
Term
Serotonin syndrome
Definition
Taking meds that increases levels of serotonin in the body
Term
Lipid solubility and passing through the membrane
Definition
Only lipid soluble drugs can attach to the phosolipid bilayer and pass through
Term
Do all drugs cross placenta
Definition
No
Term
Most common cause of adverse reactions in elderly
Definition
Multiple drugs causing interactions
Term
Peripheral nervous system
Definition
autonomic and somatic
Term
Autonomic nervous system
Definition
parasympathetic (rest and digest) Sympathetic (fight or flight)
Term
Peripheral nervous system transmitters
Definition
Acetylcholine, norepinephrine, and epinephrine
Term
Parasympathetic nervous system
Definition
Cholinergic
Term
Sympathetic Nervous system
Definition
Adrenergic
Term
Cholinergic
Definition
Nicotinic N-Stimulates nerves, NicotinicM- contracts muscle, Muscarinic- miosis, bradycardia, bronchi constriction, urination, defecation, erection
Term
Adrenergic
Definition
Alpha, beta, dopamine
Term
Alpha1
Definition
Mydriasis, constricts veins and vessels, ejaculate, contract bladder(hold urine)
Term
Beta1
Definition
Tachycardia, increase renin release
Term
Beta2
Definition
Bronci dilation, relax uterus, glycogenolysis, contract muscle
Term
Muscarinic agonist poisoning is treated with..
Definition
Atropine (antagonist)
Term
Anticholinergic side effects
Definition
Dry mouth, blurred vision, urinary retention, constipation, tachycardia
Term
Alpha blockers are used for..
Definition
hypertension, and benign prostate hyperplasia
Term
Beta blockers are contraindicated in..
Definition
asthma patients due to bronchi contriction, and pre-exsisting av block
Term
CNS neurotransmitters
Definition
21
Term
Parkinsons disease therapeutic goal
Definition
Imrove ADL's and slow and stabalize course of disease. Help mobility
Term
Most effective drug for parkinsons
Definition
sinemet-combo of levadopa and carbidopa
Term
Common side effects of cholinesterase inhibitors
Definition
Excessive salivation and secretions, bradycardia, miosis, diarrhea, frequent urination, liver injury, nausea
Term
Alzheimers drugs
Definition
Cholinesterase inhibitors
Term
Namenda
Definition
Slows decline of function and improves symptoms, very few AE, dizzy headache and confusion
Term
Pathophysiology of MS
Definition
Inflammation and myeline destruction in CNS
Term
AED goals
Definition
Reduce seizures and make a near normal life
Term
AED side effects
Definition
Sedation, gum hyperplasia, birth defects
Term
Aeds are...
Definition
teratogenic, and need to have plasma drug levels monitored
Term
Acetaminophen and alchohol
Definition
Cause liver damage, acute renal failure
Term
Does acetaminophen have anti-inflamm properties
Definition
No
Term
Migraine headache
Definition
Unilateral, throbbing, severs, lasts up to 3 days, early morning
Term
Cluster Headache
Definition
Unilateral, peircing, severe, 2 hours, causes eye and ear problems, nighttime, males
Term
Tension headache
Definition
Headband effect, squeezing, mild, 7 days, daytime
Term
Migraine food triggers
Definition
Artificial sweetner, sodium, chocolate, old cheese and wines, yellow food coloring
Term
First-line drug for migraines
Definition
triptans
Term
Schizophrenia
Definition
Irrational thinking, cant comprehend reality
Term
Anti psychotic drugs treat..
Definition
Schizophrenia and bipolar disorder
Term
Antidepressants can do what with suicide
Definition
increase risk
Term
3 treatments for depression
Definition
Electroconvulsive therapy, psychotherapy, and drugs such as TCA, SSRI, and MAOI
Term
OCD
Definition
SSRI
Term
ADHD
Definition
methylphenidates-ritalin
Term
TCA adverse effects
Definition
arythmias, seizure, anticholinergic such as dry mouth
Term
ECT used in major depression why?
Definition
The benefits develop more rapidly and more effectively
Term
Adverse reactions to benzodiazepines
Definition
hyperactivity, sleep behavior, amnesia, teratogenic
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