Pharm Module A

Legal boundaries of nursing practice within each state

Agency sets the legal regulations for nursing licensure

To respect the rights, dignity, and wishes of the patient

Giving correct drug, but wrong route that results in patients death

Omission; omitting a drug dose that results in patients death

Negligence; giving the wrong drug or dose that results in patients death

Student nurses are held under the same standards as a licensed nurse

Prevented marketing of altered drugs; required labeling to eliminate false/misleading claims

Federal agency responsible for the regulation and enforcement of drug evaluation and distribution policies

Designed to remedy the escalating problem of drug abuse, including several provisions

-Keep special controlled-substance record required info

-Countersign all discarded/wasted meds

-Ensure that documentation and drugs match

*double locked

*requires 2 signatures

*counted every shift

*count every time open

preg. women studies= no fetal risk in 1st trimester and no risk evident in later trimesters (No harm)

Animal studies= no risk to fetus, no studies in preg. women OR

AS= adverse effect on fetus, preg. women studies= no fetal risk in 1st trimester and no risk evident in later trimester

Animal studies= adverse effect on fetus, no studies in preg. women; drug benefits in preg. women acceptable despite risk OR

No studies in animals or preg. women

Evidence of fetal risk but drug benefits in preg. women acceptable despite risks

Fetal abnormalities or adverse reaction; fetal risks reports. Risk outweighs benefits in preg. women (Do Not Give!!)

Sets the standards for privacy of individuals health information.

*Ability to read your medical records.

Dissolution of the drug

(Break down so body can use. Oral route- liquid/pill)

How the drug affects the body

(What it does to the body)

Scientific discipline studying how the effect of a drug action varies from a predictable drug response because of genetic factors of hereditary influences.

(Hereditary/ genetics med combined)

*body can affect medicine

Process of drug movement to achieve drug action.

(How the body acts on the drugs and how it’s absorbed and distributed)

Study of drug action

(Study of biological effects of chemicals)

1st phase of drug action. In GI tract, drugs need to be in solution so they can be absorbed. A drug in solid form must be disintegrated into small particles to dissolve into liquid so it can cross the biological membrane.

Disintegration of ec tablets & sr capsules occur in the small intestines.

Liver

Kidneys

Portion of drug that’s bound is inactive because it’s not available to receptors, and portion that is inbound remains free, active drug.

Body fat increases and total body water decreases

Process in which drug passes to liver first, where metabolized to an inactive form or a drug metabolite

Time it takes for one half or drug concentrated to be eliminated from the body

Drugs that affect various sites and have properties of nonspecifity

(Works on tissues)

First set of impact of drug

Best relief time

How long you have relief

Bottom no more relief

How much we can get out of med “best effect”

Protein in nature found on cell membranes to enhance drug action.

(Pain receptor- sites are open, med goes right to pain site and pain receptors close)

Drugs that produce a response

Drugs that block a response

Drugs that affect various receptors

Subcategory of absorption percentage of administered drugs dose that reaches systemic circulation.

(Protein bound drug)

First step of Pharmokinetics

drug is absorbed in GI tract

Second step Pharmokinetics

Drug binds to plasma protein and gets transported

Third step of Pharmokinetics

Actioned in the liver

Medication converges from a readily lipid soluble into a polar, watery drug

Fourth step of Pharmokinetics

Actioned in kidney

Medication leaves the body

Outer coating that prevents medication from dissolving in the gastric environment

Outer coating that allows medication to release at a predetermined rate