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Pharmacology for Nurses
Pharm intro
222
Pharmacology
Undergraduate 2
09/01/2011

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Term
Pharmacology
Definition
derived from two Greek words, pharmakon which means "medicine" and logos (means logic) defined as the study of medicines
Term
Therapeutics
Definition
the branch of medicine concerned with the prevention of disease and treatment of suffering
Term
Pharmacotherapy
Definition
the application of drugs for the purpose of disease prevention and treatment of suffering
Term
drug
Definition
chemical agent capable of producing biological responses within the body
Term
medication
Definition
after a drug is administered
Term
biologics
Definition
agents naturally produced in animal cells, microorganisms, or by the body itself
Term
complementary and alternative therapies
Definition
natural plant extracts, herbs, vitamins, minerals, dietary supplements, and many techniques considered by some to be unconventional
Term
formulary
Definition
list of drugs and drug recipes
Term
pharmacopoeia
Definition
medical reference summarizing standards of drug purity, strength, and directions for synthesis
Term
Preclinical investigation
Definition
involves extensive laboratory research. Scientists perform many tests on human and microbial cells cultured in the laboratory
Term
clinical investigation
Definition
the second stage of drug testing, takes place in three stages termed clinical phase trials
Term
clinical phase trials
Definition
the longest part of the drug approval process. Clinical pharmacologists first perform tests on healthy volunteers
Term
NDA review
Definition
the third stage of the drug approval process. During this stage, clinical phase III trials and animal testing may continue depending on the results obtained from preclinical testing
Term
Postmarketing surveillance
Definition
The final stage of the drug approval process, begins after clinical trials and the NDA review have been completed, The purpose of this stage is to survey for harmful drug effects in a larger population
Term
FDA
Definition
The regulatory agency responsible for ensuring that drugs and medical devices are safe and effective
Term
therapeutic classification
Definition
method of organizing drugs based on their therapeutic usefulness in treating particular diseases
Term
pharmacological classification
Definition
refers to the way an agent works at the molecular, tissue, and body system level
Term
the key to therapeutic classification
Definition
clearly state what a particular drug does clinically
Term
mechanism of action
Definition
how a drug produces its effect in the body
Term
influence blood clotting
Definition
anticoagulants
Term
antihyperlipidemics
Definition
lower blood cholesterol
Term
antihypertensives
Definition
lower blood pressure
Term
antihypertensives
Definition
lower blood pressure
Term
antidysrhythmics
Definition
restore normal cardiac rhythm
Term
antianginals
Definition
treat angina
Term
diuretic
Definition
lowers plasma volume
Term
calcium channel blocker
Definition
blocks heart calcium channels
Term
angiotensin-converting enzyme inhibitor
Definition
blocks hormonal activity
Term
adrenergic antagonist (or blocker)
Definition
blocks physiologic reactions to stress
Term
vasodilator
Definition
dilates peripheral blood vessels
Term
prototype drug
Definition
well-understood drug model with which other drugs in a pharmacological class are compared
Term
chemical name
Definition
assigned using standard nomenclature established by the International Union of Pure and Applied Chemistry (IUPAC). A has only one of these names, sometimes helpful in predicting a substance's physical and chemical properties
Term
generic name
Definition
assigned by the U.S. Adopted Name Council. Less complicated and easier to remember
Term
trade name
Definition
assigned by the company marketing the drug
Term
aspirin
Definition
Acetylsaliclic Acid, Acuprin, Anacin, Aspergum, Bayer, Bufferin, Ecotrin, Empirin, Excedrin, Maprin, Norgesic, Salatin, Salocol, Salsprin, Supac, Talwin, Triaphen-10, Vanquish, Verin, ZORprin
Term
diphenhydramine
Definition
Allerdryl, Benadryl, Benahist, Bendykatem Caladryl, Compoz, Diahist, Diphenadril
Term
ibuprofen
Definition
Advil, Amersol, Apsifen, Bufen, Haltran, Medipren, Midol 200, Motrin, Neuvil, Novoprufen
Term
combination drug
Definition
contains more than one active generic ingredient
Term
bioavailability
Definition
physiological ability of the drug to reach its target cells and produce its effect
Term
negative formulary list
Definition
list of trade-name drugs that pharmacists may not dispense as generic drugs
Term
Dependence
Definition
physiological or psychological need for a substance
Term
physical dependence
Definition
refers to an altered physical condition caused by the adaptation of the nervous system to repeated drug use
Term
withdrawal
Definition
when an individual expresses physical signs of discomfort
Term
psychologically dependent
Definition
few signs of physical discomfort when the drug is withdrawn; however, the individual feels an intense compelling desire to continue drug use
Term
scheduled drugs
Definition
classified according to their potential for abuse: Schedule I drugs have the highest potential for abuse, and Schedule V drugs have the lowest potential for abuse
Term
Schedule I drugs
Definition
Heroin, lysergic acid diethylamide (LSD), marijuana, and methaqualone
Term
Schedule II drugs
Definition
morphine, phencyclidine (PCP), cocaine, methadone, and methamphetamine
Term
Schedule III drugs
Definition
anabolic steroids, codine and hydrocodone with aspirin or Tylenol, and some barbiturates
Term
controlled substance
Definition
drug whose use is restricted by the Controlled Substances Act of 1970 and later revisions
Term
allergic reaction
Definition
acquired hyperresponse of body defenses to a foreign substance (allergen)
Term
anaphylaxis
Definition
severe type of allergic reaction that involves massive, systemic release of histamine and other chemical mediators of inflammation that can lead to life-threatening shock
Term
five rights of drug administration
Definition
right client, right medication, right dose, right route of administration, and right time of delivery
Term
three checks to drug administration
Definition
checking the drug with the MAR when removing from medication storage, checking when preparing, checking Right before administration
Term
compliance
Definition
taking a medication in the manner prescribed by the practitioner, or in the case of OTC drugs, following the instructions on the label
Term
STAT order
Definition
Any medication that is needed immediately, and is to be given only once
Term
ASAP order
Definition
should be available for administration to the client within 30 minutes of the written order
Term
single order
Definition
for a drug that is to be given only once, and at a specific time, such as a preoperative order
Term
PRN order
Definition
(Latin: pro re nata) is administered "as required" by the client's condition
Term
routine orders
Definition
Orders not written as STAT, ASAP, NOW, or PRN. These are usually carried out within 2 hours of the time the order is written by the physician
Term
standing order
Definition
written in advance of a situation that is to be carried out under specific circumstances. EX: set if postoperative PRN prescriptions that are written for all clients who have undergone a specific surgical procedure
Term
metric system
Definition
the most common system of drug measurement
Term
L
Definition
liters; expresses volume of drug
Term
mL
Definition
milliliters; expresses volume of drug
Term
cc
Definition
cubic centimeter; a measurement of volume that is equivalent to 1 ml of fluid
Term
enteral route
Definition
includes drugs given orally and those administered through nasogastric or gastrostomy tubes
Term
enteric-coated tablets
Definition
designed to dissolve in the alkaline environment of the small intestine. It is important that the nurse not crush these tablets because the medication would then be directly exposed to the stomach environment
Term
sustained-release tablets or capsules
Definition
designed to dissolve very slowly. This releases the medication over an extended time and results in a longer duration of action for the medication
Term
XR
Definition
extended release
Term
LA
Definition
long acting
Term
SR
Definition
slow-release
Term
ac
Definition
before meals
Term
ad lib
Definition
as desired/as directed
Term
bid
Definition
twice per day
Term
cap
Definition
capsule
Term
gtt
Definition
drop
Term
IM
Definition
intramuscular
Term
IV
Definition
intravenous
Term
no
Definition
number
Term
pc
Definition
after meals; after eating
Term
PO
Definition
by mouth
Term
q
Definition
every
Term
qh
Definition
every hour
Term
qid
Definition
four times per day
Term
q2h, q4h, etc.
Definition
every 2, 4 etc. hours (even)
Term
Rx
Definition
take
Term
tid
Definition
three times per day
Term
tab
Definition
tablet
Term
sublingual route
Definition
medication is placed under the toungue and allowed to dissolve slowly
Term
buccal route
Definition
tablet or capsule is placed in the oral cavity between the gum and the cheek
Term
otic route
Definition
used to treat local conditions of the ear, including infections and soft blockages of the auditory canal
Term
ophthalmic route
Definition
used to treat local conditions of the eye and surrounding structures
Term
nasal route
Definition
used for both local and systemic drug administration using the nose
Term
astringent effect
Definition
drops or sprays shrink swollen mucus membranes or loosen secretions and facilitate drainage
Term
parental route
Definition
delivers drugs via a needle into the skin layers, subcutaneous tissue, muscles, or veins
Term
intradermal (ID) injection
Definition
administered into the dermis layer of the skin
Term
subcutaneous injection
Definition
delivered to the deepest layers of the skin
Term
intramuscular (IM) injection
Definition
delivers medication into specific muscles
Term
Intravenous (IV) medications and fluids
Definition
administered directly into the bloodstream and are immediately available for use by the body. Used when a very rapid onset of action is desired
Term
pharmacokinetics
Definition
the study of drug movement throughout the body. Describes how the body handles medications
Term
absorption
Definition
process involving the movement of a substance from its site of administration, across body membranes, to circulating fluids
Term
distribution
Definition
involves the transport of pharmacologic agents throughout the body
Term
affinity
Definition
attraction for certain medications
Term
drug-protein complexes
Definition
too large to cross capillary membranes
Term
metabolism (biotransformation)
Definition
process of chemically converting a drug to a form that is usually more easily removed from the body
Term
conjugates
Definition
side chains making the drugs more water soluble and more easily excreted by the kidneys
Term
enzyme induction
Definition
increased metabolic activity in the liver
Term
excretion
Definition
when drugs are removed from the body
Term
biliary excretion
Definition
when some drugs are excreted in the bile
Term
minimum effective concentration
Definition
the amount of drug required to produce a therapeutic effect
Term
toxic concentration
Definition
the level of drug that will result in serious adverse effects
Term
therapeutic range
Definition
the plasma drug concentration Between the minimum effective concentration and the toxic concentration
Term
plasma life (t 1/2)
Definition
defined as the length of time required for the plasma concentration of a medication to decrease by half after administration
Term
loading dose
Definition
a higher amount of drug, often given only once or twice, that is administered to "prime" the bloodstream with a level sufficient to quickly induce a therapeutic response
Term
maintenance doses
Definition
are given to keep the plasma drug concentration in the therapeutic range
Term
the four components of pharmacokinetics
Definition
absorption, metabolism, distribution, and excretion
Term
pharmacodynamics
Definition
refers to how a medicine changes the body. The branche of pharmacology concerned with the mechanisms of drug action and the relationships between drug concentration and responses in the body
Term
frequency distribution curve
Definition
graphical representation of the number of clients responding to a drug action at different doses
Term
median effective dose (ED 50)
Definition
the dose required to produce a specific therapeutic response in 50% of a group of clients
Term
median lethal dose (LD 50)
Definition
the dose of drug that will be lethal in 50% of a group of animals. Determined in preclinical trials as part of the drug development process
Term
therapeutic index (TD 50)
Definition
the dose that will produce a given toxicity in 50% of a group of clients
Term
efficacy
Definition
the magnitude of maximal response that can be produced from a particular drug
Term
receptor theory
Definition
explains the mechanisms by which most drugs produce their effects
Term
agonist
Definition
drug that produces the same type of response as the endogenous substance
Term
partial agonist
Definition
describes a medication that produces a weaker, or less efficacious, response than an agonist
Term
antagonist
Definition
a drug that will occupy a receptor and prevent the endogenous chemical from acting
Term
idiosyncraric responses
Definition
unpredictable and unexplained drug reactions
Term
pharmacogenetics
Definition
the area of pharmacology that examines the role of heredity in drug response
Term
Assessment
Definition
an ongoing process that begins with the nurse's initial contact with the client and continues with every interaction thereafter
Term
baseline data
Definition
what will be used to compare to information obtained during later interactions
Term
subjective data
Definition
what the client says or perceives
Term
objective data
Definition
gathered through physical assessment, laboratory tests, and other diagnostic sources
Term
nursing diagnosis
Definition
provide the basis for establishing goals and outcomes, planning interventions, and evaluating the effectiveness of the care given
Term
goals
Definition
established on what the client will be able to do or achieve
Term
outcomes
Definition
the objective measures of goals. Specifically define what the client will do, under what circumstances, and within a specified time frame
Term
planning
Definition
links strategies, or interventions, to the established goals and outcomes. The formal written process that communicates with all members of the healthcare team what the nurse will do to assist the client in meeting those goals
Term
growth
Definition
term that characterizes the progressive increase in physical (bodily) size
Term
development
Definition
a related term that refers to the functional changes in the physical, psychomotor, and cognitive capabilities of a living being
Term
prenatal stage
Definition
the time from conception to birth. It is subdevided into the embryonic period (conception to 8 weeks) and the fetal period (8 to 40 weeks or birth)
Term
tetratogens
Definition
drug or other agent that causes developmental birth defects
Term
infancy
Definition
the period from birth to 12 months of age
Term
toddlerhood
Definition
the age period from 1 to 3 years
Term
preschool child
Definition
age from 3 to 5 years
Term
school-age child
Definition
age between 6 and 12 years of age
Term
adolescence
Definition
the time between ages 13 and 16 years
Term
young adulthood
Definition
18 to 40 years
Term
middle adulthood
Definition
40 to 65 years
Term
older adulthood
Definition
over 65 years
Term
polypharmacy
Definition
the taking of multiple drugs concurrently
Term
holistic
Definition
viewing a person as an integrated biological, psychosocial, cultural, communicating whole, existing and functioning within the communal environment
Term
psychology
Definition
the science that deals with normal and abnormal mental processes and their impact on behavior
Term
sociology
Definition
studies human behavior within the context of groups and societies
Term
spirituality
Definition
incorporates the capacity to love, to convey compassion and empathy, to give and forgive, to enjoy life, and to find peace of mind and fulfillment in living
Term
ethnic
Definition
referring to people having a common history and similar genetic heritage
Term
culture
Definition
a set of beliefs, values, religious rituals, and customs shared by a group of people
Term
genetic polymorphisms
Definition
changes in enzyme structure and function due to mutation of the encoding gene
Term
nonmaleficence
Definition
ethical obligation to not harm the patient
Term
beneficence
Definition
ethical principle of doing good
Term
medication error
Definition
any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare provider, patient, or consumer
Term
medication error index
Definition
categorization of medication errors according to the extent of the harm an error can cause
Term
nurse practice act
Definition
legislation designed to protect the public by defining the legal scope of practice of nurses
Term
standards of care
Definition
the skills and learning commonly possessed by members of a profession
Term
reasonable and prudent action
Definition
defines the standard of care as the actions that a reasonable and prudent nurse with equivalent preparation would do under similar circumstances
Term
medication administration record (MAR)
Definition
documentation of all pharmacotherapies received by the patient
Term
risk-management
Definition
system of reducing medication errors by modifying policies and procedures within the institution
Term
botanical
Definition
plant extract used to treat or prevent illness
Term
complementary and alternative medicine (CAM)
Definition
treatments that consider the health of the whole person and promote disease prevention
Term
dietary supplement
Definition
nondrug substance regulated by the DSHEA
Term
dietary supplement health and education act of 1994 (DSHEA)
Definition
primary law in the U.S. regulating herb and dietary supplements
Term
herb
Definition
plant with a soft stem that is used for healing or as a seasoning
Term
specialty supplement
Definition
nonherbal dietary product used to enhance a wide variety of body functions
Term
addiction
Definition
the continued use of a substance despite its negative health and social consequences
Term
attention-deficit hyperactivity disorder (ADHD)
Definition
disorder typically diagnosed in childhood and adolescence characterized by hyperactivity as well as attention, organization, and behavior control issues
Term
benzodiazepines
Definition
major class of drugs used to treat anxiety disorders
Term
cross-tolerance
Definition
situation in which tolerance to one drug makes the patient tolerant to another drug
Term
designer drugs
Definition
substance produced in a laboratory and intended to mimic the effects of another psychoactive controlled substance
Term
opioid
Definition
substance obtained from the unripe seeds of the poppy plant; natural or synthetic morhinelike substance
Term
physical dependence
Definition
condition of experiencing unpleasant withdrawal symptoms when a substance is discontinued
Term
psychedelics
Definition
substance that alters perception and reality
Term
psychological dependence
Definition
intensive craving for a drug that drives people to continue drug use
Term
reticular formation
Definition
portion of the brain affecting awareness and wakefulness
Term
sedative
Definition
substance that depresses the CNS to cause drowsiness or sleep
Term
substance abuse
Definition
self-administration of a drug that does not conform to the medical or social norms within the patient's given culture or society
Term
tetrahydrocannabinol (THC)
Definition
the active chemical in marijuana
Term
tolerance
Definition
process of adapting to a drug over a period of time and subsequently requiring higher doses to achieve the same effect
Term
withdrawal syndrome
Definition
symptoms that result when a patient discontinues taking a substance on which he or she was dependent
Term
acute radiation syndrome
Definition
life-threatening symptoms resulting from acute exposure to ionizing radiation, including nausea, vomiting, severe leukopenia, thrombocytopenia, anemia, and alopecia
Term
anthrax
Definition
micoorganism that can cause severe disease and high mortality in humans
Term
bioterrorism
Definition
intentional use of infectious biological agents, chemical substances, or radiation to cause widespread harm or illness
Term
ionizing radiation
Definition
radiation that is highly penetrating and can cause serious biological effects
Term
nerve agents
Definition
chemical used in warfare or by bioterrorists that can affect the central nervous system and cause death
Term
strategic national stockpile (SNS)
Definition
program designed to ensure the immediate deployment of essential medical materials to a community in the event of a large-scale chemical or biological attack
Term
vaccine
Definition
biological material that confers protection against infection; preparation of microorganism particles that is injected into a patient to stimulate the immune system, with intention of preventing disease
Term
vendor management inventory (VMI)
Definition
supplies and pharmaceuticals that are shipped after a chemical or biological threat has been identified
Term
acetylcholine
Definition
primary neurotransmitter of the parasympathetic nervous system; also present at somatic neuromuscular junctions and at sympathetic preganglionic nerves
Term
acetylcholinesterace
Definition
enzyme that degrades acetycholine within the synaptic cleft, enhancing effects of the neurotransmitter
Term
adrenergic
Definition
relating to nerves that release norepinephrine or epinephrine
Term
alpha-receptor
Definition
type of subreceptor found in the sympathetic nervous system
Term
anticholinergic
Definition
drug that blocks the actions of the parasympathetic nervous system
Term
autonomic nervous system
Definition
portion of the peripheral nervous system that governs involuntary actions of the smooth muscle, cardiac muscle, and glands
Term
beta-receptor
Definition
type of subreceptor found in the sympathetic nervous system
Term
catecholamines
Definition
class of agents secreted in response to stress that include epinephrine, norepinephrine, and dopamine
Term
central nervous system (CNS)
Definition
division of the nervous system consisting of the brain and spinal cord
Term
cholinergic
Definition
relating to nerves that release acetylcholine
Term
fight-or-flight response
Definition
characteristic set of signs and symptoms produced when the sympathetic nervous system is activated
Term
ganglionic synapse
Definition
connection that occurs outside the CNS
Term
monoamine oxidase (MAO)
Definition
enzyme that destroys norepinephrine in the nerve terminal
Term
muscarinic
Definition
type of cholinergic receptor found in smooth muscle,cardiac muscle, and glands
Term
myasthenia gravis
Definition
motor disorder caused by a destruction of nicotinic receptors on skeletal muscles and characterized by profound muscular fatigue
Term
nicotinic
Definition
type of cholinergic receptor found in ganglia of both the sympathetic and parasympathetic nervous system
Term
norepinephrine
Definition
primary neurotransmitter in the sympathetic nervous system
Term
parasympathetic nervous system
Definition
portion of the autonimic nervous system that is active during periods of rest and that results in the rest or relaxation response
Term
parasympathomimetic
Definition
drug that mimics the actions of the parasympathetic nervous system
Term
peripheral nervous system
Definition
division of the nervous system containing all nervous tissue outside the CNS, including the autonomic nervous system
Term
postgangionic neuron
Definition
the nerve on the other side of the ganglionic synapse, waiting to receive impulse
Term
preganglionic neuron
Definition
the nerve carrying the impulse exiting the spinal cord
Term
rest-and-digest response
Definition
sings and symptoms produced when the parasympathetic nervous system is activated
Term
somatic nervous system
Definition
nerve division that provides voluntary control over skeletal muscle
Term
sympathetic nervous system
Definition
portion of the autonomic system that is active during periods of stress and results in the fight-or-flight response
Term
sympathomimetic
Definition
drug that stimulates or mimics the sympathetic nervous system
Term
sympatholytics
Definition
another term for adrenergic antagonists
Term
synapse
Definition
junction between two neurons consisting of a presynaptic nerve, synaptic cleft, and postsynaptic nerve
Term
synaptic transmission
Definition
process by which a neurotransmitter reaches receptors to regenerate the action potential
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