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Drug Action
Drug Action and Interactions
Term | Definition |
---|---|
Receptors | Cellular protein that binds to a hormone so that a response can be elicited. |
Pharmacodynamics | The study of interactions between drugs and their receptors and the series of events that result in a pharmacologic response. |
Agonists | Drugs that interact with a receptor to stimulate a response. |
Antagonists | Drugs that attach to a receptor but do not stimulate a response; used to block the receptor from attaching to another substance. |
Partial Agonists | Drugs that attach and elicit a small response but also block other responses. |
Enteral | Administering a drug directly into the gastrointestinal tract by oral, rectal, or nasogastric routes. |
Parenteral | Subcutaneous, intramuscular, or intravenous method of administration; treatment by injection. |
Percutaneous | A method of drug administration that includes inhalation, sublingual (under the tongue), or topical (on the skin) administration. |
Pharmacokinetics | The study of the mathematical relationships among the absorption, distribution, metabolism, and excretion of individual medicines over time. |
Absorption | When a drug moves from its site of administration to the blood. |
Distribution | The ways in which drugs are transported by the circulating body fluids to the sites of action (receptors), metabolism, and excretion. |
Drug blood level | An assay to determine the amount of drug present in a blood sample. |
Metabolism | Tissue change; the sum of all the physical and chemical process by which a living creature is produced and maintained; the transformation by which energy is made available for the uses of the organism. |
Excretion | Elimination of drug metabolites and, in many cases, the active drug itself from the body. |
Half-life | The amount of time required to eliminate 50% of the drug from the body. |
Onset of action | Time when the concentration of a drug at the site of action is sufficient to start a physiologic (pharmacologic) response. |
Peak action | Time at which the drug reaches the highest concentrations on the target receptor sites, inducing the maximal pharmacologic response for the dose given. |
Duration of action | The length of time a drug has a pharmacologic effect on an individual. |
Desired action | The expected response that occurs when a drug enters a patient and is absorbed and distributed. |
Side effects | The unintended response produced by drugs when they affect more than one body system simultaneously. Also known as adverse effects. |
Common adverse effects | Symptoms that can be alleviated or prevented by actions of the nurse or patient that will require immediate planning for patient education. |
Serious adverse effects | Symptoms of drug therapy for which the nurse has a responsibility to monitor the patient and report these symptoms to the healthcare provider. |
Idiosyncratic reaction | An adverse drug reaction resulting from a genetic polymorphism. |
Allergic reactions | Reaction to a drug in which a patient has developed antibodies to previous exposure of the drug, and upon re-exposure, the antibodies cause a reaction such as hives |
Drug interaction | When the action of one drug is altered by the action of another. |
Unbound drug | Medicines not bonded to proteins. Usually dissolved in blood and does not require a protein carrier. |
Additive effect | A drug interaction that occurs when two drugs with similar actions are taken, thus doubling the effect. |
Synergistic effect | The combined effect of two drugs is greater than the sum of the effect of each drug given alone. |
Antagonistic effect | A drug interaction in which one drug interferes with the action of another. |
Displacement | The displacement from protein-binding sites of the first drug by a second drug, increasing the activity of the first drug. |
Interference | The drug interaction that occurs when the first drug inhibits the metabolism or excretion of the second drug, causing increased activity of the second drug. |
Incompatibility | A drug interaction that occurs when the first drug is chemically incompatible with the second drug, causing deterioration when both drugs are mixed in the same syringe or solution. |