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Pharmacology for Nurses. A Pathophysiologic Approach Adams - Holland - Urban (Unit 1) Exam Study Guide.

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©BRIGHTSTARS EXAM SOLUTIONS 10/22/2024 12:14 PM Addiction - answerThe overwhelming feeling that drives someone to use a drug repeated Dependence - answerA physiological or psychological need for a substance Physical dependence - answerAn altered physical condition caused by the adaptation of the nervous system to repeated drug use. Psychological dependence - answerFew signs of physical discomfort when drug is withdrawn, but intense compelling desire to continue drug use Controlled Substances - answerAre restricted by the Controlled Substances Act of 1970. Have a high potential for addiction or dependence. Have restricted use. Are placed into one of five schedules: Schedule I drugs have the highest abuse potential, Schedule V the lowest Teratogenic Drug Classification - answerFive categories of risk that a drug poses to a fetus in the case of a pregnant woman taking the drug. A, B, C, D, and X; Class A is the safest, while X poses the most danger to the fetus. Allergic Reactions - answera condition caused by an overreaction of the body's immune system Anaphylaxis - answerLife threatening allergic reaction Five Rights of Drug Administration - answer1. Right patient 2. Right medication 3. Right dose 4. Right route of administration 5. Right time of delivery Right documentation Three Checks of Drug Administration - answer1. Checking drug with MAR (medical administration record) or medication information system when removing it from storage 2. Checking drug when preparing it

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©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM


Pharmacology for Nurses. A
Pathophysiologic Approach Adams - Holland
- Urban (Unit 1) Exam Study Guide.


Pharmacology - answer✔Study of medicine; how drugs are administered; where drugs travel in
the body,
Response that drugs produce.

drug - answer✔A chemical substance that is taken to cause changes in a person's
body or behavior

medication - answer✔A substance that is used to treat or prevent disease or relieve pain.

biologics - answer✔agents naturally produced in animal cells, in microorganisms, or by the body
itself

Mechanism of Action - answer✔how a drug produces its physiological effect in the body

Bioavailability - answer✔the extent to which the body can absorb and use a nutrient

Therapeutic classification of drugs: - answer✔Based on what the drug does clinically

Pharmacologic Classification - answer✔Based on the drug's mechanism of action, or how the
drug produces its effect

Most Drugs have three names - answer✔Chemical, Generic, Trade (CHEMICAL: (1/2)-2-(p-
isobutylphenyl) propionic acid; GENERIC: ibuprofen; TRADE: Motrin)

Generic vs. Trade-Name Drugs - answer✔Trade name drugs with exclusive rights cost more.
When rights end, competing companies offer generic form cheaper

prescription drugs - answer✔Drugs legally available only with a physician's order.

Over the counter drugs (OTC) - answer✔can be purchased without a prescription

, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM

Black Box Warnings - answer✔One of the primary alerts for identifying
extreme adverse drug reactions discovered
during and after the review
process; 1997 FDA created "Black Box Warnings"

Contraindications - answer✔factors that prevent the use of a drug or treatment
why should healthcare professionals be concerned about patients taking herbal medicines? -
answer✔patients could be putting themselves at risk, potential herb-drug interactions

U.S. Pharmacopoeia (USP) - answer✔1820; 1st comprehensive publication formulary used in the
U.S.; drug purity, strength, and directions for synthesis.

USP and National Formulary (NF) - answer✔1852-1975, two drug standards in the US by the
American Pharmaceutical Association (APhA). 1. USP - all drug products. 2. National
Formulary (NF) - pharmaceutical ingredients.

U.S. Pharacopoeia -National Formulary (USP-NF) - answer✔1975 merged into a single
publication

Biologic Control Act - answer✔1902 standardized serum and blood-related products

Pure Food and Drug Act - answer✔1906 - Established government control (FDA) for labeling
medicines

Shirley Amendment - answer✔1912 - Prohibited drugs labeled with false therapeutic
claims

Food, Drug, and Cosmetic Act (1938) and amendments - answer✔1938- Thorough testing of
drug; Proof of safety and efficacy of drug

Dietary Supplement Health and Education Act, 1994 - answer✔1994-Controls misleading
industry claims

Four Stages of Approval for Therapeutic and Biologic Drugs - answer✔1. Preclinical
investigation (1-3 years, average 18months)
2. Clinical investigation (2-10 years; average 5 years)
3. Review of new drug application (NDA) (2 months -7 years, average 24 months)
4. Postmarketing surveillance (adverse reaction reporting; surveys/sampling/testing; inspections)

, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM

Addiction - answer✔The overwhelming feeling that drives someone to use a drug repeated

Dependence - answer✔A physiological or psychological need for a substance

Physical dependence - answer✔An altered physical condition caused by the adaptation of the
nervous system to repeated drug use.

Psychological dependence - answer✔Few signs of physical discomfort when drug is withdrawn,
but intense compelling desire to continue drug use

Controlled Substances - answer✔Are restricted by the Controlled Substances Act of 1970. Have
a high potential for addiction or dependence. Have restricted use.
Are placed into one of five schedules:
Schedule I drugs have the highest abuse potential,
Schedule V the lowest

Teratogenic Drug Classification - answer✔Five categories of risk that a drug poses to
a fetus in the case of a pregnant woman
taking the drug. A, B, C, D, and X; Class A is the safest, while X poses the most danger to the
fetus.

Allergic Reactions - answer✔a condition caused by an overreaction of the body's immune system

Anaphylaxis - answer✔Life threatening allergic reaction

Five Rights of Drug Administration - answer✔1. Right patient
2. Right medication
3. Right dose
4. Right route of administration
5. Right time of delivery


Right documentation

Three Checks of Drug Administration - answer✔1. Checking drug with MAR (medical
administration record) or medication information system when removing it from storage
2. Checking drug when preparing it

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