AND ANSWERS| GRADEDA
1970 Controlled Substances Law - drug schedule Correct Answer: Schedule of drugs - I, II, III,
IV, V
Lower is more addictive (Schedule I is illegal)
Pre-requisites for safe and effective medication administration Correct Answer:
Pharmacokinetics
Growth and development
Nutrition
Mathematics skills
Teratogenic Correct Answer: causes birth defects
Albumen's interaction with drugs Correct Answer: Binds to drugs → low albumen = increased
toxicity
Doseage is important
How are meds classified? Correct Answer: Meds with similar characteristics are grouped into
classifications
Ways of classification Correct Answer: The effect of the med on the body system
The symptoms the medication relieves Correct Answer: The med's desired effect
5 medication forms Correct Answer: Tablet
Capsules
Elixirs
Suppositories
Troches
Medication legislation and standards Correct Answer: Governmental regulation
Health care institutions and medication laws
Medication regulations and nursing practice
Non-therapeutic medication use
"Off-label" indications
Pharmicokinetics Correct Answer: The study of how medications enter the body, reach their site
of action, are metabolized, and exit the body
Types of medication action Correct Answer: Therapeutic effects
Side effects
Adverse effects
, Toxic effects
Idiosyncratic reactions
Allergic reactions
Medication interactions
Medication dose responses
Adverse effects Correct Answer: Effects of a med that are not intended and are more serious
Toxic effects Correct Answer: Too high a dose of the med
Idiosyncratic reactions Correct Answer: Effect of med that is opposite of expected effect
Allergic reactions Correct Answer: Adverse effect that triggers allergic response (hives,
swelling, anaphylactic shock)
Medication interactions Correct Answer: 2 or more meds interact with each other. Sometimes it
is good and/or intended (synergistic), but sometimes it is a bad thing
Medication dose responses Correct Answer: Medication doses are patient specific
Angioedema Correct Answer: Swelling of lips, tongue, mucous membranes that can occlude
throat
Pharmacokinetics Correct Answer: Absorption
Distribution
Circulation
Membrane permeability
Protein binding
Metabolism
Excretion
Main organ of Metabolism Correct Answer: Liver
Main organ of Excretion Correct Answer: Kidney
Circulation Correct Answer: Consider cardiac function in relation to medication
Membrane permeability Correct Answer: Lipophilic meds are more easily absorbed than
hydrophilic, but it should be hydrophilic after it is metabolized so that it is easier to excrete
(think of hand lotion - greasy hydrates better, but can't be too greasy or it will be hard to
wash off...or something like that)
Protein binding Correct Answer: Many meds bind to albumen
Inactive part binds and active part is free
-- Low albumen = higher med toxicity