Understanding Pharmacology Essentials for Medication Safety, 3rd Editionby f f f f f f f f
Workman & LaCharity
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TABLE OF CONTENTS f f
Chapter 1: Drug Regulation, Actions, and Responses
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Chapter 2: Safely Preparing and Giving Drugs
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Chapter 3: Mathematics Review and Introduction to Dosage
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Calculations
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Chapter 4: Medical Systems of Weights and Measures
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Chapter 5: Dosage Calculation of Intravenous solutions and Drugs
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Chapter 6: Anti-Inflammatory Drugs
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Chapter 7: Drugs for Pain Control
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Chapter 8: Anti-Infectives: Antibacterial Drugs
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Chapter 9: Anti-Infectives: Antiviral Drugs
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Chapter 10: Anti-Infectives: Antitubercular and Antifungal Drugs
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Chapter 11: Immunizations
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Chapter 12: Anticancer Drugs
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Chapter 13: Drug therapy for Diabetes
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Chapter 14: Drug Therapy for Thyroid and Adrenal Gland Problems
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Chapter 15: Drug Therapy Affecting Urine Output
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Chapter 16: Drug Therapy for Hypertension
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Chapter 17: Drug Therapy for Heart Failure
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Chapter 18: Drug Therapy for Dysrhythmias
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Chapter 19: Drug Therapy for High Blood Lipids
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Chapter 20: Drug Therapy to Disrupt Clotting
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Chapter 21: Drug Therapy for Asthma, Chronic Obstructive Pulmonary Disease, and Pulmonary
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Fibrosis/Hypertension
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Chapter 22: Drug Therapy for Gastrointestinal Dysfunction
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Chapter 23: Drug Therapy for Gastric Ulcers and Reflux
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Chapter 24: Drug Therapy with Nutritional Supplements
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Chapter 25: Drug Therapy for Seizures
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Chapter 26: Drug Therapy for Parkinson’s and Alzheimer’s Diseases
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Chapter 27: Drug Therapy for Psychiatric Problems
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Chapter 28: Drug Therapy for Insomnia
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Chapter 29: Drug Therapy for Eye Problems
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Chapter 30: Drug Therapy for Osteoporosis and Muscle Relaxation
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Chapter 31: Drug Therapy for Male Reproductive Problems
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Chapter 32: Drug Therapy for Female Reproductive Problems
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Chapter 01: Drug Regulation, Actions, and Responses
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MULTIPLE CHOICE
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BASIC CONCEPTS f
1. Which health care professional has the major responsibility for dispensing prescribed
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drugs under the direction of a pharmacist?
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a. Physician
, b Nurse practitioner f
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c. Licensed nurse f
d Pharmacy technician f
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ANS: D f
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering drugs,
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although under some circumstances a licensed nurse may dispense prescribed drugs but this isnot
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his or her major responsibility in drug therapy. The pharmacy technician has the major
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responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
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DIF: Cognitive Level: Remembering f f REF: p. 3 f
2. Which term describes the effect of a drug that improves body function?
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a. Side effect
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b Intended action f
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c. Adverse reaction f
d Idiosyncratic response f
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ANS: B f
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.This
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response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering f f REF: p. 3 f
3. Which type of drug name is “owned” by the company that manufactures it?
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a. Generic name f
b Chemical name f
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c. Category name f
d Trade name f
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ANS: D f
The chemical name is a drug’s exact chemical composition. The generic name is the name
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assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
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category name refers to the type of drug (what it does or what it is used for) and is not an actual
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drug name. The trade name (brand name) is the name provided and owned by a specific drug’s
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manufacturer.
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DIF: Cognitive Level: Remembering f f REF: p. 4 f
4. Which drug or drug class is a “high alert” drug?
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a. Penicillin
b Insulin
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c. NSAIDs
d Calcium
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ANS: B f
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrong
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patient, or not given to the correct patient. Drugs classified as high alert drugs include potassium,
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narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly
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affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: Cognitive Level: Remembering f f REF: p. 4 f
5. What is the term for a drug that has the same action as a naturally occurring body
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hormone or enzyme?
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a. Agonist
b Blocking agent f
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c. Chemical
d Duplicator
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ANS: A f
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the
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actions of naturally occurring body substances (intrinsic drugs). A blocking agent is a drug
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, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologic
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term.
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DIF: Cognitive Level: Remembering f f REF: pp. 6-7 f
6. Which term describes how the body affects drug activity?
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a. Drug potency f
b Pharmacodynamics
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c. Therapeutic effect f
d Pharmacokinetics
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ANS: D f
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how a drug works to change body function. Drug potency refers to
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how strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering f f REF: p. 10 f
7. In the United States, which group is responsible for enforcing established standards for
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drug manufacturing?
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a. U.S. Pharmacopeia f
b National Institutes of Health f f f
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c. Food and Drug Administration f f f
d Association of Pharmaceutical Manufacturers f f f
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ANS: C f
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards
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are enforced by the Food and Drug Administration. Neither the National Institutes of Health nor
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the Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: Cognitive Level: Remembering f f REF: p. 5 f
8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal route.
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b Transdermal drugs must be sterile rather than clean. f f f f f f f
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c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulation.
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