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87 Cards in this Set

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Clopidogrel

PO Antiplatelet agent; Platelet aggregation inhibitor.


Indications: reduction of atherosclerotic events (MI, stroke, vascular death) for patients at risk (those with recent MI, unstable angina, stroke, peripheral vascular disease)


SE: bleeding. incidence of SEs similar to aspirin

Trade Name: Plavix

Celecoxib

COX2 inhibitor; Antirheumatic, NSAID. Relief for symptoms of OA, RA.

Trade Name: Celebrex

Tramadol

Centrally acting analgesic. Causes CNS depression.


Indications: moderate to severe pain. SE: dizziness, headache, solmnolence, constipation, nausea

Trade Name: Ultram

Midazolam

HIGH ALERT MEDICATION


Benzodiazepine.


Antianxiety agent, sedative/hypnotic. CNS depression- short term sedation, postoperative amnesia.


Effects can be reversed with flumazenil.

Trade Name: Versed

Diclofenac

Nonopioid analgesic, NSAID. Suppression of pain and inflammation. May require 2wk or more for max effects.


Take with food or milk

Trade Name: Voltaren

Ketorolac

Nonopioid analgesic, NSAID. Short term management of pain, not to exceed 5 days. Inhibits prostaglandin synthesis, antipyretic and antiinflammatory.

Trade Name: Toradol

Diphenhydramine

Allergy, cold and cough remedies. antihistamine. antitussive. relief of allergic reactions caused by histamine release, prevention of motion sickness, mild nighttime sedation

Trade Name: Benadryl

Dimenhydrinate

Antiemetic, CNS depressant, anticholinergic, antihistaminic Indications: nausea, vomiting, dizziness, and vertigo accompanying motion sickness.


SE: drowsiness, anorexia

Trade Name: Gravol

Tamsulosin

Peripherally acting antiadrenergic. Decreases contractions in smooth muscle of the prostatic capsule- decreased symptoms of prostatic hyperplasia (urinary urgency, hesitancy, nocturia)

Trade Name: Flomax

Calcium Carbonate

relief of acid indigestion or heartburn, tx of hypocalcemia, postmenopausal osteoporosis, hyperphosphatemia

Trade Name: Tums, calcicarb, calcite, caltrate, calci-chew

Sodium Bicarbonate

Alkalinizing agent. Tx for metabolic acidosis, alkalinizes urine, promotes excretion of certain drugs in overdosage situations (phenobarbital, aspirin), antacid

Trade Name: Baking soda, soda mint

Venlafaxine

SSNRI. for major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder.


Do not mix with MAOIs

Trade Name: Effexor

Albuterol

Adrenergic, bronchodilator. (inhalation) Used as a quick-relief agent. Binds to beta2(pulmonary) adrenergic receptors in smooth muscle, causing relaxation of airway smooth muscle.


Common SEs: nervousness, restlessness, tremor, chest pain, palpitations

Trade Name: Salbutamol, Ventolin

Atropine

Antiarrhythmic, antiholinergic, antimuscarinic. Indications: (IM) given pre-op to decrease oral and resp secretions, (IV) treatment of sinus bradycardia and heart block, reversal of adverse muscarinic effects of anticholinesterase agents/poisioning

Enoxaparin

Anticoagulant, antithrombotic, low molecular weight heparin.

Trade Name: Lovenox

Dabigatran

Anticoagulant, thrombin inhibitor. commonly used to tx A-fib

Trade Name: Pradaxa

Phenytoin

Antiarrhythmic, anticonvulsant, hydantoin.Tx of seizures, ventricular arrhythmias.

Trade Name: Dilantin, Tremytoine

(trade name) Levemir

HIGH ALERT MEDICATION


Long-acting insulin, duration increases as dose increases. (6-24hrs).

Generic Name: Insulin Detemir

Flumazenil

IV only Antidote.Benzodiazepine reversal agent. Desired effects: improved LOC, decrease in respiratory depression.

Trade Name: Anexate, Romazicon

(trade name) Lantus

HIGH ALERT MEDICATION. Long-acting insulin. Provides slower prolonged constant absorption over 24hr

Generic name: Insulin Glargine

Fentanyl

opioid analgesic, opioid agonist. analgesic supplement to general anaesthesia.Do not take w grapefruit or w MAOIs w/in 14 days.


IV lasts 30min-hr. IM lasts 1-2hr.

Trade name: Sublimaze

Remifentanil

short-acting opioid analgesic, opioid agonist. analgesic supplement to general anaesthesia. do not take w grapefruit or MAOIs w/in 14 days. IV only; rapid onset, peaks in 3-5min, lasts 5-10min.

Ultivia

Dexamethasone

Steroidal antiinflammatory. Do not stop medication suddenly, as it may result in adrenal insufficiency

Decadron

Pantoprazole

Proton pump inhibitor, antiulcer agent. Enteric-coated.

Trade Name: Pantoloc

Cefazolin

Anti-infective, first generation cephalosporin.

Trade Name: Ancef

Ondansetron

Antiemetic. rapid onset with PO IV, peaks in 15-30min, and lasts 4-8hrs

Trade Name: Zofran

Digoxin immune Fab

Digoxin antidote. IV only.

Trade Name: Digibind

Allopurinol

Antigout drug, antihyperuricemic. Therapeutic effects: decreased pain in joints, decreased stone formation in kidneys, decreased uric acid levels.


-increase fluid intake to 2L/day

Trade Name: Aloprim

Amiodarone

!! Antidysrhythmic. decreases sinus rate, decreases peripheral vascular resistance. Indications: life thretaning ventricular arrhythmias unresponsive to less toxic agents.*constant close monitoring

Beclomethasone

INH glucocorticoid corticosteroid.Tx chronic asthma


-gargle/rinse after admin.


-do not d/c abruptly.

Bisoprolol

Antihypertensive, b1-blocker (cardioselective). Do not d/c abruptly; may cause angina, rebound hypertension.

Budesonide

INH glucocorticoid corticosteroid. for chronic asthma

Trade Name: Pulmicort

Furosemide

Loop diuretic, sulfonamide derivative. Potassium-wasting.

Trade Name: Lasix

Cefitriaxone

Broad-spectrum antibiotic. 3rd generation cephalosporin


Citalopram

antidepressant, selective serotonin reuptake inhibitor SSRI. Indications: major depressive disorder, social phobia, panic disorder, anxiety, menopause, adjunct in schizophrenia.

Trade name: Celexa

Clonezepam

anticonvulsant, benzodiazepine derivative. decreases amplitude, frequency, duration and spread of discharge during minor motor seizures. uses: absence, atypical absence, akinetic, myoclonic seizures, panic disorder. D/c'ing abruptly will precipitate physical withdrawal. Common SEs: drowziness, nausea, constipation, increased salivation.


Codeine

Opiate analgesic, antitussive. decreases pain impulse transmission at the spinal cord level by interacting with opiate receptors. decreases cough reflex, GI motility. SEs: drowsiness, sedation, nausea, vomiting, anorexia, constipation. Notify prescriber if respirations are <10/min, shallow.

Dalteparin

HIGH ALERT MEDICATION


anticoagulant, low-molecular weight heparin. Indications: unstable angina/non-Q wave MI, prevention of DVT in abdominal surgery, hip replacement, or in those with restricted mobility due to illness, PE

Trade name: Fragmin

Docusate

Laxative, emollient, stool softener. Increases water and fat penetration in intestine, allows for easier passage of stool. prevention of hard, dry stools.

Trade name: Colace

Dutasteride

androgen inhibitor. treatment of benign prostatic hyperplasia (BPH) in men with an enlarged prostate gland; may be used in combination with tamusolin.

Trade name: Avodart

Escitalopram



Antidepressant, SSRI. Indications: general anxiety disorder, major depressive disorder, panic disorder, social phobia. Do not mix with MAOIs

Trade name:

Ferrous fumarate/gluconate/sulfate

Hematinic, iron preperation. Replaces iron stores needed for RBC development as well as eergy and o2 transport and use. Different types or iron contain differing amounts of elemental iron

Fluticasone

Corticosteroid, inhalation, antiasthmatic. used for prevention of chronic asthma during maintenance treatment in those requiring oral corticosteroids; nasal symptoms of seasonal/perrenial, allergic/nonallergic rhinitis

Trade name: Flovent

Fosinopril

Antihypertensive, angiotensin converting enzyme (ACE) inhibitor. results in dilation of arterial, venous vessels. Indications: hypertension, alone or in combination with thiazide diuretics, systolic CHF.

Trade name: Monopril

Gabapentin

Anticonvulsant. Indications: restless leg syndrome, tremors with MS, neuropathic pain, bipolar disorder, migraine prophylaxis, diabetic neuropathy, nystagmus, pruritus, spacticity, menopause, hot flashes, ALS, MS

Haloperidol

Antipsychotic, neuroleptic. Indications: psychotic disorder, control of tics, hiccups, emergency sedation of severely agitated or delirious patients, ADHD

Trade name: Haldol

Lisinopril

ACE inhibitor. Inhibits RAA system-vaosdilates-decreased BP

Amlodipine

"pine" = Calcium Channel Blocker

Ramipril

"pril" = ACE inhibitor

valsartan

"sartan" = ARB (angiotensin II receptor blocker)

Irbesartan

"sartan" = ARB (angiotensin II receptor blocker)

atenolol

beta1 (cardioselective) beta blocker

bisoprolol

beta1 (cardioselective) beta blocker

metoprolol

beta1 (cardioselective) beta blocker

lopressor

propanolol

beta1+2 (nonspecific) beta blocker

timolol

beta 1+2 (nonspecific) beta blocker

nitroprusside

direct-acting vasodilator. for tx of live threatening HTN that must be controlled quickly. IV- reduces BP w/in 2min. *continuous monitoring. potential for serious adverse effects

hydralazine

direct-acting vasodilator. largely replaced by other HTN classes- for pts who cannot control HTN through other means. potential for serious adverse effects

Cyanobalamin

Vitamin B12

Sodium Polystryrene Sulfonate

Treats hyperkalemia; exchanges sodium for potassium in the intestines, tf increasing K excretion. may cause constipation/intestinal necrosis; may give laxative concurrently

Kaexalate

Disulfiram

results in severe alcohol intolerance causing flushing, inc RR, inc HR, inc CO, sweating, headache, n/v. monitor LFTs, watch for hepatotoxicity. do NOT take alcohol when on this med

Antabuse

Nifedipine

'pine'= Calcium Channel Blocker



Vitamin B9

Folic Acid

Folic Acid

Vitamin B9

Methotrexate

Antimetabolite, antineoplastic. inhibits folic acid metabolism. potent immunosuppresant. *do not handle/inhale *SEs mainly in rapidly dividing tissues ex GI endothelium and bone marrow. fatal bone marrow toxicity at high doses. Do not mix w NSAIDS, ASA (toxicity, hemorrhage). Pregnancy category X

Donepezil

anticholinesterase inhibitor (result is increase in action of acetelcholine). Tx for Alzheimers.

glantamine

anticholinesterase inhibitor (result is increase in action of acetelcholine). Tx for Alzheimers.

interferon

cytokine secreted in response to viral stimulation. immune modulator- slows spread of virus and enhances immune system. part of nonspecific immunity. biological response modifier.

interleukins

cytokines, widespread effects on immune function. biological response modifier

Streptokinase

the first thrombolytic

tenecteplase

t-PA. antithrombolytic. dissolves fibrin clots. give w/in 6hrs of MI, 3hrs of CVA. restores IV patency.

alteplase

adenosine

antiarrhythmic. resores normal sinus rhythm by interrupting pathways in the AV node. IV, lasts 1-2min. continuous ECG t/o.

risperidone

antipsychotic, mood stabilizer. decreases dopamine and serotonin

rifampin

antitubercular, bactericidal. anti-TB, broad spectrum against staph. a, h. influenzae, meningococcus, etc.

methyldopa

adrenergic- alpha2 agonist in CNS. Tx for HTN through non autonomic (central acting) mechanisms

zidovudine

AZT. antiretroviral to tx AIDS

didanosine

ddl. antiretroviral to tx AIDS

Humalog

rapid-acting insulin

NPH

intermediate acting insulin

mannitol

osmotic diuretic. increases amount of fluid excretef by the kidneys and helps the body to dec pressure in the brain/eyes, also dec ICP. may be used w burns to restore urine output

tamoxifen

blocks estrogen. horomone therapy for breast cancer

which wbc count is most important to watch w cancer/chemo?

ANC absolute neutrophil count

deficiencies of ____ and ____ contribute to neutropenia

vit B12 and folic acid

bumetanide

loop diuretic

narrowed pulse pressure: think...

cardiac tamponade

widened pulse pressure: think....

increased ICP

octreotide

lowers liver BP (used w esophageal varices)