Chapters 1, 2, and 4 Flashcards
(21 cards)
any chemical substance that when administered, produces a change in function
Drug
The study or the effects of chemical substances on living tissues. More specifically, it is the study of drugs, their sources, their nature, and their properties; and more importantly for our purposes, it is the study of the body’s reaction to drugs
Pharmacology
study of drugs used to treat, diagnose, or prevent a disease
Clinical pharmacology
empowered the FDA to monitor and regulate the manufacturing and market of drugs
1938- Food, Drug, and Cosmetic Act
distinguished what could be sold with or without a prescription
1952- Durham-Humphrey Amendment to the 1938 Act
tightened the control on experimental medications. must provide information on labeling and in use of literature.
1962- Kefauver-Harris Amendment to the 1938 Act
remedy for escalating drug abuse problem:
- promote drug education and research into prevention and treatment of drug dependence
- strengthening of enforcement authority
- establishment of treatment and rehab facilities
- designation of schedules for controlled substances according to abuse potential*
1970- Controlled Substances Act
accelerated review of new drugs
1997- The Food and Drug Administration Modernization Act
Have no accepted medical use and a high potential for drug abuse:
-heroin, hallucinogens (LSD, marijuana, mescaline, peyote, psilocybin)
Schedule I drugs (C-1)
Accepted medical use. High potential for drug abuse:
-Meperidine (Demerol), morphine, hydrocodone (Hycodan), hydromorphone (Dilaudid), methadone (Dolophine), oxycodone (Oxy-Contin), codeine, amphetamines, secobarbital, pentobarbital (Nembutal)
Schedule II drugs (C-II)
Medically accepted drug. Potential abuse is less than I and II:
- Codeine preparations, paregoric, nonnarcotic drugs (pentazocine [Talwin])
Schedule III drugs (C-III)
Medically accepted drugs. May cause dependence:
-Phenobarbital (Luminal), benzodiazepines (diazepam [Valium], oxazepam [Serax], lorazepam [Ativan], chlordiazepoxide [Librium]), chloral hydrate (Aquachloral), meprobamate
Schedule IV drugs (C-IV)
Medically accepted drugs. Very limited potential for dependence:
-Opioid-controlled substances for diarrhea and cough (codeine in cough preparations)
Schedule V drugs (C-V)
Nurse Practice Acts:
- negligence
Misfeasance
Nurse Practice Acts:
- omission
Nonfeasance
Nurse Practice Acts:
- correct drug, wrong route
Malfeasance
describes chemical structure of drug
Chemical name
official, nonproprietary name (-USP)
Generic name
proprietary, chosen by drug company (®)
Brand/trade name
American Hospital Formulary Service
“Physician’s Desk Reference”
“Drug Facts & Comparisons”
U.S. Pharmacopeia–Drug Information (USP-DI)
Drug Resources
- disintegration and dissolution
- needed for po meds only
- may be enhanced by “excipients” (enhances absorption)
- may be altered by gastric pH
Pharmaceutic Phase