Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 28
Medications
Chapter 28
Medications

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Drug Nomenclature
Drug Nomenclature
•
Chemical name: identifies drug’
s atomic and molecular
structure
•
Generic name: assigned by the manufacturer that first
develops the drug
•
Official name: name by which the drug is identified in
official publications United States Pharmacopeia (USP)
and National Formulary (NF)
•
Trade name: brand name copyrighted by the company
that sells the drug

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Drug Preparations
Drug Preparations
•
Oral
–
Capsule, pill, tablet, extended release, elixir,
suspension, syrup
•
Topical
–
Liniment, lotion, ointment, suppository, transdermal
patch
•
Injectable

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QuestionQuestionWhich type of drug preparation is a medication in a clear liquid containing water, alcohol, sweeteners, and flavor?
A. ElixirB. SuspensionC. SolutionD. Syrup

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AnswerAnswerAnswer: A. ElixirRationale: An elixir is a medication in a clear liquid containing water, alcohol, sweeteners, and flavor. A suspension contains finely divided, undissolved particles in a liquid medium. A solution is a drug dissolved in another substance. A syrup is medication combined in a water and sugar solution.

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Drug Classifications
Drug Classifications
•
Effect on body system
•
Chemical composition
•
Clinical indication or therapeutic action

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Pharmacokinetics (Effect of Body on Drug)
Pharmacokinetics (Effect of Body on Drug)
•
Absorption
•
Distribution
•
Metabolism
•
Excretion

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Factors Affecting Absorption of
Medications
Factors Affecting Absorption of
Medications
•
Route of administration
•
Lipid solubility
•
pH
•
Blood flow
•
Local conditions at the site of administration
•
Drug dosage

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Pharmacodynamics
Pharmacodynamics
•
Pharmacodynamics is the process by which drugs alter
cell physiology and affect the body.
•
Drugs turn on, turn off, promote, or block responses that
are part of the body’
s processes.
•
Drug–receptor interaction occurs when the drug interacts
with one or more cellular structures to alter cell function.
•
Drugs may also combine with other molecules in the body
to achieve their effect.
•
Other drugs act on the cell membrane or alter the cellular
environment to achieve their effect.

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Adverse Drug Effects
Adverse Drug Effects
•
Allergic effects: anaphylactic reaction
•
Drug tolerance
•
Toxic effect
•
Idiosyncratic effect
•
Drug interactions: antagonistic and synergistic effects

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Factors Affecting Drug Action
Factors Affecting Drug Action
•
Developmental considerations
•
Weight
•
Gender
•
Genetic and cultural factors
•
Psychological factors
•
Pathology
•
Environment
•
Timing of administration


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