Step2: Rando Facts

Front 1

FSGS

Back 1

HIV, obesity, Heroin

Front 2

Membranous glomerulonephritis

Back 2

HepB, SLE, NSAIDs, syphilis, malaria, gold

Front 3

Membranoproliferative glomerulonephritis

Back 3

HepC

Type I - HCV, cryoglobulinemia, SLE, endocarditis, subendothelial deposits, low C3

Type II - associated with C3 nephritic factor

Front 4

Minimal change disease

Back 4

NSAID, lymphoma

Front 5

Diffuse glomerulosclerosis

Back 5

DM

Front 6

Reduce CaOxalate stones

Back 6

fluids

lower sodium, protein, oxalate

DO NOT lower calcium or increase citrate

Front 7

Reduce uric acid stones

Back 7

alkalinize urine

increased Citrate

Front 8

CYP450 Inducers

Back 8

Queen Barb Steals Phen-phen and Refuses Greasy Carbs

Quinidine, Barbiturates, St. John's Wort, Phenytoin, Rifampin, Griseofulvin, Carbamazapine

Front 9

CYP450 Inhibitors

Back 9

MAGIC RACKS IN GQ

Macrolides

Cimetidine

Ketoconazole

INH

Grapefruit

Sulfonamides

Front 10

Increase digoxin toxicity

Back 10

Hypokalemia

Quinidine, Cimetidine, amiodarone, CCBs

Front 11

Survey in Lithium use

Back 11

Kidney fxn, thyroid

Front 12

Survey in amiodarone use

Back 12

Thyroid, Lung, Arrythmias, corneal deposits

Front 13

Drug induced lupus

Back 13

procainamide, hydralazine, INH, penicilllamine, chlorpromazine, methyldopa, quinidine

Front 14

Antidote:Tylenol

Back 14

NAC

Front 15

Antidote: Acid or alkali

Back 15

Upper GI for stricture eval

Front 16

Antidote: Anthicholinesterase, organophosphate

Back 16

Atropine, pralidoxime

A

Organophosphate - WET

Front 17

Antidote: Antimuscarinic, anthicholinergics

Back 17

Anticholinesterase - mad as a hatter, ...., DRY

Front 18

Antidote: Arsenic, mercury, gold

Back 18

Succimer, dimercaperol

Front 19

Antidote: Lead

Back 19

CHECK VENOUS LEVEL

>70 inpt BAL (dimercaperol) + EDTA

45-69 - EDTA or outpatient succimer

<45 retest 3 months, remove lead

Front 20

Antidote: Barbiturates

Back 20

Alkalinization, dialysis, charcoal

Front 21

Antidote: Benzos

Back 21

Flumazenil

Front 22

Antidote: Black widow

Back 22

Calcium gluconate, methocarbomol

Front 23

Antidote: Carbon monoxide

Back 23

100% oxygen, hyperbaric

Front 24

Antidote: Copper, arsenic, lead, gold

Back 24

Penicillamine

Front 25

Antidote: Cyanide

Back 25

Hydroxycobalamin, amyl nitrate, sodium thiosulfate

Front 26

Antidote: Digitalis

Back 26

Normalize K+, anti digitalis Fab. NO Ca++, Mg++ or lidocaine

Front 27

Antidote: Heparin

Back 27

Protamine sulfate

Front 28

Antidote: INH

Back 28

Pyridoxine

Front 29

Antidote: Iron

Back 29

Deferoxamine

Front 30

Antidote: Methanol

Back 30

EtOH, fomepizole, dialysis,

Front 31

Antidote: Ethylene glycol

Back 31

EtOH, fomepizole, dialysis, calcium gluconate

Front 32

Antidote: Methemoglobin

Back 32

Methylyene blue

Front 33

Antidote: opioids

Back 33

naloxone

Front 34

Antidote: Salicylates

Back 34

urine alkalinization, dialysis, charcoal

Front 35

Antidote: TCAs

Back 35

sodium bicarb for QRS prolongation, ativan for seizures, telemetery

Front 36

Antidote: Theophylline

Back 36

Charcoal

Front 37

Antidote: tPA, streptokinase

Back 37

Aminocaproic acid

Front 38

Antidote: Warfarin

Back 38

FFP, Vit K

Front 39

Drug ASE: ACEi

Back 39

Cough, angioedema (C1 esterase def), teratogenic

Front 40

Drug ASE: Amantadine

Back 40

livedo reticularis

Front 41

Drug ASE: Amiodarone

Back 41

AV node block, hypotension, brady

Pulmonary fibrosis, bluish deposits in skin, benign corneal deposits, hypo/hyperthyroidism

Front 42

Drug ASE: Amphotericin

Back 42

Nephrotoxic, bone marrow suppression

Front 43

Drug ASE: Antipsychotics

Back 43

dystonia - benztropine

akathisia - B blocker

NMS - dantrolene, antihistamine

Front 44

Drug ASE: AZT

Back 44

Thrombocytopenia, megaloblastic anemia

Front 45

Drug ASE: B blocker

Back 45

Asthma, mask hypoglycemic symptoms, impotence, AV block ,CHF

Front 46

Drug ASE: Carbamazepine

Back 46

agranulocytosis

aplastic anemia, liver tox

Neural tube defects

Front 47

Drug ASE: CCBs

Back 47

peripheral edema, constipation

Front 48

Drug ASE: Chloramphenicol

Back 48

Gray baby syndrome, aplastic anemia

Alternative to doxy in some tick borne illnesses for pregnancy

Front 49

Drug ASE: Cisplatin

Back 49

Nephrotox, hearing loss

Front 50

Drug ASE: Clonidine

Back 50

rebound headache and HTN

Front 51

Drug ASE: Clozapine

Back 51

Agranulocytosis

Front 52

Drug ASE: Steroids

Back 52

Mania, hyperglycemia, immune def, osteoporosis, thin skin, cataracts, myopathy

Front 53

Drug ASE: Cyclophosphamide

Back 53

hemorrhagic cystitis, myelosuppression

Front 54

Drug ASE: Digoxin

Back 54

yellow visual change, n/v/d, arrythmias

Front 55

Drug ASE: Doxorubicin

Back 55

Cardiomyopathy

Front 56

Drug ASE: Fluoroquinolones

Back 56

tendon rupture, cartilage damage

Front 57

Drug ASE: Loop diuretics

Back 57

ototoxicity, nephritis, gout

Front 58

Drug ASE: fibrates

Back 58

Myositis

Front 59

What lowers

Statin

Fibrates

Ezetimibe

Niacin

Bile resins

Back 59

Statin - LDL, TGs

Fibrates - TGs, raise HDL

Ezetimibe - LDL

Niacin - raises HDL, lower LDL

Resins - Lower LDL

Front 60

Drug ASE: Halothane

Back 60

Hepatotoxicity, malignant hyperthermia

Front 61

Drug ASE: HCTZ

Back 61

hypokalemia, hyponatremia

HYPER uricemia, glycemia, calcemia

Front 62

Drug ASE: Hydroxychloroquine

Back 62

Retinopathy

Front 63

Drug ASE: INH

Back 63

Neuropathy (B6 prevent), hepatotoxicity

Front 64

Drug ASE: MAOIs

Back 64

HTN tyramine crisis, serotonin syndrome (meperidine)

Front 65

Drug ASE: Methanol

Back 65

Blindness

Front 66

Drug ASE: MTX

Back 66

Hepatic fibrosis, pneumonitis, SLE

Front 67

Drug ASE: Metronidazole

Back 67

vestibular dysfunction, metal taste

Front 68

Drug ASE: Niacin

Back 68

flushing

Front 69

Drug ASE: Phenytoin

Back 69

ginival hyperplasia, small fingers in peds,

Front 70

Drug ASE: PTU

Back 70

agranulocytosis, aplastic anemia

Front 71

Drug ASE: Rifampin

Back 71

red secretions

Front 72

Drug ASE: Tetracyclines

Back 72

tooth discoloration, photosensitivity, fanconi's anemia, GI distress

Front 73

Drug ASE: Valproic acid

Back 73

neural tube defects, hepatotoxicity

Front 74

Drug ASE: Trimethopim

Back 74

Megaloblastic anemia, inhibits potassium excretion similar to K sparing diuretics

Front 75

Drug ASE: Vancomycin

Back 75

Ototox, nephrotox, red man syndrome

Front 76

Drug ASE: Indinavir

Back 76

Renal tubular crystals

Front 77

Drug ASE: Acyclovir

Back 77

Renal tubular crystals

Front 78

Drug ASE: Vincristine

Back 78

Peripheral neuropathy

Front 79

Draw Cancer boy

Back 79

Draw it

Front 80

Vit Def: night blindness, dry skin

Back 80

A

Front 81

Vit Def: B1

Back 81

Beriberi (polyneuritis, dialated CM, CHF)

Wernicke-Korsakoff

Front 82

Vit Def: B2

Back 82

Angular stomatitis, chelosis, corneal vascularization, skin lesions

Riboflavin

Front 83

Vit Def: B3

Back 83

diarrhea, dementia, dermatitis

pellagra

Front 84

Vit Def: B5

Back 84

Pantothenate

ADRENAL INSUFFICIENCY, alopecia

Front 85

Vit Def: B6

Back 85

pyridoxine

Seizures, neuropathy if on INH

Front 86

Vit Def: b12

Back 86

Cobalamin

Megaloblastic macrocytic anemia, neuropathy

Front 87

Vit Def: C

Back 87

Scurvy (swollen gums, bruising, anemia, poor wound healing)

Front 88

Vit Def: D

Back 88

Rickets, osteomalacia,

Front 89

Vit Def: fragile RBCs, neuropathy in kids

Back 89

Vit E

Front 90

Vit Def: hemorrhage in peds, or acute prolonged PT in liver failure

Back 90

Vit K

Front 91

Vit Def: Biotin

Back 91

dermatitis, enteritis

FROM RAW EGG ingestion

Front 92

Vit Def: Folic acid

Back 92

Most common in US

Sprue, macrocytic, megaloblastic anemia

Front 93

Vit Def: Mg

Back 93

Weakness, cramps, hypoparathyroidism if severe, uncorrectable hypokalemia till fix

Front 94

Vit Def: Selenium

Back 94

Cardiomyopathy

Front 95

Vit Def: Zinc

Back 95

poor wound healing, diarrhea, hair loss, skin lesions, immunosuppression,

Not in lots of TPN