1. Chapter 35
Basic Pharmacology

2. Drug Names Chemical name Generic name Trade or brand name
History and sources of drugs

3. Drug Regulations and Legal Classifications of Drugs
Must comply with federal and state laws
Laws govern manufacture, sale, possession, administration, dispensing, and prescribing of drugs

4. Drug Regulations and Legal Classifications of Drugs
Federal Food, Drug, and Cosmetic Act
Protects public by ensuring purity, strength, and composition of foods, drugs, and cosmetics
Prohibits movement in interstate commerce of altered and misbranded food, drugs, devices, and cosmetics
Enforced by Food and Drug Administration (FDA)

5. Drug Regulations and Legal Classifications of Drugs
Controlled Substances Act of 1970
Regulates drugs with potential for abuse or addiction
Controls manufacture, importation, compounding, selling, dealing in, and giving away of drugs that have potential for abuse
Controlled substances

6. Drug Regulations and Legal Classifications of Drugs
Controlled Substances Act of 1970
Drug Enforcement Agency (DEA)
Physician registration
Controlled substances Schedules I–V

7. Drug Regulations and Legal Classifications of Drugs
Controlled Substances Act of 1970
Storage of controlled substances
Separation from other drugs
Well-constructed metal box or compartment with double lock
Record book
Counted, verified, and recorded at end of workday

8. Drug Regulations and Legal Classifications of Drugs
Controlled Substances Act of 1970
Medical assistant’s role and responsibilities
Monitor physician’s DEA registration renewal date
Maintain legally designated records and inventories of drugs
Provide security for all drugs, in particular controlled substances

9. Drug Regulations and Legal Classifications of Drugs
Controlled Substances Act of 1970
Medical assistant’s role and responsibilities
Provide security for prescription pads
Properly destroy expired drugs and document it
Know and understand federal and state laws that regulate drugs, including controlled substances

10. Drug Regulations and Legal Classifications of Drugs
Prescription drugs (legend drugs)
E-prescribing
Nonprescription drugs
Over-the-counter (OTC) drugs and herbals
Accessibility to public

11. Drug Regulations and Legal Classifications of Drugs
Proper disposal of drugs
Expired drugs could be harmful
Administer, prescribe, dispense

12. Drug References and Standards
U.S. Pharmacopeia/National Formulary
Lists drugs certified as meeting established standards of quality, purity, and potency
Council on Pharmacy of the American Medical Association
Annually publishes list of new drugs

13. Drug References and Standards
Physician’s Desk Reference (PDR)
Published annually by Thomson Healthcare in cooperation with pharmaceutical companies
Sections of drug information
How to use the PDR

14. Drug References and Standards
Other reference sources
Other drug reference books
Packet insert that comes in drug package
Pharmacists
Reliable online sources

15. Classification of Drugs
Drugs can be classified many ways
Examples
Drugs that treat or prevent disease
Drugs that act on specific body systems or organs
See Table 35-1 for a listing of common drug classifications

16. Principle Actions of Drugs
Local action
Remote action
Systemic action
Synergistic action

17. Principle Actions of Drugs
Factors that affect drug action
Absorption
Distribution
Biotransformation
Elimination

18. Principle Actions of Drugs
Undesirable actions of drugs
Side effects
Drug interaction
Adverse reactions

19. Drug Routes Oral Parenteral Direct application to skin Sublingual
Buccal

20. Drug Routes
Rectal
Vaginal
Inhalation
Instillation

21. Forms of Drugs Liquid preparations
Solid and semisolid preparations >>

22. Forms of Drugs Other drug delivery systems Transdermal system
Eye-curing lens
Implantable devices

23. Storage and Handling of Medications
Original containers
Darkness
Refrigeration
Glass containers

24. Storage and Handling of Medications
Consult drug label for storage
Organization

25. Storage and Handling of Medications
Watch the video

26. Emergency Drugs and Supplies
Crash cart
Emergency drugs
Emergency equipment

27. Drug Abuse Recognizing symptoms of drug abuse Drug abuse programs
Examples of drug types commonly abused

28. Drug Abuse
Effects of drug abuse
Prevention programs