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Internal Medicine

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Term
Definition
Pharmacology   the study of drugs that interact with living systems through chemical processes, especially by binding to regulatory molecules and activating or inhibiting normal body processes  
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Drug   substance that affects the function of living cells, used in medicine to diagnose, cure, prevent the occurrence of diseases and disorders, and prolong the life of clients with incurable conditions  
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Chemical Name   specific structure of the compound  
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Generic Name   official name, often derived from the chemical name  
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Brand Name   trade name assigned by the pharmaceutical company  
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Pharmacotherapeutics   the area of pharmacology that refers to the use of specific drugs to prevent, treat, or diagnose disease  
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Pharmacokinetics   the study of how the body deals with the drug in terms of the way it is…  
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A   Absorbed  
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D   Distributed  
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M   Metabolized  
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E   Eliminated  
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Pharmacodynamics   the analysis of what the drug does to the body, including the mechanism by which the drug exerts its effect  
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Toxicology   the study of the harmful effects of chemicals  
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Pharmacy   deals with the preparation and dispensing of medications  
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Side Effects   common and expected, but usually undesirable action of a medication  
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Adverse Reactions (ADRs)   unexpected, severe, and dangerous reactions which may occasionally occur with a medication  
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Dose   a quantity to be administered at one time  
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Dosage   the dose, frequency, and duration  
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Absorption   the transfer of a drug from its site of administration to the bloodstream  
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Topical route   directly applied to the skin, includes eye/ear drops  
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Enteral routes   oral (works in about 40 minutes), rectal, gastric feeding tube  
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Parenteral routes   Transmuccosal: buccal (cheek), sublingual, inhalation Injection (intravenous, intra-arterial, subcutaneous, intramuscular, intrathecal (directly to the CNS)) Transdermal (ex/ iontophoresis)  
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po   by mouth  
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IM   intramuscular injection  
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SC or SQ   subcutaneous injection  
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SL   sublingual  
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IV   intravenous  
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PR   per rectum  
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hs   at hour of sleep  
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ac   before meals  
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pc   after meals  
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q   every  
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qd   every day  
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bid   twice/day  
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tid   three times/day  
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qid   four times/day  
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qod   every other day  
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prn   as needed  
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Bioavailability   the extent to which the drug reaches the systemic circulation, depends on the route of administration and on the drug’s ability to cross membrane and tissue barriers  
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Distribution   the transport of a drug from the bloodstream to tissue sites where it will be effective, as well as to sites where the drug may be stored, metabolized, or eliminated from the body  
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Drug clearance   the rate at which the active drug is removed from the body  
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agonist   drug enhances cell activity  
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antagonist   drug inhibits cell activity  
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Polypharmacology   the excessive and unnecessary use of medications - more seen in elderly  
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Half-life   the time it takes for the amount or concentration of a drug to fall by 50% in the body (typically in the plasma)  
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Potency (effectiveness)   the dose of a drug that produces a given response in a specific amplitude  
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Ceiling Effect   (maximal efficacy) the point at which there is no further increase in the response of the drug  
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Threshold dosage   the level when therapeutic response 1st occurs  
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Median Effective Dose (ED50)   dose at which ½ of the population will respond in a specified manner  
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Median Toxic Dose (TD50)   dose at which ½ of the population will exhibit an adverse reaction  
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Therapeutic Index (TI=(TD50/ED50))   a drug calculation which indicates drug safety. The higher the TI, the safer the drug, or the larger dose needed to evoke a toxic response than it does to cause a beneficial effect  
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