Flashcards in Pharmcotherapeutics Deck (190)
the study of biological effects of chemicals
What are drugs?
chemicals introduced to the body to cause some type of change
Health care providers focus on what type of pharmacology?
the way chemicals effect living organisms
As nurses we study pharmacotherapeutics aka...
As nurses we study clinical pharmacology aka...
What are 6 responsibilities of the nurse in regards to pharmacotherapeutics?
1. administer medication
2. assess adverse effects
3. intervening to make drug regime more tolerable
4. patient teaching about drug and regime
5. monitor for prevention of errors
6. follow the 8 CNO rights for medication administration
What are 4 drug sources?
- inorganic compounds (elements)
- synthetic sources (genetically engineered bacteria to make chemicals or developed groups of drugs derived from original prototype)
What are generic drugs?
- generic drugs are cheaper then the original name brand (the one to first discover and patent)
- generic drugs come out after patent runs out
Who regulates drugs in Canada?
Heath Protection Branch (HBP) of Health Canada
What isHeath Protection Branch (HBP) of Health Canada responsible for?
- regulates sale and use of foods, drugs, cosmetics, and medical devices
What is the controlled substance act?
prohibits activities such as possession, possession for the purpose of trafficking, trafficking, importing and exporting, and cultivating narcotics or controlled and restricted drugs
Who enforces the controlled drugs and substance act?
royal canadian mounted police
In regards to controlled substances what are nurses responsible for?
- storing controlled substances in locked containers
- administering to those prescribed
- recording each dose given on agency narcotic sheets and on the patients medication administration record
Maintaining an accurate inventory
- reporting discrepancies to proper authority
Where do you need to record info on narcotic administration?
- agency narcotic sheet
- clients administration record
When are narcotics given?
only when prescribed
How are narcotics stored?
in locked containers
What is a DIN number?
Drug Identification Number which is assigned by health canada
What information can be obtained from a DIN?
identifies all drug products sold in a dosage form in Canada and is located on the label of prescription and over the counter drug products that have been evaluated and authorized for sale in Canada
What characteristics does a DIN identify?
- product name
- active ingredients
- strengths of active ingredients
- pharmaceutical form
- route of administration
Name 5 drug laws and standards.
- controlled drugs and substances act
- food and drug regulations
- the narcotic and control regulations
- benzodiazepine and other targeted substances regulations
- marijuana medical access regulations
In regards to drug regulation, nursing documentation is both _____ and _______.
strict and comprehensive
Who approves OTC drugs?
Health Protection branch of Health Canada
What are some pro's of OTC drugs?
- recommended doses are lower for safety
- shifts primary responsibility to the patient and off the health care team
Define orphan drugs.
drugs that have been discovered, but are not financially viable and therefore have not been adopted by a drug company
Where can you find drug information?
- insert packaging
- reference book
What should nurses consider in regards to OTC drugs?
- can mask symptoms
- can cause drug interaction
- watch for over dose
What is ISMP?
- an independent non profit organization committed to the advancement of medication safety in the health care system
- work collaboratively to promote safe practices
- analyze medication incidents, making recommendations for the prevention of harmful medications incidents, and facilitating quality improvement initiatives
Who helps to promote safe policy and prevention of medications errors?
the science of dealing with interactions between living organisms and foreign chemicals
(drug action on targeted cell)