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47 Cards in this Set

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H2 antagonist used for?

GERD or PUD

H2 antagonist MOA

block H2 receptors in parietal cells in stomach preventing acid (HCl)

H2 antagonist side effects

GI discomfort


confusion


drowsiness

H2 antagonist examples

Pepcid


Zantac

Proton pump inhibitors used for?

GERD


PUD

Protein pump inhibitors MOA

Inhibits acid production by stopping final steps in parietal cells

Protein pump inhibitors side effects

GI discomfort

Protein pump inhibitors examples

Prilosec


Prevacid


Protonix

Anticholinergics used for?

n/v

Anticholinergic MOA

Inhibits intestinal cramping and vestibular input

Anticholinergic side effects

dry mouth

Anticholinergic examples

scopolamine

Carafate MOA

coats surface of ulcer

bulk forming laxatives MOA

Absorb fluid and swell intestine by activating NaCl channels

saline laxatives MOA

draws water into intestines through osmosis

stimulant laxative MOA

produces irritation in intestines and promotes peristalsis

Antacid MOA

neutralizes HCl

Antacid side effects

diarrhea


constipation


nephrotoxic

nonpharmalogical measures for vomiting

tea, flat soda, IV fluids, crackers

Dopamine receptor antagonist MOA

blocks dopamine receptors in stomach and CTZ

dopamine receptor antagonist examples

Reglan

tardive dyskinsia

from long term use of CNS meds

s/s of Parkinson's

tremors, rigid muscles, slurred speech, slowed movement

goal of parkinson's drug therapy

manage s/s of disease


NOT cure

Paxil classification

SSRI

Paxil MOA

increases reuptake of serotonin

Paxil side effects

Insomnia


GI


tremors


decreased sex drive

antipsychotics MOA

block dopamine receptors


impulse transmission decreases

benzodiazepines MOA

potentiate GABA (reduce seizures)

benzodiazepines examples

diazepam, lorazepam (-zepams)

Nardil MOA

Removes monoamine oxidase by removing NE, serotonin, dopamine from brain

Nardil side effects

many: neurological, GI, other


not used as much because of many side effects

hypothyroidism s/s

cold skin, decreased metabolism, brittle hair, fatigue

hyperthyroidism s/s

increased metabolism, bug eyes, weight loss, fine hair

lispro onset

5-15 min

lispro peak

1-3 hrs

lispro duration

3-5 hrs

lantus onset

2 hrs

lantus peak

none

lantus duration

24 hrs

sulfonylureas MOA

stimulate release of preformed insulin from the pancreas

sulfonylureas examples

glipizide, glyburide (-ride)

metformin MOA

decreases production of glucose in liver

metformin side effects

hepatotoxic

NSAIDs MOA

Inhibits COX action

NSAIDs examples

ibruprofen, naproxen, celebrex

Opioids MOA

binds with opioid receptors in CNS to block pain response