any chemical that can affect living processes Correct Answer-drug
study of drugs and their interactions with living systems Correct
Answer-pharmacology
study of drugs in humans Correct Answer-clinical pharmacology
also known as pharmacotherapeutics; the use of drugs to diagnose,
prevent, or treat disease or to prevent pregnancy Correct Answer-
therapeutics
what are the five branches of pharmacology? Correct Answer-
pharmacognosy-origin; pharmacokinetics-movement;
pharmacodynamics-effect; pharmacotherapeutics-use/purpose;
toxicology
why be concerned about how drugs work? Correct Answer-aids in
memorization of uses, interactions, adverse effects and
contraindications; evaluation of literature; patient-health professional
relationship; peace of mind
pharmacologic knowledge can be applied to: _____; nursing
responsibilities: Correct Answer-patient care and patient education; Pre-
administration assessment,
Dosage and administration,
,Evaluating and promoting therapeutic effects,
Minimizing adverse effects,
Minimizing drug interactions,
Making "as needed" (pro re nata = PRN) decisions,
Managing toxicity
what is the nursing process in pharmacology? Correct Answer-pre-
administration assessment, analysis and nursing diagnoses, planning,
implementation, evaluation (AD PIE)
what are the dug standards? Correct Answer-purity (uncontaminated);
bioavailability (amount absorbed and transported to target site); potency
(strength, power, measurable effects); efficacy (effectiveness,
measurement difficult); safe and toxicity (adverse events and effects)
unintended effect of a drug; occurring at normal dose; related to the
pharmacological properties Correct Answer-side effect
noxious and unintended effect of a drug; occurs at normal doses Correct
Answer-adverse effect/reaction
adverse reaction NOT consistent with applicable product information or
characteristics of drug Correct Answer-unintended adverse reaction
,medical occurrence; temporally associated with use of a medicinal
product, but not necessarily causally related, ex: drug interactions
Correct Answer-adverse event
any untoward medical occurrence that at any dose; results in death, is
life threatening, requires inpatient hospitalization or prolongation of
hospital stay; results in persistence of significant disability or incapacity
Correct Answer-serious adverse event or reaction
schedule of controlled substances Correct Answer-I: No accepted
medical use/High potential abuse
Ex: Heroin, LSD, etc.
II: Severe Physical/Psychological Dependency
Ex: hydromorphone, oxycodone
III: Moderate/Low Physical or High Psychological Dependency
Ex: Anabolic steroids, codeine in combinations, etc.
IV: Limited Physical or Psychological Dependency
Ex: diazepam, lorazepam
V: Low Abuse Potential
Ex: Cough syrup w/codeine
controlled drug regulations: RN implications: primarily schedule II
substances; facility specific; shift counts: beginning and end of each
shift
2 licensed personnel manually count and compare quantity in dispensing
system (Ex: Pyxis®)
, If counts are off... Correct Answer-Another nurse witness and then
sign/document witness of waste/discard
Nurse practice act Correct Answer-Each state has own regulations:
RN may not prescribe or administer Rx without MD order (or standing
order [protocol]);
Advanced Practice Nurses may prescribe
(NP, CRNA, Certified Nurse Midwives, Clinical Nurse Specialists);
Controlled substances vary by state
Chemical Name
Generic Name
Derived from chemical name
Approved by FDA
WILL NOT change
Trade Name (Brand)
Selected by Manufacturer
Copyrighted - ®
May potentially change Correct Answer-
how do drugs get into the body? Correct Answer-prescribed dose,
administered dose (medication errors, patient adherence); concentration
of sites of action: pharmacokinetics (absorption, distribution,
metabolism, excretion); intensity of responses: pharmacodynamics
(drug-receptor interaction, patient's functional state, placebo effects)