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14 Cards in this Set

  • Front
  • Back
What is the antidote for a patient who was overdoes on acetaminophen?

What organ are you trying to save?
Acetylcysteine

Liver
What NSAID is unique b/c it irreversibly inhibits cyclooxygenase?
Aspirin
What drug is unique in that it specifically inhibits COX2?
Celecoxib

Spares COX1 which helps maintain the gastric mucosa
What drug is used instead of aspirin to prevent Reye's syndrome in children with viral infections?
Acetaminophen
Does Diabetes cause hypo or hyperkalemia?

How?
Diabetic Ketoacidosis -> Hyperkalemia

Hyperglycemia increases plasma osmolality and dehydrates the cell, which causes K to leave the cell and enter the plasma
What 4 drugs block the collecting duct apical sodium channel, thus decreasing the gradient for potassium secretion -> hyperkalemia?
Amiloride

Triamterene

Trimethoprim

Pentamidine
How does acute hyperkalemia cause depolarization?

How does chronic hyperkalemia cause repolarization?
Increasing Na conductance = depolarization

Increasing K conductance = repolarization
What is the characteristic ECG abnormality found in acute hyperkalemia?

How does this happen?
T wave amplitude that is as big as the QRS amplitude

Occurs secondary to the accelerated rate of repolarization
True or False

A normal ECG DOES rule out the presence of severe chronic hyperkalemia?
False

ECG abnormality is characteristic of acute hyperkalemia, but may or may not also be present in chronic hyperkalemia
What medication might be useful to treat hyperkalemia?
Insulin

Beta agonist - like albuterol
True or False

Hypoaldosteronism = Hyperkalemia
True
What two drugs are known to cause impaired aldosterone synthesis?
Heparin

Ketoconazole
When using opoids tolerance does not develop to what two side effects?
Constipating effects

Mitotic actions
What drug is used as a maintenance drug in treatment programs for opioid addicts, which with a single dose will block the effects of heroin for up to 48 hrs?
Naltrexone