Herbal

Front 1

ST. John's Wort
1) indication
2) counseling points

Back 1

1) depression
2)
a. Potent 3A4 inducer
b. Serotonin syndrome
c. QAM

Front 2

SAM-e
1) indication
2) counseling points

Back 2

1) depression and osteoarthritis
2) increased 5HT3 level

Front 3

Symmetry, serenity
1) indication
2) counseling points

Back 3

1) Lithium orotate
2) blood level Li+ remains low, AE like Rx Lithium

Front 4

Glucosamine/Chondroitin
1) counseling points

Back 4

Watch
1) shellfish allergy
2) DM patients
3) Coumadin patients

Front 5

Kava Kava
1) indication
2) counseling points

Back 5

1) for anxiety disorder
2) Works like ETOH--> heptoxicity

Front 6

Valerian
1) indication
2) counseling points

Back 6

1) for anxiety/insomnia
2) Improve sleep

Front 7

Bitter orange and caffeine
1) indication
2) counseling points

Back 7

1) weight loss (stimulanta)
2) Raise BP and HR, especially combination products

Front 8

Feverfew
1) indication
2) counseling points

Back 8

1) for migraine prophylaxis
2) anti-inflammatory and anticoaulant effects

Front 9

Soy
1) indication
2) counseling points

Back 9

1) improve Postmenopausal symptoms/CV benefits
2) may increase Estrogen level

Front 10

Evening primrose oil
1) indication
2) counseling points

Back 10

1) Eczema, inflammation, menopausal symptoms, and premenstrual syndrome
2)

Front 11

alpha-tocopherol

(> 1200 IU/day can increase bleed time)

Back 11

Vitamin E; the most active form Vit E

Front 12

Din Quai
1) indication
2) counseling points

Back 12

1) regulates menstrual cycle and helps with painful menstruation pelvic pain
2) for Pre-menopausal women

Front 13

Red yeast rice
1) indication
2) counseling points

Back 13

1) to lower cholesterol
2) can cause hepatitis

Front 14

What is dosing of NAC (N-acetylcysteine) for APAP OD?
1) 1st dose
2) subsequent doses

Back 14

1) 1st dose 140 mg/kg (up to 14 grams) and then
2) 70 mg/kg every 4 hours for 17 doses

Front 15

1) For earwax buildup?
2) directions?

Back 15

1) Murine Ear, Debrox
2) Instill 5-10 drops into ear BID for 4 days (drops remain in the ear for 15 minutes)

Front 16

Indication for Swim-Ear?

Back 16

for dries/clears trapped ear-water due to bathing, showering, swimming,...

Front 17

How long we keep pseudo log book?

Back 17

for 2 years

Front 18

What is recommendation direction/duration of Afrin nasal spray?

Back 18

1. Afrin (Oxymethazoline) 2 sprays per nostril BID for 2-3 days

2. overuse (>3-5 days) may lead to rebound congestion

Front 19

What is minimum ages for...
1) Guaifensin:
2) Guaifensin with codeine

Back 19

1) 6 years old
2) 2-6 years

Front 20

which class of stool softer?

Back 20

Docusate sodium (colace) ; glycerin

--> emollient laxative
--> ok for age < 3

Front 21

which class Milk of magnesia (MOM)?

Back 21

Osmotic laxative
- Lactulose
- Fleet Phos-Soda
- GoLytely

Front 22

Viscol and OsmoPrep

Back 22

are Rx laxative for Bowel Preps

Front 23

Miralax (OTC) is PEG without...?

Back 23

electrolytes

Front 24

max dose of Imodium (Loperamide)
1) OTC?
2) Rx

Back 24

1) 8 mg/day
2) 16 mg/day

Front 25

Dosage for Nicorette (Nicotine gum)
1) > 25 cigs/d ?
2) < 25 cigs/d ?

Back 25

1) 4 mg
2) 2 mg

Front 26

Dosage for NicoDerm CQ (Nicotine patch)

Back 26

21 mg/24 hr x 4 weeks (6 wks for NicoDerm CQ)
14 mg/24 hr x 2 weeks
7 mg/24 hr x 2 weeks

Front 27

Zyban (Bupropion SR)

1) directions:

Back 27

1) start 1-2 weeks before quit date
2) 150 mg QAM for 3 days, then 150 mg BID

Front 28

Chantix (Varenicline)

1) directions

Back 28

1) Start 1 week before set quit date
2) Day 1-3: 0.5 mg QD;
Day 4-7: 0.5 mg BID
Day 8-end of treatment: 1 mg BID

Front 29

AE of chantix
1)
2)
3)
4)

Back 29

1) Vivd dream
2) Sleep disturbances
3) HA
4) Nausea

Front 30

Morphine salt 45 mg = ? mcg Patch

Back 30

12.5 mcg/24 hour patch

Front 31

1) Why does morphine cause itching?

2) IV:PO ratio?

Back 31

1) because antihistamine release
2) 1:3

Front 32

What is Tylenol #2?

Back 32

300/15

Front 33

What is the indication of methadone 40?

High dose methadone is associated with??

Back 33

1) for detox and maintenance treatment of opioid-addicted patients.

2) Arrhythmia

Front 34

Subutx

Suboxone

Back 34

1) Buprenorphine

2) Buprenorphine + naloxone

Front 35

Fentanyl 100 mcg = ? mg of morphine

Back 35

360 mg/per day

Front 36

5-ASA (Mesalamine)

1. may decrease?
2. Discolor urine?

Back 36

4-aminosalicylic acid
1. digoxin
2. Yellow-brown

Front 37

Rowasa

Back 37

mesalamine
- rectal suspension 4 g/60 ml
- enema

Front 38

Canasa

Back 38

mesalamine
- rectal suppository 1000 mg
- 500 mg PR bid-tid or 1000 mg PR qhs

Front 39

What ABX can be used in UTI during pregnancy?

Back 39

1. Macrolid (cat B, avoid near full term; ex: Amoxicillin and zithromax)

2. If near term, consider Keflex PO for UTI, if Pyelonephritis, Ancef or Rocephin IV)

Front 40

Bactrim and FQ are Preg Cat?
1) A
2) B
3) C
4) D
5) X

Back 40

3) C

Front 41

Accutane counseling points: (gelatin capsules protected from light)
1)
2) AE:
a)
b)
c)
d) Hepatoxicity
e) Bone marrow suppression

Back 41

1) Always take with food
2)
a) drness of sthe skin and mucous
b) cheilitis (cracked corner of lips)
c) Pschy: suicidal, depression, violence and psychosis

Front 42

1) dosing for accutane?
2) max dosing?

Back 42

1) 0.5-1 mg/kg in BID doses
2) 2 mg/kg/day for severe acne