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Pharm study guide exam I

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Pharm study guide exam I is a document that contain adaptive questions and best revising material.Pharmacology Drugs are organized in two ways: 1) Therapeutic: what does the drug do clinically? Ex. Anticoagulant, antidepressant 2) Pharmacologic classification: based on a drug mechanism of action Ex. Decrease plasma volume (Diuretic), Block heart calcium channels (Calcium channel blocker) Nomenclature Chemical: 7-chloro-1,3 dihydro-1-methyl-5-phenyl-2 hydrogen Generic: Diazepam Trade: Valium Controlled substances 1 I (highest) LSD, Heroin, Marijuana 2 II (high) oxycodone, cocaine (zmoderate) hydrocodone, anabolic steriods (lower) Benzo (diazepam), trazolam 5 V (lowest) Codene Pregnancy Category drugs Category A: Fail to show a risk to the fetus, and possibility of fetal harm appears unlikely. (CONTROLLED SUBSTANCES) Category B: Animal reproduction studies have revealed adverse effects on fetus and no controlled studies available. Category C: Either studies in animals have revealed adverse effects on the fetus and there are NO controlled studies on women. Category D: Is confirmation of human fetal risk but may be acceptable despite the risk Ex: Life threatening situation Category X: Animal and human studies have shown fetus abnormalities *Drugs are contraindicated in women who are or may become pregnant. Chapter 3 Principles of drug administration Know Classifications/Actions/Side effects drug was prescribed? drug is acquired and pharmacy procedures Know how to prepare and administer drug safely Before administration nurse must know all Variables of the patient’s condition Be prepard to recognize and react to adverse effects 5 Most common medications Errors 1. Incomplete patient info 2. Unavailable drug info (BLACK BOX warning) 3. Miscommunication of drug orders (dosing) 4. Lack of appropriate drug labeling 5. Environmental distractions BLACK BOX WARNING: High risk for serious side effects Six Rights of Drug Administrations PMDRTD ▪ Right patient ▪ Right medication ▪ Right dose ▪ Right route of administration ▪ Right time of delivery ▪ Right documentation Drug Compliance (adherence)- nurse is making sure that the pt is taking the medication when told to; or as prescribed. 3 checks of drug administration 1. Check the drug with the MAR when pulling it from storage 2. Check the drug when preparing it, pourin

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