Pharmacology Chapter 2 Quiz

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Questions and Answers

What does the 'peak' of a medication's effect refer to?

  • The level of the medication just before the next dose is administered
  • The time it takes for the medication to start working.
  • The point when the medication reaches its maximum concentration. (correct)
  • The length of time the medication remains effective.

Which of the following best describes the 'duration' of a medication?

  • The period during which the medication maintains a therapeutic effect. (correct)
  • The maximum effect the medication can produce.
  • The speed at which the medication is absorbed.
  • The lowest concentration of the medication in the body.

A medication that enhances receptor activity is classified as a(n):

  • Partial Agonist
  • Inhibitor
  • Antagonist
  • Agonist (correct)

What is a crucial step when administering a medication with a narrow therapeutic index?

<p>Monitoring the trough level to prevent toxicity (A)</p> Signup and view all the answers

What is the purpose of performing a baseline assessment before starting a new medication?

<p>To enable tracking of the drug's effectiveness and changes over time. (B)</p> Signup and view all the answers

Which of these routes of administration delivers medication directly to the GI tract?

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

What is the significance of a drug's therapeutic index?

<p>It indicates the safety margin of a drug. (C)</p> Signup and view all the answers

If a medication has a rapid onset, such as 5-15 minutes for insulin aspart, the health care professional must:

<p>Ensure food is available to avoid hypoglycemia. (B)</p> Signup and view all the answers

Which drug class is NOT commonly affected by adverse drug reactions (ADRs)?

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

What is a key factor in managing adverse drug reactions (ADRs) effectively?

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

Which statement correctly defines an idiosyncratic reaction?

<p>An abnormal response due to genetic factors (D)</p> Signup and view all the answers

How do allergic reactions to medications typically develop?

<p>They involve antibodies developed after the first exposure to the drug. (A)</p> Signup and view all the answers

What is the role of clinical decision systems in medication safety?

<p>They alert prescribers to potential drug-drug interactions. (D)</p> Signup and view all the answers

What is a possible consequence of a severe allergic reaction?

<p>Anaphylaxis, which may be life-threatening (C)</p> Signup and view all the answers

What is a common characteristic of drug interactions?

<p>They involve changes in the effect of one drug due to another drug. (A)</p> Signup and view all the answers

What is the purpose of the FDA MedWatch program?

<p>To allow voluntary reporting of suspected adverse drug reactions. (C)</p> Signup and view all the answers

What is the relationship between the dose of a medication and its effect in Phase 2 of the dose-response curve?

<p>The response increases proportionally to the dose, with more receptors being occupied by the medication. (A)</p> Signup and view all the answers

What is the minimum effective concentration (MEC) of a medication?

<p>The lowest dose of a medication that produces a therapeutic effect. (D)</p> Signup and view all the answers

What does the therapeutic index (TI) of a medication measure?

<p>The safety margin between the effective dose and the toxic dose. (B)</p> Signup and view all the answers

A medication with a narrow therapeutic index, like lithium, requires close monitoring because:

<p>The difference between the effective dose and the toxic dose is small, making overdosing a risk. (B)</p> Signup and view all the answers

In what phase of the dose-response curve does the medication reach its maximum efficacy?

<p>Phase 3 (C)</p> Signup and view all the answers

What is the onset of a medication?

<p>The time it takes for the medication to start producing its desired effect. (D)</p> Signup and view all the answers

Why are bolus or loading doses used for medications with a rapid onset of action?

<p>To help the medication reach the minimum effective concentration quickly. (A)</p> Signup and view all the answers

What defines the peak action of a drug?

<p>The time when the drug reaches its highest concentration at receptor sites. (A)</p> Signup and view all the answers

What does the therapeutic range of a drug indicate?

<p>The range between the minimum effective concentration and the toxicity threshold. (C)</p> Signup and view all the answers

What is a common adverse drug reaction (ADR)?

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

What is the action to take in response to a low blood level of a drug?

<p>Increase the dosage or administer the drug more frequently. (D)</p> Signup and view all the answers

How is an adverse drug event (ADE) defined?

<p>Any injury caused by medical intervention involving a drug. (B)</p> Signup and view all the answers

What is indicated by a drug's duration of action?

<p>How long the drug maintains effective concentration in the bloodstream. (D)</p> Signup and view all the answers

Which of the following best describes minimum effective concentration?

<p>The lowest concentration needed to achieve a therapeutic effect. (D)</p> Signup and view all the answers

What causes toxic effects related to drug administration?

<p>Exceeding the toxicity threshold of the drug. (B)</p> Signup and view all the answers

Which of the following describes beneficial drug interactions?

<p>Caffeine reduces the drowsiness caused by antihistamines. (D)</p> Signup and view all the answers

What is the effect of antacids on ketoconazole absorption?

<p>Antacids increase stomach pH, reducing ketoconazole dissolution. (D)</p> Signup and view all the answers

How do drugs bind to plasma proteins affect their pharmacological activity?

<p>Unbound drugs are the only ones that exhibit pharmacological activity. (A)</p> Signup and view all the answers

What happens when furosemide displaces warfarin from protein binding sites?

<p>More warfarin becomes unbound, increasing its anticoagulant effect. (D)</p> Signup and view all the answers

Which drug inhibits the metabolism of theophylline?

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

What is a potential consequence of combining two drugs that bind heavily to the same plasma protein?

<p>Increased risk of toxicity from the displaced drug. (D)</p> Signup and view all the answers

What solution is recommended for minimizing the interaction between aluminum-containing antacids and tetracycline?

<p>Taking the antacid at least 3 to 4 hours after tetracycline. (B)</p> Signup and view all the answers

In what way can a drug inhibit the metabolism of another drug?

<p>By binding to the enzymes involved in drug metabolism. (D)</p> Signup and view all the answers

Which of the following statements accurately describes the concept of drug distribution?

<p>The movement of a drug from its administration site to its target tissues and organs (A)</p> Signup and view all the answers

Which of the following organs receives a drug most rapidly due to its rich blood supply?

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

What is the primary function of plasma proteins in drug distribution?

<p>They transport drugs throughout the body and bind to them (B)</p> Signup and view all the answers

How does lipid solubility influence drug distribution?

<p>Lipid-soluble drugs are more likely to accumulate in fat tissue (C)</p> Signup and view all the answers

Which of the following is a barrier that some drugs cannot pass, affecting their distribution and therapeutic effects?

<p>Blood-brain barrier (C)</p> Signup and view all the answers

What is the main site for drug metabolism in the human body?

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

Which of the following factors can influence the rate of drug absorption?

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

Why is it crucial to understand drug distribution for effective medication therapy?

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

Flashcards

High Potency Medications

Medications that produce an effect at a lower dosage.

Low Potency Medications

Medications that require a higher dosage to produce an effect.

Dose Response Curve - Phase 1

The initial flat phase where low doses fail to cause a significant response.

Dose Response Curve - Phase 2

As doses increase, more receptors bind, leading to a greater response.

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Dose Response Curve - Phase 3

Phase where all receptors are occupied, and increasing dosage yields no further response.

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ED50

Effective Dose for 50% of the population; measure of medication effectiveness.

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TD50

Toxic Dose for 50% of the population; measure of medication toxicity.

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Therapeutic Index (TI)

The ratio of TD50 to ED50, representing medication safety.

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Peak Effect

Time when medication reaches maximum effectiveness/concentration.

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Duration

How long the medication remains effective at therapeutic concentration.

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Receptor Interactions

How medications interact with body receptors to produce effects.

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Therapeutic Index

Safety margin of a drug measured between its effective dose and toxic dose.

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Agonist

A substance that enhances receptor activity.

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Partial Agonist

A substance that provides moderate receptor activity.

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Nursing Role in Drug Monitoring

Nurses gather baseline data and assess drug effectiveness over time.

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Enteral Route

Administers drugs directly into the gastrointestinal tract.

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Drug Distribution

The process of a drug spreading throughout the body via blood and lymph to reach its action sites.

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Factors Affecting Distribution

Elements that influence how quickly and widely a drug is delivered in the body, including blood supply and tissue types.

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Blood Supply Impact

Organs with rich blood supply receive drugs quickly, while those with less blood supply receive them slowly.

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Chemical Properties: Protein Binding

Drugs bind to plasma proteins; bound drugs are inactive, while free drugs are active and can exert effects.

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Lipid Solubility

Lipid-soluble drugs accumulate in fat tissue, affecting their distribution and prolonging their presence in the body.

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Selective Distribution

Some drugs can’t pass barriers like the blood-brain and placental barriers, affecting specific tissues.

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Importance of Distribution

The effectiveness of a drug is directly influenced by the amount reaching receptor sites; insufficient drug can weaken response.

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Metabolism of Drugs

The process by which the body inactivates drugs, mainly in the liver, with minor roles from other organs.

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Peak Action

The time when the drug reaches its highest concentration at receptor sites, producing maximum pharmacologic response.

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Duration of Action

The length of time a drug produces a pharmacologic effect after administration.

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Minimum Effective Concentration

The lowest drug level required to produce a desired effect.

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Toxicity Threshold

The drug level above which toxic effects occur.

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Therapeutic Range

The ideal drug concentration between the minimum effective concentration and the toxic threshold.

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Drug Blood Level

The amount of drug present in the blood, measured by blood samples.

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Adverse Drug Reaction (ADR)

Any harmful, unintended effect of a drug used for prevention, diagnosis, or therapy.

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Adverse Drug Event (ADE)

Injury caused by medical intervention with a drug, like dosage errors.

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Most Affected Drug Classes

Classes of drugs often associated with adverse drug reactions (ADRs).

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Predictability of ADRs

Most adverse drug reactions can be anticipated based on a drug's known effects.

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Monitoring in Medication Safety

Monitoring patients is essential to adjust drug dosages for safety and effectiveness.

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Idiosyncratic Reaction

An unpredictable and abnormal response to a drug, often genetically influenced.

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Allergic Reaction

An immune system response to a drug after previous exposure, causing symptoms like hives.

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Anaphylaxis

A severe, life-threatening allergic reaction requiring immediate medical attention.

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Drug Interaction

When one drug affects the effect of another, altering its intended action.

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MedWatch Program

FDA program allowing voluntary reporting of adverse drug reactions to enhance safety.

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Types of Drug Interactions

Drug interactions can increase or decrease the action of one or both drugs.

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Beneficial Drug Interactions

Some drug combinations enhance effects, like caffeine with antihistamines.

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Changes in Absorption

Absorption changes, primarily in the GI tract, affect how drugs are taken in.

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Antacids + Ketoconazole

Antacids increase stomach pH, reducing ketoconazole absorption.

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Changes in Distribution

Drug distribution is affected by how drugs bind to plasma proteins.

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Displacement Impact

One drug can displace another from protein sites, increasing its effect.

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Inhibition of Metabolism

Some drugs reduce the breakdown of others, raising their levels.

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Erythromycin Example

Erythromycin inhibits the metabolism of theophylline, increasing its concentration.

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