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11 Cards in this Set

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A-195. What are H2 blockers used for, their names, MOA and ADRs?
Promote healing of ulcers, prevent future ulcers esp. in Zollinger-Ellison Syndrome, prevent acute stress ulcers, and prevent GERD

Cimetidine, Ranitidine, Nizatidine, and Famotidine (most potent)

Block H2 receptors in the stomach to decrease H+

Cimetidine is anti-androgenic = gynecomastia, galactorrhea, and decreased sperm
A-195. Names, MOAs, ADRs, of proton pump inhibitors.
Omeprazole (DOC peptic ulcers), esomeprazole, lansoprazole, pantoprazole, rabeprazole

ADRs: Increased gastric carcinoids from dec HCl and inc gastrin and increase gastric bacterial load
A-195. Pt comes in suffering from what appears either opiate or benzo withdrawal. What should you give him?
Clonopin

Alpha-2 agonist

Decrease sympathetic outflow thus decreasing BP.
A-195. Pt has BPH and HTN, what could be given to help both? MOA?
Prazosin and Terazosin

Alpha-1 blockers

Relax urethra and reduce vasoconstiction (decrease periph. vasc. resistance)
A-195. Pt comes in showing signs of severe shock. Why is dopamine a good idea?
1.) Pressor, raise BP

2.) Stim D1 - keep renal and mesenterix arteris patent

3.) Minor B1 stim helps increase cardiac output

Sum: Inc. ionotropy and chronotropy, inc BP, maintain renal/mesenteric blood flow
A-195. Your pt has myasthenia gravis. What meds should you consider?
Physostigmine and Neostigmine

Cholinesterase inhibitors - reduce ACh breakdown
A-195. Your pt has an atonic bladder postpartum. What can you give her?
Bethanechol

Cholinergic agonist
A-195. Atropine is given to bradycardic pts. How does it worl?
Anti-muscarinic
A-195. This an antinicotinic medication ised to sedate pts quickly.
Succinylcholine

Blocks nictonic receptors and NMJ
A-195. Antimuscarinics help reduce ACh effect in H+ ion secretion. What drug is this and what condition is it usually reserved for?
Pirenzepine

Zollinger-Ellison
A-195. This drug creates a gel-like substance over the gastric ulcers. Used usually for healing and prevention of ulcers.
Sucralfate