Chapter 16 (MIDTERM) Flashcards

1
Q

What refers to the movement of a drug from the site of administration to the systemic circulation?

A

Absorption

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2
Q

What are normal stomach changes with older age

A

Decreased secretion of gastric acid
Slowed gastric emptying
Decreased GI motility

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3
Q

What refers to the movement of the drug from systemic circulation to the site of action, it is affects by relative amounts of total body water, fat, protein

A

Distribution

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4
Q

What refers to the biotransformation of metabolites that are easily excreted?

A

Metabolism

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5
Q

What is the elimination of drugs from the body, occurs primarily in the kidneys

A

Excretion

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6
Q

With older adults what should be tested for renal function?

A

Glomerular filtration rate (GFR)

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7
Q

What the drug does to the body
Explains the body’s response to the drug

A

Pharmacodynamics

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8
Q

What is the term used for giving drugs without a clear indication, giving two similar drugs for the same indication, giving drugs that are contraindicated with one another, giving a drug that is too high or too low of a dose

A

Poly pharmacy

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9
Q

What are the six rights of drug administration?

A

Right drug
Right dose
Right time
Right route
Right patient
Right documentation

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10
Q

These drugs are prescribed for yelling, screaming, refusing care, wandering, aggression, and insoluble crying

A

Antipsychotics

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11
Q

What drugs should not be given for a patient with increased risk of falls

A

Antipsychotics

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12
Q

What are often prescribed with a person with anxiety and insomnia?

A

Antihistamines, diphenhydramine

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13
Q

For anxiety a nonCNS depressant such as what will be effective for older adults

A

Buspirone

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14
Q

What med reduces anxiety and increases appetite

A

Mirtazapine

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15
Q

What is the first choice of an antidepressant for older adults?

A

SSRI
Sertraline
Paroxetine
Citalopram

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16
Q

What is the recommended alcoholic drinks per day?

A

No more than 2 drinks for men
No more than 1 drink for women

17
Q

What is the first line of therapy to treat hypertension?

A

Chlorthalidone

18
Q

What medication is used for the management of atrial tachyarrthimias

A

Digoxin

19
Q

What are the most frequently misused drugs?

A

Opioids
Benzodiazepines
Sedatives
Tranquilizers
Stimulants

20
Q

What has been used to treat SUD?

A

Acupuncture

21
Q

Someone who can be a mentor and support the patient during abstinence is called?

A

Sponsor

22
Q

What are some indications of alcohol withdrawal?

A

Elevated BP, HR
Fever
Tremors
Insomnia
N/V
Hallucinating
Seizures

23
Q

What are some drugs that help the alcohol withdrawal process?

A

Disulfiram
Topiramate
Thiamine : helps improve nutritional status

24
Q

What are some symptoms of nicotine withdrawal?

A

Depressed mood
Insomnia
Frustration
Anxiety
Increased appetite
Decreased HR

25
Q

What is are 2 medications that helps with smoking cessation?

A

Bupropion
Varenicline