All Meds Flashcards by Noelle Luurtsema

Benzodiapzepine

lorazapam, alprazolam, diazepam, oxazepam
antianxiety
addictive- no alcohol
SE: tired, respiratory depression, amnesia

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busprione

non benzo
antianxiety
long term use

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beta blockers anxiety

propanolo, atenolol
treat physical s/s

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hydroxazine

antihistamine
antianxiety

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gabapentin anxiety

anticonvulsant
antianxiety

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Long acting beta adrenergic

salmeterol, arformoterol, formoterol
long term prevention
bronchodilator
SE: HA tachycardia, palpitations, trembling, insomnia
caution cardiac pt, monitor HR and BP

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Short acting beta adrenergic

albuterol and levalbuteral
bronchodilator
in attack
SE: HA, tachycardia, palpitations, nervousness
caution with cardiac pts, monitor BP and HR

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LAMA

ipratropium and tiotropium
bronchodilator
for mucus, long term prevention
SE: anticholinergic, tachycardia, dry mouth, constipation, urinary retention
rinse mouth after inhaler use, oral care

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inhaled corticosteroid

anti-inflammatory
fluticason and budesonide
rinse mouth
increased risk infection

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oral corticosteroid

prednisone
anti-inflammatory
increased risk infection
take with meals
don’t stop abruptly

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dopamine

inotrope, vasopressor
>CO, SV, HR, contractility, BP
tachycardia, ectopy, periperal vasoconstriction, low urine output

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norepinephrine

vasopressor, titrate, increase contractility, HR, vasoconstriction
tachycardia, ectopy, decrease perfusion abdomin organs

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vasopressin

ADH, infuse set dose
increase BP, decrease blood flow organs
abdominal cramps, diarrhea, peripheral vasoconstriction

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epinephrine

adrenaline
arrhythmia, peripheral vasoconstriciton

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lithium carbonate

toxic= 1.5, ataxia, seizures, uncoordinated, coarse tremor
SE: n/v, thirsty, fine hand tremor
watch renal, thyroid, liver
for acute mania

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anticonvulsant mood stabilizers

valproate- prevent mania
carbamazepine
lamotrigine- risk SJS

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antidepressants

second gen: SSRI, SNRI, NDRI, SDNI
tricyclic
MAOI

second gen meds

SSIR- fluoxetin, citalopram
SNRI- duloxetine, venlafaxine
NDRI- bupropion, trazadone
SDNI- mirtazapine
4-6wks effectivness
insomnia, weight gain, anxiety, dizziness, drowsiness, sexual dysfunction, discontinuation syndrome, icnreased suicidal thoughts
bleeding risk- avoid warfarin and NSAIDS
serotonin syndrome- avoid st john and tramadol

tricyclic

sedation, ACH (dry mouth, urinary retention, constipation, bluured vision, dyrhythmias, impotence, orthostatic hypotension, ataxia, CNS depression
lethal overdose!

MAOI

phenelzine, tranylcypromine
hypertensive crisis
watch tyramine: aged cheese, smoked meat, yeastm red wine, italian broad beans

diltiazem

calcium channel blocker
antiarrhythmic
for afib

amiodarone

antiarrhythmic
afib tx
bradycardia, hypotension,
QT prolongation

digoxin

antiarrhythmic
afib tx

metoprolol and esmolol

beta blocker
esmolol- IV
afib tx

clot prevention

warfarin dabigatran rivaroxaban apixaban

lidocaine

antiarrhytmic tx PVC toxicity= confusion, blurred vision, tremors, n/v, ringing in ears

milronone

cardiogenic shock increase contractility inotrope hypotension! venos and arterial vasodilation

dobutamine

cardiac stimulation increase contractility tachycardia! minimal vasodilation cardiogenic shock

monoclonal antibodies

MS binds to WBC to prevent further damage to myelin - Natalizumab- IV - ocrelizumab- IV, premeds IV steroids and diphenhydramine

immunomodulators

MS modify course disease interferon beta 1a- SQ and IM Interferon beta 1b- SQ glatiramer- SQ rotate site, local reaction, 1st dose anaphylaxis teriflunormide, dimethyl fumarate (facial flushing, GI disturbance) fingolimod (w/food, bradycardia)

methylprednisolone

IV acute tx flares anti-inflammators MS

baclofen

antispasticity MS and SCI intrathecal and oral nausea, dizzy, drowsy, fatigue, weakness

tizanidine

antispasticity MS, SCI back pain, myasthenia, anxiety, depression, dizzy, paresthesia, sedation, weakness

1 gen antipsychotic

chlorpromazine, haloperidol, fluphenazine targets positive symptoms ACh toxicity NMS agranulocytosis EPS (TD, akathesia, dystonia, pseudoparkinsonism) liver impairment metabolic syndrome QT prolongation

2nd gen antipsychotics

Olanzapine Risperidone Asenapine Aripiprazole clozapine (agranulocytosis) lurasidone quetiapine ziprasidone cariprazine positive and negative symptoms metabolic syndrome

mannitol

osmolality (fluid concentration) before- 310-320

3% sodium chloride

Na level 135-145 hypertonic crystalloid pull fluid out

pentobarbitol

medically induced coma

propofol

fast acting lipid based can cause hypotension pair with analgesic

pancrelipase

with all snacks and meals do not crush control glucose n/v, cramps, rash