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Pharmacology ‘Pharmac’ Medicine Categories Drugs are categorised according to function e.g. anti inflammatories, antihypertensives, Antibiotics Are known as group names Drugs Generic Name Name given to individual drugs – usually relates to chemical compounds e.g. paracetamol Trade or brand name Name given to a drug by the company that made it Names are registered and must be written with a capitol e. Panadol Some drugs can have many trade names Routes of Administration Drugs can be administered in a variety of ways This depends on what type the drug is; how quickly it produces an effect & whether the patient is conscious or not Route is described as “per” meaning through Terms and Abbreviations Term per oral Meaning through the mouth Inhaled breathed into the lungs Sublingual under the tongue Topical on the skin Abbreviation Medication type PO,O tablets, syrup, powders inhal sprays or powders SL certain tablets TOP creams, lotions, powders Terms and Abbreviations Term Meaning Abbreviation Medication type Intramuscular into the muscle IM,IMI solutions for injections Intravenous into the vein IV,IVI solutions specifically for injection Per vagina into the vagina PV pessaries, douches Per rectum into the rectum PR Suppositries, enemas Drug Actions Side effects – e.g. Aspirin relieves pain but can cause irritation to the gastric mucosa,and trigger asthma Contraindications (cautioned against) – e.g. aspirin is contraindicated for people with gastric ulcers or asthma Cumulation – some drugs can accumulate in the body if taken in high doses of over a long period of time and cause toxic effects Cumulation Digoxin is a drug used for cardiac arrhythmias. (slows & strengthens the heartbeat Digoxin can accumulate in the body causing the heart to slow down too much, as well as causing GIT upsets, dizziness, and confusion Tolerance This occures as the body becomes accustomed to the drug so larger doses are needed over time to achieve the desired effect E.g. drugs of addiction such as Pethidine, Morphine Common types of drugs Type of drug Action Antihistamine works against allergies Antipyretic Analgesic works to decrease temperature (pyr/o means heat) works to stop pain Antifungal works to overcome fungal infections Antibiotic works to overcome bacterial infections Anti arrhythmic works to stop abnormal heartbeats Common types of drugs Type of drug Action Diuretic works to increase the amount of fluids filtered by the kidneys Vaccine works to protect the body from infectious diseases Antidepressant works to overcome depressive illness Antiinflammatory works to reduce inflammation in soft tissue Act 1 Dangerous drugs -2 main categories Prescription medication – can only be dispensed with a registered doctor’s prescription Over-the- counter medication- can be purcheased without a script Medical Practices & medications Moderate supply is kept on the premises. Be aware that medications & scripts are targets for theft Poisons Act describes laws regarding storage of drugs and handling of all medications Drugs in Medical Practices are Schedule 4 and 8.These are classed as dangerous drugs You may be responsible for checking and recording stock numbers and ordering new supplies. Know your responsibility and follow policy & procedure regarding medications Dangerous Drugs – Schedule 4 Can only be bought on prescription Include mild addictive drugs e.g. those used for sleeping disorders, as well as hormones, antidepressants and anti-inflammatory Schedule 8 drugs Include highly addictive drugs e.g. Morphine, and Pethidine These drugs are kept in a separate lockable cupobosrd securely attached to the wall. All S8 drugs are recorded in a register which shows all transactions Any loss or theft must be reported to Pharmaceutical Services Branch Consumer Product Information Is the written information that accompanies the medication It explains what it is when &how it should be taken possible side effects Pharmaceutical Benefits Scheme Is provided by the Commonwealth Government Form of subsidy – costs less to the public PBS Safety Net – after a specified maximum amount is paid per year, medication will be cheaper for the remainder of the year MIMS Is a manual that describes all current drugs and product information Includes generic and trade names Abbreviations Refer to notes General Terms Anaphylaxis An acute allergic reaction to a medication which can be life threatening depending on severity Bacteria single celled organisms – responsible for many infections that antibiotics are used Contraindications Any factor in a patient’s condition that makes it unwise to use a particular treatment Hypersensitivity Abnormal reaction of theimmune system to an antigen.Only occurs on second or subsequent exposures Interaction Altered reaction of the body to one drug when another is taken at the same time Parental A term applied to the administration of drugs or pther substances ay any route other than GIT tract