Introduction to PharmacologyIntroduction to Pharmacology

Pat Woodbery, ARNP-CPat Woodbery, ARNP-C

Professor of NursingProfessor of Nursing

Valencia Community CollegeValencia Community College

Orlando,FloridaOrlando,Florida

Why Should the Nursing Student Study Pharmacology?Why Should the Nursing Student Study Pharmacology?

The doctor orders Glyburide or did The doctor orders Glyburide or did you hear Glipizide?you hear Glipizide?

The nurse practitioner orders Lente The nurse practitioner orders Lente Insulin or did you hear Lantus Insulin?Insulin or did you hear Lantus Insulin?

Generic vs Trade NamesGeneric vs Trade Names

DefineDefine• Generic (Page 16 Aucker)Generic (Page 16 Aucker)• Trade Name (Page 16 Trade Name (Page 16

Aucker)Aucker)• Give additional examplesGive additional examples

• DiabetaDiabeta• LantusLantus• TylenolTylenol

Sources of Pharmacologic InformationSources of Pharmacologic Information

There are many, the internet, There are many, the internet, Physician’s Desk Reference, etc.Physician’s Desk Reference, etc.

VCC uses Davis Drug Guide and VCC uses Davis Drug Guide and Lilley & Aucker TextLilley & Aucker Text

Catagories of Controlled SubstancesCatagories of Controlled Substances

The controlled substance categories are listed on The controlled substance categories are listed on page 45page 45

Identify the categories and the restrictionsIdentify the categories and the restrictions

PharmacokineticsPharmacokinetics

Define: Define: Page 16Page 16

Absorption (Refer to table 2-2)Absorption (Refer to table 2-2)

Tablets/Capsules faster Tablets/Capsules faster or slower then liquids?or slower then liquids?

Intramuscular faster or Intramuscular faster or slower then Intravenous?slower then Intravenous?

Subcutaneous faster or Subcutaneous faster or slower then oral agents?slower then oral agents?

DistributionDistribution

Define: Pg 21Define: Pg 21

Free unboundFree unbound

Protein bindingProtein binding

Metabolism and ExcretionMetabolism and Excretion

Definition of Metabolism: Page 22-23 Let’s look Definition of Metabolism: Page 22-23 Let’s look up Codeine in Davisup Codeine in Davis

How is Codeine metabolized?How is Codeine metabolized? Page 203-204 DavisPage 203-204 Davis

How is Codeine excreted?How is Codeine excreted? Page 204 Davis Drug GuidePage 204 Davis Drug Guide

What is Serum Half Life?What is Serum Half Life?

Definition: Page 23Definition: Page 23What is the Half What is the Half

Life of Codeine?Life of Codeine?

Adverse ReactionsAdverse Reactions

Drug-Drug Interactions Drug-Drug Interactions definition? Page 27definition? Page 27

What are the Drug-Drug What are the Drug-Drug Interactions for Codeine?Interactions for Codeine?

Adverse Effects definition? Adverse Effects definition? Page 28Page 28

What are the adverse effects What are the adverse effects for Codeine?for Codeine?

TEST QUESTIONSTEST QUESTIONS

The nurse is uncertain about the classification The nurse is uncertain about the classification of a drug that is ordered. What is the first of a drug that is ordered. What is the first action the nurse should take before delivery of action the nurse should take before delivery of this medication?this medication? A. Check patient’s arm bandA. Check patient’s arm band B. Call doctor to verify orderB. Call doctor to verify order C. Notify the pharmacistC. Notify the pharmacist D. Use drug referencesD. Use drug references

DD

AlwaysAlways look up a drug you are unfamiliar with, look up a drug you are unfamiliar with, it may take a few minutes, but it may save a life!it may take a few minutes, but it may save a life!

TEST QUESTIONSTEST QUESTIONS

The doctor orders a drug using the generic The doctor orders a drug using the generic name. What is your best action when the drug name. What is your best action when the drug is delivered with a trade name you have not is delivered with a trade name you have not seen before?seen before? A. Call doctor to verify orderA. Call doctor to verify order B. Notify the pharmacistB. Notify the pharmacist C. Give drug cautiouslyC. Give drug cautiously D. Use drug referencesD. Use drug references

DD

Lots of drugs have similar names, some are not Lots of drugs have similar names, some are not even in the same class!even in the same class!

Please check out this Please check out this list!list!

The ENDThe END