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Definition
| The study of drugs and their action on the living body. |
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| What is the use of drugs? |
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Definition
| To restore and maintain the healthy functioning of body tissues, organs, and systems and in diagnostic procedures. |
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ANIMALS: cortisone, insulin. PLANTS: purple foxglove(lanoxin),white poppy seeds(morphine), kelp(seaweed), penicillin(mold), bark,flower and seeds.
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VITAMINS MINERALS:K(potassium),Ca(calcium),Iron SYNTHETIC(ARTIFICIAL) SOURCE- less expensive and more pure( less side effects, less adverse reaction.
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Knowledge of: Drug action Therapeutic effect Possible adverse effects Patient teaching. |
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| Usual dose for most clients. |
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ASSESSMENTS of the patient's needs DIAGNOSIS of human response needs that nurses can deal with PLANING of patient's care IMPLEMENTATION of care EVALUATION of the success of the implemented care
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It is measurable: weight,skin color, Vital signs. Includes- Physical assessment,Diagnostic test( PT/INR clotting studies coumadin; PTT- heparin |
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| It is "patient states. Allergy history, Complaints |
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| Sorting and analyzing the data to develop the plan of care and goals. |
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| Preparing and administering drugs. |
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| How the patient is responding to the intervention. |
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One of out most important roles. Provide written material,reinforce key points,document. |
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| 1906 Federal, Food, Drug and Cosmetic Act. Began federal regulation. |
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| United States Pharmacopia- National standard for drugs. |
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| 1914 Harrison Narcotic Act(morphine) |
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| Food and Drug Administration is a federal agency to enforce federal drug laws including: purity,labeling,testing,dispensing, safety, advertising. |
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| 1970 Control Substance Act |
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Strict control on manufacture and distribution of habit-forming drugs. Established FIVE schedules of addicting drugs |
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| Cocaine,Opium, Methadone, Morphine, Oxycodon. |
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Generic name(lower case) Trade/Brand name(upper case) |
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| Is named after the chemical name of the active ingredient. |
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Definition
| Is given by the manufacturer who developed the drug. |
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| Differences between generic and brand name drugs. |
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Definition
| First is the price, Second the quality of the binders used to hold the active ingredients. |
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It limits how much a facilities can carry.
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| The use of the drugs by the body. |
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| What are the 4 phases of pharmacokinetics? |
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Definition
Absorption Distribution Biotransformation Excretion |
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Definition
| Passage of drug from site of entry to bloodstream. |
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| What factors affect absorption? |
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Definition
Route of administration The condition of the site(fat tissue in abdomen) Drug form, Timing Gastric emptying
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Definition
| Progress or transportation from bloodstream to particular site of action(receptor cell). |
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| What factors affect distribution? |
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Definition
Circulation Cardiac output, Blood supply Level of albumen(plasma protein) |
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Definition
| The place where the drug bonds chemically. |
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| Biotransformation(metabolism) |
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Definition
Process by which the drug is detoxified. Breakdown of drug for excretion. |
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| What factors affect biotransformation? |
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Definition
Liver condition "First Pass" through the liver is why the oral drugs have higher dosage. |
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Definition
| Elimination of the drug from the body. |
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| What factors affect excretion? |
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Definition
Condition of the kidney Perspiration |
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Definition
| Affects only area where the drug is placed, like eye drop. |
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| Affects the entire body because the drug is absorbed in the blood stream. |
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| Medical treatment of any kind, the results of which are judged to be desirable and beneficial. |
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| A single administration of drug given at one time. |
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| When one drug alters the action of another. |
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| A drug that produces a predictable response at the intended site of action. |
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| A drug that blocks the action of another drug. |
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Two drugs with different reaction produce greater effect. (demerol+ fenergen=3times stronger) |
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| The amount of time for serum concentration to be absorbed by 50%.(heparin) |
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| Cancels the effects of cocaine ,heroin |
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| Real strong antibiotic with side affect of possible permanent hearing loss. |
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| Drugs that do not combine with other drugs. |
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| Unusual and unexpected highly individual reaction. |
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Definition
| Hypersensitiveness. It can be severe and life threatening. |
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| When drugs build up in the body due to higher dose; poor circulation; poor metabolism; excretion. |
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| Smallest amount necessary to give the therapeutic effect. |
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Initial dose is larger than continuing dose
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| Is the largest amount that can be given safely. |
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| With poisoning or over dose or toxicity |
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| Who can write prescription? |
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Definition
| MD,DO(doctor of osteopathy), ARNP,PA,DVM(veterinarian) |
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| VO(verbal orders), TO(telephone orders). |
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| Sliding scale insulin( hold if more than 110) |
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| Patient's name, Date-Time,Name of drug,Dose of drug,Time-Frequency, Method-Route, Health care provider signature. |
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