NURS 615 Pharm Exam 1
Factors associated with clinical judgement and prescribing - Answer-making a diagnosis based on
observation, reflection, and analysis. gathering data and making diagnosis
11 steps in the prescribing process (DGACGIVWIMA) - Answer-1. diagnosis
2. set goal
3. decide on approach
4. choose drug class
5. choose generic drug
6. individualize dose, form, frequency, duration
7. verify suitability
8. write prescription
9. inform patient
10. monitor affects
11. alter if needed
How does hypoalbuminemia affect the process of prescribing? - Answer-less albumin means less drugs
binding, more free floating meds, toxic affects
, drug's half-life - Answer-time it takes for the concentration of the drug in the body to decrease by 1/2
onset of action - Answer-when the desired response is reached
peak of action - Answer-time b/w admin of med and max drug in blood, therapeutic effect reached
duration of action - Answer-time of the desired response
steady-state - Answer-4/5 x the half life, overall intake of med is equal with its elimination
factors affecting absorption - Answer-cell membrane, solubility (lipophilic vs hydrophilic), pH and
ionization
drug metabolism - Answer-inactivation of the medication to prepare for elimination
CYP450 system - Answer-tries to inactivate the med to make it water soluble in order to excrete the
med, responsible for oxidation (method of metab), where drug interactions occur- when taking 2 of
these meds they will either induce or inhibit the other
drug efficacy - Answer-desired effect of med
intrinsic activity - Answer-a drug's efficacy to a drug of the highest observed efficacy
effectiveness - Answer-ability of drug to produce beneficial effect
Factors associated with clinical judgement and prescribing - Answer-making a diagnosis based on
observation, reflection, and analysis. gathering data and making diagnosis
11 steps in the prescribing process (DGACGIVWIMA) - Answer-1. diagnosis
2. set goal
3. decide on approach
4. choose drug class
5. choose generic drug
6. individualize dose, form, frequency, duration
7. verify suitability
8. write prescription
9. inform patient
10. monitor affects
11. alter if needed
How does hypoalbuminemia affect the process of prescribing? - Answer-less albumin means less drugs
binding, more free floating meds, toxic affects
, drug's half-life - Answer-time it takes for the concentration of the drug in the body to decrease by 1/2
onset of action - Answer-when the desired response is reached
peak of action - Answer-time b/w admin of med and max drug in blood, therapeutic effect reached
duration of action - Answer-time of the desired response
steady-state - Answer-4/5 x the half life, overall intake of med is equal with its elimination
factors affecting absorption - Answer-cell membrane, solubility (lipophilic vs hydrophilic), pH and
ionization
drug metabolism - Answer-inactivation of the medication to prepare for elimination
CYP450 system - Answer-tries to inactivate the med to make it water soluble in order to excrete the
med, responsible for oxidation (method of metab), where drug interactions occur- when taking 2 of
these meds they will either induce or inhibit the other
drug efficacy - Answer-desired effect of med
intrinsic activity - Answer-a drug's efficacy to a drug of the highest observed efficacy
effectiveness - Answer-ability of drug to produce beneficial effect
