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Muscle Spasms and Bone Disorders
Audio Glossary

Audio Glossary

Glossary

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Click the cursor on any term to hear it pronounced.

A

A-delta fibers nerves that transmit sensations of sharp pain

absorption (ab-SORP-shun) the process of moving a drug across body membranes

acetylcholine (ah-SEET-ul-KOH-leen) primary neurotransmitter of the parasympathetic nervous system; also present at somatic neuromuscular junctions and at sympathetic preganglionic nerves

acetylcholinesterase (AchE) (AS-ee-til-KOH-lin-ES-ter-ays) an enzyme that degrades acetylcholine within the synapse, enhancing effects of the neurotransmitter

acidosis (ah-sid-OH-sis) condition of having too many acids; plasma pH below 7.35

acquired immune deficiency syndrome (AIDS) disease caused by the human immunodeficiency virus (HIV)

acquired resistance when a microbe is no longer affected by a drug following treatment with antiinfectives

action potential the change in electrical activity across the plasma membrane of a muscle or nerve cell due to changes in membrane permeability

activated partial thromboplastin time (APTT) (throm-bow-PLAS-tin) blood test used to determine how long it takes clots to form in order to regulate heparin dosage

acute gouty arthritis (ah-CUTE GOW-ty are-THRYE-tis) condition where uric acid crystals quickly accumulate in the joints of the big toes, heels, ankles, wrists, fingers, knees, or elbows, resulting in red, swollen, or inflamed tissue

acute pain short-term sensation that is uncomfortable or hurtful; a sharp and intense pain

addiction (ah-DIK-shun) the continued use of a substance despite its negative health and social consequences

Addison's disease (ADD-iss-uns) hyposecretion of glucocorticoids and aldosterone by the adrenal cortex

adenoma (AH-den-OH-mah) benign tumor of glandular tissue

adrenergic (add-rah-NUR-jik) a term relating to nerves that release norepinephrine or epinephrine

adrenergic-agonist (add-rah-NUR-jik AG-un-ist) another name for a sympathomimetic drug

adrenergic-blocker drug that blocks the actions of the sympathetic nervous system

adrenocorticotropic hormone (ACTH) (uh-dreen-oh-kor-tik-o-TRO-pik) hormone secreted by the pituitary that stimulates the release of glucocorticoids by the adrenal cortex

aerobic (air-OH-bik) pertaining to an oxygen environment

afterload pressure that must be overcome in order for the ventricles to eject blood from the heart

agonists (AG-on-ists) drugs that are capable of binding with receptors in order to induce a cellular response

aldosterone (al-DOH-stair-own) hormone secreted by the adrenal cortex that increases sodium reabsorption in the distal tubule of the kidney

alimentary canal (AL-uh-MEN-tare-ee) the hollow tube in the digestive system that starts in the mouth and includes the esophagus, stomach, small intestine, and large intestine

alkalosis (al-kah-LOH-sis) condition of having too many bases; plasma pH above 7.45

alkylation (AL-kill-AYE-shun) process by which certain chemicals attach to DNA and change its structure and function

allergic rhinitis (rye-NYE-tis) syndrome of sneezing, itchy throat, watery eyes, and nasal congestion resulting from exposure to antigens; also known as hay fever

alopecia (AL-oh-PEESH-ee-uh) hair loss

alpha1-receptors (AL-fah) adrenergic receptors found in vascular smooth muscle

alpha-receptors type of subreceptors found in the sympathetic nervous system

alternate-day therapy taking a drug every other day in order to minimize side effects

alveoli (al-VEE-oh-lie) dilated sacs at the end of the bronchial tree where gas exchange occurs

Alzheimer's disease (ALLZ-heye-mers) most common dementia characterized by loss of memory, confusion, disorientation, and loss of judgment; hallucinations and delusions may also occur

amenorrhea (ah-men-oh-REE-ah) lack of normal menstrual periods

amide (AM-eyede) type of chemical linkage found in some local anesthetics involving carbon, nitrogen, and oxygen (-NH-CO-)

amyloid plaques (AM-i-loyd PLACKS) abnormal protein fragments related to neuronal damage; a symptom of Alzheimer's disease observed during autopsy

anaerobic (AN-air-oh-bik) pertaining to an environment without oxygen

analgesic (an-ul-JEE-zik) drug used to reduce or eliminate pain

anaphylactic shock (ann-uh-fuh-LAK-tik) type of shock caused by an acute allergic reaction

anaphylaxis (ANN-ah-fah-LAX-iss) acute allergic response to an antigen that results in severe hypotension and may cause death if untreated

androgens (AN-droh-jens) steroid sex hormones that promote the appearance of masculine characteristics

anemia (ah-NEE-mee-ah) shortage of functional red blood cells

anesthesia (ANN-ess-THEE-zee-uh) medical procedure involving drugs that block the transmission of nerve impulses and cause loss of sensation and/or consciousness

angina pectoris (an-JEYE-nuh PEK-tore-us) acute pain in the chest upon physical or emotional exertion due to inadequate oxygen supply to the myocardium

angiosarcoma (AN-gee-OH-sar-KOH-mah) cancer of blood vessels

angiotensin II (AN-geo-TEN-sin) chemical released in response to falling blood pressure that causes vasoconstriction and release of aldosterone

angiotensin-converting enzyme (ACE) (angeo-TEN-sin) enzyme responsible for converting angiotensin I to angiotensin II

anions (an-EYE-ons) negatively charged ions

anorexia (AN-oh-REX-ee-uh) loss of appetite

anorexiant (AN-oh-REX-ee-ant) drug used to suppress appetite

antacid (an-TASS-id) drug that neutralizes stomach acid

antagonism type of drug interaction where one drug inhibits the effectiveness of another

antagonist (an-TAG-oh-nist) drug that blocks the response of another drug

antepartum (an-teh-PART-um) prior to the onset of labor

antibiotic (ann-tie-bye-OT-ik) substance produced by a microorganism that inhibits or kills other microorganisms

antibody (ANN-tee-BOD-ee) protein produced by the body in response to an antigen; used interchangeably with the term immunoglobulin

anticholinergic drug that inhibits the action of acetycholine at its receptor

anticoagulant (ANT-eye-co-AG-you-lent) an agent that inhibits the formation of blood clots

antidiuretic hormone (ADH) (ANT-eye-deye-your-ET-ik) hormone produced by the hypothalamus that stimulates the kidneys to conserve water

antiemetic (AN-tie-ee-MET-ik) drug that prevents vomiting

antifibrinolytics (ANT-eye-feye-brin-oh-LIT-iks) drugs used to prevent and treat excessive bleeding from surgical sites

antigen (ANN-tuh-jen) anything that is recognized as foreign by the immune system and produces an immune reaction

antiinfective (ann-tie-in-FEK-tive) general term for any medication effective against pathogens

anti-Parkinson's drugs drugs that attempt to restore the balance of dopamine and acetylcholine in the brain

antipyretic (ANN-tee-peye-RETT-ik) drug that reduces fever

antiretroviral (an-tie-RET-roh-veye-ral) type of drug effective against retroviruses

anti-seizure drugs drugs that treat seizures

antispasmodic (ANN-tie-spaz-MOD-ik) drugs medications that relieve symptoms of abnormal muscle tension and muscle spasticity

antithrombin III (ANT-eye-THROM-bin) protein that prevents abnormal clotting by inhibiting thrombin

antitussive (anti-TUSS-ive) drug used to suppress cough

anxiety state of apprehension and autonomic nervous system activation resulting from exposure to a nonspecific or unknown cause

anxiolytics (ANG-zee-oh-LIT-iks) drugs that relieve anxiety

asthma (AZ-muh) chronic inflammatory disease of the airways

atherosclerosis (ath-ur-oh-sklur-OH-sis) condition characterized by a build-up of fatty plaque and loss of elasticity of the walls of the arteries

atrioventricular (AV) node (ay-tree-oh-ven-TRIK-you-lur noad) mass of cardiac tissue that receives electrical impulses from the SA node and conveys them to the ventricles

atrioventricular bundle (ay-tree-oh-ven-TRIK-you-lur BUN-dul) specialized cardiac tissue that receives electrical impulses from the AV node and sends them to the bundle branches also known as the Bundle of His

atrophy (AT-troh-fee) shrinkage or wasting away of a tissue

attention deficit disorder (ADD) difficulty focusing attention on a task for sufficient lengths of time

attention-deficit / hyperactivity disorder (ADHD) disorder typically diagnosed in childhood and adolescence characterized by hyperactivity as well as attention, organization, and behavior-control issues

aura (AUR-uh) sensory cue such as bright lights, smells, or tastes that precede a migraine

autoantibodies (AW-tow-ANN-ee-BAH-dees) proteins called rheumatoid factors released by B lymphocytes; these tear down the body's own tissue

automaticity (aw-toh-muh-TISS-uh-tee) ability of certain myocardial cells to spontaneously generate an action potential

autonomic nervous system portion of the peripheral nervous system that gives involuntary control over smooth muscle, cardiac muscle, and glands

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B

bacilli (bah-SILL-eye) bacteria that are oblong in shape; also called rods

bacteriocidal (bak-teer-ee-oh-SY-dall) substance that kills bacteria

bacteriostatic (bak-teer-ee-oh-STAT-ik) substance that inhibits the growth of bacteria

barbiturates (bar-bi-CHUR-ates) class of drugs derived from barbituric acid; they act as CNS depressants and are used for their sedative and anti-seizure effects

baroreceptors (BARE-oh-ree-sep-tours) nerves located in the walls of the atria, aortic arch, vena cava, and carotid sinus that sense changes in blood pressure

basal metabolic rate resting rate of metabolism in the body

B-cell type of lymphocyte that is essential for the humoral immune response

B-complex vitamin group of water-soluble vitamins, including thiamine, riboflavin, pyridoxine, niacin, biotin, and cyanocobalamin that are essential for human nutrition

benign (bee-NINE) neither life-threatening nor fatal

benign prostatic hyperplasia (BPH) (bee-NINE pross-TAT-ik heye-purr-PLAY-shah) non-malignant enlargement of the prostate gland

benzodiazepines (BEN-zo-di-AZ-eh-peenz) class of drugs used to treat anxiety and insomnia

beta1-receptors (BAY-tah) adrenergic receptors primarily found in the heart

beta2-receptors adrenergic receptors found in organs other than the heart

beta-lactam ring (bay-tuh LAK-tam) chemical structure found in most penicillins and some cephalosporins

beta-lactamase/penicillinase (bay-tuh-LAK-tam-ace / pen-uh-SILL-in-ace) enzyme present in certain bacteria that is able to inactivate many penicillins and some cephalosporins

beta-receptor type of subreceptor found in the sympathetic nervous system

bile acid (BEYE-ul) chemicals secreted in bile that aid in the digestion of fats

bile acid resin: substance that binds bile acids to remove cholesterol from the body

bioavailability (BEYE-oh-VALE-ah-BILL-ih-TEE) the ability of a drug to reach the bloodstream and its target tissues

biologic response modifiers natural substances that are able to enhance or stimulate the immune system

biologics (beye-oh-LOJ-iks) chemical agents that produce biological responses within the body; they are synthesized by cells of the human body, animal cells, or microorgansims

biotransformation (BEYE-oh-trans-for-MAY-shun) the metabolism or chemical conversion of drugs from one form to another that may result in increased or decreased activity

biphosphonates (bye-FOSS-foh-nayts) family of drugs that block bone resorption by inhibiting osteoclast activity

blood volume amount of blood in the vascular system

blood-brain barrier an anatomical structure that prevents some substances from gaining access into the brain

blood-placental (pla-SEN-tal) barrier an anatomical structure that prevents some substances from moving into the bloodstream of the fetus

blood-testicular (tes-TIK-u-lar) barrier an anatomical structure that prevents some substances from entering male reproductive tissue

bone deposition the opposite of bone resorption; the process of depositing mineral components into bone

bone resorption (ree-SORP-shun) process of bone demineralization or the breaking down of bone into mineral components

booster an additional dose of a vaccine given months or years after the initial dose to increase the effectiveness of the vaccine

botanical (boh-TAN-ik-ul) plant extract used to treat or prevent illness

Bowman's capsule portion of the nephron that filters blood and receives the filtrate from the glomerulus

bradycardia (bray-dee-KAR-DEE-uh) condition of slow heartbeat

bradykinin (BRAY-dee-KINE-in) a chemical released by cells during inflammation that produces pain and effects similar to those of histamine

breakthrough bleeding bleeding at abnormal times during the menstrual cycle

broad-spectrum antibiotic antiinfective that is effective against many different gram positive and gram negative organisms

bronchi (BRON-ky) primary passageway of the bronchial tree that contains smooth muscle

bronchioles (BRON-key-oles) very small bronchi

bronchoconstriction (BRON-koh-kun-STRIK-shun) decrease in diameter of the airway due to contraction of bronchial smooth muscle

bronchodilation (BRON-koh-dye-LAY-shun) increase in diameter of the airway due to relaxation of bronchial smooth muscle

bronchospasm (bron-koh-SPAZ-um) rapid constriction of the airways

bundle branches (BUN-dul BRAN-chez) electrical conduction pathway in the heart leading from the AV bundle and through the wall between the ventricles

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C

C fibers nerves that transmit dull, poorly localized pain

calcifediol (kal-SIF-eh-DYE-ol) intermediate form of Vitamin D

calcitonin (kal-sih-TOH-nin) therapy treatment typically administered to women who cannot take estrogen or biphosphonate therapy or for clients with Paget's disease

calcitriol (kal-si-TRY-ol) substance that is transformed in the kidneys during the second step of the conversion of Vitamin D to its active form

calcium channel blocker drug that blocks the flow of calcium ions into myocardial cells

calcium ion channel (KAL-see-um) pathway in a plasma membrane through which calcium ions enter and leave

cancer (KAN-sir) malignant disease characterized by rapidly growing, invasive cells that spread to other regions of the body and eventually kill the host

capsid (CAP-sid) protein coat that surrounds a virus

carbonic anhydrase (kar-BON-ik an-HY-drase) enzyme that forms carbonic acid by combining carbon dioxide and water

carcinogen (kar-SIN-oh-jen) any physical, chemical, or biological factor that causes or promotes cancer

carcinoma (KAR-sin-OH-mah) a malignant tumor

cardiac output amount of blood pumped by each ventricle in one minute

cardiogenic shock (kar-dee-oh-JEN-ik) type of shock caused when the heart is diseased such that it cannot maintain circulation to the tissues

cardioversion / defibrillation (kar-dee-oh-VER-shun / dee-fib-ree-LAY-shun) conversion of fibrillation to a normal heart rhythm

cathartic (kah-THAR-tik) drug that causes complete evacuation of the bowel

catheter ablation (kath-eh-tur uh-BLAY-shun) destruction of abnormal myocardial cells in order to restore normal cardiac rhythm

cations (KAT-eye-ons) positively charged ions

central nervous system (CNS) division of the nervous system consisting of the brain and spinal cord

cerebrovascular accident / stroke / brain attack (sir-ree-bro-VASK-u-lur) an acute condition of a blood clot or bleeding in a vessel in the brain

chemical name strict chemical nomenclature used for naming drugs established by the International Union of Pure and Applied Chemistry (IUPAC)

chemoprophylaxis (kee-moh-pro-fill-AX-is) use of a drug to prevent an infection

chemoreceptors (KEE-moh-ree-sep-tors) nerves located in the aortic arch and carotid sinus that sense changes in oxygen content, pH, or carbon dioxide levels in the blood

chemotherapy drug treatment of cancer

cholecalciferol (KOH-lee-kal-SIF-er-ol) inactive form of Vitamin D

cholesterol (koh-LESS-tur-ol) a natural lipid that is an integral part of cell membranes and that contributes to atherosclerotic plaque

cholinergic (kol-in-UR-jik) a term relating to nerves that release acetylcholine

cholinergic-agonist another name for a parasympathomimetic drug

cholinergic-blocker drug that blocks the actions of the parasympathetic nervous system

chronic bronchitis (KRON-ik bron-KEYE-tis) chronic disease of the lungs characterized by excess mucous production and inflammation

chronic pain long-term sensation that is uncomfortable or hurtful; a persistent, dull ache

chronotropic effect (kro-no-TRO-pik) change in the heart rate

cirrhosis (sir-OH-sis) a chronic disease, often seen in alcoholics, in which the liver fails to perform its normal functions

classic withdrawal (KLAS-ik with-DRAW-ul) unpleasant symptoms experienced when a physically dependent client discontinues the use of an abused drug

clinical depression disorder characterized by depressed mood, lack of energy, abnormal eating patterns, and feelings of despair, guilt, and misery

clinical pharmacology an area of medicine devoted to the evaluation of drugs used for human therapeutic benefit

closed comedomes (KOME-eh-domes) commonly called whiteheads, this type of acne develops just beneath the surface of the skin

closed-angle glaucoma (glaw-KOH-mah) called acute glaucoma, this type of glaucoma is caused by hindered outflow of aqueous fluid

clotting factors substances contributing to the process of blood clotting

coagulation (co-ag-you-LAY-shun) the process of blood clotting

coagulation cascade (koh-ag-you-LAY-shun cass-KADE) complex series of steps by which blood flow stops

cocci (KOK-si) bacteria that are spherical in shape

colloids (KAHL-oyds) type of IV solution consisting of large organic molecules that are unable to cross membranes

combination drug drug product with more than one active generic ingredient

complement (KOM-pluh-ment) a series of proteins that are involved in the non-specific defense of the body

conditioned withdrawal (kon-DISH-und with-DRAW-ul) a theory that states that environment and social contacts contribute to relapse after an addict is no longer abusing a substance

constipation (kon-stah-PAY-shun) infrequent passage of abnormally hard and dry stools

contractility (kon-trak-TIL-eh-tee) the strength by which the myocardial fibers contract

controlled substance in the U.S., this is a drug whose use is restricted by the Comprehensive Drug Abuse Prevention and Control Act. In Canada, it is a drug subject to guidelines outlined in Part III, Schedule G of the Canadian Food and Drugs Act

convulsions (kon-VULL-shuns) uncontrolled muscle contractions or spasms that occur in the face, torso, arms, or legs

coronary arterial bypass graft (CABG) surgical procedure performed to restore blood flow to the myocardium by using a section of the saphenous vein or internal mammary artery to go around the obstructed coronary artery

coronary arteries (KOR-un-air-ee AR-tur-ees) vessels that bring oxygen and nutrients to the myocardium

corpus cavernosum (KORP-us kav-ver-NOH-sum) tissue in the penis that fills with blood during an erection

corpus striatum (KOR-pus stri-ATE-um) area of the brain responsible for unconscious muscle movement; a point of contact for neurons projecting from the substantia nigra

cretinism (KREE-ten-izm) dwarfism and mental retardation caused by lack of thyroid hormone during infancy

Crohn's disease (KROHNS) chronic inflammatory bowel disease affecting the ileum and sometimes the colon

crystalloids (KRIS-tall-oyds) type of IV solution resembling blood plasma minus proteins that is capable of crossing membranes

culture and sensitivity test laboratory test used to identify bacteria and to determine which antibiotic is most effective

Cushing's syndrome (KUSH-ings) condition caused by excessive corticosteroid secretion by the adrenal glands or by overdosage with corticosteroid medication

cyclooxygenase (COX-1 and COX-2) (SEYE-kloh-OX-uh-jen-ase) key enzyme in the prostaglandin metabolic pathway that is blocked by aspirin and other NSAIDS

cycloplegia (sy-kloh-PLEE-jee-ah) blurred vision

cycloplegic drugs (sy-kloh-PLEE-jik) drugs that relax or temporarily paralyze ciliary muscles

cytokines (SYE-toh-kines) chemicals produced by white blood cells, such as interleukins, leukotrienes, interferon, and tumor necrosis factor, that guide the immune response

cytotoxic T-cell type of lymphocyte that directly attacks and destroys antigens

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D

defecation (def-ah-KAY-shun) evacuation of the colon; bowel movement

delirium tremens (duh-LEER-ee-um TREM-ens) sometimes called DTs; a serious and sometimes fatal condition that develops during alcohol withdrawal that is characterized by tremors, disorientation, confusion, and an altered state of consciousness

dementia (de-MEN-she-uh) degenerative disorder characterized by progressive memory loss, confusion, and the inability to think or communicate effectively

depolarization (dee-po-lur-eye-ZAY-shun) condition in which the plasma membrane charge is changed such that the inside is made less negative

depressants (de-PRESS-ahnts) drugs that lower neuronal activity within the central nervous system

dermatitis (dur-mah-TIE-tiss) inflammatory condition of the skin characterized by itching and scaling

dermatophytic (der-MAT-oh-FIT-ik) superficial fungal infection

designer drugs (de-ZEYE-ner drugs) drugs that are produced in a laboratory and are intended to mimic the effects of other psychoactive controlled substances

diabetes insipidus (die-uh-BEE-tees in-SIP-uh-dus) excessive urination due to lack of secretion of antidiuretic hormone

diabetes mellitus, type 1 (die-uh-BEE-tees MEL-uh-tiss) disease characterized by absent secretion of insulin by the pancreas that usually begins in the early teens

diabetes mellitus, type 2 disease characterized by insufficient secretion of insulin by the pancreas or by lack of sensitivity of insulin receptors that usually begins in middle age

diarrhea abnormal frequency and liquidity of bowel movements

diastolic pressure (DEYE-ah-stall-ik) blood pressure during the relaxation phase of heart activity

dietary fiber substance neither digested nor absorbed that contributes to the fecal mass

Dietary Supplement Health and Education Act of 1994 (DSHEA) primary law in the United States regulating herb and dietary supplements

dietary supplement non-drug substance regulated by the DSHEA

digestion (dye-JES-chun) process by which the body breaks down ingested food into small molecules that can be absorbed

dissolution (di-so-LOO-shun) the dissolving process of solid drug preparations; the longer it takes for drugs to dissolve, the more delayed their onset of action

distal tubule portion of the nephron that collects filtrate from the loop of Henle

distribution (dis-tree-BU-shun) the process of transporting drugs through the body

diuresis (deye-your-EE-sis) urine flow

diuretic (dye-your-ET-ik) drug that increases urine output

dromotropic effect (dro-mo-TRO-pik) change in the conduction speed across the myocardium

dry powder inhaler (DPI) device used to convert a solid drug to a fine powder for the purpose of inhalation

dwarfism below normal height caused by a deficiency in thyroid hormone or growth hormone

dysentery (DISS-en-tare-ee) severe diarrhea that may include bleeding

dysfunctional uterine bleeding hemorrhage that occurs at abnormal times or in abnormal quantity during the menstrual cycle

dyspnea (DISP-nee-uh) shortness of breath

dysrhythmia (diss-RITH-me-uh) abnormal cardiac rhythm

dystonia (diss-TONE-ee-ah) muscle spasm characterized by abnormal tension starting in one area of the body and progressing to other areas

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E

eclampsia (ee-KLAMP-see-uh) condition whereby seizures and / or a coma develop in a client with pre-eclampsia

ectopic foci/pacemakers (ek-TOP-ik FO-si) cardiac tissue outside the normal cardiac conduction pathway that generates action potentials

eczema (ECK-zih-mah) also called atopic dermatitis, a skin disorder with unexplained symptoms of inflammation, itching, and scaling

efficacy (EFF-ik-ah-see) the effectiveness of a drug in producing a more intense response as its concentration is increased

electrocardiogram (ECG) (e-lek-tro-KAR-dee-oh-gram) device that records the electrical activity of the heart

electroencephalogram (EEG) (ee-LEK-troh-en-SEFF-uh-lo-gram) a diagnostic test that records brainwaves through electrodes attached to the scalp

electrolytes (ee-LEK-troh-lites) charged substances in the blood such as sodium, potassium, calcium, chloride, and phosphate

embolus (EM-boh-luss) a blood clot carried in the bloodstream

emesis (EM-eh-sis) vomiting

emetic (ee-MET-ik) drug used to induce vomiting

emollients (ee-MOLE-ee-ents) agents used to soothe and soften the skin

emphysema (em-fuss-EE-muh) terminal lung disease characterized by dilation of the alveoli

endogenous opioids (en-DAHJ-eh-nuss O-pee-oyds) chemicals produced naturally within the body that decrease or eliminate pain; they closely resemble the actions of morphine

endometrium (en-doh-MEE-tree-um) inner lining of the uterus

enteral (EN-tur-ul) the major route by which drugs enter the body through the digestive tract

enterohepatic (EN-ter-oh-HEE-pah-tik) recirculation recycling of drugs and other substances by the circulation of bile through the intestine and liver

enterohepatic recirculation (EN-tur-oh-hep-AT-ik) the recycling of bile acids, cholesterol, and other metabolites from the liver, to the bile, through the intestine, and back to the liver

epidural (EH-pee-DUR-ul) method of parenteral drug delivery where drugs are injected into the space overlying the dura mater

epidural anesthesia (ep-ee-DUR-ul) type of regional anesthesia where drugs are injected into the epidural space of the spinal cord

epilepsy (EPP-ih-LEPP-see) disorder of the CNS characterized by seizures and/or convulsions

erythema (ear-ih-THEE-mah) redness associated with skin irritation

ester (ES-tur) type of chemical linkage found in some local anesthetics involving carbon and oxygen (-CO-O-)

estrogen (ES-troh-jen) class of steroid sex hormones produced by the ovary

estrogen replacement therapy (ERT) (ESS-troh-jen) course of treatment involving the administration of reproductive hormones to postmenopausal women

excretion (eks-KREE-shun) the process of removing substances from the body

expectorant (eks-PEK-tor-ent) drug used to increase bronchial secretions

expiration (ex-purr-AY-shun) movement of air out of the lungs

external otitis (oh-TYE-tiss) commonly called swimmer's ear, this is inflammation of the outer ear

extrapyramidal symptoms (EPS) symptoms where muscles become very rigid because of over-medication with anti-psychotics or by lack of dopamine function in the corpus striatium

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F

false neurotransmitter (NYUR-oh-TRANS-mitt-ur) chemical that simulates a natural neurotransmitter but does not produce the same physiologic effect

fibrillation (fi-bruh-LAY-shun) type of dysrhythmia in which the chambers beat in a highly disorganized manner

fibrin (FEYE-brin) an insoluble protein formed from fibrinogen by the action of thrombin in the blood-clotting process

fibrinogen (feye-BRIN-oh-jen) blood protein converted to fibrin by the action of thrombin in the blood-clotting process

fibrinolysis (feye-brin-OL-oh-sis) removal of a blood clot

fight-or-flight response signs and symptoms produced when the sympathetic nervous system is activated

filtrate (FIL-trate) fluid in the nephron that is filtered at Bowman's capsule

first-pass effect a mechanism whereby drugs are absorbed across the intestinal wall and enter into the hepatic portal circulation

flutter (FLUH-tur) type of dysrhythmia in which the contractions become extremely rapid

folic acid (foh-lik) B vitamin that is a coenzyme in protein and nucleic acid metabolism; also known as folate

follicle-stimulating hormone (FSH) hormone secreted by the pituitary gland that regulates sperm or egg production

follicular cells (fo-LIK-yu-lur) cells in the thyroid gland that secrete thyroid hormone

formulary (FOR-mew-LEH-ree) lists of drugs and drug recipes commonly used by pharmacists

Frank-Starling Law the greater the degree of stretch on the myocardial fibers, the greater will be the force by which they contract

fungi (FUN-jeye) kingdom of organisms that includes mushrooms, yeasts, and molds

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G

ganglion (GANG-lee-on) a collection of neuron cell bodies located outside the CNS

gastroesophageal reflux disease (GERD) (GAS-troh-ee-SOF-ah-JEEL REE-flux) the regurgitation of stomach contents into the esophagus

general anesthesia medical procedure that produces loss of sensation throughout the entire body and unconsciousness

generalized seizures seizures that travel throughout the entire brain on both sides

generic (je-NARE-ik) name nonproprietary name of a drug assigned by the government

glioma (glee-OH-muh) malignant tumor of the brain

glucocorticoid (glu-ko-KORT-ik-oyd) type of hormone secreted by the outer portion of the adrenal gland that includes cortisol
glycoprotein IIb/IIIa (GLEYE-koh-proh-teen) enzyme responsible for platelet aggregation

gout (GOWT) metabolic disorder characterized by the accumulation of uric acid in the bloodstream or joint cavities

gram-negative bacteria that do not retain a purple stain because they have an outer envelope

gram-positive bacteria that stain purple because they have no outer envelope

Grave's disease syndrome caused by hypersecretion of thyroid hormone

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H

H+, K+-ATPase enzyme responsible for pumping acid onto the mucosal surface of the stomach

H1-receptor antagonist drug that blocks the effects of histamine in smooth muscle in the bronchial tree

H1-receptor site located on smooth muscle cells in the bronchial tree that is stimulated by histamine

H2-receptor antagonist drug that inhibits the effects of histamine at its receptors in the GI tract

H2-receptor site located on cells of the digestive system that is stimulated by histamine

HAART highly active antiretroviral therapy; type of drug therapy for HIV infection that includes high doses of multiple medications that are given concurrently

half-life (t1/2) the length of time required for a drug to decrease its concentration in the plasma by one-half of the original amount

heart failure (HF) disease in which the heart muscle cannot contract with sufficient force to meet the body's metabolic needs

Helicobacter pylori (Hee-lick-oh-BAK-tur py-LOR-eye) bacterium associated with a large percentage of peptic ulcer disease

helminth (HELL-minth) type of flat, round, or segmented worm

helper T-cell type of lymphocyte that coordinates both the humoral and cell-mediated immune responses and that is the target of the human immunodeficiency virus

hemoglobin (HEE-moh-glow-bin) substance in a red blood cell that contains iron and transports oxygen and CO2

hemorrhagic stroke (hee-moh-RAJ-ik) type of stroke caused by bleeding from a blood vessel in the brain

hemostasis (hee-moh-STAY-sis) the slowing or stopping of blood flow

hepatocellular carcinoma cancer of the liver

herb plant with a soft stem that is used for healing or as a seasoning

high-density lipoprotein (HDL) lipid-carrying particle in the blood that contains high amounts of protein and lower amounts of cholesterol; considered to be “good” cholesterol

hippocampus (HIP-po-campus) region of the brain responsible for learning and memory; a part of the limbic system

histamine (HISS-tuh-meen) chemical released by mast cells in response to an antigen that causes dilation of blood vessels, smooth muscle constriction, tissue swelling, and itching

HMG CoA reductase (ree-DUCK-tase) primary enzyme in the biochemical pathway for the synthesis of cholesterol

hormones chemicals secreted by endocrine glands that act as chemical messengers to affect homeostasis

host flora (host FLOR-uh) normal microorganisms found in or on a client

host an organism that is being infected by a microbe

humoral immunity (HYOU-mor-ul eh-MEWN-uh-tee) a specific body defense mechanism involving the production and release of antibodies

hypercholesterolemia (HEYE-purr-koh-LESS-tur-ol-EEM-ee-uh) high levels of cholesterol in the blood

hyperemia (HYE-purr-EEM-ee-uh) increase in blood supply to a part or tissue space causing swelling, redness, and pain

hyperglycemia (hi-pur-gli-SEEM-ee-uh) abnormally high level of glucose in the blood

hyperkalemia (heye-pur-kay-LEE-mee-ah) high amounts of potassium in the blood

hyperlipidemia (HEYE-purr-LIP-id-EEM-ee-uh) excess amounts of lipids in the blood

hypertension (heye-purr-TEN-shun) high blood pressure

hypervitaminosis excess intake of vitamins

hypnotic (hip-NOT-ik) a drug that causes sleep

hypoglycemia (hi-po-gli-SEEM-ee-uh) abnormally low level of glucose in the blood

hypogonadism (hy-poh-GO-nad-izm) below normal secretion of the steroid sex hormones

hypokalemia (heye-poh-kay-LEE-mee-ah) low amounts of potassium in the blood

hypothalamus (hi-po-THAL-ih-mus) region of the brain that affects emotions and drives, and that secretes releasing factors that affect the pituitary gland

hypovolemic shock (high-poh-voh-LEEM-ik) type of shock caused by loss of fluids such as occurs during hemorrhaging, extensive burns, or severe vomiting or diarrhea

hysterectomy (hiss-ter-EK-toh-mee) surgical removal of the uterus

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I

immunoglobulin (ih-MEW-noh-GLOB-you-lin) proteins produced by the body in response to an antigen; used interchangeably with the term antibody

immunosuppressant (ih-MEW-noh-suh-PRESS-ent) any drug, chemical, or physical agent that lowers the natural immune defense mechanisms of the body

Implantable Cardioverter Defibrillator (im-PLANT-uh-bul kar-dee-oh-VER-tur dee-FIB-ree-lay-tur) device placed in the patient to detect and correct dysrhythmias as they occur

impotence (IM-poh-tense) inability to obtain or sustain an erection; also called erectile dysfunction

infiltration anesthesia (in-fill-TRAY-shun) type of local anesthesia performed in preparation for a dental or medical procedure; local anesthetics are injected and infiltrate into the skin

inflammation (IN-flah-MAY-shun) non-specific body defense that occurs in response to an injury or antigen

influenza (in-flew-EN-zah) common viral infection; often called flu

inotropic agent (eye-noh-TROW-pik) drug or chemical that changes the force of contraction of the heart

inotropic effect (in-oh-TRO-pik) change in the strength or contractility of the heart

insomnia (in-SOM-nee-uh) the inability to fall asleep or stay asleep

inspiration (in-spurr-AY-shun) movement of air into the lungs

intra-arterial (IN-trah-ar-TEAR-ee-ul) method of parenteral drug delivery where drugs are injected into the arterial circulation

intracellular parasite an infectious microbe that lives inside host cells

intradermal (IN-trah-DERM-ul) method of parenteral drug delivery where drugs are injected into the dermis of the skin; also called an intracutaneous injection

intramuscular (IN-trah-MUSK-you-lar) method of parenteral drug delivery where drugs are injected into layers of muscle beneath the skin

intraperitoneal (IN-trah-per-it-oh-NEE-ul) method of parenteral drug delivery where drugs are injected into the abdominal cavity

intrathecal (IN-trah-THEE-kul) method of parenteral drug delivery where drugs are injected into the spinal subarachnoid space

intravenous (IN-tra-VEE-nus) method of parenteral drug delivery where drugs are injected into the venous circulation

intrinsic factor chemical secreted by the stomach that is required for absorption of vitamin B12

islets of Langerhans (EYE-lits of LANG-gur-hans) clusters of cells in the pancreas responsible for the secretion of insulin and glucagon; also called the pancreatic islets

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K

Kaposi's sarcoma (kah-POH-sees) vascular cancer that first appears on the skin and then invades internal organs; frequently occurs in AIDS clients

kappa (CAP-uh) type of opioid receptor

keratinization (keh-RAT-en-eye-zay-shun) development of the stratum corneum or horny layer of epithelial tissue

keratolytic agents (keh-RAT-oh-lih-tik) drugs used to promote shedding of old skin

ketoacids (KEY-to-ass-ids) waste products of lipid metabolism that lower the pH of the blood

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L

lecithin (LESS-ih-thin) phospholipid that is an important part of cell membranes

leukemia (lew-KEE-mee-ah) cancer of the blood characterized by overproduction of white blood cells

leukopenia (lew-koh-PEE-nee-ah) abnormally low number of white blood cells

leukotriene (LEW-koh-TRY-een) chemical released by cells during inflammation that produces effects similar to those of histamine

leutinizing hormone (LH) (LEW-ten-iz-ing) hormone secreted by the pituitary gland that triggers ovulation in the female and stimulates sperm production in the male

levodopa (lee-voh-DOH-pah) drug that is administered for treatment of Parkinson's symptoms; natural enzymes within nerve terminals convert levodopa into dopamine

libido (lih-BEE-do) interest in sexual activity

limbic (LIM-bik) system area in the brain responsible for emotion, learning, memory, motivation, and mood

lipoma (lip-OH-mah) benign tumor of fat tissue

lipoprotein (a) a specific lipid-carrying protein that is associated with a high risk of atherosclerosis

lipoprotein (LIP-oh-PROH-teen) substance carrying lipids in the bloodstream

liposomes (LIP-oh-sohms) small sacs of lipids designed to carry drugs inside them

local anesthesia loss of sensation to a relatively small part of the body without loss of consciousness

loop of Henle (HEN-lee) portion of the nephron between the proximal and distal tubules

low molecular weight heparins (LMWH) heparin-like drugs that inhibit blood clotting

low-density lipoprotein (LDL) lipid-carrying particle that contains lower amounts of protein and high amounts of cholesterol; considered to be “bad” cholesterol

lumen (LOO-men) the inside diameter of a hollow tube such as a blood vessel

lymphocyte (LIM-foh-site) type of white blood cell formed in lymphoid tissue

lymphoma (lim-FOH-mah) cancer of lymphatic tissue

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M

major depression disorder characterized by at least five symptoms of clinical depression

major mineral (macromineral) inorganic compound needed by the body in amounts of 100 mg or more daily

malaria (mah-LARE-ee-ah) tropical disease characterized by severe fever and chills caused by the protozoan Plasmodium

malignant (mah-LIG-nent) life-threatening or fatal

malignant melanoma type of skin cancer that metastasizes very quickly

mania (MAY-nee-uh) disorder characterized by an expressive, impulsive, excitable, and over-reactive nature

manic (MAN-ik) depression disorder characterized by extreme and opposite feelings, such as euphoria and depression or calmness and rage; also called bipolar disorder

mast cell connective tissue cell located in tissue spaces that releases histamine following injury

mastoiditis (mass-toy-DYE-tuss) inflammation of the mastoid sinus

mechanism of action how a drug exerts its effects

memory B-cell type of B-lymphocyte that remembers previous exposure to an antigen

memory T-cell type of T-lymphocyte that remembers previous exposure to an antigen

menopause (MEN-oh-paws) period of time when females stop secreting estrogen and menstrual cycles cease

menorrhea (men-oh-REE-uh) prolonged or excessive menstruation

metabolism (meh-TAHB-oh-liz-ehm) the sum total of all chemical reactions in the body

metastasis (mah-TAS-tah-sis) travel of cancer cells from their original site to a distant tissue

metered dose inhaler (MDIS) device used to deliver a precise amount of drug to the respiratory system

migraine (MYE-grayne) severe headache preceded by auras that may include nausea and vomiting

miosis (my-OH-sis) constriction of the pupil

miotics (my-AH-tiks) drugs that cause pupil constriction

monoamine oxidase (mon-oh-AHM-een OK-see-daze) inhibitors (MAO inhibitors): drugs inhibiting monoamine oxidase, an enzyme that terminates the actions of neurotransmitters such as dopamine, norepinephrine, epinephrine, and serotonin

mood disorders (affective disorders) (af-FEK-tiv) disorders involving a change in behavior such as clinical depression, emotional swings, or manic-depression

mood enhancers (anti-depressants) drugs that combat depression by enhancing mood

mood stabilizers drugs that level mood to treat bipolar disorder and mania

mu (MYOO) type of opioid receptor

mucolytic drug used to loosen thick mucous

multiple-infarct dementia (IN-farkt) (vascular dementia) dementia caused by multiple strokes

muscarinic (MUS-kah-RIN-ik) type of cholinergic receptor found in smooth muscle, cardiac muscle, and glands

mutations (myou-TAY-shuns) permanent, inheritable changes to DNA

myasthenia gravis (MEYE-ahs-THEE-nee-uh GRAV-us) disease characterized by a destruction of nicotinic receptors on skeletal muscles

mycoses (my-KOH-sees) diseases caused by fungi

mydriasis (mih-DRY-uh-siss) dilation of the pupil

mydriatic drugs (my-DRY-at-tik) drugs that cause pupil dilation

myelin (MYE-ul-in) fatty substance surrounding nerves that speeds up impulse transmission

myocardial infarction (meye-oh-KAR-dee-ul in-FARK-shun) medical emergency of having a blood clot blocking a portion of a coronary artery

myocardial ischemia (meye-oh-KAR-dee-ul ik-SKEE-mee-uh) condition in which there is a lack of blood supply to the myocardium due to a constriction or obstruction of a blood vessel

myxedema (mix-uh-DEEM-uh) condition caused by insufficient secretion of thyroid hormone

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N

narcolepsy (NAR-ko-lep-see) disorder characterized by uncontrolled attacks of sleep

narcotic (nar-KOT-ik) natural or synthetic drug related to morphine; may be used as a broader legal term referring to hallucinogens (LSD), CNS stimulants, marijuana, and other illegal drugs

narrow-spectrum antibiotic antiinfective that is effective against only one or a small number of organisms

natural alternative therapies: herbs, natural extracts, vitamins, minerals, or dietary supplements

nebulizer (NEB-you-lyes-ur) device used to convert liquid drugs into a fine mist for the purpose of inhalation

negative feedback in homeostasis, when the first hormone in a pathway is shut off by the last hormone or product in the pathway

negative symptoms symptoms that subtract from normal behavior; signs that are used to assist with the diagnosis of schizophrenia

neoplasm (NEE-oh-PLAZ-um) same as tumor; an abnormal swelling or mass

nephron (NEF-ron) functional unit of the kidney

nephrotoxicity (NEF-row-toks-ISS-ih-tee) an adverse effect on the kidneys

nerve block anesthesia technique for anesthetizing an area by injecting a blocking agent directly around a nerve

neurofibrillary tangles (nu-ro-FIB-ri-lary) bundles of nerve fibers found in the brain of clients with Alzheimer's disease on autopsy

neurogenic shock (nyoor-oh-JEN-ik) type of shock resulting from brain or spinal cord injury

neuroleptic malignant syndrome (noo-roh-LEP-tik) a potentially fatal condition caused by some anti-psychotic medications; symptoms include an extremely high body temperature, drowsiness, changing blood pressure, irregular heartbeat, and muscle rigidity

neuroleptics (noo-roh-LEP-ticks) drugs used to treat psychoses

neuron (NYOUR-on) cell that is the functional unit of the nervous system

neurotransmitter (NYOUR-oh-TRANS-mitt-ur) a chemical mediator that is released by nerves at synapses and neuromuscular junctions

nicotinic (NIK-oh-TIN-ik) type of cholinergic receptor found in ganglia of both the sympathetic and parasympathetic nervous systems

nitrogen mustards class of chemicals that are alkylating agents

nociceptors (no-si-SEPP-ters) receptors connected with nerves that receive and transmit pain signals to the spinal cord and brain

non-REM sleep (non-rapid eye movement) sleep characterized by little or no movement of the eyes

norepinephrine (nor-EH-pin-NEF-rin) primary neurotransmitter in the sympathetic nervous system

nosocomial infections (noh-soh-KOH-mee-ul) infection acquired in a healthcare setting such as a hospital, physician's office, or nursing home

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O

oligomenorrhea (ol-ego-men-oh-REE-uh) infrequent menstruation

omega-3 fatty acids (oh-MAY-gah) lipid found in high concentrations in certain fish that is associated with a lower risk of atherosclerosis

oncogenes (ON-koh-jeans) genes responsible for the conversion of normal cells into cancer cells

open comedomes type of acne where sebum has plugged the oil gland; commonly called blackheads

open-angle glaucoma (glaw-KOH-mah) also called chronic simple glaucoma; this type of glaucoma is caused by hindered outflow of aqueous fluid

opiate (OH-pee-aht) morphine-like substance extracted from the poppy plant

opioid (OH-pee-oyd) natural or synthetic morphine-like substance

oral (OR-ul) method of enteral drug delivery in which drugs are swallowed, chewed, or allowed to slowly dissolve in the mouth

orthostatic hypotension (or-tho-STAT-ik) fall in blood pressure that occurs when someone changes position from recumbent to upright

osmotic pressure (oz-MOT-ik) force exerted when there is an imbalance of solutes on each side of a semipermeable membrane

osteoarthritis (OSS-tee-oh-are-THRYE-tis) disorder characterized by degeneration of joints such as the fingers, spine, hips, and knees

osteogenic sarcoma (OS-tee-oh-JEN-ik) cancer of bone

osteomalacia (OSS-tee-oh-muh-LAY-shee-uh) rickets in children; disease characterized by softening of the bones without alteration of basic bone structure

osteoporosis (OSS-tee-oh-poh-ROH-sis) condition where bones become brittle and susceptible to fracture

otitis media (oh-TYE-tuss MEE-dee-ah) inflammation of the middle ear

ototoxicity (OH-toh-toks-ISS-ih-tee) an adverse effect on hearing

ovulation (ov-you-LAY-shun) release of an egg by the ovary

oxytocin (ox-ee-TOH-sin) hormone secreted by the pituitary gland that stimulates uterine contractions and milk ejection

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P

Paget's disease (PAH-jets) disorder characterized by weak, enlarged, and abnormal bones

palliation (PAL-ee-AYE-shun) form of chemotherapy intended to alleviate symptoms rather than cure the disease

papules (PAP-yools) inflammatory bumps without pus that swell, thicken, and become painful

parafollicular cells (pair-uh-fo-LIK-u-lur) cells in the thyroid gland that secrete calcitonin

parasympathetic nervous system (PAIR-ah-SIM-pah-THET-ik) portion of the autonomic system that is active during periods of rest and which produces the rest or relaxation response

parasympathomimetics (PAIR-ah-SIM-path-oh-mah-MET-iks) drugs that mimic the actions of the parasympathetic nervous system

parenteral (pah-REN-tur-ul) the major route by which drugs enter the body by a way other than the digestive tract, usually by injection

parietal cells (par-EYE-it-al) cells in the stomach mucosa that secrete hydrochloric acid

Parkinson's disease degenerative disorder of the nervous system caused by a deficiency of the brain neurotransmitter dopamine; this deficiency results in disturbances of muscle movement

partial seizures seizures that start on one side of the brain and travel a short distance before stopping

pathogen (PATH-oh-jen) organism that is capable of causing disease

pathogenicity (path-oh-jen-ISS-ih-tee) ability of an organism to cause disease in humans

pathophysiology (PATH-oh-fiz-ee-OL-oh-jee) the study of diseases and the functional changes occurring in the body as a result of diseases

pediculicides (puh-DIK-you-lih-sides) medications that kill lice

peptic ulcer erosion of the mucosa in the alimentary canal, most commonly in the stomach and duodenum

percutaneous transluminal coronary angioplasty (PTCA) (per-cue-TAIN-ee-us trans-LOO-min-ul KOR-un-air-ee ANN-gee-oh-plas-tee) procedure by which a balloon-shaped catheter is used to compress fatty plaque against an arterial wall for the purpose of restoring normal blood flow

perfusion (purr-FEW-shun) blood flow through a tissue or organ

peripheral edema (purr-IF-ur-ul eh-DEE-mah) swelling in the limbs, particularly the feet and ankles due to an accumulation of interstitial fluid

peripheral nervous system (per-IF-urr-ul) division of the nervous system containing all nervous tissue outside the CNS, including the autonomic nervous system

peripheral resistance (per-IF-ur-ul) the amount of friction encountered by blood as it travels through the vessels

peristalsis (pair-ih-STAL-sis) involuntary wave-like contraction that occurs in the alimentary canal

pernicious anemia (megaloblastic) (pur-NISH-us ah-NEE-mee-ah) type of anemia usually caused by lack of secretion of intrinsic factor

pH a measure of the acidity or alkalinity of a solution

pharmaceutics (far-mah-SOO-tiks) the science of preparing and dispensing drugs

pharmacodynamics (FAR-mah-koh-deye-NAM-iks) the study of how the body responds to drugs and natural substances

pharmacokinetics (FAR-mah-koh-kee-NET-iks) the study of how drugs are handled by the body

pharmacological classification (FAR-mah-koh-LOJ-ik-ul) method for organizing drugs on the basis of their mechanism of action

pharmacology (far-mah-KOL-oh-jee) the study of medicines; the discipline pertaining to how drugs improve the health of the human body

pharmacopoeia (far-mah-KO-pee-ah) medical reference summary indicating standards of drug purity, strength, and directions for synthesis

pharmacotherapeutics (far-mah-ko-THER-ah-PEW-tiks) treatment of diseases by the use of drugs

pharynx (FAIR-inks) passageway for food from the mouth to the esophagus and for air from the nose to the larynx

phlebitis (flee-BITE-iss) inflammation of veins

phosphodiesterase (fos-fo-die-ES-tur-ase) enzyme in muscle cells that cleaves phosphodiester bonds; its inhibition increases myocardial contractility

phospholipid (FOS-foh-LIP-id) type of lipid that contains two fatty acids, a phosphate group, and a chemical backbone of glycerol

photosensitivity condition that occurs when the skin is very sensitive to sunlight

physical dependence (FIZ-ee-kul dee-PEN-dens) the condition of experiencing unpleasant withdrawal symptoms when a substance is discontinued

pituitary gland (pit-TOO-it-air-ee) endocrine gland in the brain responsible for controlling many other endocrine glands

plaque (plak) fatty material that builds up in the lining of blood vessels and may lead to hypertension, stroke, myocardial infarction, or angina

plasma cell type of cell derived from B-cells that produces antibodies

plasmid (PLAZ-mid) small piece of circular DNA found in some bacteria that is able to transfer resistance from one bacterium to another

plasmin (PLAZ-min) enzyme formed from plasminogen that dissolves blood clots

plasminogen (plaz-MIN-oh-jen) protein that prevents fibrin clot formation

platelet (PLAY-tuh-let) cell involved in the blood-clotting process

polarized (POLE-uh-rized) condition in which the inside of a cell is more negatively charged than the outside of the cell

positive symptoms symptoms that add on to normal behavior; signs that are used to assist with the diagnosis of schizophrenia

postpartum (post-PART-um) occurring after childbirth

postsynaptic nerve (POST-sin-AP-tik) nerve in the synapse that has receptors for the neurotransmitter

potassium ion channel (po-TASS-ee-um) pathway in a plasma membrane through which potassium ions enter and leave

potency (POH-ten-see) the power or strength of a drug at a specified concentration or dose

pre-eclampsia (pree-ee-KLAMP-see-uh) condition where hypertension develops because of pregnancy or recent pregnancy. Hypertension is accompanied by proteinuria and/or edema

pregnancy category system for grouping drugs based upon how safe they are for the unborn

preload degree of stretch of the cardiac muscle fibers just before they contract

presynaptic nerve (PRE-sin-AP-tik) nerve that releases the neurotransmitter into the synaptic cleft

prodrugs drugs that become more active after they are metabolized

progesterone (pro-JESS-ter-own) hormone responsible for building up the uterine lining in the second half of the menstrual cycle and during pregnancy

prolactin (pro-LAK-tin) hormone secreted by the pituitary gland that stimulates milk production in the mammary glands

prostaglandins (PROSS-tuh-GLAN-dins) a class of chemicals that promotes inflammation and produces pain when released by cells in the body

prothrombin (PRO-throm-bin) blood protein converted to thrombin in the blood-clotting process

prothrombin activator enzyme in the coagulation cascade that coverts prothrombin to thrombin; also called prothrombinase

prothrombin time (PRO-throm-bin) blood test used to determine the time needed for plasma to clot to regulate warfarin dosage

proton-pump inhibitors drugs that inhibit the enzyme H+, K+-ATPase

prototype (PRO-Toh-type) drug an original, well-understood model drug from which other drugs in a pharmacological class have been developed

protozoan (PRO-toh-ZOH-en) single-celled microorganism

provitamins an inactive chemical that is converted to a vitamin in the body

proximal tubule (PROX-im-al) portion of the nephron that collects filtrate from Bowman's capsule

pruritus (proo-RYE-tus) itching symptom associated with dry, scaly skin

psoralen (SORE-uh-len) drug used along with phototherapy for the treatment of psoriasis and other severe skin disorders

psychodelics (seye-koh-DEL-iks) substances that alter perception and reality

psychological dependence (seye-koh-LOJ-ee-kul dee-PEN-dens) an unpleasant, intense craving for a drug after it has been withdrawn

purine (PYUR-een) building block of DNA and RNA, either adenine or guanine

Purkinje fibers (purr-KEN-gee FI-burrs) electrical conduction pathway leading from the bundle branches to all portions of the ventricles

pustules (PUSS-chools) inflammatory bumps with pus

pyrimidine (peer-IM-uh-deen) building block of DNA and RNA, either thymine or cytosine in DNA and cytosine and uracil in RNA

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R

radiation therapy the delivery of high-dose radiation with the intent of killing tumor cells

rate of elimination (ee-lim-in-NAY-shun) the amount of drug removed from the body during a specified period of time

reabsorption movement of substances from the kidney tubule back into the blood

rebound congestion a condition of hypersecretion of mucous following use of intranasal sympathomimetics

rebound insomnia increased sleeplessness that occurs when long-term anti-anxiety or hypnotic medication is discontinued

receptor (ree-SEP-tor) the structural component of a cell to which a drug binds in a dose-related manner in order to produce a response

Recommended Dietary Allowance (RDA) amount of vitamin or mineral needed daily to avoid a deficiency in a healthy adult

rectal (REK-tul) method of enteral drug delivery where drugs are administered by way of the rectum

red-man syndrome rash on the upper body caused by certain antiinfectives

reflex tachycardia (tak-ee-KAR-dee-ah) temporary speeding up of heart rate that occurs when blood pressure falls

refractory period (ree-FRAK-tore-ee) time during which the myocardial cells rest and are not able to contract

releasing factors hormones secreted by the hypothalamus that affect secretions in the pituitary gland

REM (rapid eye movement) sleep sleep characterized by quick, scanning movements of the eyes

renin-angiotensin system (REN-in – an-geo-TEN-sin) series of enzymatic steps by which the body raises blood pressure

respiration (res-purr-AY-shun) exchange of oxygen and carbon dioxide

rest-or-relaxation response signs and symptoms produced when the parasympathetic nervous system is activated

restricted drug in Canada, a drug not intended for human use, covered in Part IV, Schedule H of the Canadian Food and Drugs Act

reticular activating system (RAS) the brain structure that projects from the brainstem and thalamus to the cerebral cortex; responsible for sleeping and wakefulness, and performs an alerting function

reticular formation (re-TIK-you-lurr) a network of neurons found along the entire length of the brain stem connected with the reticular activating system

retinoids (RETT-ih-noydz) vitamin A-like compounds used in the treatment of severe acne and psoriasis

retinol (RETT-ih-nall) chemical name for vitamin A

reverse transcriptase (ree-VERS trans-CRIP-tace) viral enzyme that converts RNA to DNA

rheumatoid arthritis (ROO-mah-toyd are-THRYE-tis) systemic autoimmune disorder characterized by inflammation of multiple joints

rosacea (roh-ZAY-shee-uh) skin disorder characterized by clusters of papules

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S

salicylism (sal-IH-sill-izm) poisoning due to aspirin and aspirin-like drugs

sarcoma (sar-KOH-mah) cancer of connective tissue such as bone, muscle, or cartilage

scabicides (SKAY-bih-sides) drugs that kill scabies mites

scabies (SKAY-beez) skin disorder caused by the female mite burrowing into the skin and laying eggs

scheduled drug in the U.S., a term describing a drug placed into one of five categories (I through V) based on its potential for misuse or abuse

schizoaffective (SKIT-soh-ah-FEK-tiv) disorder disorder with symptoms similar to schizophrenia and mood disorders

schizophrenia (SKIT-soh-FREN-ee-uh) type of psychosis characterized by abnormal thoughts and thought processes, withdrawal from other people and the outside environment, and apparent preoccupation with one's own mental state

seborrhea (seb-oh-REE-ah) condition characterized by overactivity of oil glands

secretion movement of substances from the blood into the kidney tubule after filtration has occurred

sedative-hypnotic (SED-ah-tiv hip-NOT-ik) drug that, when given in lower doses, produces a calming effect and, when given in higher doses, produces sleep

sedatives (SED-ah-tivs) drugs that relax or calm the client

seizures (SEE-zhurrs) symptom of epilepsy charcterized by abnormal neuronal discharges within the brain

selective estrogen receptor modulators (SERMs) drugs that directly produce an action similar to estrogen in body tissues; used for the treatment of osteoporosis in postmenopausal women

selective serotonin reuptake inhibitors (SSRIs) (sair-oh-TOE-nin) drugs that selectively inhibit the reuptake of serotonin into nerve terminals

septic shock (SEP-tik) type of shock caused by severe infection in the bloodstream

serotonin syndrome set of signs and symptoms associated with overmedication with antidepressants

shock condition in which there is inadequate blood flow to meet the body's needs

sinoatrial (SA) node (si-no-AYE-tree-ul noad) pacemaker of the heart located in the wall of the right atrium

sinus rhythm (SI-nuss) number of beats per minute normally generated by the SA node

sleep debt sleep deficit that may be accompanied by unfavorable effects, such as impaired judgment, depression, and slowed reaction time

sodium ion channel (SO-dee-um) pathway in a plasma membrane through which sodium ions enter and leave

solubility (sol-yew-BIL-uh-tee) the ability to dissolve or mix

somatic nervous system (soh-MAT-ik) consists of nerves that provide voluntary control over skeletal muscle

somatotropin (so-mat-oh-TROH-pin) another name for growth hormone

spasticity (spas-TISS-ih-tee) inability of opposing muscle groups to move in a coordinated manner

spinal anesthesia regional anesthesia where drugs are injected into the spinal subarachnoid space

spirilla (speer-ILL-ah) bacteria that have a spiral shape

stable angina type of angina that occurs in a predictable pattern, usually relieved by rest

status asthmaticus (STAT-us az-MAT-ik-us) acute form of asthma requiring immediate medical attention

status epilepticus (EP-ih-LEP-tih-kus) condition characterized by repeated seizures or one prolonged seizure attack that continues for at least 30 minutes

stepped care a systematic approach to treatment of hypertension

steroid (STAIR-oyd) type of lipid that consists of four rings that comprises certain hormones and drugs

sterol nucleus (STAIR-ol NUK-lee-us) ring structure common to all steroids

stroke volume volume of blood pumped out by a ventricle in a single beat

subcutaneous (sub-kew-TAY-nee-us) method of parenteral drug delivery where drugs are injected into the hypodermis of the skin

sublingual (sub-LIN-gwal) method of enteral drug delivery where drugs are placed under the tongue

substance abuse the use, by self-administration, of a drug that does not conform to the medical or social norms within the client's given culture or society

substance P a neurotransmitter within the spinal cord involved in the neural transmission of pain

substantia nigra (sub-STAN-shea NEYE-grah) place in the brain where dopamine is synthesized; neurons from this area project to other areas in the brain responsible for regulation of muscle movement

superficial mycoses fungal diseases of the hair, skin, nails, and mucous membranes

superinfection condition caused when a microorganism grows rapidly as a result of having less competition in its environment

supraventricular (sue-prah-ven-TRIK-you-lur) lying above the ventricles or in the atria

surface (topical) anesthesia (TOP-ik-ul) procedure where local anesthetics are applied to the surface of the body in order to numb the skin and mucous membranes

sympathetic nervous system (SIM-pah-THET-ik) portion of the autonomic system that is active during periods of stress and which produces the fight-or-flight response

sympathomimetic (sim-PATH-oh-mih-MET-ik) drug that stimulates or mimics the sympathetic nervous system

synapse (SIN-aps) junction between two neurons consisting of a presynaptic nerve, a synaptic cleft, and a postsynaptic nerve

synaptic cleft (sin-AP-tik kleft) physical space between two neurons that must be crossed by the neurotransmitter

systemic mycoses fungal diseases affecting internal organs

systolic pressure (SIS-tol-ik) blood pressure during the contraction phase of heart activity

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T

tachycardia (tack-ee-KAR-dee-uh) condition of fast heartbeat

tardive dyskinesia (TAR-div dis-ki-NEE-zee-uh) involuntary movements of facial muscles and the tongue that occur due to long-term anti-psychotic therapy

taxoids (TAKS-oids) antineoplastic drugs obtained from the Pacific Yew tree

T-cell type of lymphocyte that is essential for the cell-mediated immune response

tension headache common type of head pain caused by stress and relieved by non-narcotic analgesics

teratogen (TER-ah-toh-jen) a chemical substance that harms a developing fetus or embryo

tetany (TET-ah-nee) disorder characterized by prolonged muscle spasms, cramps, and twitches

tetrahydrocannabinol (THC) (TEH-trah-HEYE-droh-cah-NAB-in-ol) the active chemical in marijuana

therapeutic (ther-a-PEW-tik) classification method for organizing drugs on the basis of their therapeutic usefulness

therapeutics (ther-ah-PEW-tiks) the branch of medicine concerned with the treatment of disease and suffering

thrombin (THROM-bin) enzyme that causes clotting by forming thrombin

thrombocytopenia (THROM-boh-SEYE-toh-PEE-nee-ah) deficiency of platelets

thromboembolic disease (throm-bow-em-bow-LIT-ik) disorders where clients have blood clots

thrombolytics (thom-bow-LIT-iks) drugs used to dissolve existing blood clots

thrombotic stroke (throm-BOT-ik) type of stroke caused by a blood clot blocking an artery in the brain

thrombus (THROM-bus) blood clot

tinnitus (tin-EYE-tis) ringing in the ears

tissue plasminogen activator (tPA) a natural enzyme and a drug that dissolves blood clots

titer (TIE-ter) measurement of the amount of a substance in the blood

tocolytic (toh-koh-LIT-ik) drug used to inhibit uterine contractions

tolerance (TOL-er-anse) the process of adapting to a drug over a period of time, and subsequently requiring higher doses to achieve the same effect

tonometry (toh-NAHM-uh-tree) technique for measuring eye tension and pressure

topical (TOP-ik-ul) the route by which drugs are placed directly onto the skin and mucous membranes

topoisomerase (TOH-poh-eye-SOM-er-ase) enzyme that assists in the repair of DNA damage

toxin (TOX-in) chemical produced by a microorganism that is able to cause injury to its host

toxoid (TOX-oid) substance that has been chemically modified to remove its harmful nature but is still able to elicit an immune response in the body

trace mineral inorganic compound needed by the body in amounts of 20 mg or less daily

trachea (TRAY-kee-ah) passageway for air from the pharynx to the bronchi

trade name proprietary name of a drug assigned by the manufacturer; also called the brand name or product name

tranquilizer (TRANG-kwi-leye-zer) drug that produces a calm or tranquil feeling

transdermal (trans-DER-mul) method of drug delivery, usually by a patch, where drugs are absorbed across the layers of the skin for the purpose of entering the bloodstream

transmucosal (trans-mew-KO-sul) method of topical drug delivery where drugs are applied directly to mucosal membranes, including the nasal and respiratory pathways and reproductive openings

transplant rejection when the immune system recognizes a transplanted tissue as being foreign and attacks it

tricyclic antidepressants (TCAs) (treye-SICK-lick) drugs with a three-ring chemical structure that inhibit the reuptake of norepinephrine and serotonin into nerve terminals

triglyceride (tri-GLISS-ur-ide) type of lipid that contains three fatty acids and a chemical backbone of glycerol

tubercles (TOO-burr-kyouls) cavity-like lesions in the lung characteristic of infection by Mycobacterium tuberculosis

tumor (TOO-more) abnormal swelling or mass

tumor suppressor genes genes that inhibit the transformation of normal cells into cancer cells

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U

ulcerative colitis (UL-sir-ah-tiv koh-LIE-tuss) inflammatory bowel disease of the colon

unstable angina type of angina that occurs frequently, with severe symptoms, and which is not relieved by rest

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V

vaccination/immunization (VAK-sin-AYE-shun / IH-mewn-ize-AYE-shun) receiving a vaccine or toxoid in order to prevent disease

vaccine (vaks-EEN) preparation of microorganism particles that is injected into a client to stimulate the immune system, with the intention of preventing disease

variant angina chest pain that is caused by acute spasm of the coronary arteries rather than by physical or emotional exertion

vasomotor center (VAZO-mo-tor) area of the medulla that controls baseline blood pressure

vasopressin (vaz-oh-PRESS-in) another name for antidiuretic hormone

ventilation (ven-tah-LAY-shun) process by which air is moved into and out of the lungs

very low-density lipoprotein (VLDL) lipid-carrying particle that is converted to LDL in the liver

vestibular apparatus (vest-IB-you-lar) portion of the inner ear responsible for the sense of position

vinca alkaloids (VIN-ka AL-kah-loids) chemicals obtained from the periwinkle plant

virulence (VEER-you-lens) the severity of disease that an organism is able to cause

virulization (veer-you-lih-ZAY-shun) appearance of masculine secondary sex characteristics

virus non-living particle containing nucleic acid that is able to cause disease

viscosity (vis-KOS-uh-tee) the thickness of a liquid

vitamins organic compounds required by the body in small amounts

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W

withdrawal physical signs of discomfort associated with drug abuse

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Y

yeast (YEEST) type of fungus that is unicellular and divides by budding

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Z

Zollinger-Ellison syndrome (ZOLL-in-jer ELL-ih-sun) disorder of having excess acid secretion in the stomach



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