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Introduction to Pharmacology Pat Woodbery, ARNP-C Professor of Nursing Valencia Community College Orlando,Florida Why Should the Nursing Student Study Pharmacology? The doctor orders Glyburide or did you hear Glipizide? The nurse practitioner orders Lente Insulin or did you hear Lantus Insulin? Generic vs Trade Names Define • Generic (Page 16 Aucker) • Trade Name (Page 16 Aucker) • Give additional examples • Diabeta • Lantus • Tylenol Sources of Pharmacologic Information There are many, the internet, Physician’s Desk Reference, etc. VCC uses Davis Drug Guide and Lilley & Aucker Text Catagories of Controlled Substances The controlled substance categories are listed on page 45 Identify the categories and the restrictions Pharmacokinetics Define: Page 16 Absorption (Refer to table 2-2) Tablets/Capsules faster or slower then liquids? Intramuscular faster or slower then Intravenous? Subcutaneous faster or slower then oral agents? Distribution Define: Pg 21 Free unbound Protein binding Metabolism and Excretion Definition of Metabolism: Page 22-23 Let’s look up Codeine in Davis How is Codeine metabolized? Page 203-204 Davis How is Codeine excreted? Page 204 Davis Drug Guide What is Serum Half Life? Definition: Page 23 What is the Half Life of Codeine? Adverse Reactions Drug-Drug Interactions definition? Page 27 What are the Drug-Drug Interactions for Codeine? Adverse Effects definition? Page 28 What are the adverse effects for Codeine? TEST QUESTIONS The nurse is uncertain about the classification of a drug that is ordered. What is the first action the nurse should take before delivery of this medication? A. B. C. D. Check patient’s arm band Call doctor to verify order Notify the pharmacist Use drug references D Always look up a drug you are unfamiliar with, it may take a few minutes, but it may save a life! TEST QUESTIONS The doctor orders a drug using the generic name. What is your best action when the drug is delivered with a trade name you have not seen before? A. Call doctor to verify order B. Notify the pharmacist C. Give drug cautiously D. Use drug references D Lots of drugs have similar names, some are not even in the same class! Please check out this list! The END