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107 Cards in this Set

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BISMUTH (PEPTO-BISMOL)
ANTIMICROBIAL THERAPY
METRONIDAZOLE (FLAGYL)
ANTIMICROBIAL THERAPY
TETRACYCLINE (ACHROMYCIN V)
ANTIMICROBIAL THERAPY
CIMETIDINE (TAGAMET)
ANTI-SECRETORY AGENT

H2 RECEPTOR BLOCKER
RANITIDINE (ZANTAC)
ANTI-SECRETORY AGENT

H2 RECEPTOR BLOCKER
FAMOTIDINE (PEPCID)
ANTI-SECRETORY AGENT

H2 RECEPTOR BLOCKER
NIZATADINE (AXID)
ANTI-SECRETORY AGENT

H2 RECEPTOR BLOCKER
OMEPRAZOLE (PRILOSEC)
ANTI-SECRETORY AGENT

PROTON PUMP INHIBITOR
LANSOPRAZOLE (PREVACID)
ANTI-SECRETORY AGENT

PROTON PUMP INHIBITOR
RABEPRAZOLE (ACIPHEX)
ANTI-SECRETORY AGENT

PROTON PUMP INHIBITOR
PANTOPRAZOLE (PROTONIX)
ANTI-SECRETORY AGENT

PROTON PUMP INHIBITOR
ESOMEPRAZOLE (NEXIUM)
ANTI-SECRETORY AGENT

PROTON PUMP INHIBITOR
PIRENZEPINE (GASTROZEPINE)
ANTI-SECRETORY AGENT

MUSCARINIC ANTAGONIST
MISOPROSTOL (CYTOTEC)
ANTI-SECRETORY AGENT

PROSTAGLANDIN E1 ANALOGUE
(SELDOM USED BECAUSE OF ADVERSE EFFECTS AND MINIMAL BENEFITS)
CALCIUM CARBONATE (TUMS)
ANTACID
ALUMINUM HYDROXIDE
ANTACID
MAGNESIUM HYDROXIDE (MILK OF MAGNESIA)
ANTACID
SUCRALFATE (CARAFATE)
MUCOSAL PROTECTIVE AGENT
OTHER THAN BEING AN ANTIMICROBIAL THERAPY, WHAT IS BISMUTH ALSO USED AS?
MUCOSAL PROTECTIVE AGENT
METOCLOPRAMIDE (REGLAN)
PROKINETIC AGENT
CISAPRIDE (PROPULSID)
PROKINETIC AGENT

(WITHDRAWN FROM U.S. MARKET DUE TO FATAL DISRHYTHMIAS)
LOPERAMIDE (IMODIUM)
ANTIDIARRHEAL AGENT
DIPHENOXYLATE (LOMOTIL)
ANTIDIARRHEAL AGENT
WHAT IS THE MECHANISM OF ACTION FOR SEROTONIN ANTAGONISTS
BLOCKS SEROTONIN RECEPTORS ON VAGAL AFFERENTS AND IN THE CTZ.
WHAT IS THE MECHANISM OF ACTION FOR SUBSTANCE P/NEUROKININ ANTAGONISTS?
BLOCKS RECEPTORS FOR SUBSTANCE P/NEUROKININ IN THE BRAIN.
WHAT IS THE MECHANISM OF ACTION FOR DOPAMINE ANTAGONISTS?
BLOCKS DOPAMINE RECEPTORS IN THE CTZ.
WHAT IS THE MECHANISM OF ACTION FOR ANTICHOLINERGICS?
BLOCKS MUSCARINIC RECEPTORS IN THE PATHWAY FROM THE INNER EAR TO THE VOMITING CENTER.
WHAT IS THE MECHANISM OF ACTION FOR ANTIHISTAMINES?
BLOCKS H1 RECEPTORS AND MUSCARINIC RECEPTORS IN THE PATHWAY FROM THE INNER EAR TO THE VOMITING CENTER.
WHAT IS THE MECHANISM OF ACTION FOR GLUCOCORTICOIDS?
UNKNOWN
WHAT IS THE MECHANISM OF ACTION FOR CANNABINOIDS?
UNKNOWN
SEROTONIN ANTAGONISTS, SUBSTANCE P/NEUROKININ ANTAGONISTS, DOPAMINE ANTAGONISTS, ANTICHOLINERGICS, ANTIHISTAMINES, GLUCOCORTICOIDS, AND CANNABINOIDS ARE ALL ...?
ANTI-EMETIC DRUGS
METHYLCELLULOSE (CITRUCEL)
BULK FORMING LAXATIVE
PSYLLIUM (METAMUCIL)
BULK FORMING LAXATIVE
WHAT IS THE MECHANISM OF ACTION FOR BULK FORMING LAXATIVES?
ABSORB WATER, THEREBY SOFTENING AND ENLARGING THE FECAL MASS; FECAL SWELLING PROMOTES PERISTALSIS
DOCUSATE SODIUM (COLACE)
SURFACTANT LAXATIVE
WHAT IS THE MECHANISM OF ACTION FOR SURFACTANT LAXATIVES?
SURFACTANT ACTION SOFTENS STOOL BY FACILITATING PENETRATION OF WATER; ALSO CAUSES SECRETION OF WATER AND ELECTROLYTES INTO INTESTINE
BISACODYL (FEEN-A-MINT, DULCOLAX)
STIMULANT LAXATIVE
SENNA (EX-LAX)
STIMULANT LAXATIVE
WHAT IS THE MECHANISM OF ACTION FOR STIMULANT LAXATIVES?
STIMULATES PERISTALSIS
SOFTENS FECES BY INCREASING SECRETION OF WATER AND ELECTROLYTES INTO THE INTESTINE AND DECREASING WATER AND ELECTROLYTE ABSORPTION
MAGNESIUM HYDROXIDE (PHILLIPS' MILK OF MAGNESIA)
OSMOTIC LAXATIVE
WHAT IS THE MECHANISM OF ACTION FOR OSMOTIC LAXATIVES?
OSMOTIC ACTION RETAINS WATER AND THEREBY SOFTENS FECES; FECAL SWELLING PROMOTES PERISTALSIS
MINERAL OIL
MISC. LAXATIVE
WHAT IS THE MECHANISM OF ACTION OF MINERAL OIL AS A LAXATIVE?
LUBRICATES AND REDUCES WATER ABSORPTION
INSULIN LISPRO (HUMALOG)
SHORT DURATION: (RAPID ACTING)
INSULIN ASPART (NOVOLOG)
SHORT DURATION: (RAPID ACTING)
INSULIN GLULISINE (APIDRA)
SHORT DURATION: (RAPID ACTING)
REGULAR INSULIN (HUMULIN R., EXUBERA)
SHORT DURATION: (SLOWER ACTING)
NPH INSULIN (HUMULIN N)
INTERMEDIATE DURATION
INSULIN DETEMIR (LEVIMIR)
INTERMEDIATE DURATION
INSULIN GLARGINE (LANTUS)
LONG DURATION
WHAT IS THE MECHANISM OF ACTION FOR INSULINS?
INSULIN BINDS TO TYROSINE KINASE RECEPTORS ON CELL MEMBRANES; IT DOES NOT ENTER THE NUCLEUS.
WHAT ARE THE ADVERSE EFFECTS OF INSULINS?
HYPOGLYCEMIA
LIPODYSTROPHY (A CHANGE IN THE FATTY TISSUE SURROUNDING THE INJECTION SITE)
HOW DO THE INSULINS DIFFER?
THEY DIFFER IN THEIR ONSET OF ACTION AND DURATION OF ACTION.
WHAT TYPE OF INSULIN SHOULD BE GIVEN DURING A HYPERGLYCEMIC EMERGENCY? WHY?
REGULAR. BECAUSE IT CAN BE GIVEN INTRAVENOUSLY.
CHLORPROPAMIDE (DIABINESE)
SULFONYLUREAS
TOLBUTAMIDE (ORINASE)
SULFONYLUREAS
GLYBURIDE (MICRONASE)
SULFONYLUREAS
GLIPIZIDE (GLUCOTROL)
SULFONYLUREAS
GLIMEPIRIDE (AMARYL)
SULFONYLUREAS
WHAT IS THE MECHANISM OF ACTION FOR SULFONYLUREAS?
STIMULATE THE RELEASE OF ENDOGENOUS INSULIN FROM BETA CELLS OF THE PANCREAS, AND INCREASE BINDING OF INSULIN TO TARGET TISSUES RECEPTORS.

BLOCK ATP-SENSATIVE K+ CHANNELS>>DEPOLARIZATION>RELEASE OF INSULIN
WHAT ARE THE ADVERSE EFFECTS OF SULFONYLUREAS?
AGRANULOCYTOSIS (RARE)
DISULFIRAM-LIKE REACTION IF TAKEN WITH ETHANOL (CHLORPROPAMIDE)
WHAT ARE THE CONTRAINDICATIONS FOR SULFONYLUREAS?
LIVER OR RENAL INSUFFICIENCY

PREGNANCY
SULFONYLUREAS POTENTIATES THE EFFECTS OF OF....?
ASPIRIN
MAOI'S
ETHANOL
SULFONAMIDES
SULFONYLUREAS REDUCE THE EFFECTS OF ....?
PHENOBARBITAL
BETA-BLOCKERS
LOOP AND THIAZIDE DIURETICS
SULFONYLUREAS ARE PRESCRIBED TO...?
TYPE II DIABETICS
REPAGLINIDE (PRANDIN)
MEGLITINIDES
NATEGLINIDE (STARLIX)
MEGLITINIDES
WHAT IS THE MECHANISM OF ACTION FOR MEGLITINIDES?
STIMULATES THE RELEASE OF INSULIN FROM PANCREATIC BETA CELLS (SIMILAR IN ACTION TO SULFONYLUREAS BUT QUICKER ONSET OF ACTION)
MEGLITINIDES ARE PRESCRIBED TO...?
TYPE II DIABETICS
WHAT ARE THE ADVERSE EFFECTS OF MEGLITINIDES?
HYPOGLYCEMIA
REPAGLINIDE CAN CAUSE SEVERE HYPOGLYCEMIA IN PATIENTS TAKING...?
GEMFIBROZIL (LOWER FATS)
METFORMIN (GLUCOPHAGE)
BIGUANIDES
WHAT IS THE MECHANISM OF ACTION FOR BIGUANIDES?
DECREASES HEPATIC GLUCOSE PRODUCTION AND INTESTINAL GLUCOSE ABSORPTION, AND INCREASES PERIPHERAL GLUCOSE UPTAKE; IMPROVES INSULIN SENSITIVITY.
BIGUANIDES ARE PRESCRIBED TO...?
TYPE II DIABETICS
WHAT ARE THE ADVERSE EFFECTS OF BIGUANIDES?
LACTIC ACIDOSIS
ACARBOSE (PRECOSE)
ALPHA-GLUCOSIDASE INHIBITORS
MIGLITOL (GLYSET)
ALPHA-GLUCOSIDASE INHIBITORS
WHAT IS THE MECHANISM OF ACTION FOR ALPHA-GLUCOSIDASE INHIBITORS?
DELAYS THE ABSORPTION OF GLUCOSE FROM THE GI TRACT. THE ADVANTAGE OF THIS DRUG IS THAT IT DOES NOT CAUSE A REACTIVE HYPOGLYCEMIA.
ALPHA-GLUCOSIDASE INHIBITORS ARE PRESCRIBED TO...?
TYPE II DIABETICS
WHAT ARE THE ADVERSE EFFECTS OF ALPHA-GLUCOSIDASE INHIBITORS?
GI DISTRESS (ABDOMINAL PAIN, DIARRHEA)

LIVER DISFUNCTION (HIGH DOSE FOR LONG PERIOD OF TIME)
ROSIGLITAZONE (AVANDIA)
THIAZOLIDINIDIONES
PIOGLITAZONE (ACTOS)
THIAZOLIDINIDIONES
WHAT IS THE MECHANISM OF ACTION FOR THIAZOLIDINIDIONES?
IMPROVE TARGET CELL RESPONSE TO INSULIN BY BINDING TO NUCLEAR RECEPTORS THAT REGULATE THE TRANSCRIPTION OF A NUMBER OF INSULIN-RESPONSIVE GENES. THEY ARE DEPENDENT UPON INSULIN FOR ACTIVITY.
THIAZOLIDINIDIONES ARE PRESCRIBED TO...?
TYPE II DIABETICS
WHAT ARE THE ADVERSE EFFECTS OF THIAZOLIDINIDIONES?
HEPATOTOXICITY
HYPOGLYCEMIA (ONLY IF USED IN COMBINATION WITH OTHER ORAL HYPOGLYCEMIC)
THIAZOLIDINIDIONES AND GEMFIBROZIL
GEMFIBROZIL INHIBITS THE METABOLISM OF THESE DRUGS HYPOGLYCEMIC RESPONSE
*SYMPATHOMIMETIC AGENTS (BETA-2 ADRENERGIC AGONISTS)
ANTI-ASTHMATIC DRUG
*CORTICOSTEROIDS
ANTI-ASTHMATIC DRUG
*ANTICHOLINERGICS
ANTI-ASTHMATIC DRUG
*LEUKOTRIENE INHIBITORS
ANTI-ASTHMATIC DRUG
*METHYLXANTHINES-THEOPHYLLINE
ANTI-ASTHMATIC DRUG
*NONBRONCHODILATING ANTIALLERGIC DRUGS-CROMOLYN, NEDOCROMIL
ANTI-ASTHMATIC DRUG
WHAT IS ASTHMA?
A CHRONIC INFLAMMATORY DISEASE OF THE TRACHEOBRONCHIAL AIRWAYS CHARACTERIZED BY AIRFLOW OBSTRUCTION AND HYPERACTIVITY TO A VARIETY OF STIMULI.
WHAT CAUSES ASTHMA?
1. INFLAMMATION OF THE BRONCHIAL WALL
2. CONSTRICTION OF THE BRONCHIOLAR SMOOTH MUSCLE
3. INCREASED MUCUS SECRETION
WHAT ARE THE SYMPTOMS OF ASTHMA?
1.SHORTNESS OF BREATH
2. COUGHING
3. WHEEZING
4. USE OF ACCESSORY MUSCLES OF RESPIRATION
5. CHEST TIGHTNESS
WHAT ARE THE PRECIPITATING FACTORS FOR ASTHMA?
ALLERGENS, INFECTIONS, AND PSYCHOLOGICAL FACTORS
PRECIPITATING FACTOR: ALLERGENS
INDUCE MAST CELL RELEASE OF INFLAMMATORY MEDIATORS, SUCH AS HISTAMINE, LEUKOTRIENES, AND CHEMOTACTIC FACTORS>>BRONCHIOLAR SPASM AND MUCOSAL THICKENING
PRECIPITATING FACTOR: INFECTIONS
VIRAL UPPER RESPIRATORY TRACT INFECCTIONS, ESPECIALLY IN CHILDREN
PRECIPITATING FACTOR: PSYCHOLOGICAL FACTORS
OFTEN NOT READILY RECOGNIZED
ALBUTEROL (PROVENTIL)
SYMPATHOMIMETIC DRUG
METAPROTERENOL (ALUPENT)
SYMPATHOMIMETIC DRUG
PIRBUTEROL (MAXAIR)
SYMPATHOMIMETIC DRUG
TERBUTALINE (BRETHAIRE)
SYMPATHOMIMETIC DRUG
SALMETEROL (SEREVENT)
SYMPATHOMIMETIC DRUG
WHAT IS THE MECHANISM OF ACTION FOR SYMPATHOMIMETIC DRUGS?
INCREASE INTRACELLULAR CONCENTRATIONS OF CYCLIC AMP>>RELAXATION OF BRONCHIAL SMOOTH MUSCLE>>BRONCHODILATION
ROUTE OF ADMINISTRATION FOR SYMPATHOMIMETIC DRUGS?
INHALATION -- MINIMIZES THEIR SYSTEMIC SIDE EFFECTS
INDICATIONS FOR SYMPATHOMIMETIC DRUGS?
DRUGS OF CHOICE FOR ACUTE RELIEF OF BRONCHOSPASMS

*SALMETEROL IS USED PROPHYLACTICALLY