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Cards (51)
What is the focus of pharmacokinetics?
It studies how drugs are absorbed, distributed, metabolized, and excreted in the body.
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What does absorption in pharmacokinetics refer to?
It refers to how
well
a drug can pass
into
the body.
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How does the route of administration affect drug absorption?
Different routes of administration can
vary
the
absorption rate
of the drug.
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What is the role of distribution in pharmacokinetics?
Distribution
involves carrying the
drug
throughout the
body
to
sites
of
action.
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What is the purpose of metabolism in pharmacokinetics?
Metabolism prepares the drug for elimination from the body.
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Which organ is primarily responsible for drug metabolism?
The
liver
is primarily responsible for drug metabolism.
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What does excretion refer to in pharmacokinetics?
Excretion refers to the
elimination
of the
drug
from the body.
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Which organ is primarily responsible for drug excretion?
The kidneys are primarily responsible for drug excretion.
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What should be monitored during drug excretion?
Blood urea nitrogen
(
BUN
),
creatinine
(
Cr
), and
glomerular filtration rate
(
GFR
) should be monitored.
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What does pharmacodynamics study?
Pharmacodynamics studies the
chemical changes
or
effects
a drug has on
body cells.
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What are the possible effects of a drug on body cells?
The effects may be
reversible
or
irreversible.
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What is a receptor in pharmacodynamics?
A
receptor
is a
site
on the
cell
where the
medication
acts.
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What is the relationship between a drug and its receptor?
The drug has chemical
affinity
for the receptor.
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What is an agonist?
An
agonist
is any drug that binds to a
receptor
and
activates
it.
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What happens when an agonist leaves the receptor?
When an agonist leaves the receptor, it is
deactivated.
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What can occur if covalent bonds happen between an agonist and a receptor?
Covalent bonds can cause permanent activation until the receptor protein is removed.
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What is an antagonist?
An antagonist is any drug that binds to a
receptor
and
prevents
its
activation.
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What is half-life in pharmacology?
Half-life is the time it takes for the
plasma
concentration of a drug to be
reduced
by
50
%.
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How many half-lives does it generally take to achieve "steady state" concentrations?
It generally takes
4
to
5
half-lives to achieve "steady state" concentrations.
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What does LD50 stand for?
LD50 stands for
lethal dose
in
50%
of the tested population.
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What does ED50 stand for?
ED50 stands for
effective dose
in
50%
of the tested population.
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What is the therapeutic index?
The therapeutic index is calculated as
LD50
/
ED50
and indicates the
margin
of
safety
of a drug.
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What are some drugs with a narrow therapeutic index?
Digoxin
Lithium
Warfarin
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What are some special considerations when using certain drugs?
Grapefruit
can interact with drugs, prolong
QT
interval, and cause
hepatotoxicity.
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What are the types of drug interactions?
Drug-Drug
Drug-Food
Drug-Disease
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What are the types of drugs used for pain management?
Types of drugs for pain include
local
anesthetics,
opioid analgesics
, and
non-opioid analgesics.
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What are the categories of opioid analgesics?
Agonists
Agonists-Antagonists
Antagonists
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What are some examples of local anesthetics?
Examples of local anesthetics include
dibucaine
,
lidocaine
,
benzocaine
,
cocaine
, and
tetracaine.
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What is the therapeutic class of lidocaine?
Lidocaine
is classified as a
local anesthetic.
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What is the indication for lidocaine?
Lidocaine is indicated for
painful procedures
and localized
pain
/
discomfort.
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What is the action of lidocaine?
Lidocaine stops
axonal conduction
by blocking
sodium channels
in the
axonal membrane.
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What are the nursing considerations for lidocaine?
Systemic absorption can result in
palpitations
,
tachycardia
, and
hypertension
; it is sometimes used with a
vasoconstrictor
to limit absorption.
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What are some examples of opioid agonists?
Examples of opioid agonists include
morphine
,
codeine
,
meperidine
,
fentanyl
,
oxycodone
,
hydrocodone
,
hydromorphone
, and
oxymorphone.
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What is the therapeutic class of morphine?
Morphine is classified as an
opioid analgesic.
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What is the indication for morphine?
Morphine
is indicated for
pain management.
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What is the action of morphine?
Morphine
binds to
opiate receptors
in the
CNS
and
alters
the
perception
of
pain
while producing
general
CNS
depression.
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What are the nursing considerations for morphine?
Common side effects include
constipation
and
CNS depression
; monitor
respiratory rate.
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What is the antidote for morphine overdose?
The antidote for morphine overdose is
naloxone.
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What is the therapeutic class of methadone?
Methadone is classified as an
opioid analgesic
-
opioid agonist.
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What is the indication for methadone?
Methadone is indicated for pain management and opioid withdrawal.
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