Basics of Pharmacology pt. 3

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27 Terms

1
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What are toxic effects?

drugs at certain levels in the body can be toxic

2
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What should be done to prevent toxic effects?

you have to start with lower doses first

3
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What can we check to see if there are toxic effects taking place?

serum levels

4
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What is it important to learn regarding toxic effects as a nurse?

it is important to learn the signs of toxicity and monitoring as a nurse, it is also important to educate patients on what these signs are as well

5
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Adverse effects are the same as

side effects

6
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Side effects are ....... and an........ .........

undesirable and an unexpected reaction

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Side effects are not....

therapeutic

8
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What are five types of side effects?

sensitivity, rebound response, primary reaction, secondary reactions, and hypersensitivity reactions

9
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What is sensitivity?

someone can have too much of a response or can have a reaction very quickly

10
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What is a rebound response?

ex. drug could be given for anxiety and side effect could be anxiety

11
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What is a primary reaction?

-over exaggerated response to the med

-the therapeutic effects of the drug is exaggerated

-ex. stool softener is given and they have massive diarrhea

12
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What is a secondary reaction?

happens in addition to the therapeutic effect

-ex. an allergy med that can make you drowsy

13
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What is a hypersensitivity reaction?

-an exaggerated side effect reaction

-ex. stool softener makes them have diarrhea for the weak

14
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A hypersensitivity reaction is not an .....

allergy

15
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What is something important to remember with client education and side effects?

-a patient will stop taking a medication if they see there is a side effect

-you have to educate the patient and say that they might "experience dry mouth but keep taking it" unless it is a serious side effect, because the effect isn't serious and they need the medication

16
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What are four types of allergic responses?

anaphylactic reactions, cytotoxic, serum sickness, and delayed reactions

17
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What is an anaphylactic reaction?

-swollen tongue, reaction of immune system, rash, etc.

18
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What is something to remember to ask the patient if they say that they are allergic to a medication and why?

-ask the patient what their reaction was

-this is because what they think might have been an allergy might have just been a side effect

19
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What is a cytotoxic response?

blood cells in organs are reacting and you start seeing changes in the blood

-like WBC dropping, someone is suddenly anemic

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What is serum sickness? and who is it often seen in?

-you will see intense rashes on the body and inflammation in joints

-seen a lot with people that have allergies to antibiotics

21
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What are delayed reactions?

some people might have a delayed response where on day 5 they starting showing an allergic reaction instead of instantly

22
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What are different kinds of tissue and organ damage? (7)

dermatological reactions, stomatitis, superinfections, bloody dyscrasia, liver injury, renal injury, and electrolyte imbalance

23
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What is a type of dermatological reaction?

steven johnsons syndrome (skin just slides off)

24
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What is stomatitis?

inflammation breakdown of your mucus membranes (nose, mouth, tongue, etc.)

25
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What are superinfections?

-when you are receiving antibiotics you can develop c diff or a superinfection

-an infection on top of the original infection

26
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What is blood dyscrasia?

any disease of blood, bone marrow, or lymph tissue

27
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What are common electrolyte imbalances?

potassium