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Unit 2 Pharmacology

QuestionAnswer
What are some of the different sources of drugs? plants, animals, minerals, lab synthesis
digitialis plant produces what drug? lanoxin (digoxin) treats heart conditions
bark of the yew tree produces? taxol (paclitaxel) stops cancer cell growth stabilizing microtubules and prevents cell division
what drug can caffeine produce nicotine
animal hormones can be derived to make? insulin in 80s (pig or cow pancreas) , had higher incidence of allergic reactions
what kind of minerals can make drugs? calcium, zinc, iron
lab synthesis is also known as genetic engineering
what does synthetic mean nucleus of drug from natural source and chemical structure is altered
examples of lab synthetic drugs procrit, treats those with low rbc's (made up of protein human urethropotin)
why are drugs in certain therapeutic classifications therapeutic classifications include what drugs work for the same endgoal (antihypertensives, lower bP, analgesics pain relievers)
what is the overall goal for different drug classes to reduce pain
what is pharmacological classification how drug works or exerts activity
example of drug within pharmacological classification antihypertensives (lowering bP) - ace inhibitors (inhibits conversion of angiotensin 1-2)
what are prototype drugs lead agent in drug class, used to understand whole class of drugs with similar chemical structures, actions, side effects
chemical names of drugs are assigned by IUPAC
generic names of drugs are assigned by US adopted name council (active ingredient)
brand/trade names of drugs are assigned by pharmaceutical company
combination drugs are multiple drugs in 1 dose (caduet: combo of 2 meds)
pharmacokinetics def study of how drug is affecting body from administration to complete elimination
what is absorption movement of drug from site of administration to various tissues of body
routes of absorption oral drugs must absorb through intestinal wall and enter portal vein before passing through liver and into body's circulation
bioavailability def amt of drug available after passing through the liver
interactions anything that can increase risks for interactions (changes in acidity in stomach) (changes the way another medication affects the body)
distribution def movement of drug by circulatory system to intended site of action
how does distribution work drugs enter blood after they absorb through intestinal wall or alveoli in lungs
where are areas of body that receive highest level of drug and why liver kidneys heart due to rich blood supply
areas of body that don't have rich supply of blood bones or areas that have a natural barrier (brain's blood brain barrier)
differences between drugs that have protein bound molecules vs not with protein bound molecules allow it to be more pharmacologically active
what is metabolism / biotransformation change that occurs in a medication into a more or less potent form of medication (can be more soluble or inactive form of medication)
organ most responsible for metabolism of drugs liver
what is cytochrome p450 referring to hepatic metabolism , large class of enzymes that encompass majority of meds
first pass effect when passing through liver, actual amt of drug to body is less than what client ingested orally (less than 100 bioavailability)
what is bioavailability amt of oral drug available after passing thru liver
what kind of drugs bypass first pass effect parenteral drugs due to absorption through vein or SUBQ
what is excretion elimination of medication or metabolites thru various parts of body
due to renal kidney failure, what can happen for drugs kidneys can hold onto drugs longer due to renal failure
what is onset amt of time medication takes to demonstrate therapeutic response
what is duration of action length of time the medication's therapeutic effect lasts without additional doses
trough level meaning point in time when medication is at its lowest level in the body
what level do we want to be for drug to be most effective in between therapeutic range
what is serum drug concetraiton you can draw blood to get levels to make sure drug is in therapeutic range
what is pharmacodynamics biochemical changes that occur in body as a result of taking a medication (what drug actually does to body)
what is lock n key joining of a drug molecule with reacting site on surface of cell
what are agonists medications that bind with receptors and increase a body's response
what are antagonists medications that bind with receptor and either block or reduce body's response
what is a partial agonist drug that binds to receptor but response is reduced
ex of antagonist narcan blocks fent from reaching their receptor sites
what is an idiosyncratic abnormal response to medication (benadryl makes you tired and calm)
what is pharmacotherapy desire to therapeutic outcome
what is empiric based on clinical probability (uti patient)
what is prophylactic hoping to prevent illness/outcome in PLANNED event (before surgery give antibiotics to decrease risk of infection)
what are side effects secondary unwanted effect (diarrhea) minor
what are adverse reactions unintended pharmacological effect even when med is given correctly
what does an allergic response mean hypersensitivity to drug
what is additive mean 2 drugs with similar actions that are given together adds their effects 1+1 =2
what does synergistic mean when two medications taken together work more strongly than expected 1+1 = 3 ex
incompatability 2 drugs mix together and result is chemical deterioration of 1 or both drugs 1+1 = less than 2
what is Iatrogenic induced inadvertently (occurs by providers treatment but not med error) (patient fell due to IV but not ur fault they fell)
what is teratogenic structural defects in fetus (nono preggo)
what is carinogenic cancer causing
food can do what to absorption of drugs (enteral) when administered at same time, it can delay absorption
parenteral nutrition amino acids, electrolytes delivers total dietary nutrients to patients
for geriatric clients what is polypharmacy taking too many meds at same time (2 many cooks in kitchen)
what is contraindications medications provider SHOULD NOT prescribe due to potential to cause serious or life threatening adverse drug reactions
parenteral meds def IV, SUBQ, IM
what is topical apply to skin eyes nose
what is enteral def methods of drug admin involving GI tract such as oral, sublingual buccal, rectal
Created by: shinykwon
 

 



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