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drug
any chemical that can affect living processes
pharmacology
study of drugs and their interactions with living systems
clinical pharmacology
study of drugs in humans
therapeutics or pharmacotherapeutics
the use of drugs to diagnose, prevent, or treat disease or prevent pregnancy
3 most important properties of an ideal drug
effectiveness, safety, and selectivity
therapeutic objective of drug therapy
to provide maximum benefit with minimum harm
factors that determine intensity of drug responses
administration, pharmacokinetics, pharmacodynamics, and sources of individual variation
pharmacokinestics
study of drug movement throughout the body including drug metabolism and drug excretion
3 ways drugs cross cell membrane
pass through channels or pores
pass with the help of transport systems
penetrate the membrane
P-glycoprotein
transmembrane protein that transports a wide variety of drugs out of cells
role of p-glycoprotein in liver
transports drugs into the bile for elimination
role of p-glycoprotein in kidney
pumps drugs into the urine for excretion
role of p-glycoprotein in placenta
transports drugs back into the maternal blood
role of p-glycoprotein in brain
pumps drugs into the blood to limit drugs access to the brain
lipid soluble (lipophilic)
drug must be what to penetrate membranes
absorption
movement of a drug from its site of administration into the blood, the rate of this determines how soon effects will begin and the amount determines how intense effects will be
factors that effect drug absorption
rate of dissolution, surface area, blood flow, lipid solubility, pH partitioning
assessment when giving drugs in nursing process
pre administration assessment and data collection
analysis when giving drugs in nursing process
nursing diagnoses and if the drug is appropriate
implementation/intervention when giving drugs in nursing process
drug administration, therapeutic effect, adverse reactions, and patient education
evaluation when giving drugs in nursing process
therapeutic responses, interactions, and is the patient satisfied with treatment?