WCU Pharm 180 Exam 1 Solved 100%
sentinel event - Answer unexpected occurrances involving death or serious risk of physical or psychosocial injury
Med errors are tracked by - Answer FDA, ISMP, MEDMARX
Controlled drugs are tracked by - Answer DEA
Schedule V - Answer Lowest. Used therapeutically without prescription. OTC cough medicines with codeine.
Schedule IV - Answer Lower. used therapeutically with prescription. Diazepam, alprazolam, meprobamate
Schedule III - Answer Moderate. used therapeutically with prescription. Anabolic steroids, codeine some barbiturates
Schedule II - Answer High. used therapeutically with prescription. Morphine, cocaine,
methadone. Doc. needs to fill in new order.
Schedule 1 - Answer Highest. hardly used. Limited/no therapeutic use. heroin, LSD
Prototype - Answer Most studied drug, not always the most used. Know.
Know therapeutic and pharmacologic classes
Therapeutic - Answer what you are treating it for. i.e. antihypertensive / diuretic
Pharmacologic - Answer how it is going to work. i.e. B- Blocker, Blocks SNS causing vasodilation
Allergic Reaction - Answer acquired hyperesponse of body defenses to a foreign substance (allergen)
7 rights of drug administration - Answer Patient
Time
Drug
Dosage
Route
Documentation
?
STAT - Answer time frame. 5minutes
ASAP - Answer 30 minutes
NOW Order - Answer 60 min.
PRN - Answer as needed
Routine - Answer until doctor changes prescription. WCU Pharm 180 Exam 1 Solved 100%
Standby - Answer written in advance. carried out under specific circumstances .
STAT, ASAP, NOW one time doses
Enteral - Answer primarily oral, sublingual, bucccal
Topical - Answer onto skin, rectal, cream, eye drops, inhaler
Parenteral - Answer injections IVs
Oral - Answer you lose most of your drug in your stomach digestion and first pass. So you might need a larger dose
Pharmacokinetics - Answer how drug moves through body
Pharmodynamics - Answer biochemical and physiological effects of drugs on the bod
Absorption - Answer most drug is lost in stomach, liver. Higher absorption rate- going
to get absorbed to body quicker.
Metabolism - Answer once it hits the liver, drug is active then changes in liver becomes inactive. Check PT liver for liver function.
Excretion - Answer drug getting rid off; kidney. Check Kidney function.
Onset when drug begins to work
Why is it important to check Albumin levels? - Answer Drugs bind to albumin. While they are combined, drug is inactive, has to be released to cells, as long as it is hooked up with Albumin , it cannot be released in the blood. Low albumin levels= more like a flood getting in there.
phosphate tests for liver function - Answer ALT, AST, ALP. If liver not functioning properly, can have problem with toxicity
First pass effect - Answer Liver deactivates some of the drug.
Renal tests - Answer BUN & creatinine clearance
Loading dose - Answer produces therapeutic response faster.
Median lethal dose - Answer Dose to be lethal in 50% of subject. Not test on humans.
potency - Answer less of drug to produce effect
Efficacy - Answer maximal effect more important than potency
Patient teaching - Answer Primary role for nurse.
SMART - Answer specific, measurable, attainable, reasonable, time.
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