Review Part 1 Flashcards
Get through this shit (88 cards)
What form do you use to prescribe Controlled Substances?
DD 1289
What 3 methods can you use to write prescriptions?
Ink
Indelible pencil
typewritten
If you need to prescribe multiple medications what form can you use?
NAVMED 6710/6 Poly-prescription
Poly is a prefix meaning more than one
What must be written on the DD 1289?
8 items
1) Name
2) DOD ID
3) Date of prescription
4) Date of birth/Age
5) Drug-name/form/dosage/quantity dispensed
6) directions
7) signature
8) Refill authorization
In regards to drug/medication,
what must be included on DD 1289?
Full GENERIC name
Form of drug (tabs/capsule)
Dosage (written in metric)
Quantity to be dispensed
Directions on how to take meds
Refill Authorization
What are the 4 principles of pharmacology?
factors
Factors that affect actions of drugs
Factors that affect drug reactions
Various types of drug interactions
Factors influencing drug response interactions
Define Active absorption
Factor that affects an action of drug
Carrier molecule such as a protein or enzyme actively moves the drug across the membrane.
*The bouncer letting you in and preventing the ugly people in.
Define pinocytosis
Factor that affects an action of drug
Cell engulfs the drug particle across the cell membrane.
*It’s like when a Cheeto falls on my stomach and the rolls engulf it.
What is Bioavailability?
The percentage of the administered drug does that reaches the systemic circulation.
*It’s like the people that make it through IDC school.
6 Factors that alter Bioavailability?
Changes in liver metabolism cause by dysfunction
Route of administration
The drug forms
GI mucosa and motility
Food and drugs
Solubility -Drugs that are fat soluble are absorbed faster than water-soluble drugs.
*People love fat instead of water
What disease would require a lower dose of a medication or different medication?
A patient with liver disease may require a lower dose or a different medication that is not metabolized by the liver
The following are what type of pharmaceutical factors:
Adverse reaction
Allergic reaction
Drug idiosyncrasy
Tolerance
Factors that affect drug reactions
Name four Factors that affect drug reactions
Cumulative Drug effect
Toxic
Pharmacogenetics reactions
Pharmaceutic phase
What is an additive (+) drug reaction?
Various type of drug interactions
A reaction that occurs when the combined effect of two drugs is equal to the sum of each drug given alone.
What is synergism?
Various types of drug interactions
A drug interaction that occurs when drugs produce an effect that is greater than the sum of their separate actions.
What is an antagonist drug reaction?
Various types of drug interactions
When one drug interferes with the
action of another, causing neutralization or a decrease in the effect of one drug.
What are the 5 factors that influence a drug response?
Age-metabolism is poor when young/old
Weight
Gender- women require smaller doses
Disease- damn liver again
Route of administration- IV is fast as f*** boy!
What is a teratogen?
a substance that may produce physical or functional defects in a human embryo
why not say causes birth defects…
What is pregnancy categories
A
B
C
D
X
A- human studies SHOW NO risk
B-No EVIDENCE of risk
C-Risk CANNOT be ruled out
D-Positive evidence of risk
X- Contraindicated
Which method is absorbed more slowly than IM injections?
Subcutaneous (SC)
What type of parenteral administration is the Tuberculin test?
Intradermal (ID)
Which drug administration is a method that maintains a relatively blood concentration and reduces the possibility of toxicity?
Transdermal
Which method of drug administration may have a local effect on the lungs?
Inhalation
Drug droplets, vapors, and gas are administered through the mucus membranes of the respiratory tract.
What must you educate your patient when prescribing a Barbiturate (psychotherapeutic)?
Do not take it with alcohol because it will intensify the effect.
