JC Pharmacology Learning Objectives Week 1

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Questions and Answers

What is the primary purpose of pharmacotherapy?

  • To improve exercise performance
  • To prevent or treat signs, symptoms, and diseases (correct)
  • To increase the availability of medications
  • To enhance the taste of food

Which of the following statements about drug names is correct?

  • Generic names are independent of manufacturers. (correct)
  • Trade names are determined by the FDA.
  • Generic names are the same as trade names.
  • All drugs have only one name.

Which aspect is NOT included in the 10 rights of medication administration?

  • Right documentation
  • Right environment (correct)
  • Right patient education
  • Right time

What defines a controlled drug?

<p>Drugs analyzed based on potential for abuse and therapeutic usefulness (A)</p> Signup and view all the answers

Which of the following is an important skill needed for electronic charting and drug administration?

<p>Enhanced nursing skills for managing drug charts and dispensing (A)</p> Signup and view all the answers

What is the role of pharmacokinetics in drug therapy?

<p>It explains the processes affecting drug absorption, distribution, metabolism, and excretion. (A)</p> Signup and view all the answers

What defines an agonist drug in pharmacology?

<p>A substance that activates a receptor to produce a response. (D)</p> Signup and view all the answers

Which mechanism is likely involved in drug-drug interactions?

<p>One drug enhances the metabolism of another drug. (D)</p> Signup and view all the answers

Why is it important to measure serum drug levels?

<p>To evaluate drug safety and efficacy in patients. (B)</p> Signup and view all the answers

What factors contribute to individual differences in patient drug responses?

<p>Genomic variations and patient-related variables. (B)</p> Signup and view all the answers

Which of the following is NOT one of the steps involved in the nursing process for medication administration?

<p>Auditing (C)</p> Signup and view all the answers

What is essential for accurately calculating drug dosages?

<p>Understanding the prescribed medication's pharmacodynamics (A)</p> Signup and view all the answers

When should alternative or complementary therapies be assessed in relation to prescribed medications?

<p>Prior to the initiation of drug therapy (A)</p> Signup and view all the answers

Which statement best describes the importance of evidence-based practice research in medication administration?

<p>It ensures patient care is based on the most current and effective methods. (A)</p> Signup and view all the answers

Which right of medication administration specifically addresses the verification of the correct drug for the patient?

<p>Right drug (A)</p> Signup and view all the answers

What is one way to minimize the emergence of drug-resistant microorganisms?

<p>Using narrow-spectrum antibiotics when possible (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of inflammation?

<p>Decreased blood flow (D)</p> Signup and view all the answers

What is a common method of infection control?

<p>Avoiding contact with infected individuals (C)</p> Signup and view all the answers

How can antimicrobial drug therapy increase benefits and decrease risks?

<p>Administering the correct dosage and duration of therapy (A)</p> Signup and view all the answers

Which of the following is NOT a step in the nursing process when caring for patients receiving antimicrobial therapy?

<p>Prognosis (C)</p> Signup and view all the answers

Which drug class specifically inhibits COX-2, thus reducing inflammation and pain, but does not affect platelets?

<p>Selective COX-2 inhibitors (D)</p> Signup and view all the answers

Which of the following adverse effects is associated with salicylate use, particularly at higher doses?

<p>Gastrointestinal bleeding (B)</p> Signup and view all the answers

Which drug class is commonly used for treating gout, but it can increase the risk of renal calculi?

<p>Uricosuric medications (C)</p> Signup and view all the answers

Which of the following accurately describes a key nursing implication when administering a nonsteroidal anti-inflammatory drug (NSAID)?

<p>Monitor for signs of gastrointestinal bleeding, especially in older adults (C)</p> Signup and view all the answers

Which characteristic is NOT considered a major manifestation of inflammation?

<p>Numbness (A)</p> Signup and view all the answers

What role do prostaglandins play in the body related to pain and inflammation?

<p>Enhance the perception of pain and promote inflammation. (A)</p> Signup and view all the answers

Which of the following is a common disorder specifically associated with inflammation?

<p>Asthma (A)</p> Signup and view all the answers

What is a notable adverse effect of salicylate use, especially at high doses?

<p>Gastrointestinal bleeding (A)</p> Signup and view all the answers

What is the primary action of acetaminophen in pain management?

<p>Reducing fever through peripheral mechanisms (D)</p> Signup and view all the answers

Which class of drugs is specifically indicated for the treatment of gout due to its uricosuric properties?

<p>Uricosuric medications (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of adrenal cortex disorders?

<p>Hypoglycemia (B)</p> Signup and view all the answers

Which of the following is a contraindication for the use of exogenous corticosteroids?

<p>Active tuberculosis (C)</p> Signup and view all the answers

A patient receiving long-term corticosteroid therapy is at increased risk for which of the following adverse effects?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following nursing interventions is appropriate for a patient receiving corticosteroid therapy?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following factors may affect the need for corticosteroids in a patient?

<p>All of the above (D)</p> Signup and view all the answers

Flashcards

Pharmacotherapy

The use of drugs to prevent, diagnose, or treat signs, symptoms, and disease processes.

Medications

Drugs given for therapeutic purposes.

Local vs. Systemic Effects

Drugs can have a localized effect on a specific area or a systemic effect on the entire body.

Prototype Drug

A drug that represents a category of drugs, often the first one developed.

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Trade Names

Names assigned by manufacturers.

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Pharmacokinetics

The study of how drugs move through the body - absorption, distribution, metabolism, and excretion.

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Pharmacogenomics

Genetic variations in a patient's body that can impact how they respond to drugs, leading to differences in effectiveness or side effects.

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Receptor Theory of Drug Action

Drugs bind to specific targets in the body, like receptors, to produce their effects.

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Agonist

Drugs that activate receptors, resulting in a response similar to the body's natural signal.

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Antagonist

Drugs that block receptors, preventing the natural signal from binding and producing an effect.

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The 6 Rights of Medication Administration

Ensuring the right medication, dose, time, route, patient, and documentation for every medication administration.

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The Nursing Process in Medication Administration

A systematic approach to patient care that involves assessment, planning, implementation, and evaluation.

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Alternative or Complementary Therapies

Any non-traditional therapies that may affect the effectiveness, side effects, or toxicity of prescribed medications.

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Inflammation: What is it?

A complex biological response to injury or infection, characterized by redness, swelling, pain, heat, and loss of function.

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Inflammation: How to treat it?

Drugs that reduce inflammation by targeting various pathways involved in the inflammatory process. These include NSAIDs, corticosteroids, and newer targeted therapies.

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Infection: Who are the culprits?

Tiny organisms, like bacteria, viruses, fungi, and parasites, that can cause infections.

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Infection: What's happening?

The process by which microorganisms invade and multiply in the body, causing harm. Common signs include fever, pain, redness, swelling, and pus.

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Fighting back: Antimicrobial drugs

Drugs that combat infections directly by killing or inhibiting the growth of microorganisms. Common types include antibiotics, antifungals, antivirals, and antiprotozoans.

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What are prostaglandins and their role in inflammation?

Prostaglandins are fatty acid-like molecules that are produced in almost every tissue of the body, and they have a wide range of effects, including causing inflammation, pain, and fever. They are involved in the process of inflammation, which is a natural response to injury or infection.

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What is fever and what causes it?

Fever is a rise in body temperature above the normal range. It's a response to infection or inflammation, often accompanied by other symptoms like chills, sweating, headache, and muscle aches.

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What is inflammation and how does it manifest?

Inflammation is a complex biological response to injury or infection, characterized by redness, swelling, pain, heat, and loss of function. It's a vital part of the healing process, but excessive inflammation can damage tissues.

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What is aspirin and how does it work?

Aspirin is a prototype salicylate drug that is known for its analgesic, antipyretic, and anti-inflammatory properties. These effects are primarily achieved by inhibiting the production of prostaglandins.

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What is acetaminophen and how does it work?

Acetaminophen is an analgesic and antipyretic medication that is commonly used to treat pain and fever. It's effective for mild to moderate pain, but unlike NSAIDs, it lacks anti-inflammatory properties.

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What are prostaglandins and their role in pain, fever, and inflammation?

Prostaglandins are hormone-like substances made in the body that can cause pain, fever, and inflammation. They're like messengers that tell the body to respond to injury or infection.

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What are salicylates and how do they work?

Salicylates, like aspirin, are a class of drugs that can reduce pain, fever, and inflammation. They work by blocking the production of prostaglandins.

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What are corticosteroids?

Corticosteroids are hormones produced by the adrenal cortex. They regulate many important bodily functions, including metabolism, inflammation, and immune response.

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What are the therapeutic uses of corticosteroids?

Corticosteroids can be used to reduce inflammation and suppress the immune system. They're helpful in treating conditions like asthma, allergies, autoimmune diseases, and organ transplant rejection.

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What are the potential side effects of corticosteroids?

Long-term use of corticosteroids can lead to side effects such as weight gain, high blood sugar, osteoporosis, and suppressed immune system.

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What are the nursing implications of corticosteroid administration?

When administering corticosteroids, nurses should monitor patients carefully for signs of infection, electrolyte imbalance, and other potential side effects. They should also educate patients about medication management and potential risks.

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How do external factors affect corticosteroid therapy?

Factors like stress, infection, trauma, and certain medications can affect the body's need for corticosteroids. Therefore, it's important to consider the patient's overall health status and history when prescribing or adjusting corticosteroid therapy.

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Study Notes

Drug Therapy/Pharmacology

  • Drug therapy (pharmacotherapy) is the use of drugs to prevent, diagnose, or treat diseases and symptoms.
  • Medications are drugs given for therapeutic purposes.
  • Most drugs provide systemic effects, but some have local effects.
  • A prototype drug is a representative example of a drug group, often the first developed.
  • Generic drug names are independent of manufacturers, while trade names are determined by them.
  • Controlled drugs are categorized by their therapeutic value and potential for abuse.
  • Drug names may reflect the condition being treated, providing insight into the effects on body systems.
  • A single drug may belong to multiple drug categories due to its various effects.
  • Understanding drug groups using prototypes and generic/trade names is essential.
  • Drugs may be given locally or systemically, with most used systemically.

Drug Administration

  • Electronic charting, automated dispensing, and barcodes aid in medication administration. This requires enhanced nursing skills.
  • Adherence to the 10 rights of medication administration (drug, dose, patient, route, time, reason, documentation, patient education, evaluation, patient's right to refuse) is crucial.
  • Error-reduction methods are vital to minimize environmental factors in preventing medication errors.
  • Medication administration should consider factors like patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics.
  • Clinical setting approaches to medication administration include electronic charting, automated dispensing systems, and barcode medication administration.

Clinical Reasoning Case Study

  • Scenario: Students are divided into groups for pharmacology-related case study discussions involving questions related to drug classifications, prototypes, generic/trade names, Quality and Safety Education for Nurses (QSEN), and effective study strategies. Example questions from the scenario in the text include, why is learning pharmacology important and why is it important to know the generic and trade names of medications? Also, what is QSEN and why is quality and safety important. How should students study pharmacology.
  • Assessing Drug Information: Each group investigates questions related to drug classification/prototypes, generic/trade names, and how drugs fit into multiple categories as well as QSEN and effective study strategies. Groups need to consider factors like the names of therapeutic classifications, therapeutic effects on the body systems, how a drug might be in multiple categories, and the role of prototypes as the first in a drug class, and as standards for later developments. This involves studying drug names, actions, and uses within context, along with therapeutic categories.
  • Nursing Actions: The case studies involve QSEN competencies in medication administration: patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics. Examples of nursing actions include recognizing the QSEN competencies in the clinical setting, patient-centered care involving all patients and families, teamwork/collaboration where nurses work together, evidence-based practice ensuring proper precautions, quality improvement in medication administration safety checks. Includes consideration of drugs' effects on body systems.
  • Case Study Reports: Groups analyze drug categories, names, QSEN concepts, and study techniques. Generic names relate to medication's chemical structure; trade names are the brand names. QSEN emphasizes quality and safety improvement in healthcare settings.
  • QSEN competencies in medication administration include patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics. Includes strategies for studying that are useful for effective studying.
  • Prototypes are often the first drugs in a class and serve as standards for later developments. Medication considerations include drug classifications/prototypes to recognize the drug action, uses, effects, and implications for nursing care.

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