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25 Cards in this Set
- Front
- Back
May be marked without FDA approval
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OTC's
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GRASE
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generally recommends as safe and effective
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Major classifications of drugs
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decongestants
cough/cold expectorants Analgesics -APAP -ASA -NSAID antacids laxitives antidiarrheal antihistimines |
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Not classified as food or drugs
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Herbal remedies
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Dietary Dupplement Health and Education Act of 1994
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permits the sale of herbals as dietary supps providing no therapeutic clames appear on label (remind patient that herbals are durgs)
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Poison
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any substance whose action results in injury or death to the body
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most common victims of poisioning
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children <3
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Major poison agents
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drugs
household and industrial chemsicals plants pesticides carbon monoxide (CO) heavy metals |
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Indicators of poisions
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sudden violent N/V, diarrhea, collapse, convulsions
CN's and motor symptoms GI and oral symptoms pulmonary |
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Major goals of nursing managment for poisions
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-vital functions maintained, supported or restored
-toxic substance removed or eliminated ASAP -action of certain specific poisions may be counteracted, reversed, or antagonized by specific antidotes -recurrence will be reduced or prevented |
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Non-specific poision antidotes
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-emesis
-gastric lavage -activated charcoal |
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Narcan
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for opiates
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Mazicon
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for benzodiazapam
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Chelates
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for heavy metals
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Mucimist
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for APAP
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used to speed up excretion of tox elimination by kidneys
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diuresis
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loop diuretics
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lasix
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osmotics
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mannitol
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used only when blood tox is potent fatal, when client comatose, or when resp and heart are stable
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Diuresis
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dialysis
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used for extream poisioning, blood cleaned or washed as passes through buffer
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ADR
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adverse drug reaction
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3 most common ADR ER admits
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comadin
dig insillin |
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3 classes of ADR's
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hypersensitivity 10-20%
idiosyncratic 5% predictable 70-80% |
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Polypharmacy
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consumption of 4-5 meds
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What % of OTCs are consumed by older people
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40-50%
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