Pharm Exam 3 Extra

Front 1

Severe pre-eclampsia, HELLP and eclampsia

Back 1

-Severe preeclampsia with hypercoagulability and vasoconstriction, hemolysis, elevated liver enzymes, low platelets
-Tx: stabilize mom
deliver fetus
magnesium sulfate to prevent seizures
lower BP with labetolol or hydralazine

Front 2

preeclampsia with new onset tonic clonic seizures

Back 2

-MgSo4 IV bolus then infusion
-measure serum levels
-MONITOR DTRs and respiratory status

Front 3

magnesium toxicity

Back 3

-loss of patellar reflex, flushing and warmth
-higher levels --> slurred speech, muscle paralysis and breathing difficulties
-cardiac arrest

Front 4

Osteoporosis meds:
antiresorptive meds

Back 4

prevent remodeling and resorption of bone

Front 5

major first line agents for osteoporosis

Back 5

1. Bisphosphates:
lendronate, risendronate (po qAM, or once weekly), aldendronate (Po qAM)
-some IV q3months

Front 6

AE of bisphosphates

Back 6

-take with 8oz water on empty stomach
-N/ dyspepsia, esophageal erosion, muscle aches
-DO NOT use in pts with esophageal strictures or achalsia
-jaw damage (mostly in cancer pts using IV form-Zometa)

Front 7

Calcitonin

Back 7

-tx of osteoporosis when estrogen or other therapies are CI or not tolerated
-intranasal or injection
-AE: rhinitis, epistaxis, local inflamm, N/V

Front 8

Teriparatide (Forteo)

Back 8

-parathyroid hormone given subcut
-for osteoporosis with high risk factors
-AE: N, constipation, leg cramps, dizziness, depression
-may act on osteoblasts to stimulate new bone growth

Front 9

raloxifene (Evista)

Back 9

-oral tablet for osteoporosis
-prevention and treatment

Front 10

Levonorgestrel

Back 10

-plan B
-a progestin
-taken once within 72hrs of unprotected intercourse to PREVENT PREGNANCY
Menses should occur in 3 weeks otherwise need to do a pregnancy test.