Pharmacology Basics Quiz

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Questions and Answers

Which process is primarily responsible for removing waste products from the body?

  • Absorption
  • Excretion (correct)
  • Distribution
  • Metabolism

A patient with liver failure would most likely have difficulty with which part of the drug cycle?

  • Excretion
  • Distribution
  • Metabolism (correct)
  • Absorption

What is 'cumulation' in the context of medication?

  • The breakdown of medication into inactive compounds
  • The buildup of medication in the body, potentially leading to illness (correct)
  • The removal of medication waste products from the body
  • The process of drug absorption into the bloodstream

Which of the following is an example of an adverse reaction to a medication?

<p>Anaphylactic shock (D)</p> Signup and view all the answers

Electrolyte imbalances are most likely a side effect of which body system?

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

According to the content, which of the following is NOT a typical side effect?

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

Which of these processes would be most effective in limiting a patient's exposure to a medication?

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

Which agency is primarily responsible for enforcing controlled substance laws and regulations in the United States?

<p>DEA (Drug Enforcement Administration) (C)</p> Signup and view all the answers

The Combat Methamphetamine Epidemic Act of 2005 regulates which specific type of substances?

<p>Drugs that require ID and signature but not a prescription (B)</p> Signup and view all the answers

If a controlled substance is lost or stolen, what form must be filed and by whom?

<p>DEA form 106; by the prescriber holding the DEA registration number (B)</p> Signup and view all the answers

In an office setting with controlled substances, how frequently should the inventory log be checked?

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

What is the term for the psychological dependence on a drug?

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

What is the primary characteristic of 'addiction' relating to drug use?

<p>A compulsive desire to take a drug (C)</p> Signup and view all the answers

What physical or emotional symptoms are most closely associated with drug 'withdrawal'?

<p>Tremors, emotional distress, and hallucinations (C)</p> Signup and view all the answers

What is the term used when a patient needs more of a drug to achieve the same effect?

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

How long should records of controlled substances be kept in an office setting?

<p>2 years (D)</p> Signup and view all the answers

Which of the following is NOT considered a type of extracellular fluid?

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

Which mechanism primarily involves a solute moving from an area of higher concentration to lower concentration?

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

Which of the following is most directly involved in maintaining fluid balance via pressure sensors?

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

What process involves the movement of water from an area of lower solute concentration to an area of higher solute concentration across a semipermeable membrane?

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

Besides pressure sensors, which of these mechanisms also controls fluid balance?

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

What is a crucial step in preventing substance abuse, related to medication administration?

<p>Educating patients regarding adhering to the ordered dose (D)</p> Signup and view all the answers

Which of the following is a physical sign associated with substance abuse?

<p>Excessive sweating and tremors (D)</p> Signup and view all the answers

What is a common behavioral sign of substance abuse?

<p>Frequent mistakes and sloppy work (B)</p> Signup and view all the answers

What legal responsibility does a supervisor have when suspecting substance abuse in a colleague?

<p>To report the behavior to the appropriate board (C)</p> Signup and view all the answers

If a healthcare worker does not report a colleague for impaired behavior, what is a potential consequence?

<p>They could be held responsible for the colleague's actions (D)</p> Signup and view all the answers

A physician orders 500 mg of a medication. You have a vial with 250 mg of the medication in 1 mL. How many milliliters will you administer?

<p>2 mL (A)</p> Signup and view all the answers

If a patient is showing moodiness which includes restlessness, irritability, withdrawal, or defensiveness, this could indicate what?

<p>Possible substance abuse (D)</p> Signup and view all the answers

When calculating a dosage, a physician orders 0.8 grams of a medication. The medication's label states 400 mg = 1 tablet. How many tablets should be administered?

<p>2 tablets (D)</p> Signup and view all the answers

What is a practical measure for preventing medication abuse?

<p>Keeping medications in a locked cabinet and frequently inventoried (D)</p> Signup and view all the answers

Which of the following is not a physical sign of substance abuse?

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

A physician orders 0.8 grams of a medication, and the available tablets are 400 mg each. How many tablets should be administered?

<p>2 tablets (C)</p> Signup and view all the answers

A medication order reads 400 mg of a drug. The available solution is 500 mg/teaspoon. Using a syringe marked in mL, how many mL should be administered?

<p>4 mL (A)</p> Signup and view all the answers

A child weighing 50 pounds needs medication dosed at 20 mg/kg/day. What is the total daily dose, in milligrams?

<p>450 mg/day (C)</p> Signup and view all the answers

A medication is ordered at 20 mg/kg/day, given twice daily. If a child weighs 50 pounds, what is the individual dose, in milligrams?

<p>225 mg (C)</p> Signup and view all the answers

A medication is ordered at 10 mg/kg/dose, to be given four times daily. If a child weighs 100 pounds, what is the total daily dose, in milligrams?

<p>1800 mg (C)</p> Signup and view all the answers

A medication is ordered at 10 mg/kg/dose, to be given four times daily. If a child weighs 100 pounds, what is the dose in milligrams, for each administration?

<p>450 mg (B)</p> Signup and view all the answers

If a child weighs 75 pounds, what is their weight in kilograms?

<p>34 kg (C)</p> Signup and view all the answers

How many grams are equivalent to 800 milligrams?

<p>0.8 grams (D)</p> Signup and view all the answers

A medication comes in a solution of 500mg per teaspoon. How many milligrams are in 4 teaspoons?

<p>2000 mg (C)</p> Signup and view all the answers

If a medication is ordered to be given 'b.i.d.', how many times each day should the medication be administered?

<p>Twice per day (C)</p> Signup and view all the answers

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Flashcards

Excretion

The process by which waste products are removed from the body.

Kidneys

The main organs responsible for excreting waste products from the body.

Cumulation

The build-up of medication in the body, potentially leading to illness.

Side Effect

A mild effect of medication that usually doesn't stop the patient from taking it.

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Adverse Reaction

A severe side effect of medication that can harm or even kill the patient.

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Metabolism

The process by which the body breaks down medication.

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Seven Rights of Medication Administration

The seven essential steps to ensure patient safety during medication administration.

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What is the DEA?

The Drug Enforcement Administration (DEA) is a US federal agency responsible for enforcing controlled substance laws and regulations. It was established in 1973.

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What does the Combat Methamphetamine Epidemic Act of 2005 regulate?

The Combat Methamphetamine Epidemic Act of 2005 regulates the sale of over-the-counter medications containing ingredients used to produce methamphetamine. It requires identification and a signature for purchase.

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Which agency recalls medications?

The FDA (Food and Drug Administration) is responsible for recalling medications that pose a risk to public health.

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How are controlled substances managed?

Inventory logs for controlled substances are maintained daily, records are kept for 2 years, and controlled substances are kept in a double-locked safe cabinet.

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What happens if controlled substances are lost or stolen?

A DEA form 106 must be filed by the prescriber holding the DEA registration number if controlled substances are lost or stolen.

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Describe the concepts of Addiction, Tolerance, Habituation, and Withdrawal.

Addiction is a compulsive desire to take a drug. Tolerance means needing more of the drug to achieve the same effect. Habituation is psychological dependence. Withdrawal involves symptoms like tremors, emotional distress, and hallucinations.

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When might the FDA order a drug recall?

The FDA may order a recall if there are multiple reports of adverse reactions or a serious event like death.

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How would you handle a patient who frequently requests pain medication?

It's important to document all requests for pain medication. Avoid making assumptions about a patient's requests and approach each situation with empathy and careful documentation.

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What steps should be taken when a patient frequently requests pain medication?

When a patient frequently requests medication, it's crucial to gather more information and address the underlying factors contributing to their requests. This involves open communication, assessment of pain levels, and exploring alternative pain management strategies.

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Substance Abuse Prevention: Patient Education

Educating patients on drug dosage, possible side effects, and storage procedures to prevent misuse and abuse.

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Physical Signs of Substance Abuse

Physical changes in a patient, such as sleep disturbances, weight fluctuations, excessive sweating, tremors, confusion, poor coordination, jaundice, dilated or constricted pupils, and needle marks, that could indicate substance abuse.

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Behavioral Signs of Substance Abuse

Behavioral changes in a patient, such as poor work performance, sloppy work, mood swings, forgetfulness, and changes in personal hygiene, that could be indicative of substance abuse.

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Substance Abuse Reporting: Legal Duty

When a healthcare professional suspects a colleague is abusing substances, they have a duty to report it to the relevant regulatory bodies (e.g., Board of Medicine, Board of Nursing). Failing to report could have legal consequences.

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Substance Abuse: Agency Policy

Healthcare facilities have policies for dealing with patients who are suspected of being impaired by substances.

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Dosage Calculations

A method for calculating drug dosages to ensure the correct amount of medication is administered.

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Dimensional Analysis

A problem-solving technique used to ensure the correct dosage calculation by ensuring units are consistent.

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Clicker Question

A question posed to a healthcare professional to assess their understanding of dosage calculations.

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Dosage Conversion

The process of converting a medication dosage from one unit of measurement (e.g., mg) to another (e.g., mL) to ensure proper administration.

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Medication Administration

The act of administering a medication to a patient, ensuring the correct medication, dosage, route, time, patient, and documentation.

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Passive Transport

Movement of fluids and electrolytes across cell membranes without requiring energy.

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Fluid Balance

The body's internal environment, composed of intracellular and extracellular fluids, maintaining balance for cells' proper function.

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mg/kg/day

The amount of medication needed per kg of body weight per day

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Diffusion

Movement of substances across cell membranes from a high concentration area to a low concentration area, requiring no energy.

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Filtration

Movement of fluid through a membrane from an area of high pressure to an area of low pressure. This occurs in the kidneys to filter waste products.

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mg/kg/dose

The amount of medication needed per kg of body weight per dose

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Osmosis

Movement of fluid through a semi-permeable membrane from a low solute concentration area to a high solute concentration area. This helps regulate the balance of fluids inside and outside cells.

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b.i.d.

Twice a day

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q.i.d.

Four times a day

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Pediatric Dosage Calculation

The act of calculating pediatric dosages often based on weight

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Pounds to Kilograms

Convert pounds to kilograms using the conversion factor 1 kg = 2.2 lbs

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Dividing Daily Dose

The process of dividing a daily medication dose by the number of times it needs to be administered per day

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Calculating mg/day

Multiplying the medication order in mg/kg/day by the patient's weight in kg

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Calculating mg/dose

Multiplying mg/kg/dose by the patient's weight in kg

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Study Notes

Pharmacology Clear & Simple Study Notes

  • The book is titled "Pharmacology Clear & Simple, A Guide to Drug Classifications and Dosage Calculations, Fourth Edition."
  • Chapter 2 is titled "Basics of Pharmacology."
  • Chapter 3 is titled "Patient Safety in Medication Administration."
  • Chapter 8 is titled "Dosage Calculations."
  • Chapter 9 is titled "Enteral Medications and Administration."
  • Chapter 10 is titled "Parenteral Medications and Administration."

Learning Outcomes (Chapter 2)

  • Define key terms.
  • List the four steps in the drug cycle and their effects on the body.
  • Differentiate between the therapeutic level and potency of a drug.
  • Describe how drugs can interact.
  • Differentiate between a side effect and an adverse reaction.
  • Compare and contrast the usefulness of different drug resources.

Key Terms (Chapter 2)

  • Absorption
  • Adverse reaction
  • Agonist
  • Antagonist
  • Bioavailability
  • Biotransformation/Metabolism
  • Distribution
  • Excretion
  • Half-life
  • Idiosyncratic
  • Pharmacokinetics
  • Receptors
  • Side effects
  • Synergism
  • Teratogenic
  • Toxic

Learning Outcomes (Chapter 3)

  • Define all key terms.
  • List the seven rights of medication administration.
  • Explain the various considerations of medication administration.
  • Identify common abbreviations used in medicine administration.
  • Outline special considerations when administering medications to the elderly and to children.
  • Discuss the cultural effects on drug use.
  • Name the actions taken during an emergency with a patient.

Key Terms (Chapter 3)

  • Anaphylaxis
  • Antihypertensive
  • Geriatric
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Lavage
  • Occupational Safety and Health Administration (OSHA)
  • Pediatric
  • Polypharmacy
  • Teratogen
  • Thrombolytic
  • Urticaria

Patient Rights for Safety (Chapter 3)

  • Right patient: Know the patient
  • Right drug: Know correct medication
  • Right dose: Know correct dosage
  • Right time: Know correct administration time
  • Right route: Know correct route of administration
  • Right route and technique: Know correct technique for the ordered route

Learning Outcomes (Chapter 8)

  • Define key terms.
  • Understand and apply dimensional analysis to dosage calculations.
  • Calculate pediatric dosages (given patient weight).
  • Calculate dosages from different units or strengths.

Learning Outcomes (Chapter 9)

  • Define key terms
  • List the forms in which medication is manufactured for enteral routes
  • Differentiate how different drug forms affect the body
  • Describe possible enteral routes for administering medications
  • Describe how to administer oral medication safely
  • Discuss the methods for administering medications through nasogastric or gastric tubes.
  • Explain why prescribers choose certain forms and routes.

Key Terms (Chapter 9)

  • Buccal
  • Buffered
  • Delayed action
  • Enema
  • Enteric-coated
  • Mortar and pestle
  • Sublingual
  • Timed-release

Learning Outcomes (Chapter 10)

  • Define key terms.
  • Discuss how to apply transdermal patches and other topical medications correctly.
  • Describe methods to administer medications through ophthalmic, otic, and nasal routes correctly.
  • Describe how to insert vaginal medications safely.
  • Choose the correct needle and syringe for parenteral injections safely.
  • Outline the steps for IM, SQ, and ID injections safely.
  • Explain how to prepare patients for intravenous therapy.
  • Identify and distinguish between all intravenously administered solutions.

Key Terms (Chapter 10)

  • Ampule
  • Calibrated
  • Emboli
  • Gauge
  • Infiltration
  • Intradermal (ID)
  • Intramuscular (IM)
  • Lumen
  • Parenteral
  • Phlebitis
  • Subcutaneous (SUBQ)
  • Topical
  • Thrombus
  • Vial

Learning Outcomes (Chapter 4)

  • Define key terms.
  • Describe the roles of the Food and Drug Administration (FDA) and Drug Enforcement Administration (DEA) in patient safety.
  • Discuss how drugs are developed and the process.
  • Distinguish between brand, generic, and trade names of medications. Know slang names for illegal street drugs
  • Discuss why some drugs are controlled more strictly than others
  • Provide examples of a drug from each controlled substances schedule.
  • Explain health-care professionals' roles in recognizing and reporting impaired patients.

Key Terms (Chapter 4)

  • Addiction
  • Chemical name
  • Clinical trials
  • Compassionate use
  • Control group
  • Controlled Substances Act
  • Double-blind Drug Enforcement Administration (DEA)
  • Food and Drug Administration (FDA)
  • Generic name
  • Investigational New Drug (IND)
  • New drug application (NDA)
  • Patent medicine
  • Placebo
  • Substance abuse

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