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Pharmacology Exam 1 Flashcards | StudBud
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Pharmacology Exam 1
Pharmacology Exam 1
70 terms
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Answers
1
• Removal of drugs from the body • Kidneys play the most important role in excretion of medication
Distribution
Absorption
Metabolism
Excretion
2
How many ounces are in one pound?
12
20
16
8
3
Drugs that have been discovered but are not financially viable and therefore have not been “adopted” by any drug company
Brand
Generic
Over the Counter
Orphan
4
How many grains are in one dram?
10
30
16
60
5
How many milligrams are in one gram?
100
1
.001
1000
6
What happens to a drug from the time it is introduced to the body until it reaches the circulating fluids and tissues
Distribution
Excretion
Absorption
Metabolism
7
Study of the interactions between the chemical components of living systems & foreign chemicals that enter those systems
Pharmacodynamics
Pharmacotherapeutics
Pharmacokinetics
Pharmacoeconomics
8
The drug can accumulate in the body, leading to toxic levels and adverse effects if...
a drug is taken in successive doses at longer intervals than recommended
the body is unable to eliminate a drug properly
the body is able to eliminate a drug properly
a drug is taken in successive doses at shorter intervals than recommended
9
Uses drugs to treat, prevent, and diagnose disease — the drugs effects on the body the body’s response to the drug
Pharmacoeconomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
10
Drug-food interactions
when drug alters a food in the body
drugs taken best on an empty stomach
when food alters a drug in the body
drugs taken best with food
11
The nurse is in a unique position regarding drug therapy because nursing responsibilities include the following:
Providing patient teaching about drugs and drug regimens
Monitoring the overall patient care plan to prevent medication errors
Intervening to make the drug regimen more tolerable
Administering drugs and assessing drug effects
12
Due to media influence, consumers are taking steps to demand specific treatments and considerations
True
False
13
Phase I Studies
Drug tried on informed patients with the disease
Drug used in vast clinical market
Chemicals tested on human volunteers
Continual evaluation
14
The kidneys are the primary organs involved in what process
Excretion
Absorption
Secretion
Metabolism
15
An agency of the U.S. Department of Health and Human Services that regulates the development and sale of drugs
FDIC (Federal Deposit Insurance Corporation)
DEA (Drug Enforcement Agency)
FDA (Food and Drug Administration)
OSHA (Occupational Safety and Health Administration)
16
Proper Drug Administration: Right patient, drug, storage, route, dosage, preparation, timing, documentation
False
True
17
Drug tolerance
providers must decrease dosage to treat a therapeutic effect
the body’s decrease response to a drug it receives over a period of time
the body’s increase response to a drug it receives over a period of time
providers must increase dosage to treat a therapeutic effect
18
Sources of Drug Information & Reliability
scientific journals
drug label and package inserts
the internet
drug reference books
19
Original destination that the drug was given when the drug company applied for the approval process, often cheaper $
Orphan
Generic
Trademark
Brand
20
How many milliliters in one ounce?
24
16
30
8
21
Activates the receptor directly; produces a response
Anarchists
Non-competitive antagonists
Agonists
Receptor sites
22
Any drug can be administered during pregnancy, regardless of category or presumed safety
True
False
23
React to certain chemicals to cause an effect within the cell
Agonists
Non-competitive antagonists
Anarchists
Receptor sites
24
FDA Approval comes after Phase IV
True
False
25
Schedule II (C-II) Controlled Substances
narcotics, amphetamines, and barbiturates
High abuse potential with SEVERE dependence liability
some sedatives, antianxiety agents, and nonnarcotic analgesics
Less abuse potential than schedule III & LIMITED dependence liability
26
• The movement of a drug to the body’s tissues • Affected by lipid solubility, ionization, perfusion of reactive tissue
Excretion
Metabolism
Distribution
Absorption
27
Schedule IV (C-IV) Controlled Substances
High abuse potential with SEVERE dependence liability
Less abuse potential than schedule III & LIMITED dependence liability
some sedatives, antianxiety agents, and nonnarcotic analgesics
nonbarbiturate sedatives, nonamphetamine stimulants
28
HMO’s/ PPO’s have “preferred” drug lists
True
False
29
Drug intolerance is an inability to tolerate adverse effects of a medication at therapeutic or subtherapeutic doses
False
True
30
Placebo Effect: The patient’s attitude about a drug has been shown to have an effect on how that drug works
True
False
31
According to the Placebo Effect, a drug is less likely to be effective if the patient believes the drug will work
False
True
32
Schedule V (C-V) Controlled Substances
Small amounts of narcotics (codeine) used as antitussives or antidiarrheals
High abuse potential and no accepted medical use
Limited abuse potential
heroin, marijuana, LSD
33
Phase III Studies
Drug used in vast clinical market
Continual evaluation
Drug tried on informed patients with the disease
Chemicals tested on human volunteers
34
Safety During Pregnancy: Category A
animal studies show risk, human show benefits are greater than risk
animal and human studies have shown risk to fetus; risk > benefits
not demonstrated a risk to the fetus
animal studies have shown a risk to fetus & no current studies in humans
35
The liver is the primary organ involved in what process
Excretion
Metabolism
Secretion
Absorption
36
Enforces control of controlled substances
OSHA (Occupational Safety and Health Administration)
FDA (Food and Drug Administration)
FDIC (Federal Deposit Insurance Corporation)
DEA (Drug Enforcement Agency)
37
Generic drugs are not required to have the same strength of the active ingredient as the brand name
False
True
38
Phase IV Studies
Drug used in vast clinical market
Chemicals tested on human volunteers
Continual evaluation
Drug tried on informed patients with the disease
39
Preclinical trials test chemicals that may have therapeutic value are tested on laboratory animals for what purposes?
to test for cost effectiveness
to see if animals like the drug
to determine whether they have the presumed effects in living tissue
to evaluate any adverse effects
40
Phase II Studies
Drug used in vast clinical market
Chemicals tested on human volunteers
Continual evaluation
Drug tried on informed patients with the disease
41
Over the Counter Drugs
Can interact with prescription drugs
Those “grandfathered in” not tested to the extent that new drugs are today
Can be taken in greater than the recommended dose, leading to toxicity
Can mask the signs and symptoms of disease
42
Drug-drug interactions
when one drug itself in the body
can occur at any time
never occurs
when one drug alters another drug in the body
43
The description and analysis of the costs of drug therapy to health care systems and society
Pharmacotherapeutics
Pharmacodynamics
Pharmacoeconomics
Pharmacokinetics
44
There are 500 mL in one pint.
False
True
45
Schedule I (C-1) Controlled Substances
Small amounts of narcotics (codeine) used as antitussives or antidiarrheals
Limited abuse potential
High abuse potential and no accepted medical use
heroin, marijuana, LSD
46
Drug Allergies
an immune response occurs when a person is re-exposed to the drug
the body forms antibodies to a particular drug
a patient cannot be allergic to a drug that has never been taken
are always fatal
47
1 gram is equal to 15 grains.
False
True
48
There are 128 fluid ounces in one gallon.
False
True
49
How many drams are in one ounce?
24
10
8
16
50
Schedule III (C-III) Controlled Substances
Limited abuse potential
Less abuse potential than schedule II drugs & MODERATE dependence liability
nonbarbiturate sedatives, nonamphetamine stimulants
Small amounts of narcotics (codeine) used as antitussives or antidiarrheals
51
Safety During Pregnancy: Category D
not demonstrated a risk to the fetus
animal and human studies have shown risk to fetus; risk > benefits
animal studies have shown a risk to fetus & no current studies in humans
animal studies show risk, human show benefits are greater than risk
52
Financial pressures are leading to late discharge
True
False
53
The nurse is responsible for monitoring for desired effect of medication, potential adverse reactions, and side effects
False
True
54
Some challenges nurses face include...
Patients failure to report OTC medications and herbal therapies
Cost of medications
Patients filling medications at multiple pharmacies
Drug interactions with OTC medications and herbal therapies
55
Safety During Pregnancy: Category C
animal studies have shown a risk to fetus & no current studies in humans
animal studies show risk, human show benefits are greater than risk
animal and human studies have shown risk to fetus; risk > benefits
not demonstrated a risk to the fetus
56
How many milligrams are in one grain?
10
15
50
60
57
• Liver is the most important site for metabolism • Changes drugs into new, less active chemicals • First pass effect
Absorption
Excretion
Distribution
Metabolism
58
There are 4000 mL in one _________.
dram
quart
gallon
pint
59
Nurses should be aware of resources to make the patients side effects more tolerable (ex: administer with food)
False
True
60
Study of absorption, distribution, metabolism, and excretion of drugs (onset, half-life, peak, duration)
Pharmacodynamics
Pharmacotherapeutics
Pharmacokinetics
Pharmacoeconomics
61
It is not important to educate the patient about the drugs you are administering if they don't ask about them
True
False
62
Chronically decreasing costs are causative of patient not taking medication as ordered
False
True
63
Category B: Animal testing shows no risk to fetus in first trimester; not enough studies show no risk in pregnant women
True
False
64
Herbal therapies and supplements
patients do not always mention these
interact safely with all drugs
not monitored/tested by the FDA, therefore efficacy is unknown
drug-alternative therapy interactions may occur
65
How many ounces are in one pint?
10
24
16
8
66
Drug Actions Associated with Pharmacodynamics
Depress (cellular activities)
Increase (cellular activities)
Interfere (with foreign cells)
Replace (missing chemicals)
67
Blocks the receptor; produces no response
Receptor sites
Agonists
Non-competitive antagonists
Anarchists
68
The nurse's first priority when it comes to medication administration is...
asking the patient what medications they take
to make sure the IV site is clean
safety
using three patient identifiers
69
Drug-laboratory interactions
lab test may be used to monitor the effects of other medications
drugs do not alter results of lab testing
lab test may be used to monitor the effects of one medication
drugs may alter results of lab testing
70
Safety During Pregnancy: Category X
animal studies have shown a risk to fetus & no current studies in humans
animal studies show risk, human show benefits are greater than risk
animal and human studies have shown risk to fetus; risk > benefits
not demonstrated a risk to the fetus