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Understanding Pharmacology Essentials for Medication Safety: Chapter 1: Drug Regulation, Actions, and Response

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  • 15 août 2024
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Understanding Pharmacology Essentials
for Medication Safety: Chapter 1: Drug
Regulation, Actions, and Response
Adbsorption - ANSWER-Movement of a drug from the outside of the body into the bloodstream

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Buccal

Advantages: - ANSWER-Less invasive/obtrusive

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Buccal

Disadvantages: - ANSWER-Effect is reduced when patient eats or drinks

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Enteral

Advantages: - ANSWER-Convenient

High patient acceptance

Least expensive route because drugs need only to be clean, not sterile

Large surface area for absorption

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Enteral

Disadvantages: - ANSWER-Can cause gastrointestinal disturbance

First-pass loss

Can bind to other substances in the tract and not get absorbed

Absorption dependent on motility; has great individual variation

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Parenteral

,Understanding Pharmacology Essentials
for Medication Safety: Chapter 1: Drug
Regulation, Actions, and Response
Advantages: - ANSWER-Speed

100% bioavailability

Decreased first-pass loss

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Parenteral

Disadvantages: - ANSWER-Speed

Invasive Administration

Increased cost because drugs need to be sterile rather than just clean

Discomfort

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Percutaneous

Advantages: - ANSWER-Convenient

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Percutaneous

Disadvantages: - ANSWER-Absorption dependent on circulation

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Rectal

Advantages: - ANSWER-Usually painless

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Rectal

Disadvantages: - ANSWER-Embarrassing

,Understanding Pharmacology Essentials
for Medication Safety: Chapter 1: Drug
Regulation, Actions, and Response
Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Sublingual

Advantages: - ANSWER-Less invasive

Rapid absorption

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Sublingual

Disadvantages: - ANSWER-Effect is reduced when patient eats or drinks

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Transdermal

Advantages: - ANSWER-Bypasses gastrointestinal tract

Large selection of body areas

Advantages and Disadvantages of Drug Entry Routes pg 12



Route: Transdermal

Disadvantages: - ANSWER-Absorption less predictable

Can lead to skin break down

Adverse Drug Reaction (ADR) - ANSWER-Same as Adverse Effect

Adverse Effect - ANSWER-A drug effect that is more severe than expected and has the potential to
damage tissue or cause serious health problems.

It may also be called a toxic effect or toxicity and usually requires intervention by the prescriber

Agonist - ANSWER-An extrinsic drug that activates the receptor site of a cell and mimics the actions of
naturally occurring body substances (intrinsic drugs)

Allergic Response - ANSWER-Type of adverse effect in which the presence of the drug stimulates the
release of histamine and other body chemicals that cause inflammatory reactions.

, Understanding Pharmacology Essentials
for Medication Safety: Chapter 1: Drug
Regulation, Actions, and Response
The response may be as mild as a rash or as severe and life threatening as anaphylaxis

Antagonist - ANSWER-An extrinsic drug that blocks the receptor site of a cell, preventing the naturally
occuring body substance from binding to the receptor

Bioavailability - ANSWER-The percentage of a drug dose that actually reaches the blood

Black Box Warning - ANSWER-A notice that a drug may produce serious or even life-threatening effect in
some people in addition to its beneficial effects

Brand Name - ANSWER-A manufacturer-owned name of generic drug;

Also called "trade name" or "proprietary name"

Cardiopulmonary Health

Consideration for Older Adults pg 19



Many adults over the age of 70 years have some degree of heart failure and poor blood flow to the lover
and other body areas. This reduced blood flow both ______ drug effectiveness and ______ how well
drugs are distributed, metabolized, and eliminated - ANSWER-Decreases

Limits

Contraindication - ANSWER-A personal or health-related reason for not administering a specific drug to
a patient or a group of patients

Cytotoxic - ANSWER-Drug action that is intended to kill a cell or an organism

Distribution - ANSWER-(Drug Distribution)

The extent that a drug absorbed into the bloodstream spreads into the three body water compartments

Drug - ANSWER-Any small molecule that changes any body function by working at the chemical and cell
levels

Drug Interactions pg 22



Cimetidine (Tagamet) _______ the action of quinidine (Quinadure, Quinidex), _______ the risk for
adverse effects - ANSWER-Enhances

Increasing

Drug Interactions pg 22

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