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46 Cards in this Set

  • Front
  • Back
Ipratropium
Inhaled Anticholinergic
Can be used for Preventative or Acute Asthma
Blocks Paras, thus Causes Symp
Albuterol
Nebulized B2 Agonist
For ACUTE
Terbuterol, Albuterol Tabs
Oral B2 Agonist
Longer mechanism, more adverse systemic effects
Beclomethasone
Inhaled Corticosteroid
Preventative!
NOT ACUTE
Theophylline
Methylxanthine Bronchodilator
Chem. related to caffeine. Narrow safety margin. Used only as last resort. Causes frequent effects such as naus, vom, nervousness, insom
Pentazocine Hydrochloride
Activates Kappa, Blocks Mu Receptors

Mu/Kappa: Decrease GI motility, cause sedation.
Mu: Respiratory depression, Phys Dependence
Naloxone
Treatment of Opioid OD/Misuse
Opioid Antagonist

Can increase BP, tremors, hyperventilation, withdrawal
Morphine Sulfate
Opioid Analgesic (Opioid Receptor Agonist)

Mu+Kappa
Can cause Orthostatic Hypotension, respiratory depression
Levothyroxine
Thyroid Hormone Replacement
Highly individualized dose.
OD causes Thyrotoxocis, aka Thyroid Storm: High fever, cardiovasc issues, delirium, restlessness, coma.
Propoxyphene (Darvon)
Opioid with Moderate Effectiveness
Heparin
Anticoagulant
For DVT, Pulmonary Embolism, Unstable Angina, Evolving MI, Thrombosis prevention.
SUBQ or IV

Check aPTT
Warfarin
Oral Anticoagulant
Prevention of CVA, MI, DVT, pulmonary embolism. Can take several days to reach max effect.
Vitamin K
Warfarin Antidote
Protamine Sulfate
Heparin Antidote
Digoxin
For heart failure/Dysrhythmia - Cardiac Glycoside
Increases contractility/myocardial strength (pos. inotrope), and reduces heart rate, INCREASING CO.

Check Pulse
Digoxin Immune Fab = Antidote
1.8ng/mL = max level
Digoxin Immune Fab
Antidote for Digoxin
Metoprolol
B1 Blocker for HTN + HF

Reduces sympathetic stimulation, thus decreasing cardiac workload.
Monitor Pulse and BP
Can block B2 at higher dose
Atenolol
B1 Blocker
For heart failure, HTN, Angina, MI. Slows heart rate, reducing contractility, thus reduce myocardial O2 demand. (Lowers pulse and BP)
Assess pulse/BP
Albuterol
B2 blocker
Acts as bronchodilator
Inhaled - fast acting
Oral - Intermediate
Benztropine
Antiparkinson
Cental acting cholinergic antagonist
Blocks excess cholinerg stimulation of neurons, suppressing tremors, though not tardive diskinesia
Acyclovir
Antiviral for Herpesviruses

Administer w/ food around the clock

Priority: Check for nephrotoxicity (BUN, serum creatinine)
Propanolol
Non-selective Beta Blocker.
Reduces heart rate, slows myocardial conduction, lowers blood pressure.

Do not discontinue abruptly or give at <60 bpm.

Can mask hypoglycemia.
Contraindicated in asthma.
Steven Johnson Syndrome (SJS)
Anticonvulsants, antibiotics, any otc/prescription.
Begins 1-14 days of pharmacotherapy.
Upper Resp Infection + chills, fever, malaise. Lesions follow. Skin sloughing.
Methylprednisolone
Glucocorticoid for inflammation, antiemetic (short-term) for post-surg and chemo, IBS

weight gain, sodium/fluid retention, impair wound healing, osteoperosis, peptic ulcer, mask infections
Furosemide (Lasix)
Prevents reabsorption of sodium and chloride.
Can cause hypokalemia or hypovolemia, or ototoxicity
Insulin Peaks

GLA RDIs G
Glulisine 1
Lispro 1-1.5
Aspart 1-3

Regular 1-5
Detemir 6-8
Isophane Susp 6-14

Glargine None!
Hydrochlorothiazide (HydroDURIL)
Thiazide diuretic
Can cause hypokalemia or hyponatremia. Check cardiac abnormalities. Can treat HTN, ascites, edema, heart failure, nephrotic syndrome.
Aminophylline
Methylxanthine Bronchodilator

Chem. related to caffeine. Narrow safety margin. Used only as last resort. Causes frequent effects such as naus, vom, nervousness, insom
Cefazolin
First generation cephalosporin

Resp. infections, etc. Can cause nephrotoxicity.
Nystatin
Topical antifungal

Apply directly to effected area
Sulfasalazine
Anti-inflammatory for ulcerative colitis, IBD, and for rheumatoid arthritis

GI adverse effects, blood dyscrasias. Can worsen bone marrow depression, increase anticoag of warfarin
Amoxicillin
Broad-Spectrum Penicillin

Cardiac arrest, nephrotoxicity
Acetaminophen
Antipyretic/Analgesic. Dilates peripheral blood vessels
No anti-inflammatory.
Relieves fever.
Hepatotoxicity
Inhibits warfarin metabolism.
Carbidopa-Levodopa
For parkinson's to prevent involuntary movements.
Can cause liver damage, depression/suicide, MI
Check BP and Respiration
Colchicine
For Gout, Uric Acid Inhibitor

Has no pain relief, but reduces pain via reduction in inflammation. Can prevent or treat acute.

Take on empty stomach.

Bone marrow toxicity, blood issues
Propylthiouracil (PTU)
For hyperthyroidism (Antithyroid)

Admin with meals to reduce GI distress.
Do blood counts.
Levothyroxine
Thyroid hormone replacement

Highly individualized to prevent overdose and get therapeutic. Give at same time each day.
Aspirin
Nonopioid analgesic, NSAID, antipyretic
Vasodilation, anticoagulant. Discontinue 1 week prior to surgery
Can cause gastric problems and GI bleeding
No with other anticoags
Meloxicam
Similar to Ibuprofen
Renal/hepatic damage, GI bleeding
NSAID
Propoxyphene
Opioid (Moderate)

Hepatotoxicity
Mucositis
Inflammation of epithelial lining, common side effect of chemotherapy.

Ulceration, difficulty eating/swallowing, GI bleeding, intestinal infection, severe diarrhea
Cyclophosphamide
Antineoplastic (alkylating, nitrogen mustard)
Good orally. Powerful immunosuppressant. Intentionally used in prophylaxis of organ transplant and severe rheumatoid arthritis, lupus.
Bone marrow suppression. N/V
Nitrate (Nitroglycerin) Nistat
Antianginal: vasodilator

Prevention and acute
After 10-15 minutes MI may be indicated
Use gloves!
Headache common side effect
Myasthenia gravis
destruction of nicotinic receptors in skeletal receptors.

Characterized by profound muscle fatigue
Rhabdomyolysis
Breakdown of muscle fibers usually due to muscle trauma or ischemia
Dyskinesia
Involuntary movements / diminished voluntary movements

Writhing of the tongue