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Pharmacology
drug classes adverse reactions and nursing interventions
| Question | Answer |
|---|---|
| NURSE | NAME, USE, REPSONSIBILTY, SIDE EFFECTS, EVALUATION |
| DRUG CLASSES | LEGEND AND OTC |
| DRUG CLASSIFICATIONS | CHEMICAL, PHARMACOLOGICAL, THERAPEUTIC |
| THERAPEUTIC | ANALGESICS-PAIN, TREATMENT AND PURPOSE |
| CHEMICAL | STRUCTURE |
| PHARMACOLOGICAL | ACTION OF DRUG-ACE INHIBITORS |
| DRUG SOURCES | NATURAL, SYNTHETIC, SEMISYNTHETIC, GENETICALLY ENGINEERED |
| AGONISTS | ACTION, DRUG BINDS TO AND ACTS ON CELLS PRODUCING AN EFFECT |
| ANTAGONISTS | BLOCKS EFFECTS, EXP. NARCAN |
| FIRST PASS EFFECT | TOLL BOOTH-PASSES GI AND INTO LIVER AND HEPATIC PORTAL ONLY SMALL AMT REMAINS |
| ONSET | STARTING LINE-MIN LEVEL OF CONCENTRATION TO PRODUCE A REPSONSE |
| ADME | ABSORPTION, DISTRIBUTION, METABOLISM AND EXCRETION (PHARMAKINETICS |
| PEAK | SUMMIT-MAX EFFECT |
| CONTROLLED SUB ABUSE ACT | 1970-defined drug dependence and addiction, classified drugs according to abuse potential, established methods for regulating manufacture, distribution and sale of controlled substances |
| FDA | 1988-department of health and human services, sets mechanism for appointment of commissioner of food and drug administration |
| ROLLER COASTER VISUAL | ONSET-You feel Better-line crosses threshold, PEAK-max power top of hill; DURATION-total time line stays above threshold. |
| CATERGORY D | PREGNANCY -BENEFITS TO MOTHER OUTWEIGH SIDE EFFECTS TO FETUS. |
| DRUG REACTIONS | anaphylaxis, tachycardia, dyspnea and profound uticaria(hives) |
| ROUTES | ENTERAL, PARENTERAL AND OTHER |
| ENTERAL | ORAL, SL AND BUCCAL |
| PARENTERAL | IV, IM, ID, SC |
| OTHER | TOPICAL-OINTMENTS AND CREAMS. EYES, EARS,NOSE, LUNGS, VAGINA AND RECTUM |
| ORAL | check for ability to swallow, check with MD for other solutions if not, slowest onset |
| IV | fastest onset, 14-21 gage larger smaller needle |
| INDRADERMAL | under skin, bevel up, needle at 10-15 angle, gages 25 26 27, barrel 3/8 5/8 and 1/2 |
| SC | 1ML max, site of choice abdomen back of arm and top of thigh; rotate sites |
| ROTATE SITES WHY | prevent lipatrophy, lipohypertrophy and lipadystrophy |
| Lipotrophy | loss of fat |
| lipahypertrophy | hardened areas |
| lipadystrophy | abnormal distribution of fat |
| IM | Massage and Aspirate needle, deltoid and ventraclute, 90 degree angle, 3ML MAX, gage 1/2 1 or 2, |
| TRANSDERMAL | patches, rotate and document, date time and initial, middle of back for child, take off old before putting on new, put gloves on |
| HEPRON AND LOVAMAX | H-abdomen L-love handles, DO NOT MASSAGE OR APSIRATE |
| VAGINAL | lay flat, L Lateral or L Sims, 15-30 minutes |
| RECTAL | L Sims, past sphrinter |
| INHALATION | 2-3 seconds inhale, hold breath 10 Sec, 2 inch from mouth, 1-3 Min between puffs |
| Z Track | pull skin taunt towards you before injecting to avoid skill staining, Meds like IRON |
| 6 RIGHTS | right patient, right med, right time, right dose, right route, right documentation right purpose and right response |
| ADPIE | assessment, diagnosis, planning, intervention and Evaluation |
| DO NOT CRUSH | DUR, SR, CR, CD, SA , Contin, LA, EC, ER, XL, EVT, I-irritant, MMI, ODT, TR and SL |
| MED ORDERS | PRN, STANDARD, STAT, PHONE, VERBAL, SCRIPT, TIMED, SINGLE |
| MULTI DOSE VIAL | must date , time and initial, no longer than 28 days or past expiration if less, if soiled discard |