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pharmacodynamics
study the effects of drugs and the mechanism of action (what the drug does to the body)
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pharmacokinetics
- movement of drugs in the body
- what the body does to the drug: absorption, distribution, metabolism and excretion
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Adverse drug reactions
are not therapeutic, can be harmful and undesireable,
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underuse of medications
leads to increase pain and suffering and poor control of chronic disorders such as diabetes, depression and hypertensionn
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overuse of medication
leads to increased illness, increased injuries, and increased fatalities
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polypharmacy
simultaneous use of medications
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pill container
suggeseted for elderly who forget days and time
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when should fluids be given in eldery patient when taking meds
before and after medication is administered to facilitate swallowing
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pharmocologic classification
if the method for organizing drugs on the basis of their mechanism of action
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generic name
assigned by the govt, nonpropriety
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combination drug
more than one active generic ingredient
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when do you document medication administration
affter vaccine or medication is given
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Tdap
in infant recieve a lesser amount of antigens
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DTaP
higher amount of antigen, would not be revacinated, but will have a sore arm at the vaccination site
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uppercase letters in DTaP
corresponds with higher antigen quantity of the diptheria and pertussis components, relative to Tdap and its lowercase letters
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DAPTACEL ANND TRIPEDIA
formulation for active immunization of pediactric clients of 6 weeks to 8 years
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great risk for toxicity
neonates, infants and older adults
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MASTER rules
- Minimal number of drugs as appropiate
- alternate methods considered
- start low, go slow
- titrate therapies
- educate client
- review regularly
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example of antagonistic effect
warfarin is used to decrease blood clotting but can be blocked if combined with vitamin K
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drugs to avoid in elderly
- LA benzodiazepines
- seddative hypnotics
- LA oral antiglycemics
- older tca: elavil
- CNS depressing muscle relaxers
- less efficient anticholinergics
- sedating antihistamines
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