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Exam (elaborations)

NUR 3145 Exam 1 Questions With Correct Answers.

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NUR 3145 Exam 1 Questions With Correct Answers.

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NUR 3145 Exam 1 Questions With
Correct Answers

drug - CORRECT ANSWER✔✔-a chemical that affects a living process
|| || || || || || || || ||




pharmacology - CORRECT ANSWER✔✔-study of drugs and their
|| || || || || || || ||



interactions


clinical pharmacology - CORRECT ANSWER✔✔-study of drugs in
|| || || || || || || ||



humans


pharmacotherapeutics - CORRECT ANSWER✔✔-use of drugs to || || || || || || ||



diagnose, prevent, or tx a disease or to prevent pregnancy
|| || || || || || || || ||




ideal drug - CORRECT ANSWER✔✔-!!! effective
|| || || || ||




!!! safe
||




!!! selective (only affects what its supposed to)
|| || || || || || ||




-reversible (has an anecdoteFcyp)
|| || ||




-predictable ||




-easy to administer (by PO)
|| || || ||




-stable (want a long shelf life)
|| || || || ||

,-simple generic name (brand names change)
|| || || || ||




the therapeutic objective - CORRECT ANSWER✔✔-provide maximum
|| || || || || || ||



benefit with minimal harm|| || ||




factors that determine the intensity of a drug response: medical
|| || || || || || || || || ||



administration - CORRECT ANSWER✔✔-1. med error: is it the correct
|| || || || || || || || ||



dose? route? time?
|| || ||




2. pt adherence: is the pt taking the med?
|| || || || || || || ||




-make sure to inform the pt fully about the med and how to take it
|| || || || || || || || || || || || || || ||



correctly to reduce errors || || ||




factors that determine the intensity of a drug response:
|| || || || || || || || ||



pharmacokinetics - CORRECT ANSWER✔✔-"action of the body on || || || || || || || ||



the drug" - how body processes affect the drug
|| || || || || || || ||




1. absorption
||




2. distribution
||




3. metabolism
||




4. excretion
||




individual variables that can affect drug interaction - CORRECT
|| || || || || || || || ||



ANSWER✔✔-1. physiologic variables (age, gender, weight) || || || || ||




2. pathologic variables (liver/kidney failure)
|| || || ||

,3. genetic variables (alter drug metabolism, cause unique drug
|| || || || || || || || ||



reactions)


physiological variables - very old and very young - CORRECT
|| || || || || || || || || ||



ANSWER✔✔-very young - immature organs || || || ||




very old - more likely to have liver/kidney problems; will hold the
|| || || || || || || || || || || ||



drugs longer ||




pharmacodynamics - CORRECT ANSWER✔✔-"action of the drug on || || || || || || || ||



the body" ||




-once drug has reached its site, pharmacodynamics determines
|| || || || || || || ||



intensity and nature of response
|| || || ||




1. drug-receptor interaction
|| ||




2. pt's functional state (ex. someone who has a tolerance to
|| || || || || || || || || || ||



morphine will have less of a response compared to someone else)
|| || || || || || || || || ||




3. placebo effects
|| ||




indications - CORRECT ANSWER✔✔-conditions for which a drug is
|| || || || || || || || ||



approved
!! every drug has at least one indication (many have multiple)
|| || || || || || || || || ||




when would you use an off-label drug? - CORRECT ANSWER✔✔-"not
|| || || || || || || || ||



approved" for a condition but can help a pt
|| || || || || || || || ||

, ex. many psychiatric meds are sedatives - use them for insomnia...if
|| || || || || || || || || || ||



a pt has depression and insomnia, can use an antidepressant to tx
|| || || || || || || || || || || ||



both conditions (reduces polypharmacy)
|| || ||




therapeutic usefulness - CORRECT ANSWER✔✔-"layman's terms"
|| || || || || ||



helps explain what the drug does to the pt
|| || || || || || || ||




ex. lowers blood pressure, influences blood clotting
|| || || || || ||




therapeutic classification - CORRECT ANSWER✔✔-how the drug acts
|| || || || || || ||




ex. antihypertensives, anticoagulants
|| ||




pharmacologic classification - CORRECT ANSWER✔✔-how the drug
|| || || || || || ||



produces its effect on the body|| || || || ||




ex. diuretic ... (mechanism of action = lower plasma volume)
|| || || || || || || || ||




ACE inhibitor ... (mechanism of action = blocks hormonal activity)
|| || || || || || || || ||




prototype - CORRECT ANSWER✔✔-"key example" of a drug in a
|| || || || || || || || || ||



particular class in which all other drugs are compared to
|| || || || || || || || ||




chemical drug name - CORRECT ANSWER✔✔-named by the IUPAC
|| || || || || || || ||




-each drug has ONE chemical name
|| || || || ||




ex. N-acetyl-para-aminophenol
||

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