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Pharmacology unit 1 & 2
vocab
41
Nursing
Undergraduate 1
01/15/2012

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Term
Pharmacotherapeutics
Definition
the clinical indication for giving the drug.
Term
Pharmacokinetics
Definition
the way the body processes a drug (the effect of the body on the drug)
Term
Absorption
Definition
The passage of substances across and info tissues. (several factors affect the completeness and rate of drug absorption, the completeness of absorption is the portion of the drug that is absorbed, can be affected by route of administration, age, drug solublity, ionization, bioavailablity)
Term
Distribution
Definition
The movement of the drug through the bloodstream into tissues and cells. It depends on 3 factors: blood flow to tissues, drug's ability to leave the blood, and drug's ability to enter cell.Drugs must leave the blood stream and enter tissue because most drugs don't produce their effect while in the blood stream.
Term
Pharmacodynamics
Definition
What the drug actually does to the body. It's the biological, chemical, and physiologic actions of a particular drug w/in the body and the study of how those actions occur.
Term
Metabolism
Definition
The breaking down of a substance to an active or inactive form. (Hepatic First-pass phenomenon)metabolism of drugs occur mostly in the liver.
Term
Excretion
Definition
Most drugs are excreted by the kidney unchanged or as a metabolite.
Term
Adverse Effect
Definition
Any effect the client experiences that is other than the desired response.
Term
Side effect
Definition
minor effect, usually causes some minor discomfort to the client. usually don't discontinue tx.
Term
Toxic effect
Definition
more serious, usually results in organ impairment/damage or death.
Term
Allergic Reaction
Definition
10% of all adverse effects. Client has increasing reactivity to subsequent exposures.
Term
Anaphylaxis
Definition
MEDICAL EMERGENCY! contraction of smooth muscles and increase vascular permeability. client experiences dyspnea, bronchospasm, laryngeal edema, hypotension, dysrhythmias.
Term
Idiosyncratic response
Definition
exaggerated or diminished response.
Term
Additive effect
Definition
When two or more "like" drugs are combined, can be a good or bad response.
Term
Synergistic effect
Definition
when two "unlike" drugs are combined, can be good or bad response.
Term
Potentiation
Definition
Interaction in which the effect of only one of two drugs are increased.
Term
Antagonistic interactions
Definition
effect of the combinations of drugs is less than the drug alone-cancel each other out.
Term
Chemical name
Definition
Describes the drug using exact chemical nomenclature to show atomic/molecular structure.
Term
Core Drug Knowledge
Definition
The pharmacologic facts relevant to each drug: pharmacotherapeutics, pharmacokinetics, pharmacodynamics, contraindications and precautions, adverse effects, drug interactions.
Term
Core Patient Variables
Definition
assess the patient for factors that may/will interact w/ drug therapy: health status, life span, gender, lifestyle, diet, habits, environment, culture, and inherited traits.
Term
Drug Prototype
Definition
typical of a group of drugs w/in a drug class, typically the first drug in a class EX: hydrochlorothiazide is a prototype that represents thiazide diuretics.
Term
Generic name
Definition
Identifies the active ingredient in the drug, derived from chemical name, first letter is NOT capitalized, non-proprietary name.
Term
Legend Drugs
Definition
AKA prescription drugs, must be identified by the legend (inscription) on the container "caution: Federal law prohibits dispensing w/o a prescription" or on a controlled substance Rx: "caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed."
Term
Orphan Drugs
Definition
Drugs used to treat rare/unusual diseases, no one wants the cost of developing these meds.
Term
Pharmacology
Definition
Study of drugs and their interaction at any cellular level-w/in the body's component's.
Term
Pharmacy
Definition
The science of preparing and dispensing medications.
Term
Trade Name
Definition
the brand name provided by manufacturer, protected by trademark, first letter IS capitalized.
Term
Protein bindings influence on distribution:
Definition
Only drug molecules that are unattached to protein are capable of moving to their site of action and achieving the desired therapeutic effect.
Term
Biotransformation
Definition
When drugs are metabolized, they are changed from their original form to a new form, generally from lipophilic into hydrophilic substances.The ability for drug to become soluble in water is important because it allows the drug to be excreted through the renal system.
Term
Metabolites
Definition
A product of metabolism, that are generally changed into an inactive form, but occasionally changed into an active metabolite.
Term
Prodrugs
Definition
Drugs that are inactive until metabolized into an active form.
Term
First-pass effect
Definition
when highly metabolized drugs lose much of their effectiveness during the first pass through the liver.
Term
CYP inhibitor
Definition
drugs that inhibit a hepatic enzyme slow the metabolism that occurs through that pathway causing an increase in the circulating active drug.
Term
CYP inducer
Definition
drugs that increase the amt of hepatic enzyme in the liver. more enzyme=more metabolism through that pathway resulting in less drug.
Term
Chemical composition
Definition
describes its chemical base
Term
physiologic classification
Definition
describes its effect on body systems
Term
therapeutic classification
Definition
describes the drug by its use in therapy
Term
preclinical trials
Definition
designed to provide basic safety, bioavailability, pharmacokinetic, and initial efficacy data about the drug and are carried out in animal subjects in the laboratory setting.
Term
clinical trials
Definition
occur in 4 phases, may require 5-9 yrs for completion. Phase 1-3 take place before a new drug is marketed, phase 4 is completed after marketing begins.
Term
placebo response
Definition
patients who respond in a positive way to any therapeutic intervention by interested and caring health care personnel. It may involve objective physiologic and biochemical changes as well sa changes in subjective complaints (stomach ache, insomnia, sedation) associated with the disorder being treated. Placebo occurs in 20-40% of patients in almost all studies.
Term
controlled substance
Definition
drugs that are categorized by their potential abuse and medical usefulness on a scale of I to V.
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