MSN 611 Final Exam Questions And
Answers Updated 2024/2025
Three types of coded medication - answer✔sustained
extended
(Meant to release the medication over a period of time)
enteric coded (delays the breakdown of the medication until it gets past the stomach to
protect it)
Absorption - answer✔how medication actually gains access to the body or enters the
bloodstream from the site of administration
Distribution - answer✔how the drug travels through the bloodstream to different tissues in
the body
metabolism - answer✔how to body chemically modifies the drug
excretion - answer✔how the metabolized drug is removed from the body- usually urine in
the kidneys but can be through sweat, saliva, tears, and feces
The first pass effect metabolism - answer✔phenomenon of drug metabolism at a specific
location in the body which leads to a reduction in the concentration of the active drug
before it reaches the site of action.
Generic names of drugs - answer✔created to explain the active ingredient chemical
structure, action, or indication
there is only one generic name
brand names - answer✔name given by the drug company.
Major systemic effects: hyperglycemia, immunosuppression, hypertension,
osteoporosis/fractures
preferential to select steroids with local effect versus a systemic effect such as: intranasal
for COPD/allergies, injection for gout, topically for rashes vs PO
PCA pumps preferred-shown to provide better pain relief
can cause bradypnea, constipation (long term), hypotension, nausea, and sedation
overdose: assess pupil, mental status, respirations- administer naloxone
codeine used for mild pain, coughing, diarrhea
there are combo meds- such as Vicodin with acetaminophen hope is that it decreases the
amount of narcotic needed but can harm their liver if taking a lot of tylenol
MOA:inhibit the reuptake of serotonin-increasing the effects.
indication: depression/anxiety
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