Chapters 1 & 2 Flashcards

1
Q

Schedule I

A

Never prescribed
Not appropriate for medical use
Most addictive

Examples: heroin, mescaline, LSD, marijuana

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2
Q

Schedule II

A

High potential for abuse and dependence, has medical use.
Opiates
Stimulants
Depressants

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3
Q

Schedule II Opiates

A
Fentanyl
Hydro condone
Hydromorphone
Meperidine
Morphine
Opium & opium extracts
Oxycodone & oxymorphone
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4
Q

Schedule II Stimulants

A

Amphetamines (adderall, concerta, Ritalin)

Non amphetamine CNS stimulant: cocaine

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5
Q

Schedule II Depressants

A

Phenobarbital (Nembutal)
Secobarbitol (Seconal)

Sedative-low dose; drowsy
Hypnotic- puts you to sleep; anesthetic

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6
Q

Schedule III

A

May cause psychological dependence
Less chance of addiction than I & II

Non barbiturate Depressants-sedatives: Nembutal, Seconal
Non amphetamine stimulants (appetite suppressant)
Combination drugs- propoxyphene

Narcotics-usually with codeine :
Paregoric
Hydrocodone
Lorcet
Lortab
Vicodin
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7
Q

Schedule IV

A

May cause dependence

Sedatives- anti anxiety agents:
Ativan, Valium, versed, chloral hydrate, klonopin

Amphetamine stimulants:
Sanorex, meridia, cyclert,
(loss of appetite)

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8
Q

Schedule V

A

Limited risk of dependence
Antidiarrheals (lomotil), cough syrup with codeine

Can be purchased without prescription
18 years or older
Must sign for med

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9
Q

Pregnancy Category A

A

No risk to fetal development
No risk in animals or humans
Not many of these exist

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10
Q

Pregnancy Category B

A

Studies show no risk to animal fetus OR
there are no adequate studies in humans OR
there is a risk in animal studies and risk to human fetus during first trimester but not later in pregnancy.

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11
Q

Pregnancy Category C

A

There are adverse effects in animals but there are no adequate studies in humans OR
there are potential risks to human fetus, but benefits outweigh the risks

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12
Q

Pregnancy Category D

A

There are known human fetal risks
Benefits of taking this med outweigh the risks
Physician won’t usually prescribed this category

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13
Q

Pregnancy Category X

A

There’s positive evidence of human fetal risks
Risks outweigh any possible benefit to mother
Med must not be subscribed if pregnancy is to be maintained with successful outcome

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14
Q

Delayed allergic reaction

A

Antibodies attach to specific white blood cells
s/s: rash, hives, swelling of joints
s/s occur several hours after med is takin
Antibodies & antigens

Treatment: stop medicine (d/c) & administer antihistamine or steroid

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15
Q

Serum Sickness

A

Antibodies circulate in the blood
s/s: itching, rash, fever, facial/tongue edema, dependent edema (gathers around legs & ankles), swelling of joints
s/s may occur several days after med is takin

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16
Q

Cytotoxic Reaction

A

Antibodies attach antigens
s/s: decreased hematocrit (hct), WBC count, platelet count, elevated liver enzymes, decreased liver function.
-may occur a few days after med
-treatment is supportive

*liver detoxifies things. Liver function is super important. If liver is bad don’t give anything that must be detoxified (alcohol, Tylenol)

“penia”-low
“pan”- all

17
Q

Anaphylactic Reaction

A

Rapid onset
Mast cells release histamine, leukotrienes, prostaglandins, and tryptase.
Antigen binds to IgE antibodies

s/s: throat swells, tachycardia (fast heart beat), hypertension, followed by hypotension, respiratory arrest

18
Q

Treatment of Anaphylaxis

A

Oxygen
Cardiac monitoring
IV normal saline- isotonic- same as blood/body fluid
Ringers lactate (isotonic fluid like saline)
Ventilate, intubate, or trache
Bronchodilator (beta agonists, like with asthma)
Epinephrine(adrenaline) raises heart rate to keep from shock
Antihistamine
Corticosteroid

*biphasic reaction: secondary reaction, identical to first, can happen 6-8 hrs later. Once person is treated they must stay in hospital one day after treatment for this reason