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Pharmacology for Rehabilitation Professionals - E-Book

Pharmacology for Rehabilitation Professionals - E-Book

Barbara Gladson

(2010)

Additional Information

Abstract

Now fully revised and updated, Dr. Barbara Gladson's Pharmacology for Rehabilitation Professionals, 2nd Edition, remains your best resource for understanding how various drugs affect patients during therapeutic exercise and rehabilitation. Using case studies and engaging activities, it helps you apply essential pharmacology information directly to rehabilitation practice. New chapters, a new reader-friendly design, new artwork, and more enhance the text and bring you up to date with both basic pharmacologic principles as well as the mechanism of action and side effects of drugs commonly seen in rehabilitation practice.

  • Helps you develop effective exercise programs by providing drug/exercise interactions from a pharmacokinetics perspective. You willl clearly see the implications for exercise for each specific condition and medication.
  • Presents case studies in every chapter that demonstrate the effects of various drugs on the diagnosis, prognosis, and interventions in physical therapy, so you can more easily monitor patients for adverse drug effects.
  • Features engaging activities in every chapter, ranging from patient interviews to challenging, real-life questions, helping you retain and apply what you've learned.
  • Encourages you to use the latest research in your clinical decision making with evidence-based content incorporated throughout.
  • Simplifies the complex topic of pharmacokinetics so that you will fully understand how it affects your individual patients and your care plans.
  • Guides you in using the Internet for online drug information with references to specific sites, and when and how to use them to their fullest potential.
  • Discusses lifespan considerations such as age, physical differences, and obesity, as well as the latest information on diabetes and glucose testing.
  • A new chapter on Complementary and Alternative Medicine in Pharmacology covers popular herbal and alternative products used to promote health, as well as herbal remedies used during menopause and in the treatment of cancer, helping you recognize the impact of herbals on your patients' symptoms and response to therapy.
  • A new chapter on Drugs Affecting the Integumentary System discusses skin disorders and their pharmacological treatment, prophylactic and debriding agents, antiseptics, and more.
  • A new chapter on Nutrition and Pharmacology provides current information on vitamins and minerals, enteral and parenteral nutrition, and food and drug interactions -- important topics that affect rehabilitation outcomes.
  • Updated drug information and new drugs are added throughout the text, keeping you up to date with current pharmacological information as it pertains to rehabilitation.

Table of Contents

Section Title Page Action Price
Front cover Cover
Pharmacology for Rehabilitation Professionals Second Edition iii
Copyright page iv
CONTRIBUTORS vi
PREFACE vii
ACKNOWLEDGMENTS viii
TABLE OF CONTENTS ix
SECTION ONE Principles of Pharmacology 1
CHAPTER 1. Introduction 2
WHAT IS PHARMACOLOGY? 2
WHY SHOULD PHYSICAL THERAPISTS STUDY PHARMACOLOGY? 3
DRUG DEVELOPMENT AND REGULATION PROCESS 3
ELEMENTS OF A PRESCRIPTION 7
CONTROLLED SUBSTANCES 7
DRUG NAMING AND CLASSIFICATION SYSTEMS 8
REFERENCES 9
CHAPTER 2. Pharmacodynamics: Mechanism of Action 12
TARGETS FOR DRUG ACTION 12
DRUG–RECEPTOR INTERACTIONS 14
DRUG SAFETY 17
REFERENCES 19
CHAPTER 3. Pharmacokinetics and Drug Dosing 21
WHAT IS PHARMACOKINETICS? 21
MOVEMENT OF DRUGS ACROSS CELL MEMBRANES 21
DRUG ABSORPTION AND ROUTES OF ADMINISTRATION 23
DISTRIBUTION OF DRUGS 27
METABOLISM 28
DRUG ELIMINATION 30
MATHEMATIC BASIS OF PHARMACOKINETICS 30
FIRST-ORDER ELIMINATION AND DOSING 31
FACTORS AFFECTING PHARMACOKINETICS 32
REFERENCES 34
CHAPTER 4. Adverse Drug Reactions 37
RISK/BENEFIT RATIO 37
CLASSIFICATION OF ADVERSE DRUG REACTIONS 37
DRUG–DRUG INTERACTIONS 41
FOOD–DRUG INTERACTIONS 42
DRUG ALLERGY AND DRUG-INDUCED ILLNESSES 43
REFERENCES 45
SECTION TWO Autonomic and Cardiovascular Pharmacology 47
CHAPTER 5. Drugs Acting on the Autonomic Nervous System 48
AUTONOMIC NERVOUS SYSTEM 48
DRUGS THAT MIMIC THE PARASYMPATHETIC NERVOUS SYSTEM 54
MUSCARINIC ANTAGONISTS 55
DRUGS AFFECTING THE SYMPATHETIC (ADRENERGIC) NERVOUS SYSTEM 59
PHYSIOLOGY AND FUNCTION OF THE BLADDER 62
REFERENCES 64
CHAPTER 6. Antihypertensive Agents 66
HYPERTENSION 66
PHYSIOLOGY AND PATHOPHYSIOLOGY OF BLOOD PRESSURE 66
DIURETICS 70
β-ADRENOCEPTOR BLOCKERS 73
α-ADRENOCEPTOR BLOCKERS 74
DUAL α- AND β-BLOCKERS 75
CENTRAL ACTING α₂-AGONISTS 75
VASODILATORS 75
ACE INHIBITORS AND ACE RECEPTOR BLOCKERS (ACE RECEPTOR ANTAGONISTS) 76
PLASMA RENIN INHIBITORS 77
MANAGEMENT OF HYPERTENSIVE EMERGENCIES 77
GUIDELINES FOR THE TREATMENT OF HYPERTENSION 77
THERAPEUTIC CONCERNS ABOUT ANTIHYPERTENSIVE AGENTS 78
REFERENCES 83
CHAPTER 7. Drug Therapy for Coronary Atherosclerosis and Its Repercussions 86
ISCHEMIC HEART DISEASE 86
PATHOPHYSIOLOGY AND TREATMENT OF ISCHEMIC HEART DISEASE AND ANGINA 86
THROMBOSIS AND ANTITHROMBOTIC THERAPY 91
PHARMACOLOGIC PREVENTION AND MANAGEMENT OF DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM 97
PHARMACOLOGIC MANAGEMENT OF PERIPHERAL ARTERIAL DISEASE 98
PHARMACOLOGIC MANAGEMENT OF UNSTABLE ANGINA AND MYOCARDIAL INFARCTION 99
ATHEROSCLEROSIS AND LIPID-LOWERING DRUGS 99
REFERENCES 105
CHAPTER 8. Drug Therapy for Congestive Heart Failure and Cardiac Arrhythmias 109
DRUG TREATMENT FOR CONGESTIVE HEART DISEASE 109
DRUG TREATMENT FOR CARDIAC ARRHYTHMIA 114
REFERENCES 122
CHAPTER 9. Drug Therapy for Pulmonary Disorders 125
REGULATION OF RESPIRATION AND AIRWAY SMOOTH MUSCLE TONE 125
BRONCHIAL ASTHMA 125
OTHER DRUGS USEFUL IN RESPIRATORY DISORDERS 133
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 134
CYSTIC FIBROSIS 136
THERAPEUTIC CONCERNS WITH DRUGS FOR RESPIRATORY DISORDERS 137
REFERENCES 138
SECTION THREE Pain Control 141
CHAPTER 10. Anesthetic Agents 142
TYPES OF ANESTHESIA 142
GENERAL ANESTHESIA 142
REGIONAL AND LOCAL ANESTHESIA 147
REFERENCES 150
CHAPTER 11. Drugs for the Treatment of Pain and Inflammation 152
PHYSIOLOGY OF PAIN 152
MORPHINE AND SIMILAR OPIOID ANALGESICS 155
ANTI-INFLAMMATORY AGENTS 161
NEUROPATHIC PAIN 168
PAIN RELATED TO CANCER 168
REFERENCES 170
CHAPTER 12. Drug Treatment for Arthritis-Related Conditions 174
DRUG TREATMENT OF RHEUMATOID ARTHRITIS 174
DRUG TREATMENT OF GOUT 179
DRUG TREATMENT OF SYSTEMIC LUPUS ERYTHEMATOSUS 181
DRUG TREATMENT OF OSTEOARTHRITIS 184
REFERENCES 187
SECTION FOUR Endocrine Pharmacology 190
CHAPTER 13. Selective Topics in Endocrine Pharmacology 191
OVERVIEW OF THE ENDOCRINE SYSTEM 191
PATHOPHYSIOLOGY AND PHARMACOLOGY RELATED TO THE PITUITARY GLAND 191
THYROID DISEASES 197
DRUG THERAPY FOR ADRENAL DYSFUNCTION 200
DRUG TREATMENT FOR THE REPRODUCTIVE SYSTEM 202
REFERENCES 213
CHAPTER 14. Drug Treatment for Osteoporosis and Diabetes 216
DRUG TREATMENT FOR OSTEOPOROSIS 216
DRUG TREATMENT FOR DIABETES 222
EXERCISE AND DIABETES TREATMENT: THERAPEUTIC CONCERNS 240
REFERENCES 243
SECTION FIVE Neurologic Pharmacology 248
CHAPTER 15. Drugs for Epilepsy and Attention-Deficit/Hyperactivity Disorder 249
OVERVIEW OF EPILEPSY 249
ANTIEPILEPTIC DRUGS 251
GENERAL APPROACH TO THE MANAGEMENT OF EPILEPSY 254
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER 257
REFERENCES 260
CHAPTER 16. Antispasticity Medications and Skeletal Muscle Relaxants 262
PHYSIOLOGY OF SPASTICITY AND MUSCLE SPASMS 262
FACTORS IN DETERMINING TREATMENTS OF SPASTICITY 262
SPASTICITY 262
MUSCLE RELAXANTS 275
REFERENCES 277
CHAPTER 17. Pharmacologic Management of Degenerative Neurologic Disorders 279
INTRODUCTION 279
PARKINSON’S DISEASE: EPIDEMIOLOGY AND PATHOLOGY 279
MULTIPLE SCLEROSIS: PATHOLOGY AND CLINICAL PRESENTATION 286
ALZHEIMER’S DISEASE: PATHOLOGY AND EPIDEMIOLOGY 290
REFERENCES 294
ADDITIONAL RESOURCES 299
CHAPTER 18. Drug Treatment for Depression and Anxiety 300
DEPRESSION 300
ANXIETY DISORDERS AND SEDATIVE AND ANXIOLYTIC DRUGS 309
REFERENCES 313
CHAPTER 19. Drug Treatment for Schizophrenia and Bipolar Illness 317
ANTIPSYCHOTIC DRUGS AND SCHIZOPHRENIA 317
BIPOLAR DISORDER 327
REFERENCES 330
ADDITIONAL RESOURCES 332
SECTION SIX Anti-Infective and Anti-Cancer Agents 333
CHAPTER 20. Antimicrobial Agents 334
CHARACTERISTICS AND CLASSIFICATION OF BACTERIA 334
PROPERTIES OF ANTIBIOTICS 335
DRUG-RESISTANT BACTERIA 338
FACTORS TO CONSIDER IN THE CHOICE OF AN ANTIMICROBIAL AGENT 339
SUPERINFECTION 340
MAJOR ANTIMICROBIAL AGENTS 340
SOME SPECIFIC BACTERIAL INFECTIONS AND THEIR TREATMENT 346
ANTIMICROBIAL PROPHYLAXIS IN SURGERY 349
PROPER USE OF ANTIBIOTICS 349
PREVENTING ANTIBIOTIC RESISTANCE AND SPREAD OF INFECTION 349
ADVERSE EFFECTS OF ANTIBIOTICS AND THERAPEUTIC CONCERNS 350
REFERENCES 351
CHAPTER 21. Antiviral Agents and Selected 353
TREATMENT OF VIRAL INFECTIONS 353
DRUGS AND FUNGAL INFECTIONS 370
REFERENCES 373
CHAPTER 22. Cytotoxic Agents and Immune 376
ETIOLOGY AND PATHOPHYSIOLOGY OF CANCER 376
CYTOTOXIC STRATEGY IN CANCER THERAPY 377
CANCER THERAPY TREATMENT GOALS AND EVALUATION OF RESPONSE 378
CONSEQUENCES OF CANCER THERAPY 379
RESISTANCE TO CANCER THERAPY 379
CHEMOTHERAPY (ANTINEOPLASTIC) DRUG CLASSES 380
TUMOR IMMUNOTHERAPY 394
CANCER THERAPY ADVERSE EFFECTS, RECOMMENDATIONS FOR TREATMENT, AND REHAB THERAPY IMPLICATIONS 398
IMMUNOSUPPRESSION 407
REFERENCES 408
SECTION SEVEN Special Topics in Pharmacology 411
CHAPTER 23. Drugs for Gastrointestinal Disorders 412
PHYSIOLOGIC CONTROL OF DIGESTION 412
ACID-RELATED DISEASE AND ITS TREATMENT 414
NAUSEA AND VOMITING 418
DIARRHEA 420
CONSTIPATION 421
IRRITABLE BOWEL SYNDROME 422
THERAPEUTIC CONCERNS ABOUT GASTROINTESTINAL AGENTS 424
REFERENCES 425
CHAPTER 24. Vitamins and Minerals 427
BIOCHEMICAL FUNCTIONS OF VITAMINS AND MINERALS 427
DEFINITION OF MULTIVITAMINS/MULTIMINERALS 427
USE OF MULTIVITAMINS/MULTIMINERALS 428
REFERENCE INTAKES OF VITAMINS AND MINERALS IN THE HEALTHY POPULATION 428
VITAMIN AND MINERAL BIOAVAILABILITY 428
RISKS OF INADEQUATE INTAKE OF VITAMINS AND MINERALS 428
MICRONUTRIENT STATUS CHANGES AS A RESULT OF DISEASE 429
CONSEQUENCES OF NUTRITIONAL DEFICIENCIES OF VITAMINS OR MINERALS 429
ROLE OF MVM SUPPLEMENTS ON NUTRIENT ADEQUACY 430
PREVALENCE OF INTAKES AT RISK OF BEING EXCESSIVE 430
FOOD/NUTRIENT–DRUG INTERACTIONS 430
REFERENCES 435
CHAPTER 25. Topical Drugs and Treatments 437
PHYSIOLOGY AND PATHOPHYSIOLOGY OF WOUNDS 437
CREATING THE IDEAL WOUND ENVIRONMENT FOR HEALING 438
SPECIFIC CONCERNS AND ADJUVANT INTERVENTIONS FOR CHRONIC WOUNDS 440
SPECIAL CONSIDERATIONS FOR THE REHABILITATION PROFESSIONAL 443
CONCLUSION 445
REFERENCES 446
CHAPTER 26. Complementary and Alternative Medicine in Pharmacology 448
INTRODUCTION 448
EVIDENCE-BASED REVIEW OF SELECTED SUPPLEMENTS 450
SUPPLEMENTS FOR CARDIOVASCULAR DISEASE 456
FINDING SUPPLEMENT INFORMATION AND ADVISING PATIENTS 468
REFERENCES 468
CHAPTER 27. Drugs of Abuse: Anabolic Steroids and Other Doping Agents 478
DEFINITIONS 478
ALCOHOL 479
TOBACCO 479
MARIJUANA 480
HEROIN 481
COCAINE 481
HALLUCINOGENIC SUBSTANCES 481
INHALANTS 482
ANABOLIC STEROIDS 482
“STREET DRUG” TOXICITY 482
IMPLICATIONS FOR REHABILITATIVE THERAPISTS 483
REFERENCES 483
CHAPTER 28. Exploring Drug–Exercise Interactions 485
INTERACTIONS BETWEEN SELECTIVE CARDIOPULMONARY AND DIABETIC MEDICATIONS AND EXERCISE 485
CARDIAC MEDICATIONS 486
PULMONARY MEDICATIONS 489
DIABETES MEDICATIONS 492
REFERENCES 498
INDEX 503