Chapter 5 Adverse Drug Reactions Flashcards

1
Q

What is a controlled substance**

A

Any drug that has a potential for abuse and whose use or possession is regulated by the government

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2
Q

What schedule of drug is the most dangerous/addictive**

A

Schedule 1 has the highest potential for abuse and schedule 5 has the least potential for abuse

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3
Q

whats the definition of an adverse effect from a medication**

A

Undesirable effect that occurs secondary to a medication

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4
Q

What is an adverse drug reaction

A

ADR is a type of adverse drug effect where the cause is unknown

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5
Q

whats the definition of side effect of a drug

A

effects of a drug that are predictable and which may occur at therapeutic doses and are less severe than an adverse effect

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6
Q

What qualifies as an adverse drug effect

A

-Med that can result in death
-Can cause birth defects
-cause life threatening event
-requires intervention to prevent serious consequences
-requires reporting by the nurse

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7
Q

what are ways that a nurse reports adverse drug responses

A

to manufacture directly
pharmacist
Health canada vigilance program
PSLS

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8
Q

what is the food and drug regulation act

A

set of legal documents that regulates health canada the vigilance program etc

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9
Q

what is the canadian vigilance program

A

branch of health canada that assesses reports of adverse reactions to drugs on the market and provides tools for HCP’s to report adverse effects

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10
Q

what is a drug allergy caused by

A

a hyper response of the body’s defenses which releses numerous chemicals into peripheral system and initiate a massive inflammation response

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11
Q

what determines severity of allergic reaction**

A

totally determined by the persons body and not the dose of the drug

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12
Q

what is a necessary factor to have an allergic response to a drug**

A

must have previous exposure to that drug

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13
Q

are allergic reactions a hereditary trait**

A

no it is usually not a passed down trait (ie if your family member is allergic to a drug then doesn’t mean you will be)

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14
Q

What is cross sensitivity**

A

if someone is allergic to a specific type of drug they may be allergic to that whole family of drugs

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15
Q

what is the most common time frame for S&S to start occurring from a drug allergy**

A

most commonly show up an hour after someone takes the drug but s&s can show up at any time

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16
Q

what is anaphylaxis

A

rare lifethreatining reaction to a drug that causes widespread dysfunction of body systems

17
Q

what are the two most serious anaphylactic symptoms

A

restriction of airways and drop in blood pressure

18
Q

what are 6 drug classes that are most likely to cause allergic reactions

A

Penicillin
Codeine
Radiologic contrast media with iodine
NSAID’s
Cancer chemotherapy
preservatives

19
Q

what are teratogens drugs

A

Drugs that have the potential to cause birth defects

20
Q

what are three classes of drugs that may cause cancer

A

Antineoplastic
hormones and hormone antagonists
immunosuppressants

21
Q

what are the three effects that drug interactions can have on medication

A

-The medication can be inhibited by the interaction
-the medication can be enhanced by the interaction
-the interaction may produce a totally different response to the medication

22
Q

What is an additive drug interaction

A

when two drugs are given together to produce a greater response than if the drugs were given separately (1+1=2)

23
Q

What is a synergistic drug interaction

A

When two drugs are given together to produce a greater effect than simply adding the two drugs effects ie 1+1=3

24
Q

what is a potentiate drug interaction

A

drug that itself has no therapeutic effect but enhances the effect of another drug ie 1+0=1

25
Q

would the presence of food usually increase or decrease the effect of a drug

A

the presence of food decreases the potential effect of a drug

26
Q

if there is increased stimulation of CYP enzymes what will happen to the potential drug effect

A

if there are more CYP enzymes then the drug will be metabolized faster and will have less of an effect

27
Q

if there is an inhibition of CYP enzymes then what will happen to the potential drug effect

A

there will be an increased potential effect of the drug because it will not be metabolized as fast

28
Q
A