Chapter 7 Principles of Pharmacology

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Chapter 7 Principles of Pharmacology
2014-02-26 20:41:28
Chapter Principles Pharmacology

Chapter 7 Principles of Pharmacology
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  1. The science of drugs, including their ingredients, preparation, uses, and actions on the body.
  2. A chemical substance used to prevent disease or relieve pain.
  3. The process by which medication works on the body.
  4. Medication that causes stimulation of receptors.
  5. Medication that binds to a receptor and blocks other medications.
  6. Dose: The amount of the medication that is given; depends on (three things):
    • Patient’s weight
    • Patient’s age
    • Desired action of the medication
  7. The therapeutic effect that a medication is expected to have on the body.
  8. Reasons or conditions for which a particular medication is given.
  9. When a medication would either harm the patient or have no positive effect.
  10. Any actions of a medication other than the desired ones.
    Side effects
  11. Side effects that are undesirable but pose little risk to the patient.
    Unintended effects
  12. Side effects that can be harmful to the patient.
    Untoward effects
  13. ____ medications enter the body through the digestive system.
  14. ____ medications enter the body by some means other than the digestive system.
  15. Six rights:
    • Right patient: Ensure that the patient who needs the medication is the person who receives the medication.
    • Right medication: Verify the proper medication and prescription.
    • Right dose: Verify the form and dose of the medication.
    • Right route: Verify the route of the medication.
    • Right time: Check the expiration date and condition of the medication.
    • Right documentation: Document your actions and the patient’s response.
  16. Five medications a BLS unit may carry:
    • Oxygen
    • Oral glucose
    • Activated charcoal
    • Aspirin
    • Epinephrine
  17. Three types of medication administration by an EMT:
    • Peer-assisted: you administer medication to yourself or your partner.
    • Patient-assisted: you assist the patient with administering his or her own medication.
    • EMT-administered: EMT directly administers the medication to the patient.
  18. Activated charcoal keeps the drugs from being absorbed by the body by ____ (binding the drug to its surface).
  19. Is frequently suspended with sorbitol (a sugar), which has a laxative effect that causes the medication and the charcoal to move quickly through the digestive system
    Activated charcoal
  20. Check blood pressure before administering ____.
  21. If the systolic blood pressure is less than ____ mm Hg, nitroglycerin may have a harmful effect.
  22. Nitroglycerin can have potentially fatal interactions with:
    erectile dysfunction drugs
  23. Mimics the effect of the sympathetic nervous system
  24. Cousins of epinephrine that produce fewer side effects and act more specifically than epinephrine on the bronchi of the lungs, causing dilation with a lesser effect on the heart
    Beta-2 agonists
  25. A device that is used to change a liquid medication into a spray and push it into a nostril.
    mucosal atomizer device (MAD)
  26. A substance produced by the body (commonly called adrenaline), and a drug produced by pharmaceutical companies that increases pulse rate and blood pressure; the drug of choice for an anaphylactic reaction.
  27. Through the mouth; a medication delivery route; same as oral.
    per os (PO)
  28. The simultaneous use of multiple medications as typically seen in elderly people.
  29. One of the newer delivery systems that come in prescription or OTC forms is:
    A. an adhesive patch.
    B. a gel.
    C. a mucosal atomizer device (MAD).
    D. a topical medication.
    A. an adhesive patch.
    (this multiple choice question has been scrambled)
  30. When administering nitroglycerin, each spray is equivalent to:
    A. one dose.
    B. two doses.
    C. one tablet.
    D. two tablets.
    C. one tablet.
    (this multiple choice question has been scrambled)
  31. You are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94
    mm Hg. What should you do if you are not able to make contact with medical control?
    A. Give her oxygen, transport her to the hospital, and monitor her condition en route.
    B. Begin immediate transport and request an intercept with a paramedic ambulance.
    C. Give her half the dose of her epinephrine in case her allergic reaction is delayed.
    D. Administer her epinephrine, reassess her condition, and transport her promptly.
    A. Give her oxygen, transport her to the hospital, and monitor her condition en route.
    (this multiple choice question has been scrambled)
  32. You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a bottle of Advil.  He is
    conscious and alert and has stable vital signs. Medical control orders you to administer activated charcoal and oxygen and then transport the child at once.  The appropriate maximum dose of activated charcoal for this child is:
    A. 22 g.
    B. 36 g.
    C. 44 g.
    D. 11 g.
    C. 44 g.
    (this multiple choice question has been scrambled)