Podcast
Questions and Answers
Which of the following vaccines is classified as a live vaccine?
Which of the following vaccines is classified as a live vaccine?
- Hepatitis A vaccine
- Influenza vaccine
- Measles, mumps, and rubella vaccine (MMR) (correct)
- Diphtheria vaccine
What is a characteristic of inactivated vaccines compared to live vaccines?
What is a characteristic of inactivated vaccines compared to live vaccines?
- They stimulate a stronger immune response.
- They can replicate in the host.
- They generally require booster shots. (correct)
- They contain weakened pathogens.
Which of the following is NOT a live attenuated vaccine?
Which of the following is NOT a live attenuated vaccine?
- Rotavirus vaccine
- Inactivated poliovirus vaccine (correct)
- Varicella virus vaccine
- Oral poliovirus vaccine
Which vaccine is classified as inactivated?
Which vaccine is classified as inactivated?
The herpes zoster vaccine is an example of which type of vaccine?
The herpes zoster vaccine is an example of which type of vaccine?
Which vaccine is specifically indicated for tuberculosis prevention?
Which vaccine is specifically indicated for tuberculosis prevention?
Which of the following vaccines protects against serious bacterial infections caused by Streptococcus pneumoniae?
Which of the following vaccines protects against serious bacterial infections caused by Streptococcus pneumoniae?
What type of vaccine is the rabies vaccine?
What type of vaccine is the rabies vaccine?
Which vaccine is designed to protect against viral encephalitis?
Which vaccine is designed to protect against viral encephalitis?
Which vaccine would be recommended to prevent disease from Neisseria meningitidis?
Which vaccine would be recommended to prevent disease from Neisseria meningitidis?
What does the RSV vaccine protect against?
What does the RSV vaccine protect against?
What is bioavailability in the context of oral medications?
What is bioavailability in the context of oral medications?
Which of the following vaccines is NOT indicated for bacterial infection prevention?
Which of the following vaccines is NOT indicated for bacterial infection prevention?
Which of the following factors does NOT affect drug absorption?
Which of the following factors does NOT affect drug absorption?
When considering patient elements that affect prescribing, which factor is most critical?
When considering patient elements that affect prescribing, which factor is most critical?
Which vaccination would be considered for protecting travelers from typhoid fever?
Which vaccination would be considered for protecting travelers from typhoid fever?
What role do CYP-450 enzymes play in pharmacology?
What role do CYP-450 enzymes play in pharmacology?
Which statement accurately describes the first-pass effect?
Which statement accurately describes the first-pass effect?
In terms of therapeutics, which aspect of pharmacogenomics is crucial for prescribers?
In terms of therapeutics, which aspect of pharmacogenomics is crucial for prescribers?
What distinguishes agonists from antagonists in pharmacology?
What distinguishes agonists from antagonists in pharmacology?
Which vaccine is specifically designed to prevent pneumonia caused by Streptococcus pneumoniae?
Which vaccine is specifically designed to prevent pneumonia caused by Streptococcus pneumoniae?
Which vaccine is an inactivated vaccine aimed at preventing hepatitis B?
Which vaccine is an inactivated vaccine aimed at preventing hepatitis B?
What is the primary purpose of the Human Papillomavirus Vaccine (HPV)?
What is the primary purpose of the Human Papillomavirus Vaccine (HPV)?
Which vaccine targets a virus that can lead to serious complications in young children, especially in respiratory illnesses?
Which vaccine targets a virus that can lead to serious complications in young children, especially in respiratory illnesses?
Which vaccine is commonly administered to provide immunization against tetanus, diphtheria, and whooping cough?
Which vaccine is commonly administered to provide immunization against tetanus, diphtheria, and whooping cough?
Which type of vaccination is primarily used for preventing measles, mumps, and rubella?
Which type of vaccination is primarily used for preventing measles, mumps, and rubella?
What is a common adverse reaction associated with the MMR vaccine?
What is a common adverse reaction associated with the MMR vaccine?
Which of the following vaccinations is contraindicated in individuals with a history of severe allergic reactions to neomycin?
Which of the following vaccinations is contraindicated in individuals with a history of severe allergic reactions to neomycin?
What is the primary purpose of the Herpes Zoster vaccine?
What is the primary purpose of the Herpes Zoster vaccine?
Which of the following vaccines is not a live attenuated vaccine?
Which of the following vaccines is not a live attenuated vaccine?
At what age is it recommended to receive the MMR vaccine for the first time?
At what age is it recommended to receive the MMR vaccine for the first time?
How is the RotaTeq vaccine administered?
How is the RotaTeq vaccine administered?
Which vaccines are combined in the MMRV vaccine?
Which vaccines are combined in the MMRV vaccine?
Flashcards
Bioavailability
Bioavailability
The proportion of an administered drug that reaches the systemic circulation in an unchanged form.
Pharmacogenomics
Pharmacogenomics
The study of how genetic variations influence drug response.
First Pass Effect
First Pass Effect
The process by which a drug is metabolized by the liver before reaching systemic circulation, reducing the amount of active drug available to the body.
Therapeutic Drug Level
Therapeutic Drug Level
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CYP450
CYP450
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Agonist
Agonist
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Antagonist
Antagonist
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Drug Reaction
Drug Reaction
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What are live attenuated vaccines?
What are live attenuated vaccines?
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What are inactivated vaccines?
What are inactivated vaccines?
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How are live attenuated vaccines administered and what makes them special?
How are live attenuated vaccines administered and what makes them special?
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How are inactivated vaccines administered and what makes them special?
How are inactivated vaccines administered and what makes them special?
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Give examples of live attenuated and inactivated vaccines.
Give examples of live attenuated and inactivated vaccines.
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What is the BCG vaccine?
What is the BCG vaccine?
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What does the MMR vaccine protect against?
What does the MMR vaccine protect against?
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What does the pneumococcal vaccine protect against?
What does the pneumococcal vaccine protect against?
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What does the Hib vaccine protect against?
What does the Hib vaccine protect against?
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What does the Meningococcal vaccine protect against?
What does the Meningococcal vaccine protect against?
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What does the MMRV vaccine protect against?
What does the MMRV vaccine protect against?
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What does the RSV vaccine protect against?
What does the RSV vaccine protect against?
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What does the rabies vaccine protect against?
What does the rabies vaccine protect against?
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BCG Vaccine
BCG Vaccine
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DTaP/Tdap/Td vaccine
DTaP/Tdap/Td vaccine
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Hib Vaccine
Hib Vaccine
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Inactivated Polio Vaccine (IPV)
Inactivated Polio Vaccine (IPV)
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Hepatitis B Vaccine
Hepatitis B Vaccine
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What is the mechanism of action of vaccines?
What is the mechanism of action of vaccines?
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How do live-attenuated vaccines work?
How do live-attenuated vaccines work?
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How do subunit vaccines work?
How do subunit vaccines work?
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How do inactivated vaccines work?
How do inactivated vaccines work?
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How do passive immunity vaccines work?
How do passive immunity vaccines work?
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What is Bupropion used for, and how does it work?
What is Bupropion used for, and how does it work?
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What are the effects of marijuana use?
What are the effects of marijuana use?
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What are benzodiazepines, and what are their risks?
What are benzodiazepines, and what are their risks?
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Study Notes
Overall Exam Information
- Pharm Exam 1 material covered.
- Important concepts from previous classes.
- Knowledge of mechanisms of action, contraindications, and maximum dosages for various treatments.
- Understanding of how to monitor treatment effectiveness.
- Knowledge of vaccine schedules and special circumstances.
- Yearly vaccines and relevant details for each.
Bioavailability
- Extent of a drug reaching its site of action.
- Oral administration is affected by food, gastric motility.
- First absorbed by GI tract, then the liver before systemic circulation.
- First pass effect: liver may significantly reduce bioavailability.
- IV administration bypasses the liver, thus leading to complete bioavailability.
Prescribing by APRNs
- Assessing patient history and allergies.
- Understanding dietary intake and pregnancy/lactation status.
- Identifying all current medications and supplements.
- Considering national and local prescribing guidelines.
- Determining appropriate prescriptions based on the specific patient.
- Knowledge of the role of the APRN in prescribing process.
Regulations and Regulators
- Oklahoma NPs can prescribe schedule III-V controlled substances.
- Schedule II controlled substances cannot be prescribed by NPs.
- Prescriptions are limited to one month for schedule III-V and cannot be refilled by the NP.Â
- Schedule III-V controlled substances can be called in similar to other prescriptions.
- Prescriptions must be issued for legitimate medical purpose and written in ink.
- DEA number must be included in prescriptions.
- No prescribing for oneself or family members.
Factors affecting absorption
- Distribution, concentration of drugs.
- Rates of distribution vary in the body.
- Half-life of a drug in the body.Â
- Factors modifying drug actions, co-administration of other drugs.Â
- Age impacts pharmacokinetics and pharmacodynamics.Â
- Elderly may respond differently to medications.
Gut Microbiome
- Gut microbiota – the community of microbes in the gut.
- Microbiome can impact drug metabolism.
- Plays a role in drug therapy – examples include treatment with fecal transplants or probiotics.
- Drug effects on microbiome – examples include antibiotics, PPIs, metformin.
Patient Elements affecting Prescribing
- Drug Excretion
- Routes of excretion (biliary, fecal, sweat etc).
- Renal drug excretion and effects on neonates and adults.
- Renal function impacts drug elimination
- Drug excretion is affected by drug properties and patient characteristics.
Drug Interactions
- CYP-450 enzymes are important in drug metabolism.
- Drugs can either inhibit or enhance CYP activity.
- Understanding CYP interactions can be crucial in avoiding negative drug interactions.
- Many drug reactions can have varied severity, based on individual differences and drug properties.
Storage Reservoirs
- Many drugs bind to proteins (albumin, glycoprotein).
- Low protein or changes in protein levels can alter drug effect and risk of adverse reactions.
- Tissues, fat, or bone can act as reservoirs and release drugs gradually.
- The effect of the storage reservoir.
Additional Topics (Vaccines, Medications, etc.)
- Detailed notes on various types of vaccines, including live attenuated and inactivated types
- Contraindications and important considerations related to vaccine administration in relation to pregnancy, allergies, and other conditions.
- Details on medications, including mechanisms of action, dosages, and potential adverse effects.
- Relevant concepts and information regarding opioid use disorder treatment, treatment of substance use disorder, and alcohol use disorder.
- Expanded information on specific medications for substance use disorders and treatment.
- Detailed information on marijuana effects, therapeutic uses, and other details.
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