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LegalissuesandPharm
legal issues and pharmacology
| Question | Answer |
|---|---|
| Pharmacist | Can compound, dispense, recommend, advise, and sell. |
| Doctor | Can prescribe, dispense, and administer. |
| Nurse | Administer, evaluate, educate. |
| 1906 Pure Food and Drug Act | Labeling |
| 1914 Harrison Narcotic Act | Sale of narcotics regulation |
| 1938 Food, Drug, and Cosmetic Act(Amendment to the 1906 Act) | Nonhuman testing required |
| 1952 Durham-Humphrey Amendment(to the 1938 Act) | OTC drugs, prescriptions |
| 1962 Kefauver-Harris Amendment(to the 1938 Act) | Safety and drug effectiveness |
| 1970 Comprehenseive Drug Abuse Prevention and Control Act(Controlled Substances Act) | Education and treatment, enforcement authority, controlled drug schedule, impaired nurse reporting. |
| 1983 Orphan Drug Act | Tax relief, incentives to drug companies |
| 1984 Drug Price Competition and Patent Term Restoration | Generic drugs |
| 1992 Prescription Drug User Fee Act | gave money to FDA to get more drug testing done. Makers had to attach 150,000 dollars so only serious makers send in drug requests. |
| 1997 FDA Modernization Act | Incentive for pediatric studies. 20 % U.S. prescriptions given off of label. |
| 2007 Amendments Act | More resources to FDA, gave FDA money to review ads. |
| Interventions/Managing Controlled Substances | Storage and counting of narcotics. |
| Impaired nurse | Incidence: nurses are more likely to have alcohol and drug problems. (50%) |
| Medication Errors: Factors causing errors | 1.Human performance of knowledge2.Poor oral or written communication3.Inadequate or mislabeled products4.Name confusion5.Poor labeling |
| How to avoid medication errors: | LISTEN to what the patient says. ALWAYS do the SEVEN rights: patient, time, dose, route, drug, expiration, allergy. |
| Inerventions for Medication Errors: | 1.Patient safety-ABC's, assess the patient2. Report the incident3.Give the antidote if necessary4.Incident report5.Copies of incident report to department director, doctor (in-house form...not on chart) |
| Symbolic meaning of drugs to clients | 1.Security2.Danger or cure3.Threat to independence.4.Extension of life. |
| Compliance: | The degree to which clients take medication instructions seriously, concur with them and follow through. |
| Situations that foster noncompliance: | Chronic Illness, Feelse better, Drug is expensive or inconvenient, instructions are too complex, hard to open or pour, tastes bad, complicated drug schedules, don't understand instruction, side effects, confusion, don't appreciate benefit. |
| Why do patients self-medicate rather than consult a doctor? | cheaper, doctor is always busy, already have previous experience |
| What are the disadvantages of home treatment? | Might not know whats wrong w/themself, could be taking wrong meds. |
| Advantages of home treatment? | Start right then, cheaper, don't want to go to doctor for certain conditions, get to make own decisions |
| Homeopathy | The use of plant, mineral or animal substances(crude drugs) in diluted, small doeses to heal the body. |
| Herbalism | Use of leaves, flowers, stems or roots to treat illness. |
| Cultural Sensitivity | Consider individual's health and illness beliefs, consider individual's beliefs about meds and therapy, consider how your beliefs must not get in the way of your client's beliefs. |
| Genome | An organisms entire DNA structure is its genome |
| Human Genome Project(HGP) | 1990-2003: 1. identify estimated 30,000 genes & 3 billion pairs in DNA base. 2. Develop improved prevention, treatment, & cures for disease. 3. Be able to transfer exogeneious genes to sub for or make permanent changes in patients w/genetic diseases. |
| Pharmacogenetics | study of gene variations in drug responses among individuals. |
| Pharmacogenetic goals: | 1.predict patient drug response and proactively tailor drug selection and dosages for optimal treatment outcomes.2.To therefore customize drug selection and dosing to the individual client. |