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25 Cards in this Set

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  • Back
  • 3rd side (hint)
Renal veins vertebral level
L1-L2
Femoral veins merge at what vertebral level
L4-L5
What variables effect filtration coefficient
area and permeability
What do you give 2 hours after first incision for prophylaxis during surgery?
1st gen ceph
What is special about myocardial tissue?
It extracts more oxygen than any other tissue
Drug induced tubular necrosis
Sulfonamides, Methotrexate, Intravenous acyclovir, triamterene
MC drug causing allergic interstitial nephritis
Methicillin

other common drugs?
Cephalosporins, Acetazolamide, Allopurinol, Sulfonamides, NSAIDS
Chronic interstitial nephritis
Lithium and cyclosporine
Anaphylactic Shock
Epinephrine
Describe MOA of bile acid resins
They interrupt enterohepatic circulation of excreted bile, causing liver to make more bile which requires cholesterol--thus it must draw cholesterol from circulating LDL.
End effect --> reduction in LDL

Side effect: The bile has a high concentration of cholesterol --> gall stones.
Other side effects?
Hepatotoxic(increase LFT) and myositis.
What other drugs have rhabdomyolysis? (Statins)
Painful foot ulcers, exertional calf pain
Buerger's disease

rare quality?
extends into nerves and veins...inflammatory process may encase all three vessels(nerve, vein, artery) in fibrosis
transmural inflammation of the arterial wall with fibrinoid necrosis
characteristic of PAN
MAIN effect is raising HDL
Niacin
Side effects?
flushed face, hyperglycemia(careful to use in diabetics...acanthosis nigricans), hyperuricemia(gout)
MAIN effect is reducing LDL
Statins
MAIN effect is reducing TG
fibrates
Slightly increased TG
Bile Acid Resins

also slightly increases HDL
ONLY effects LDL
Cholesterol Absorption inhibitor - Ezetimibe
Gray Man/Gray Baby/Red Man
Amiodarone/Chloramphenicol/Vancomycin
What drug administered with statins will reduce their absorption?
Bile acid resins
What drug is a/w a very annoying red flushed face side effect?
Niacin.
What can you do to prevent this?
Administer with aspirin. Will also eventually go away with long term use.
Renal artery stenosis in female 20-30s
fibromuscular dysplasia

60-70s old person?
Atherosclerosis
Marked hypertrophy of one kidney
due to renal artery stenosis CLASSIC

What signs are specific for this disease?
hypertension and abdominal/flank bruit
Side effect gynecomastia
K+ sparing diuretics -- aldosterone antagonists

Spironolactone, Triamterine, Amiloride, Epleronone
Side effect gingival hyperplasia
non-DHP CCB

Verapamil, Diltiazem
first dose HYPOtension
-zosin drugs(alpha 1 blockers)