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217 Cards in this Set

  • Front
  • Back
What does DUMBELS stand for??
Insecticides and Humanicides
Diarrhea
Urination
Miosis
Bronchorrhea
Bronchospasm
Bradycardia
Excitation
Lacrimation
Salivation
What are the antidotes to Insecticides and Humanicides?
Atropine
Pralidoxime (Prorpam, 2-PAM)
What is the DOC for Pagets?
Bisphosphanates
What is the prevention for osteoporosis due to long term steroid use?
Bisphosphanates
What drug has a analgesic effect for bone pain?
Micalcin
What is the TOC for the prevention of rapid bone loss in early menopause?
HRT with estrogen/progesterone
The depolarizing drug used for the reversal of the NM blockade in surgery is
Succs
The Non-depolarizing drugs used for the reversal of the NM blockade in surgery are...
Curare
Atracurium
Pipecuronium
Pancuronium
Vecuronium
The Anticholinesterase drugs used for the reversal of the NM blockade in surgery are...
Neostigmine (Prostigmin)
Pyridostigmine (Mestinon)
Edrophonium (Tensilon)
What is a selective estrogen receptor modulator that does not stimulate the estrogen receptors in endometrial or breast tissue and therefore does not increase the risk of CA?
Evista
T/F: Full and partial opioid agonists should be combined.
False
T/F: Opioid effects can place pts into respiratory failure.
True
T/F: Naltrexones lasts a lot longer than Naloxone.
True
T/F: All oral contraceptives supress ovulation by feedback inhibition which decreases secretion of FSH and LH.
True
What is a parkinson's drug that is now used for Restless Leg Syndrome?
Requip (ropinirole)
What drugs, used for BPH and HTN, can theoretically permit dilation of nasal arterioles and thereby cause nasal congestion as a SE.
alpha-blockers (terazosin)
T/F: alpha 1 blockers can cross react with some beta-1 receptors and cause your heart to do the M.C. Hammer.
False.
They cause your heart to do the Funky Chicken.
DOC for MRSA?
Vancomycin
DOC for C.diff?
Vancomycin
DOC for Otitis Media
Amoxicillin
DOC for Sinusitis
Amoxicillin
DOC for Pneumonia
Amoxicillin
DOC for PCP
TMP/SMX
DOC for VRE
Quinupristin/Dalfopristin
DOC for Legionaire's
E-mycin (philly= east side)
DOC for severe anaerobic Gi infx
Clinamycin
DOC for Acne
Tet/Doxycycline
DOC for Lyme
Doxycyline
DOC for Chlamydia
Tet and Doxy
DOC for Systemic Fungal Infx
Amphoteracin B
DOC for ORal Thrush
Nystatin
DOC for Vaginal Candidiasis
Miconazole
DOC for toe fungus
Terbinafine
DOC for Protozoans
Metronidazole
DOC for Scabies and LIce
Lindane
DOC for Pinworms
Mebendazole
DOC for Roundworms
Mebendazole
DOC for Pseudomonas
Ticarcillin
DOC for Mycoplasma and CAP
Macrolides (-mycins)
Used to tx anaerobes
Metronidazole
Chloramphenicol
Clindamycin
Used to tx TB
Isoniazid
Rifampin
Rifabutin
Pyrizinamide
Streptomycin
Capreomycin
para-aminosalcylic acid
Ethambutol
Cycloserine
AE for Vancomycin
Thrombophlebitis
Ototoxicity
Nephrotoxicity
Red Man Syndrome
Tx for Gram neg and pos and Beta Lactamase producing bacteria...
Amoxicillin + Clavulanate= Augmentin
SE of Augmentin
diarrhea
AE of Metronidazole
disulfiram rxn c/ EtOH
CNS disturbances
Nausea
Anorexia
Bloating
Cramping
Good for atypical bacteria
E-Mycin
SE of Clindamycin
C.diff
Pharmacodynamics of Tet and Doxy
Strong chelator, don't give wiht milk, antacid, Ca or Fe.
No CSF penetration
Concentrated in the Liverd
Excreted in feces and urine
Tx for Allergic Rhinitis
Antihistamines
Decongestants
Intranasal corticosteroids
SE of Antihistamines
CNS
Anticholinergic
1st generation Antihistamines
Diphenhydramine
Hydroxyzine
Pheniramine
Clemastine
Cyproheptadine
Promethazine
Tripelennamine
2nd generation Antihistamines
Ceirizine
Fexofenadine
Loratadine
Acrivastine
Desloratidine
Nasal Antihistamines
Azelastine
Oral Decongestants
pseudophedrine
Topical Decongestants
Naphazoline
Phenylephrine
Oxymetazoline
Oxymetazoline
Tetrahydrozoline
Xylometazoline
Tx for Atopic Dermatitis
Steroids:
Aclovate
Elidel
What drug is most effective for all sx of Allergic Rhinitis?
Intranasal Corticosteroids
Tx for vaginal cadidiasis
Gynelotrimin
Diflucan
Intranasal Corticosteroids
Beconase
Vancenase
Rinocort
Nasalide
Flonase
Nasacort
Nasonex
Tx for Acne rosacea
Metrogel
Clindagel
Tx for Genital Herpes
Valtrex
Tx for Herpes Labialis
Abreva
Valtrex
Tx Herpes Neuralgia
Zostrix
Elavil
Neurontin
Tx for UA
ASA
Clopidogrel
Glycoprotein IIb/IIIa RB
LMWH
ACEi
CI for UA
Thrombolytics
G IIb/IIIa RB
Abciximab (Reopro)
Tirofiban (aggrastat)
Eptifibaide (Integrilin)
Rx that prevent worsening of cardiac remodeling
ACEi
ARBs
Tx for Heart Failure
ACEi
ARBs
BB
CCB
Aldosterone Antogonists
Digoxin
Diureticsa
Aldosterone Antagonists
Spironolactone
Hydralazine & Isosorbide Dinitrate
Thiazide Diuretics
HTCZ
Chlorothiazide
Metolazone
Loop Diuretics
Furosemide
Bumetanide
Torsemide
CCB
Verapamil
Dilitiazem
Amiodipine
Herbal Immune booster
Echinacea
Herbal tx for migraines
feverfew
herbal mood elevator
ginseng
herbal tx for mod to severe depression
St.John's Wart
herbal weight loss
ephedra
herbal for menopause
Black Cohash
Tx algorithm for HTN
nonpharm--> thiazide--> ACEi, ARB, BB, CCB--> 2 drug combo
Alpha 1 Blockers
Doxazosin
Terazosin
Prazosin
HTN rx for pregnancy
Atenolol
Metoprolol
Labetolol
Useful COmbos
BB+ diuretic
ACEi+ diuretic
ARBs+ diurectic
CCB + ACEi
HTN med used as migraine prophylaxis
Dihydropyridine
Non Cardioselective BB
Carteolol
Carvedilol
Propanolol
Hypertensive Emergency
Nitroprusside
Nicardipine
Labetolol
NTG
hydralazine
Low renin levels
Elderly Pt
AA Pts

Use CCB and diuretics
High Renin Levels
caucasians
use BB and ACEi
HTN rx that is CI in Renal Artery Stenosis?
ARBs and ACEi
Alpha 1 Blocker use
pts with BPH, hyperlipidemia and improves lipid profile
ACEi and ARBs SE
cough
angioedema
renal
Dihydropyridine use
diastolic dysfxn and migraine
CCB CI
systolic HF
heart block
monitor peripheral edema
dizziness
Nondihydropyridine
Verapamil
Diltiazem
Dihydropyridine
Amlodipine
Felodipine
Isradipine
Nifedipine
Nisoldipine
Central Adrenergic Inhibitors
not 1st line for HTN
Clonidine
Methyldopa
Guanfacine
Guanabenz
What is the DOC for HTN in pregnancy?
Methyldopa
Direct Vasodilators
Hydralazine
Minoxidil
Direct Vasodilators SE
lupus like syndrome
hair growth
reflex tachycardia
Tx for Stable ANgina
Nitrates
Beta Adrenergic blocking agents
CCB
Antiplatelets
Nitrates
NTG
Isosorbide dinitrate
Isosorbide mononitrate
recommended to prevent unstable angina, MI and death??
ASA
used in all pts with ischemic heart disease?
ASA
CI with use of VIagra?
Nitrates
1st line agent for stable angina in the absence of CI?
Beta-adrenergic blocking agents
Selective Beta Adrenergic blocking agents
Atenolol
Metoprolol
Acebutalol
Betaxolol
Bisprolol
Non-selective Beta Adrenergic blocking agents
Nadolol
Propanolol
Timolol
Pinolol
Labetolol
Carvedilol
Cardioselectivity
B1>b2
1st line tx for Prinzmetal's Angina?
CCB
CCB CI
AV block s/ pacemaker
bradycardia
systolic HF
Thienopyridines
Clopidogrel
Ticlopidine
Cholesterol Absorption Inhibitors
Ezetimibe (Zetia)
Cholesterol Absorption Inhibitors CI
Active liver disease
Bile Acid Resin
Cholestyramine (Questran, Prevalite)
Colestipol (Colestid)
Colesevelam (WelChol)
HMG-CoA reductase inhibitors
Lovastatin
Simvastatin
Pravastatin
Fluvastatin
Atorvastatin
Rosuvastatin
Cervivastatin
Fibric Acid derivatives
Gemfibrozil (Lopid)
Fenofibrate (Lofibra, TriCor)
Niacin
Niacor
Slo-Niacin
Niaspan
SE of HMG-CoA Reductase Inhibitors
Myalgias
Rhabdomyolysis
Myopathy
inc'd Liver Enzymes
HMG-CoA Reductase Inhibitors CI
Liver Disease
CI of Bile Acid Resins
High TG
Niacin CI
liver dz
severe gout
hyperuricemia
Quick relief of Asthma and COPD
B2 agonists
Anticholinergics
Quick acting B2 agonists
Albuterol
Pirbuterol
Levalbuterol
Corticosteroids for Asthma and COPD
Beclomthasone
Budesonide
Flunisolide
Flunisolide
Fluticasone
Triaminolone
Long acting B2 agonists
Salmeterol
Formoterol
Mast Cell Stabilizers
Cromolyn
Nedocromil
Leukotriene modifiers
Zafirlukast
Montelukast
Anti-IgE Ab for Asthma and COPD
Omalizumab
Anticholinergic agent for Asthma and COPD
Ipratropium
Long Term Control of Asthma and COPD
Corticosteroids
Long term B2 agonists
Mast cell stabvilizer
Leukotriene modifiers
Theopjhylline
Anti-IgE Ab
DM 2 tx for the obese pt...
Metformin
SE of Sulfonylureas
Hypoglycemia
photosensitivity
GI distress
disulfiram rxn
DM2 and HTN TOC
ACEi
DM2 and Dyslipidemia
Statins
DM2 and heart problems
ASA
2nd generations sulfonylurea
Glimeperide
Glipizide
Glyburide
1st generations Sulfonylueas
Acetohexamide
Chlorpropamide
Tolazamide
Tolbutamide
DM2 rx CI in pregnancy
Sulfonylurea
These DM2 rx DO NOT CAUSE HYPOGLYCEMIA as a monotherapy...
Metformin
Thiazolidinedones
Alpha-glucosidase inhibitors
Thiazolidinediones (glitazones)
Troglitazone
Pioglitazone
Rosiglitazone
Alpha-glucosidase inhibitors
Acorbose
Miglitol
Meglitinides
Repaglinide
Netaglinide
Targets postprandial hyperglycemia
Pramlintide
Vitamin D Analogs
Calcitrol
Doxercelciferol
Dihydrotachysterol
Paricacitol
SE of high Ca intake
dyspepsia
constipation
risk of nephrolithiasis
Ca Carbonate Preps
Alka Mints
Caltrate
Oyster shell Ca
Oscal
Tums
Viactive
Bone Mineral Homeostasis Tx
Vit D analogs
Calcium preps
Calcium Citrate Preps
Calcium Citrate Preps
Citracal
Ca Phosphate preps
Posture
Tx of Osteoporosis
Estrogen
Bisphosphonates
Calcitonin
Selective estrogen receptor modulators
PTH
Fluoride
Calcitrol
Estrogen
Ethinyl estradiol
Estrone
Esterified estrogen
Bisphosphanates
Etidronate
Clodronate
Tiludronate
Pamidronate
ALendronate
Risedronate
SERM
Evista
Tamoxifen
Thioamides
Propylthiouracil
Methimazole
Thioamides Toxicity
MP rash c/ fever
Thyroid products
Liothyronine
Liotrix
Levothyroxine
Tx for Hyperthyroid
Thiamides
PPIs
Prevacid
Prilosec
Nexium
Aciphex
Protonix
H2 Blockers
Cimentidine (Tagamet)
Nizatidine (Axid)
Ranitidine (Zantac)
Famotidine (Pepcid)
Protect esophgeal mucosa
Alginic acid
Sucralfate
Prokinetic agents
Bethanechol Chloride
Metoclopramide
Cisapride
Macrolides
IBS Constipation Tx
Fiber
Stool Softenedr
Psyllium
Tegraserod (Zelnorm)
IBS Diarrhea Tx
Eliminate Sorbitol and lactose
Cholestyramine if bile malabsorption is present
Loperamide
Alosetron (lotronex)
Encephalopathy Tx
Kristalose (lactulose)
IBD Tx
Mesalamine
Mesalamine
Rowasa
Asacol
Pentasa
Pain Management Adjuvants
TCAs
SSNRIs
Antoconvulsants
TCAs
Amitripyline
Nortripyline
Imipraline
Desipramine
Clomipramine
Doxepin
SSNRIs
Cymbalta
Tx for Diabetic Peripheral Neuropathy
Cymbalta
Lyrica (Pregabalin)
Tx for Post Herpetic Neuralgia
Lyrica (Pregabalin)
Anticonvulsants
Carbamezapine (Tegretol)
Phenytoin (Dilantin)
Lyrica (Pregabalin)
Lamotrigine (Lamictal)
Oxcarbazepine
Torpiramate
Weak Opioid Agonists
Ultram (tramadol)
Codeine (tylenol #3)
Hydrocodone (Lorcet, Vicodin, Vicoprofen, Norco)
Strong Opioid Agonists
Morphine
Oxycodone (Oxycotin)
HYdromorphone (Pallidone)
Fentanyl
Methadone
Smoking Cessation Non-Nicotine Therapy
Buproprion (Zyban)
TCAs
Behavioral Modification
Most popular dose of estrogen in OCP
35mg or less of ethinyl estradiol
Starting dose of ethinyl estradiol
less than 50mcg initally
Emergency Contraception
Yuzpe Investigation
up to 72 hrs post unprotected sex
Use Meclizine or diphenhydramine to prevent nausea
SE of OCP
Nausea
Breat tenderness
thromboembolic effects
What is a potent anti-progesterone?
Mifepristone aka the abortion pill
single dose of 600mg c/in 72 hrs of UPsex
Anti-Anxiety Therapy
Benzos
Buspirone
SSRI
SNRI
Benzos antidote
FLumazenil
Buspirone
lacks abuse potential
no cognitive and resp depressant effects
start buspirone weeks before benzos
Benzos uses
really effective for anxiety
GAD
PTSD
OCD
Insomnia Therapy
Antihistamine
L-Tryptopham
Valerian
Melatonin
EtOH
Antihistamine
Diphenhydramine
Doxylamine (Unisom)
Benzos
Flurazepam
Temazepam
Estazolam
Triazolam
Non-benzo insomnia therapy
Zaleplon (Sonata)
Zolpidem (Ambien)
Eszopiclone (Lunesta)
Melatonin-Receptor Agonist
Ramelteon (Rozerem)
How long should sleep aids be used?
Short term use
3-5x/week
except for lunesta
Seratonin Syndrome
agitation
diaphoresis
diarrhea
fever
hyperreflexia
incoordination
mental status changes
myoclonus
shivering
tremor
Seratonin Syndrome causes
Meperidine
St Johns Wart
Cold remedies
diet pills with dextromethrophan
sympathomimetics
What is the most effective tx for major depression?
ECT
TOC for Acute suicidality
ECT
Depression Rx
MAOi
TCA
Dibenzoxapine
Tetracyclic
Triazolopyridine
Monocyclic Aminoketone
SSRI
SSNRI
Which depression rx have anticholinergic SE?
TCA
TCA
Amitriptyline (Elavil, Endep)
Nortripyline (Pamelor, Aventyl)
Protriptyline (Vivactil)
Imipramine (Toranil)
Trimipramine (Surmontil)
Desipramine (Norpramin, Pertofrane)
Doxepin (Sinequan, Adapin)
Dibenzoxazepine
Amoxapine (Asendin)
Tetracyclic
Maprotiline (Ludiomil)
Mirtazapine (Remeron)
Triazolopyridine
Trazodone (Desyrel)
Nefazodone (Serzone)
Monocyclic Aminoketone
Buproprion (Wellbutrin)
SSRI
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Fluvoxamine (Luvox)
Citalopram (Celexa)
Escitalopram (Lexapro)
SSNRI
Venlafaxine (Effexor)
Duloxetine (Cymbalta)
DOC for Bipolar disorder
Sodium Valproate (depakote)
Bipolar disporder Tx
LIthium
Tegretol
Depakote
Lamictal
Topamax
Neurontin
Zyprexa
Treatment of Parkinson's Disease
Non- Ergotamine Dopamine Agonists
-Pramipexole (Mirapex)
-Ropinirole (requip)
Tx of Alzheimer's Disease
Cholinesterase Inhibitors
-Tacrine (Cognex)
-Donepezil (Aricept)
-Rivastigmine (Exelon)
-Gelantamine (Reminyl)
Decogestants
Phenylephrine
Ephedrine
oxymetazoline
Anaphylactic Shock Tx
EPI and Antihistamine (Benadryl)
Steroid (Methylprednisone)
Premature Labor Tx
Ritodrine and Terbutaline
Relax the uterus
Tx fro overactive Bladder
Oxybutynin
Tolterodine
Trospium
Darifenacin
Ditropan
Detrol LA
Sanctura
Enablex
Muscle Relaxers
Valium (Diazepam)
Lioresal (Baclofen)
Zanaflex (Tizanidine)
Dantium (Dantrolene)
Which muscle relaxer inhibits the excitation-contraction coupling?
Dantrolene
TOC for Status Epilepticus
Valium (Diazepam)
Decreases EtOH cravings?
Lioresal (Baclofen)
Tx for Glaucoma
Cholinomimetics
-pilocarpine
-carbachol
-physostigmine
Drug that is used to Dx Myasthenia Gravis?
Edrophonium (Tensilon)
used to tx B fragilis and staph
Clindamycin