Pharmacology Introduction Quiz

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Questions and Answers

What is pharmacology primarily concerned with?

  • The development of new drug regulations
  • The ethical implications of drug use
  • The psychological effects of drug therapy
  • The study of drugs, their properties, effects, and interactions with living organisms (correct)

Which characteristic is NOT typically associated with an ideal drug?

  • Quickly eliminated by the body after therapeutic effect
  • Produces no adverse effects
  • Can be administered conveniently
  • Always leads to a high cost (correct)

What defines a placebo in pharmacological studies?

  • An active medication used to treat conditions
  • A drug that enhances the effects of another medication
  • An inactive substance or treatment used as a control (correct)
  • A medication that produces adverse effects

Which of the following best describes pharmacotherapy?

<p>The treatment of disease through the use of drugs (B)</p> Signup and view all the answers

What is a prototype drug?

<p>A standard example used for comparison with other drugs in the same class (D)</p> Signup and view all the answers

What primary effect does John’s Wort have on the body?

<p>Increases serotonin levels (B)</p> Signup and view all the answers

Which side effect is associated with the use of Valerian?

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

Which condition is contraindicated with the use of John's Wort?

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

What is the main application of Valerian as mentioned?

<p>Anxiety and insomnia relief (A)</p> Signup and view all the answers

Which of the following is a potential risk of using Valerian?

<p>Dependence on the substance (B)</p> Signup and view all the answers

What must be true about a drug's brand name?

<p>It must be approved by the FDA. (C)</p> Signup and view all the answers

Which of the following statements is true regarding generic names?

<p>There is only one generic name for each drug. (A)</p> Signup and view all the answers

What defines a drug's therapeutic class?

<p>What condition the drug is intended to treat. (B)</p> Signup and view all the answers

Which phase of clinical trials primarily focuses on the drug's safety?

<p>Phase 1 (C)</p> Signup and view all the answers

What does the pharmacologic class of a drug describe?

<p>The method of action of the drug. (B)</p> Signup and view all the answers

What primarily controls the metabolism of drugs in the body?

<p>Liver enzyme activity (A)</p> Signup and view all the answers

Which of the following factors can slow metabolism?

<p>Age, particularly in neonates and older adults (D)</p> Signup and view all the answers

How does kidney function impact drug elimination?

<p>Slows drug elimination when impaired (C)</p> Signup and view all the answers

What is the primary effect of first pass metabolism on drug administration?

<p>Reduces the bioavailability of orally administered drugs (D)</p> Signup and view all the answers

What is the definition of an agonist in pharmacodynamics?

<p>A drug that binds to a receptor to cause an effect (A)</p> Signup and view all the answers

What does a loading dose refer to in medication administration?

<p>A higher amount of drug to quickly achieve therapeutic levels (B)</p> Signup and view all the answers

What does the duration of action refer to in pharmacodynamics?

<p>Length of time a drug remains at therapeutic levels (C)</p> Signup and view all the answers

What is typically the peak level of a drug in an individual?

<p>Highest drug concentration after administration (A)</p> Signup and view all the answers

What is the primary reason for rotating application sites for patches?

<p>To prevent skin irritation (D)</p> Signup and view all the answers

Which factor does NOT affect the choice of route for drug administration?

<p>Time of day (D)</p> Signup and view all the answers

What does 'bioavailability' refer to in pharmacology?

<p>The fraction of the drug that enters systemic circulation (D)</p> Signup and view all the answers

Which of the following is a factor affecting drug absorption?

<p>Presence of food (A)</p> Signup and view all the answers

How does lipid solubility influence drug distribution?

<p>It allows drugs to cross cell membranes more easily. (B)</p> Signup and view all the answers

Which barrier can limit drug access to the brain?

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

What is a disadvantage of inhalation as a route of administration?

<p>Difficulties in regulating dosage (A)</p> Signup and view all the answers

Which of the following factors influences the absorption of a drug?

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

Which medications are commonly associated with triggering Stevens-Johnson syndrome (SJS)?

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

What is a key characteristic of the physiological changes in elderly patients regarding medication?

<p>Decreased liver metabolism (D)</p> Signup and view all the answers

Which strategy is NOT recommended for reducing medication errors?

<p>Store look-alike medications together for convenience (B)</p> Signup and view all the answers

What is the minimum number of medications that can indicate polypharmacy?

<p>5 medications (B)</p> Signup and view all the answers

Which of the following is a potential consequence of reduced kidney function in elderly patients?

<p>Increased risk of drug accumulation (A)</p> Signup and view all the answers

Which complementary therapy includes practices such as yoga and acupuncture?

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

What adverse effect is associated with the use of antipsychotic drugs in elderly patients?

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

What effect do NSAIDs have that can complicate medication regimens in elderly patients?

<p>Increased blood pressure (A)</p> Signup and view all the answers

Which herbal supplement is linked to the risk of hepatotoxicity?

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

Which of the following strategies may aid in medication adherence among elderly patients?

<p>Providing large-font instructions (D)</p> Signup and view all the answers

Which term describes when the combined effect of two drugs is greater than their individual effects?

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

What should be avoided when storing medications to prevent errors?

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

Which medication is known for potentially increasing the risk of GI bleeding?

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

Flashcards

Pharmacology

The study of drugs, their properties, effects, and interactions with living organisms.

Pharmacotherapy

The use of drugs to treat disease.

Drug

Any substance that alters physiological function.

Placebo

An inactive substance used as a control in experiments or as a therapeutic measure.

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Prototype

A typical example of a drug used to compare others in the same class.

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Brand Name

The name given to a drug by the pharmaceutical company that developed it.

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Generic Name

The scientific name of a drug that is used by the chemical name.

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Therapeutic Class

A group of drugs that treat the same condition.

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Pharmacologic Class

A group of drugs with similar chemical structures and mechanisms of action.

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Phase 1 - Safety Trials

The first phase of clinical trials in which a small group of healthy volunteers test the safety of a new drug.

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Drug Metabolism

The process of breaking down drugs in the body, mainly by the liver.

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Drug Excretion

The removal of drugs and their byproducts from the body, primarily through urine.

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First Pass Metabolism

The initial breakdown of a drug by the liver before it reaches the bloodstream.

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Agonist

A drug that binds to a receptor to cause an effect.

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Partial Agonist

A drug that binds to a receptor but only causes a partial effect.

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Antagonist

A drug that blocks the action of another drug by binding to the same receptor.

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Loading Dose

A larger initial dose of a drug to quickly reach therapeutic levels.

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Maintenance Dose

A smaller dose of a drug used to maintain therapeutic levels after the initial dose.

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Drug Absorption

The process by which a drug enters the bloodstream after administration.

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Bioavailability

The fraction of a drug that reaches systemic circulation.

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Drug Distribution

Transportation of a drug from the bloodstream to target tissues and organs.

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Drug Elimination

The rate at which a drug is eliminated from the body.

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Half-Life

The time it takes for the concentration of a drug in the body to decrease by half.

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Therapeutic Effect

The desired effect of a drug in treating a medical condition.

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Side Effects

Unwanted effects of a drug that occur in addition to the therapeutic effect.

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Adverse Drug Reaction (ADR)

A severe and potentially life-threatening adverse drug reaction.

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What is Saint John's Wort?

Saint John's Wort is a natural remedy used to treat mild depression and pain. It increases serotonin levels, a neurotransmitter associated with mood regulation.

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What are some common side effects of Saint John's Wort?

Saint John's Wort can cause photosensitivity, dry mouth, and constipation. These are side effects.

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What medications is Saint John's Wort contraindicated with?

Saint John's Wort is contraindicated with antidepressants, amphetamines, and cocaine. This means it should not be used with these medications.

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What is Valerian?

Valerian is a natural remedy used to treat insomnia and anxiety. It boosts GABA levels, a neurotransmitter associated with relaxation.

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When is Valerian contraindicated?

Valerian is contraindicated during pregnancy, breastfeeding, and use with CNS depressants like alcohol. These are situations where it should not be used.

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Stevens-Johnson Syndrome (SJS)

A severe, potentially life-threatening skin reaction characterized by fever, flu-like symptoms, and blisters and sores on the skin and inside the mouth.

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Antibiotics

A group of medications that can trigger Stevens-Johnson Syndrome (SJS), including sulfonamides, penicillins, and certain cephalosporins.

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Anticonvulsants

A group of medications that can trigger Stevens-Johnson Syndrome (SJS), including carbamazepine, lamotrigine, phenytoin, and valproate.

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Non-steroidal Anti-inflammatory Drugs (NSAIDs)

A group of medications that can trigger Stevens-Johnson Syndrome (SJS), including ibuprofen and diclofenac.

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Allopurinol

A medication used to treat gout that can trigger Stevens-Johnson Syndrome (SJS).

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Certain drugs for HIV

A group of medications used to treat HIV that can trigger Stevens-Johnson Syndrome (SJS), including nevirapine and efavirenz.

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Medication Error Reduction Strategies

Strategies aimed at preventing medication errors, including keeping up-to-date knowledge, double-checking high-alert medications, and consulting interdisciplinary teams.

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Polypharmacy

The use of five or more medications concurrently, which increases the risk of drug interactions and adverse effects.

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Beers Criteria

A list of medications that should be used with caution in elderly clients due to an increased risk of experiencing adverse effects.

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Dietary Supplement Health and Education Act (DSHEA)

A dietary supplement that is exempt from FDA standards, treated like food, and typically sold without a prescription.

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Herbal Medications

A nutritional supplement sold without a prescription and lacking FDA approval, often derived from plants.

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Alternative Medicine

Therapies that fall outside of conventional medicine, such as naturopathy, yoga, hypnosis, and acupuncture.

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GABA (gamma-amino butyric acid)

An amino acid neurotransmitter in the CNS that inhibits nerve transmission and reduces neuronal excitation.

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Study Notes

Pharmacology Introduction

  • Pharmacology is the study of drugs, their properties, effects, and interactions with living organisms.
  • Pharmacotherapy is the treatment of disease using drugs
  • Drugs are substances that alter physiological function.
  • Placebos are inactive substances used as controls in experiments.
  • Prototypes are standard examples of drugs within a class, used for comparison.
  • Ideal drugs meet efficacy, safety, and convenience criteria.

Ideal Drug Characteristics

  • Effectively treats, prevents, or cures the condition.
  • Produces a predictable response at low doses.
  • Quickly eliminated by the body.
  • Can be taken infrequently.
  • Affordable and obtainable.
  • Administered conveniently.
  • Produces no adverse effects.
  • Does not interact with other medications or food.

Drug Naming

  • Trade names (brand names) are created by drug companies and are easier to remember or pronounce.
  • Trade names require FDA approval.
  • Generic names are unique, single names per drug, starting with lower case letters.
  • Examples of brand names: Viagra, Tylenol, Advil
  • Examples of generic names: sildenafil, acetaminophen, ibuprofen, atorvastatin

Drug Classification

  • Therapeutic classes describe what condition a drug treats (e.g., Antihypertensives, Antidepressants).
  • Pharmacologic classes describe how a drug works (e.g., ACE inhibitors, SSRIs).

Drug Development and Approval

  • Drug development involves lab research, pre-clinical research, and clinical trials.
  • Clinical trials include safety (Phase 1), effectiveness (Phase 2), patient variability and interactions (Phase 3) phases.
  • Government approval and post-marketing surveillance follow.

Controlled Drug Schedules

  • Schedule 1 drugs have no accepted medical use and the highest potential for abuse.
  • Schedule 2 drugs have accepted medical use and high potential for abuse leading to dependence.
  • Examples of Schedule 1 drugs: Heroin, LSD, MDMA
  • Examples of Schedule 2 drugs: Oxycodone, Morphine.
  • Prescription drugs (Rx) are available only with a doctor's order.
  • Over-the-counter (OTC) drugs are available without a prescription.

Pharmacokinetics

  • Pharmacokinetics describes how the body handles drugs.
  • Bioavailability is the amount of a drug that reaches the bloodstream after administration.
  • IV administration generally has the highest bioavailability.
  • First-pass effect is the reduction in bioavailability due to drug metabolism in the liver after oral administration.

Routes of Administration

  • Enteral (oral) routes include tablets, capsules, or liquid forms.
  • Parenteral (injection) routes include IV, IM, subcutaneous.
  • Topical routes include transdermal patches, creams, or ointments.

Factors Affecting Drug Absorption

  • Route of administration
  • Drug solubility
  • pH levels
  • Presence of food

Adverse Drug Reactions and Side Effects

  • Side effects are predictable and expected reactions to a drug taken at therapeutic doses.
  • Adverse effects are harmful and undesirable.
  • Some adverse reactions could be severe requiring immediate medical attention.

Factors Affecting Drug Metabolism and Excretion

  • Age, liver function, and drug interactions can affect how the body metabolizes and excretes drugs.

Medication Error Reduction Strategies

  • Knowledge and adherence to safety procedures, like proper identification and scanning of drugs.
  • Collaborative approaches from various clinical staff.
  • Thorough recording of drug administration and appropriate labeling.

Geriatric Care

  • Physiological changes in the elderly can affect drug metabolism and excretion.
  • Elderly patients may have reduced kidney and liver function.
  • Drug interactions need to be assessed and minimized.

Polypharmacy and Adherence

  • Polypharmacy involves taking multiple medications, increasing the risk of side effects and drug-drug interactions.
  • Complicated medication regimens reduce patient adherence to treatment.

Beers Criteria

  • A list of medications that are associated with increased risks in elderly patients, often due to a potentially negative effect on their health.

Herbal Supplements

  • There are risks and benefits when taking herbal supplements. Some can alter how the body handles conventional medications.

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