NUR 378 - PHARMACOLOGY EXAM 1
PREP
What-is-a-Protein-Bound-Drug?-How-does-it-affect-the-liver-and-metabolism?---ans-
✔✔Medication-competes-with-binding-sits-in-bloodstream.-When-the-medication-binds-
with-albumin,-it-affects-how-much-meds-leave-to-the-tissues.-Too-much-medication-=-
Toxicity.
What-are-the-effects-of-kidney-disease-on-drugs-excreted-by-the-kidneys?---ans-
✔✔Decrease-drug-excretion,-leading-to-drug-accumulation-and-toxicity.
What-are-the-advantages-of-Medications-(PO,-IM,-IV)?---ans-✔✔PO---very-common-and-
convenient.
IM---used-for-poor-soluble-medication
IV---has-a-fast-onset
What-are-the-disadvantages-of-Medication-(PO,-IM,-IV)?---ans-✔✔PO---absorption-varies
IM---risk-for-pain-and-infection
IV---increase-risk-for-infection-and-very-expensive
How-does-medication-compliance-affect-therapeutic-effects-of-medication?---ans-
✔✔Therapeutic-Failure-=-Forgetful,-not-orientated,-no-money,-no-insurance,-impaired.
To-increase-therapeutic-effect-=-simplify,-explain,-monitor,-reminder/schedule.
What-are-3-characteristics-of-a-drug-and-which-is-the-most-important?---ans-
✔✔Effective---Most-Important
Safety
Selectivity
How-can-nonpharmacologic-treatments-affect-pharmacologic-treatments?---ans-
✔✔affect-t/e.-a/e,-and-develop-unique-responses
What-is-absoprtion?---ans-✔✔movement-of-drugs-from-site-to-blood
What-is-distribution?---ans-✔✔blood-to-interstitial-space
What-is-metabolism?---ans-✔✔chemical-alter-of-drug-in-liver
, What-is-excretion?---ans-✔✔kidneys-remove-drug-from-the-body
What-is-the-result-of-having-a-variant-or-not-having-the-varient?---ans-✔✔patient-might-not-
be-able-to-take-the-drug-without-developing-a/e.
What-are-the-priorities-of-the-nurse-after-new-medication-are-administered?---ans-
✔✔assess-for-T/E,-A/E,-VS-and-report-along-with-document
What-factors-can-affect-one's-individual-variability?---ans-✔✔Body-weight
Age
Sex
Genetics
Tolerance
Accumulation
Diet
Hx
Psychological-State
What-are-the-nursing-process?---ans-✔✔Assess
Diagnose
Planning
Implement
Evaluate
What-are-the-nurses-responsibility-before-administering-medication?---ans-✔✔Right-client
Right-Medication
Right-Dose
Right-Time
Right-Route
Right-Document
Right-Education
Right-to-Refuse
Right-to-Assess
Right-to-Evaluate
What-makes-up-a-complete-medication-order?---ans-✔✔Must-include:
Client-Name
Date/Time
Name-of-Drug-(generic)
Dose/Strength
Route
Time
Quantity-
Provider-Name
PREP
What-is-a-Protein-Bound-Drug?-How-does-it-affect-the-liver-and-metabolism?---ans-
✔✔Medication-competes-with-binding-sits-in-bloodstream.-When-the-medication-binds-
with-albumin,-it-affects-how-much-meds-leave-to-the-tissues.-Too-much-medication-=-
Toxicity.
What-are-the-effects-of-kidney-disease-on-drugs-excreted-by-the-kidneys?---ans-
✔✔Decrease-drug-excretion,-leading-to-drug-accumulation-and-toxicity.
What-are-the-advantages-of-Medications-(PO,-IM,-IV)?---ans-✔✔PO---very-common-and-
convenient.
IM---used-for-poor-soluble-medication
IV---has-a-fast-onset
What-are-the-disadvantages-of-Medication-(PO,-IM,-IV)?---ans-✔✔PO---absorption-varies
IM---risk-for-pain-and-infection
IV---increase-risk-for-infection-and-very-expensive
How-does-medication-compliance-affect-therapeutic-effects-of-medication?---ans-
✔✔Therapeutic-Failure-=-Forgetful,-not-orientated,-no-money,-no-insurance,-impaired.
To-increase-therapeutic-effect-=-simplify,-explain,-monitor,-reminder/schedule.
What-are-3-characteristics-of-a-drug-and-which-is-the-most-important?---ans-
✔✔Effective---Most-Important
Safety
Selectivity
How-can-nonpharmacologic-treatments-affect-pharmacologic-treatments?---ans-
✔✔affect-t/e.-a/e,-and-develop-unique-responses
What-is-absoprtion?---ans-✔✔movement-of-drugs-from-site-to-blood
What-is-distribution?---ans-✔✔blood-to-interstitial-space
What-is-metabolism?---ans-✔✔chemical-alter-of-drug-in-liver
, What-is-excretion?---ans-✔✔kidneys-remove-drug-from-the-body
What-is-the-result-of-having-a-variant-or-not-having-the-varient?---ans-✔✔patient-might-not-
be-able-to-take-the-drug-without-developing-a/e.
What-are-the-priorities-of-the-nurse-after-new-medication-are-administered?---ans-
✔✔assess-for-T/E,-A/E,-VS-and-report-along-with-document
What-factors-can-affect-one's-individual-variability?---ans-✔✔Body-weight
Age
Sex
Genetics
Tolerance
Accumulation
Diet
Hx
Psychological-State
What-are-the-nursing-process?---ans-✔✔Assess
Diagnose
Planning
Implement
Evaluate
What-are-the-nurses-responsibility-before-administering-medication?---ans-✔✔Right-client
Right-Medication
Right-Dose
Right-Time
Right-Route
Right-Document
Right-Education
Right-to-Refuse
Right-to-Assess
Right-to-Evaluate
What-makes-up-a-complete-medication-order?---ans-✔✔Must-include:
Client-Name
Date/Time
Name-of-Drug-(generic)
Dose/Strength
Route
Time
Quantity-
Provider-Name
