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Pharmacology
The study of drug actions and drug interactions with living organisms
Drugs
Chemical substances that are not required for normal maintenance of body function and produce a biologic effect in an organism
Paracelsus
The grandfather of Pharmacology
Pharmacokinetics
The study of the way the body processes a drug and includes how drugs are absorbed, reach their site of action, are metabolized (physically & chemically changed), and exit the body
Pharmacodynamics
The study of the effects of drugs on the normal physiological functions of the body
Lock & Key
The most common mechanism of drug action is drug binding to the receptor sites on a cell
Agonist
A drug that binds to the receptor, producing a similar response to the intended chemical and receptor
Agonist
A drug that promotes the desired result
Antihistamine
Blocks receptor site of histamine cell thus reducing itching and swelling
Antagonist
A drug that attaches itself to the receptor, preventing the agonist from acting
Antagonist
A drug that stops the receptor from producing a response
Medications
Are administered to produce a predictable physiologic response called the therapeutic effect
Discontinue
If the side effects are severe enough to out-weigh the benefits of the medication, the physician may choose to ___________ the drug
Therapeutic Effect
Purpose of the medication
Therapeutic Effect
Causes usually, drug binds to receptor sites on cells
Therapeutic Effect
Examples are pain relief, blood pressure control, reduced inflammation
Side Effect
Predictable action or effect of a drug other than that desired
Side Effect
Causes related to the chemical and therapeutic characteristics of the medication
Side Effect
Examples are nausea, headache, insomnia, dry mouth
Toxic Effect
Poisonous, potentially lethal
Toxic Effect
Causes are inadequate excretion, impaired metabolism, overdose, or drug sensitivity
Toxic Effect
Examples are respiratory depression, kidney failure
Idiosyncratic Effect
Overreaction, under reaction, unusual reaction
Idiosyncratic Effect
Causes are unknown, unique to individuals
Idiosyncratic Effect
Examples are sedative causes anxiety, increases/decreases appetite, mild stimulant causes extreme excitation
Allergic Response
Characteristic response to an allergen
Allergic Response
Prior sensitization to an initial dose of the medication or one of its components
Allergic Response
Examples are hives, asthma attack, and bronchospasm
Synergistic Effect
Responses to combined drug that differ from their individual effects
Synergistic Effect
Causes are chemical or physiological drug interaction
Synergistic Effect
Examples are combination of hypertension medication and diuretic drug causes weakness and fainting
Analgesics
Drugs that relieve pain without causing loss of consciousness
Analgesics
Can be divided into two groups: the nonopioids (nonnarcotic) and the opioids (narcotic)
Analgesics
Pain reliever
Anesthetic Agents
Reversibly depress neuronal function, producing loss of ability to perceive pain and/or other sensations
Local Anesthetics
Blocks nerve conduction from an area of the body to the CNS
Anesthetic Agents
The extent of their action depends on the area to which they are applied
Antiallergic and Antihistamine Drugs
Provides symptomatic relief of allergic symptoms caused by histamine release
Histamines
The body makes chemicals called __________ when encounters any allergen
Antihistamines
Reduce or block histamines, so they stop allergy symptoms
Anxiolytics
Drugs used in the treatment of anxiety
Anxiolytics
They act on the CNS to calm or relax the anxious patient
Benzodiazepines
Used as a preoperative drug for various procedures performed in the radiology department
Benzodiazepines
Can be abused, and physical dependence has been documented
Antiarrhythmic Drugs
Used to treat cardiac arrhythmias, which are variations from the normal rhythm of the heartbeat
Sodium Channel Blockers
These drugs bind to and block fast sodium channels that are responsible for rapid depolarization (phase 0) of fast-response cardiac action potentials
Vaughan-Williams Classifications
Antiarrhythmic Drug Classes
Sodium Channel Blockers
Class I Vaughan-Williams Classification
Beta-blockers
Class II Vaughan-Williams Classification
Potassium-channel blockers
Class III Vaughan-Williams Classification
Calcium-channel blockers
Class IV Vaughan-Williams Classification
Beta-blockers
Stop the action of the hormone adrenaline
Beta-blockers
Relieves tachycardia by slowing heart rate
Beta-blockers
It can also lower blood pressure and decrease the stress of the heart
Potassium Channel Blockers
Bind to and block _________ channels that are responsible for phase 3 repolarization
Calcium Channel Blockers
For patients with angina (chest pain), high or low blood pressure, and an arrhythmia – the doctor may prescribe these drugs
Calcium Channel Blockers
These drugs dilate the blood vessels and allows more blood to flow to the heart, which helps ease chest pain and decrease blood pressure
Antibacterial Drugs or Antibiotics
Drugs that destroy or suppresses the growth of bacteria or their ability to reproduce
Antibacterial Drugs or Antibiotics
Includes a range of powerful drugs and are used to treat diseases caused by bacteria
Antibacterial Drugs or Antibiotics
Cannot treat viral infections, such as cold, flu, and most coughs
Anticoagulant & Coagulant Drugs
Inhibit the clotting mechanism of the blood; used to keep IV lines and arterial catheters open during diagnostic procedures
Anticoagulant & Coagulant Drugs
Prevents blood clots following heart attack
Antidepressants
Medications that can help relieve symptoms of depression, social anxiety disorder, anxiety disorders, seasonal affective disorder, and dysthymia, or mild chronic depression, as well as other conditions
Antidepressants
Aims to correct chemical imbalances of neurotransmitters in the brain that are believed to be responsible for changes in mood and behavior
Antiemetic Drugs
Ease nausea or vomiting
Antiemetic Drugs
Works by blocking neurotransmitters, which send information about nausea to the brain
Antihypertensive Drugs
Used to treat hypertension (high blood pressure)
Antihypertensive Therapy
Seeks to prevent the complications of high blood pressure, such as stroke and myocardial infarction
34%
Evidence suggests that reduction of the blood pressure by 5 mmHg can decrease the risk of stroke by __%
Anti-inflammatory Drugs
Refers to the ability of a medicine to help fight pain and unwanted or abnormal immune system reactions by reducing inflammation
NSAIDs
Block the production of certain body chemicals that cause inflammation
Antiseptic Agents
Also known as skin disinfectants, are chemicals for cleaning the skin and wounds
Antiseptic Agents
Kills/prevent the growth of microorganisms
Disinfectants
Tend to have higher concentrations than antiseptics, which are not suitable for use on the skin or mucous membranes
Antibacterial Sprays
Are effective in killing or slowing the growth of bacteria. They do not kill or prevent viruses from growing, however
Bronchodilators
A medication that relaxes and opens the airways, or bronchi, in the lungs
Respiratory diseases
Cause bronchospasm, which is constriction or narrowing of the airways
Bronchospasm
Constriction or narrowing of the airways
Bronchodilators
Work by relaxing the muscles in the airways
Beta-2 Antagonists
Causes the smooth muscles surrounding the airways to relax
Beta-2 Antagonists
Improves airflow and reduces symptoms, such as shortness of breath
Anticholinergic Drugs
Blocks the action of acetylcholine, a chemical released by the nerves that can lead to tightening of the bronchial tubes
Anticholinergic Bronchodilators
Cause the airways to relax and open by blocking the chemical acetylcholine
Xanthine Derivatives
Relax the airway muscles, although doctors do not know precisely how they work
Theophylline
The main xanthine derivative
Purgative
Stronger action resulting in more fluid evacuation
Purgative
Causes bowels to evacuate everything
Laxative
Milder action, elimination of soft but formed stools
Laxative
Makes defecation easier; Substances that ease defecation
Cathartic
Make urgency to defecate sooner; Substances that accelerates defecation
Antidiarrheal Drugs
A drug that is used to slow down or stop loose stools
Diarrhea
Loose stools
Antidiarrheal Drugs
Works by slowing down the movement of the gut
Antidiarrheal Drugs
This decreases the number of bowel movements and makes the stool less watery
Diuretics
Any substance that promotes diuresis
Diuresis
Increased production of urine
Diuretics
Also called water pills, are medications designed to increase the amount of water and salt expelled from the body as urine
Sedatives
A type of prescription medication that slows down your brain activity
Sedatives
Typically used to make you feel more relaxed
Sedatives
A drug that reduces excitement and calms the person without inducing sleep