Exam 1 Study Guide: Goldstein Flashcards

(73 cards)

1
Q

parenteral routes absorbed through mucous membrane (MM)

A

buccal
sublingual
rectal (PR)
vaginal

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2
Q

intravenous (IV)
subcutaneous (SC, sub-q)
intramuscular (IM)
intraosseous (IO)

A

Parenteral routes

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3
Q

100% interchangeable with another route such as IV

A

intraosseous (IO)

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4
Q

absorbed through the skin going into circulation

A

transdermal (TD)

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5
Q

into the nose

A

intranasal (IN)

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6
Q

absorbed through the skin - localized

A

topical

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7
Q

into the eyes

A

ophthalmic

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8
Q

into the ears

A

otic

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9
Q

just beneath the skin
TB

A

intradermal

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10
Q

oral (PO)
nasogastric tube (NG)
orogastric tube (OG)
oral disintegrating tablets (ODT)

A

enteral routes

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11
Q

will have the quickest onset

A

parenteral

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12
Q

using medications for improving health

A

pharmacotherapeutics

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13
Q

how medications move through the body

A

pharmacokinetics

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14
Q

the way a drug effects changes in the body

A

pharmacodynamics

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15
Q

what a drug does that leads to the drugs desired effects

A

mechanism of action (MOA)

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16
Q

what the company markets the drug as

what the public uses

A

trade/brand name

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17
Q

what is most often used in healtchare

A

generic name

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18
Q

a single pill or solution that contains multiple medications

i.e Nyquil - vicodin

A

combination drug

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19
Q

drugs that are FDA approved and deemed safe for the public to regulate consumption

low risk to general public

A

OTC

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20
Q

how quickly the medication takes effect

A

onset

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21
Q

how long the medication lasts

A

duration

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22
Q

what the medication is used for

A

indications

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23
Q

how long unil the medication level drops by half

A

half-life

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24
Q

when a large dose is given to quickly, bringing the drug to therapeutic levels

A

loading dose

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25
example of a loading and maintenance dose
z-pack zethromicine
26
when a dose is given to maintain the current levels
maintenance dose
27
how strong a medication is
potency
28
how effective a medication is most effective
efficacy
29
when a medication stimulates the effects of a receptor or substance activates
agonist
30
examples of agonists
heroin-opioid receptors serotonin 5-HT agonist
31
when a medication inhibits the effects of a receptor or a substance deactivates
antagonist
32
examples of antagonist
NSAIDs narcan acetamenophine beta blocker
33
when a medication is used for an effect other than what it is FDA approved for
off-label use
34
slow discontinuation of medication
taper
35
slow increase of medication
titrate
36
applies only to drugs, does not provide information on latex, shellfish, or any other allergies
NKDA no known drug allergies
37
applies to everything
NKA no known allergies
38
is when a patient does not respond to a medication or treatment
refractory
39
an alert of potential risk with a medication
black box warning
40
an alert to consider the risk versus benefit of a medication
consideration
41
an alert to not give the medication in the circumstance where it is contraindicated
contraindication
42
a vial that has more than one dose in it i.e. insulin
multi-dose vial (MDV)
43
the lowest concentration where the medication is effective
minimum effective concentration
44
the concentration where the medication is toxic
toxic concentration
45
the area between effective and toxic concentrations
therapeutic range
46
substances that are taken for health that are not regulated like medications by the FDA
Complementary and Alternative Medications (CAM)
47
examples of CAM
ginger, hawthorn, garlic, turmeric, honey, etc.
48
being considerate of costs in making medication decisions
pharmacoeconomics
49
what factors of absorption impact the delivery of the medication
blood flow route etc.
50
no federally approved medical uses no legit medical purpose ex: heroin, marijuana, LSD, etc.
Schedule 1
51
approved medical use and the highest level risk of abuse and dependency ex: hydromorphone, fentanyl, morphine, etc.
Schedule 2
52
high risk for abuse and dependency but less than I/II ex: amphetamine, pentobarbital, etc.
Schedule 3
53
relatively low risk of dependency and abuse ex: benzodiazepines, etc.
Schedule 4
54
lowest relative risk of abuse and dependency products containing small amounts of codeine
Schedule 5
55
if patient says the meds aren't working, what do you do?
ask "how are you taking your meds?"
56
check respiration rate and respiratory depth for?
opioid distress
57
what are the 4 drug classes?
opioid agonists/antagonists Non-steroidal anti-inflammatory drug (NSAID) NSAID: COX 2 inhibitors Central acting antagonists
58
opioid agonists drugs
fentanyl hydromorphone (dilaudid) morphine codeine
59
what drug is used to reverse in cases of respiratory depression?
Naloxone (narcan)
60
example of a combination medication with acetaminophen?
Vicodin (hydrocodone and acetaminophen)
61
considered an opioid by some sources and non-opioid analgesic in others?
tramadol (ultram)
62
NSAID drugs
ibuprofen (advil, motrin): OTC ketrolac (torodol): Rx meoxicam (mobic): Rx naproxen (aleve): OTC Aspirin
63
what is opioid used for?
pain codeine (cough)
64
SE/AE for opioid agonists
respiratory depression constipation nausea sedation
65
what is NSAID used for?
anti-inflammatory analgesia antipyretic
66
SE/AE for NSAIDs
GI bleeding nephrotoxicity hepatotoxicity
67
aspirin is not to be used in childrent under 18yo due to risk of what?
Reye's Syndrome
68
what NSAID medication is the only one used for tinnitus?
Aspirin
69
NSAID: COX - 2 inhibitors drug
celecoxib (celebrex)
70
what is NSAID: COX-2 inhibitor used for?
anti-inflammatory in RA and OA
71
Central Acting Antagonist drug
Acetaminophen (tylenol) - not an anti-inflammatory
72
what is central acting antagonist drugs used for?
analgesia and antipyretic
73
what is used to reverse acetaminophen overdose?
N-Acetylcysteine