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Focus on nursing pharmacology download pdf. Focus on Nursing Pharmacology Amy M. Karch MSN RN Publisher: LWW Release Date. View Ch pdf from NURSE at University of Missouri, St. Louis. Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) Chapter View Test Prep - Ch pdf from HEALTH RNSG at Wharton County Junior College. Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch)
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For example, the binders used in a generic drug might not be the same as those used in the brand-name product.
As a result, the way the body breaks down and uses the generic drug may differ from that of the brand-name product. In that case, the bioavailability of the drug is different from that of the brandname product.
The controlled drugs are divided into five DEA schedules based on their potential for abuse and physical and psychological dependence. Primarily small amounts of narcotics codeine used as antitussives or antidiarrheals.
Under federal law, limited quantities of certain schedule V drugs may be downloadd without a prescription directly from a pharmacist. The downloadr must be at least 18 years of age and must furnish suitable identification.
All such transactions must be recorded by the dispensing pharmacist. Prescribing physicians and dispensing pharmacists must be registered with the DEA, which also provides forms for the transfer of Schedule I and II substances and establishes criteria for the inventory and prescribing of controlled substances. State and local laws are often more stringent than federal law. In any given situation, the more stringent law applies. Many states require that a drug be dispensed in the generic form if one is available.
This requirement helps to keep down the cost of drugs and health care. By doing so, the prescriber ensures the quality control and the action and effect expected with that drug. These elements may be most important in drugs that have narrow safety margins, such as digoxin Lanoxin , a heart drug, and warfarin Coumadin , an anticoagulant.
The initial cost may be higher, but some prescribers believe that, in the long run, the cost to the patient will be less. Orphan drugs may be useful in treating a rare disease, or they may have potentially dangerous adverse effects. Orphan drugs are often abandoned after preclinical trials or phase I studies. The Orphan Drug Act of provided tremendous financial incentives to drug companies to adopt these drugs and develop them. These incentives help the drug company put the drug through the rest of the testing process, even though the market for the drug in the long run may be very small as in the case of a drug to treat a rare neurological disease that affects only a small number of people.
Some drugs in this book have orphan drug uses listed. Over-the-Counter Drugs Over-the-counter OTC drugs are products that are available without prescription for self-treatment of a variety of complaints. Some of these agents were approved as prescription drugs but later were found to be very safe and useful for patients without the need of a prescription. Some were not rigorously screened and tested by the current drug evaluation protocols because they were developed and marketed before the current laws were put into effect.
The FDA is currently testing the effectiveness of many of these products and, in time, will evaluate all of them.
Many patients do not consider OTC drugs to be medications and therefore do not report their use. Nurses must always include specific questions about OTC drug use when taking a drug history and should provide information in all drug-teaching protocols about avoiding OTC use while taking prescription drugs. These drugs may have then been adopted for development by a drug company in exchange for tax incentives.
Several sources of drug information are readily available. Nurses often need to consult more than one source.
Introduction to Drugs 13 is a good resource for finding the prescribing information or package insert for most drugs.
Reference Books Drug Labels Drug labels have specific information that identifies a specific drug. For example, a drug label identifies the brand and generic names for the drug, the drug dosage, the expiration date, and special drug warnings. Some labels also indicate the route and dose for administration. Figure 1. Understanding how to read a drug label is essential. Nurses need to become familiar with each aspect of the label. Package Inserts All drugs come with a package insert prepared by the manufacturer according to strict FDA regulations.
Package inserts sometimes are difficult to understand and are almost always in very small print, making them difficult to read. The FDA Web site, www. Because this information comes directly from the manufacturers and is not refereed in any way, it may not be the best source for obtaining accurate information about a drug. This information is heavily cross-referenced. The book may be difficult to use. Drug Facts and Comparisons provides a wide range of drug information, including comparisons of drug costs, patient information sections, and preparation and administration guidelines.
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