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PHARM 1 EXAM

PHARM Exam 1; from notes - Alison Miles

QuestionAnswer
pharmacology study of meds and it's action on the body
schedule I; Highest Potential NO therapeutic use (marijuana, cocaine, heroin)
schedule II; High Potential SOME use (morphine, demoral)
schedule III; Moderate Rx needed (codeine, vicoden)
schedule IV; Lower Therapeutic with RX (valium)
schedule V; Lowest used without Rx
absorption influenced by route of administration
distribution circulation to plasma and tissue binding sites; site of action; organs of excretion
factors affecting distribution blood flow; plasma protein binding; tissue binding or receptor sites; chemical properties of the drug
Metabolism making drug water soluble or more polar; processing and breaking down of drugs by body enzymes and chemical transformation: liver, intestines
elimination primary organ is kidneys (also frequently site of toxicity)
Enterohepatic circulation (drugs that are concentrated in bile before entering intestines)
Volatile drugs exists as a gas or vapor are eliminated through lungs (general anesthesia)
Half-life time required to attain 50% of steady state; shorter 1/2 life-more frequent dosing; longer 1/2 life-lasts longerrelationship between drug volume in body and clearance
tolerance decreased response to drug, requiring increased dosage to achieve same effect
dependence repeatedly need drug to function normally
synergistic interaction elicited when effects of the combined drugs are greater than the combined responses of individual drugs
potentiation occurs when a drug that has no effect itself enhances the effect of a second drug
antagonism when one drug inhibits the action of another drug
infants more body water and less body fat; renal elimination is reduced; lack gastric enzymes responsible for drug metabolism; drugs passed through breast milk
gender no significant role in drug action
placebo effect "sugar pill"; substitute inactive substance given for purpose of pleasing a patient's desire for drugs
vitamin K decreases effects of anticoagulants (warfarin, coumadin); leafy green veggies have a lot of vitamin K
CNS (central nervous system) brain & spinal cord
PNS (peripheral nervous system) all nerves outside of brain & spinal cord
SNS (somatic nervous system) sensation & voluntary movement
ANS (autonomic nervous system) functions that are essential to survival; include all organs necessary for survival
sympathetic "fight or flight"
parasympathetic "rest or digest"
Acetylcholine cholinergic (similar to "rest & digest")
Norepinephrine adrenergic (similar to "fight or flight")
anti-cholinergic agents BLOCK muscarinic receptors
adrenergic agonist drugs "mimic" activity of sympathetic nervous system; USES: hypovolemic shock, hypotension, asthma, cardiac arrest, allergic reactions, heart block, increased BP, nasal congestion
adrenergic antagonist drugs adrenergic blocking drugs; reacts on smooth muscle; USES: hypertension, BPH
anxiety feeling of apprehension, worry, or uneasiness that may or may not be based on reality
types of anxiety general anxiety, panic disorder, phobias, obsessive-compulsive disorder, post-traumatic stress disorder
anxiolytic drugs meds necessary when anxiety interferes with daily life; aka: anti-anxiety meds; used to manage anxiety disorders & for short-term treatment of symptoms
potentiating decreasing effects by itself
benzodiazepines NEVER discontinue abruptly
sedative drug that produces a relaxing, calming effect; usually given in daytime
hypnotic drug that induces sleep
Barbiturates act to depress CNS; reduces amt of time in rapid eye (REM) stage; abrupt w/d may cause dreaming, nightmares, or insomnia
TCAs (tricyclic antidepressants) inhibit reuptake of norepinephrine or serotonin at the presynaptic neuron
SSRIs (selective serotonin reuptake inhibitors) inhibit CNS neuronal uptake of serotonin
MAOIs a LOT of drug and food interactions (negative); causes extremely high BP
amphetamines act to stimulate the CNS
anorexiants act on appetite center in hypothalamus, use in obesity; high abuse potential
analeptics stimulate CNS (dopram, vivarin) USES: respiratory depression, relieve fatigue
phychiatric disorder (aka: neuroleptic drugs) extreme personality disorganization and loss of contact with reality
psychosis symptoms hallucinations or delusions, disorganized speech, behavior disturbance, social withdrawal, flattened affect, anhedonia
typical anti-psychotic agents act by inhibiting or blocking dopamine release in the brain
tardive dyskinesia rhythmic involuntary movements of tongue, face, mouth, jaw, or extremities (no known treatment of this)
lithium considered for it's use in regulating severe fluctuation of manic phase of bipolar disorder
manic state of restlessness
degenerative diseases medication is unable to cure most
cholinesterase inhibitors used to treat dementia associated with Alzheimer's disease (doesn't cure..just slows progression) DECREASES LEVELS OF ACETYLCHOLINE IN CNS
Multiple sclerosis autoimmune disorder of CNS; antibodies target & slowly destroy tissues in the brain & spinal cord
convulsion
Created by: txladybug70
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