Drug Safety Flashcards

(78 cards)

1
Q

What happened in the 1906 pure food and drug act

A

first attempt to protect consumers in manufacture of drugs/food

minimal standards

label if dangerous

2 references

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2
Q

What were the 2 references for the 1906 pure food and drug act

A

USP- United States Pharmacopeia

NF- National Formulary

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3
Q

what happened in the 1938 Federal food, drug, and cosmetic act

A

passed after sulfa drug incident

safety for new drugs, factory inspections, new standards for food

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4
Q

what happened in the 1951 FD &C Durham-Humphrey Amendment

A

Defined drugs that could only be purchased if the patients had a prescription from a licensed practitioner

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5
Q

what happened in the 1958 FD &C Food additives amendment

A

approval of new food additives

“No additive shall be deemed safe if it is found to induce cancer when ingested by man or animal”

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6
Q

What were the amendments to the FD & C food additives

A

GRAS (generally recognized as safe)

if FDA or USDA had previously approved them

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7
Q

what happened in the 1960 FD &C Color additives amendment

A

all colors must be approved

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8
Q

what happened in the 1962 FD &C Kefauver-Harris amendment

A

standard labeling for adverse reactions/ contraindications

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9
Q

what happened in the 1970 FD &C comprehensive drug abuse prevent and control act

A

controlled substances act

regulate dispensing of drugs

assigned 5 schedules

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10
Q

what happened in the 1994 Dietary supplements health and education act

A

FDA responsible for taking actin against any unsafe supplement after it reaches market

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11
Q

Schedule 1

A

high abuse potential

no medical use

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12
Q

Schedule 2

A

high abuse potential

accepted medical use

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13
Q

Schedule 3

A

moderate abuse potential

accepted medical use

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14
Q

Schedule 4

A

low abuse potential

accepted medical use

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15
Q

Schedule 5

A

limited abuse potential

accepted medical use

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16
Q

examples of schedule 1 drugs

A
heroin 
LSD
marijuana
ecstasy
methaquaione
peyote
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17
Q

examples of schedule 2 drugs

A
Vicodin
cocaine
dilaudid
Demerol
ocycontin
Dexedrine
Adderall
ritalin
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18
Q

examples of schedule 3 drugs

A

tylonol with codeine
ketamine
anabolic steroids
testosterone

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19
Q

examples of schedule 4 drugs

A
Xanax
soma
Darvocet
valium
Ativan
ambien
tramadol
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20
Q

examples of schedule 5 drugs

A
robitussin AC (codeine)
lomotil
motofen
lyrica
parepectalin
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21
Q

Reinvestigation of 1996 Food quality protection act

A

pesticide tolerance levels

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22
Q

FDA

A

Food and drug administration

Food labeling
food ingredients and packaging
pharmaceuticals
supplements
medical devices
vaccines
animal food
tabacco
cosmetics
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23
Q

DEA

A

Drug Enforcement Administration

Controlled substances only

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24
Q

USDA

A

US Department of Agriculture

Food distribution
school lunch programs

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25
EPA
Environmental protection agency Agricultural and industrial chemicals water
26
CPSC
Consumer products safety commission Recalls
27
OSHA
Occupational safety and health administration workplace chemical exposure
28
What are the 2 requirements FDA must meet prior to use in humans
1-efficacy | 2-safety
29
LD50
lethal dose that will kill 50% of animals tested
30
TI
therapeutic index LD50/ED50 used to establish dosage levels in animal trials
31
NOAEL
no observed adverse effect level highest dose without any adverse effect
32
LOAEL
lowest observed effect level lowest level which there was still a statistically significant observed adverse effect
33
Adverse effects are dependent on what
Dose
34
What are common adverse effects to oral drugs
GI issues N/V/D
35
What are teratogens
causes birth defects from maternal drug administration
36
what are carcinogens
promote growth of cancerous cells
37
what is a drug allergy
Drugs acts as an antigen and body produces antibodies against the drug histamine released from mast cells
38
What is a hypersensitivity
milder response, usually | rash, hives, itching, runny nose
39
What is anaphylaxis
severe, possibly fatal reaction Urticaria, vascular collapse, low BP, shock, cyanosis, laryngeal edema, bronchoconstriction, dyspnea
40
What is an idiosyncasy
unique, unusual, or unexpected response because of genetic variations in enzymes altering drug metabolism
41
what is a paradoxical effect
opposite effect from what is expected
42
what is tolerance
decreased response that develops after repeated doses are given
43
what is dependence
acquired need for a drug, may produce psychological or physical symptoms of withdrawal when discontinued
44
Most susceptible to direct toxic action
liver-metabolically active kidneys-filter waste lungs-position and function
45
Why is an organ targeted for direct toxic action
Blood flow particular enzymes organ specialization detoxification system
46
How much CO does the liver receive
2%
47
What is steatosis
fatty liver | increase in triglycerides
48
What is cytotoxic damage
cell death
49
What is cholestatic damage
damage to biliary system
50
What is cirrhosis
scaring of liver due to chronic damage/repair
51
What is proliferations of perioxisomes
modulation of gene expression
52
How do they detect liver damage
AST and ALT are both increased bilirubin is increased albumin is DECreased
53
AST
aspartate transaminase
54
ALT
alanine transaminase
55
How much CO does the kidney receive
25%
56
How do they detect kidney damage via bloodwork
BUN increased | creatine increased
57
BUN
blood urea nitrogen
58
how do they detect kidney damage via urinalysis
``` urine volume pH specific gravity Y-glutamyltransferase N-acetylglucosaminidase ```
59
How much CO do lungs receive
100%
60
Is there a biochemical test for lung damage
NO
61
How do they test for lung damage
Forced expiratory vol forced vital capacity biopsy
62
Pharmacokinetic based effects
increased concentration of the compound or active metabolite
63
pharmacodynamic based
altered responsiveness of the target site
64
What causes respiratory failure
insecticides and nerve gases
65
what causes CNS disturbances
organophsophates | insecticides
66
What alters BP
RX meds
67
What alters blood glucose
``` RX meds industrial solvent (hydrazine) ```
68
what causes anesthesia
toxic solvents carbon tetrachloride vinyl chloride
69
what causes electrolyte imbalances
furosemide caffeine ethanol mercury
70
When is a fetus most susceptible to gross anatomical abnormalities from teratogens
organogenesis | days 18-55
71
Common immunotoxicity: drugs
penicillin
72
Common immunotoxicity: industrial chemicals
toluene
73
Common immunotoxicity: natural chemicals
pentadecylcatechol
74
Common immunotoxicity: food additives
tartrazine | FD&C yellow 5
75
Common immunotoxicity: food constituents
egg white (albumin)
76
Mutagenesis
drug interacts directly with DNA → DNA damage
77
clastogenesis
chromosomal damage
78
aneugenesis
acquisition or loss of complete chromosomes