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54 Cards in this Set

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Glucocorticosteroid Uses

Rheumatoid arthritis


polymyalgia rheumatica


asthma


temporal arteritis


skin (eczema, psoriasis, dermatitis)

Glucocorticosteroid Side effects

Cushing's disease


osteoporosis


immunosuppression

Common Glucocorticosteroids

Prednisone -- asthma exacerbation


Kenalog

Topical Steroids - most and least potent

clobetasol (Temovate)-- most potent


triaminocide (Kenalog) moderate


hydrocortisone --least potent

Drugs that require eye exams

Digoxin


ethambutol


corticosteroids


fluroquinolones


viagra, cialis, levitra


accutane


topamax



Thiazolidinediones TZDs safety warning

Black Box- causes or exaccerbates CHF




stop if: dyspnea, weight gain, cough (heart failure symptoms)

Drugs with high drug interactions

macrolide erthromycin (Clarithromycin)


antifungals (Ketonazole, Flucanazole)


cisapride (Propulisol)


cimetidine (Tagamet)


citalopram (Celexa)

Warafin sodium (Coumadin ) drug interaction

Bactrim (sulfa drugs)




increase INR= increased bleeding risk

Azithromycin Side Effects

feeling of nervousness


insomnia


decreased smell/ taste


ringing in ears



Staphylococcus bugs (gram +)

staphylococcus aureus (skin)


MRSA


staph saprophycitus (UTI, vaginal)


staph epidermis

Thiazide diuretics uses

uncomplicated hypertension - 1st line


heart failure - 1st line


edema


hypertension with osteoporosis

Thiazide side effects

hyperglycemia (care with DM)


elevates triglycerides and LDL


increased uric acid ( can cause gout)


hypokalemia (muscle weakness, arrythmias)




AVOID with sulfa allergies

Digoxin side effects

anorexia


nausea/ vomiting


abdominal pain


confusion


visual changes




severe toxicity treated with Digibind

Digoxin use

treats A fib




narrow therapeutic range

Potassium Sparing Diuretics

triamterene (Dyrenium)


amilordine (Midamor)




Black Box: hyperkalemia (high risk renal, elderly, severly ill)




monitor: serum potassium frequently




avoid salt that contains potassium

Loop Diuretics uses

furosemide (Lasix) - bumetadine (Bumex)




edema


heart failure


cirrosis


renal disease


hypertension

Aldosterone Antagonist uses

hirsuitism


hypertension


severe heart failure




spironolactone (Aldactone)




Black Box- malignant cancer / tumor, hyperkalemia





Alternative antibiotic for PCN allergic patient with gram + bacterial infections

Macrolides


azithromycin x 5 days (Zpack)


clarithromycin (Biaxin)

Calcium Channel Blocker Uses

amlodipine (Norvasc)


dilatiazem (Cardizem)


verapamil (Calan)




treat: hypertension, Raynaud's Phenomenon




contraindicated: AV block, bradycardia, CHF, macrolides, grapefuit





Beta Blockers Uses

Treatment: hypertension, post MI (1st line), angina, arrythmia, migraine, prophylaxsis




pronaolol, timolol




contraindicated: asthma, COPD, chronic bronchitis, emphysema, bradycardia, AV block

ACE Inhibitor uses

lisinopril, enalopril (Vasotec)




treat: hypertension, diabetes, renal, chronic kidney disease




Black box- second and third trimester



Alpha blockers uses

terazosin (Hytrin)




treats: hypertension with coexisting BPH



Initial treatment for COPD/ bronchitis

1st- ipratropium bromide (Atrovent) anticholinergic




2nd- SABA (aluterol) if not better with first




or both combined (Combivent)

Tetracycline uses

doxycycline- 1st line chlamydia and atypical bacterial infection s




tetracyclines- 1st line acne, roseao




contraindicated: pregnancy, infancy, <8 yer (stains teeth)




take 1 to 2 hours before meals




decreases effectiveness of OCPs

Cephalosporin 1st generation

cephalexin (Keflex)




treats: pregnancy UTI, cellulitis, impetigo

Cephalosporin 2nd generation

considered "broad spectrum" - gram + and -




ceftin, ceclor, cefzil




treat: sinusitis, otitis media, CAP, exacerbation of chronic bronchitis, AOM, skin infections

Cephalosporins 3rd generation

cetriaxone (Rocephin)




treat: gonorrhea, cervicitis, urethritis, PID, AOM in children, acute sinusisits, otitis media, pyelonephritis, CAP

Strep throat first line

penicillin V PO QID

Otitis Media treatment F

Amoxicillin

Finasteride



Proscar




treat BPH




category x

Anticholinergic side effects

SAD CUB




S sedation


A anorexia


D dry mouth


C confusion/ constipation


U urinary retention


B BPH

Anticoagulant: warfarin (Coumadin)

treat: decrease emboli formation (stroe, afib, PE)




Treat for INR between 5.0 - 9.0 (no bleeding)


hold warafin 1-2 doses ; recheck INR q 2-3 days until stable

Statins contraindications

lipitor, Mevacor, Crestor, Zocor




grapefruit


drug induced hepatitis if mixed with azole fungals

Atypical Antipsychotics

Risperdal, Seroquel, Zyprexa




black box: elderly

Streptococcus Gram +

step pyogenes (throat)

step pneumoniae (lungs)


step viridians ( dental , endocarditis)


strep agalactiae (group B strept)


Sulfonamides

Bactrim, Septra




Gram -




MRSA



Tetracyclines

Gram -




doxycycline (chlamydia), mincocycline (MRSA)

Penicillins

Gram +





exteneded spectrum penicillins

Augmentin




gram + and gram -



Gram + Bugs

staph: MRSA. MSSA


stept:DRSP


enterococcus

Gram - Bugs

neisseria gonorrhea


neisseria meningitis


ecoli, shinguella, salmonelaa


pasturella


mycoplasm, H. flu


legionella



Celiac disease diet

lifetime avoidance of gluten (wheat, rye, barley, and oats)




gluten free: rice, corn, potatoes peanuts, soy, meat dairy, vegetables

SSRI uses

1st line for major depression, OCD, general anxiety, panic, social anxiety, PMDD




fluoxetine (Prozac), paroextine (Paxil), Lexapro, Zoloft, Celexa




Side effects: decrease libido, ED, anorexia, insomnia




Black box: suicidal ideation <24 yrs

Fluquinolones

-flaxacin


noraflaxavin (Noroxin)


ciprofloxacin (Cipro)


levafloxacin (Levaquin ) --- step pneumonia tx




Black box: Achilles rupture




interations: amiadrone, TAs, antipsychotics

Clobetasol

Temovate (topical steroid)

Ethambutol

TB drug

topiramate

Topamax (anticonvulsant)

Anticonvulsants

phenytoin (Dilantin)


topiramate (Topomax)

Anti- Parkinsonian drugs

benztropine - Cogentin


carbidopa, levodopa - Sinemet

cimetidine

Tagamet


H2 receptor agonist

Anticholinergic Side Effects

Hot as a hare: increased temp


Blind as a bat: mydriasis (dilated pupils)


Dry as a bone: dry moutu, eyes, decreased sweat, urinary retention


Red as a beat: flushed face


Mad as a hatter: delirium

Common anticholinergics

low potency antipsychotics


bezotropine


atropine


antihistamines



leukotrene receptor antagonist used to treat chronic asthma

montelukast (Singulair)

Foods high in Magnesium

dried beans


whole grains


nuts