DRUG CLASSES Flashcards
What main drug class causes a dose-dependent depression of the CNS?
Sedatives and Hypnotics
What drug class depresses the sensory cortex, decrease motor activity, alter cerebellar function, and produce drowsiness, sedation, and hypnosis?
Barbiturates
What drug class exhibits anticonvulsant activity and produce a dose dependent respiratory depression?
Barbiturates
What drug class contains benzo and non-benzo drugs?
Antianxiety drugs
What medication group causes generalized CNS depression, has no analgesic properties, and is for short term use only?
Benzos
What medication group act on the brain’s dopamine and serotonin receptors?
Non-Benzos
TCA’S, MAOI’S, SSRI’S, and SNRI’S all fall under what drug class?
Antidepressants
What antidepressant class increase serotonin by inhibiting neuronal uptake to the CNS?
SSRI’s
How long does it take for antidepressant drugs to take effect?
4-6 weeks
How long do you need to wait before switching from MAOI’s to TCA’s?
At least 14 days
What drug class blocks dopamine receptors in the brain and also alter dopamine and release turnover?
Antipsychotics
What drug class is classified as “Typical” (1st generations) and “Atypical” (2nd generation)?
Antipsychotics
Which antipsychotic drug classification has fewer drug effects? (typical or atypical)
Atypical (2nd generation)
What drug class increase levels of neurotransmitters in the CNS?
CNS Stimulants
What drug class is used to treat Narcolepsy and ADHD?
CNS Stimulants
What drug class is used to reduce the excitability of the neurons in the brain?
Anticonvulsants
What drug class inhibits nausea and vomiting?
Antiemetics
What are the 2 subclasses of antiemetics?
- Antiemetic
2. Antivertigo
What drug class is used to remove feeling or sensation?
Anesthetics
What class of anesthetic inhibits the transport of ions across neuronal membranes?
Local anesthetics
What drug makes a patient feel dissociated from their surrounding, is a non-competitive antagonist, and increases BP/HR/ and cardiac output?
Ketamine
What dosage of Ketamine should be given for pain control purposes?
20-40 mg IM
What are the 4 Non-Narcotic Analgesics?
- Salicylates
- Non-Salicylates
- NSAIDS
- Urinary Analgesics
What analgesic class is used to prevent blood clots, lowers risk of Myocardial Infarctions (MI), Lowers body temp, and relieves mild to moderate pain?
Salicylate
What Non-Narcotic Analgesic class may cause Reye Syndrome? (Children with chicken pox or flu may get it)
Salicylates
What analgesic class is used for arthritis, lowers body temperature, and is for mild to moderate pain?
Non-Salicylate
What Non-Narcotic Analgesic class inhibits the action of COX-1 and COX-2 which is responsible for prostaglandin synthesis?
NSAIDS
What Non-Narcotic Drug class is an anti-inflammatory, analgesic, and antipyretic?
NSAIDS
What Non-Narcotic Analgesic class is used to treat pain associated with a UTI?
Urinary Analgesic
What drug class are opioids that bind to opioid receptors in the CNS and work as an agonist?
Narcotic Analgesics
What drug class is for short term use and treats moderate to severe pain?
Narcotic Analgesics
What drug class is contraindicated for patients with head injuries or intercranial pressure (ICP)?
Narcotic Analgesics
What narcotic antagonist is a competitive antagonist to narcotics?
Naloxone
What is a chemical that is created in the body and the highest amounts are found in mast cells and basophils?
Histamines
What antihistamine binds to receptors in mast cells, smooth, muscle, endothelium, and in the brain; Also suppress histamine-induced swelling and vasodilation?
H-1 Antihistamines
What antihistamine is used to treat allergic reactions, insomnia, motion sickness, and vertigo?
H-1 Antihistamines
What antihistamine binds to receptors in the upper G.I. tract (primarily in the stomach); Also is used to treat gastric acid conditions?
H-2 Antihistamines
What drug class is used to reduce swelling of nasal passages, enhances draining of sinuses, enhance norepinephrine and epinephrine by stimulating alpha-adrenergic receptors, and vasoconstricts blood vessels in the nose, throat, and sinuses which lowers inflammation?
Decongestants
What receptors are found in bronchial smooth muscle and when stimulated, cause dilation of the bronchioles?
Beta-2 Receptors
What drug is used to reverse airway obstructions due to asthma, exercise-induced bronchospasms, bronchitis, and emphysema?
Beta-2 Agonists
What drug is contraindicated for a patient with cardiac arrhythmia or is taking a beta blocker?
Beta-2 Agonist
What drug class antagonizes acetylcholine receptors, which produce bronchodilation?
Muscarinic Antagonist
What drug class is used to prevent bronchial asthma and is also used for the management of COPD?
Muscarinic Antagonist
What is a broncho constrictive substance released by the body during inflammation? What drug class would be used to stop this?
- Leukotriene
2. Leukotriene Antagonist
What drug class is used to inhibit the release of substances that cause broncho constriction and inflammation from mast cells in the respiratory tract?
Mast Cell Stabilizers
What drug class is used to treat both asthma and COPD?
Mast Cell Stabilizers
What drug class decreases the inflammatory process in the airway through inhibiting multiple different cytokines?
Inhaled Corticosteroids
What drug class suppresses the cough center (central acting)?
Antitussives
What drug class is used to treat a non-productive cough, but SOMETIMES treats a productive cough?
Antitussives
what drug class loosens and mobilizes thick mucus from the respiratory system?
Mucolytic
What drug class raises thick mucus from the respiratory system?
Expectorant
What is an abnormal electric current in the heart?
Cardiac Arrhythmia
How many classes of antiarrhythmics are there?
4
What antiarrhythmic class raises the potential threshold in the ventricular myocardium?
Class 1
What antiarrhythmic class uses beta blockers in the beta cells?
Class 2
What antiarrhythmic class blocks sodium (NA) and Potassium (K) channels?
Class 3
What antiarrhythmic class uses calcium channel blockers to block calcium channels?
Class 4
What term is a decrease in oxygen to the heart muscle triggering chest pain or pressure?
Angina
What Antianginal class have a direct relaxing effect of smooth muscle of blood cells?
Nitrates
You need to take a patients blood pressure BEFORE and AFTER giving what Antianginal medication class?
Nitrates
Do not give Nitrates to a patient who has what systolic blood pressure or is taking what type of medication?
- 100 or below
2. Erectile disfunction medication
What are the 4 subclasses of Antihypertension?
- Ace Inhibitors
- Diuretics
- Calcium Channel Blockers
- Beta Blockers
What antihypertension subclass is a vasodilator and also inhibits the conversion of Angiotensin 1 to Angiotensin 2? (In the lungs)
Ace Inhibitors
What antihypertension subclass has an adverse effect of a dry, hacking cough?
Ace Inhibitors
What antihypertension subclass act by causing peripheral vasodilation? (inhibit too much calcium from entering muscle cells causing contraction)
Calcium Channel Blocker
What are the 2 types of Calcium Channel Blockers?
- Dihydropyridines (primarily used to treat hypertension)
2. Non-Dihydropyridines (treat chronic stable angina and cardiac arrhythmias)
What receptor is found chiefly in the heart?
Beta-1 Adrenergic Receptor
What receptor is found mainly in bronchial and vascular smooth muscle, and uterus? (Lungs and MSK)
Beta-2 Adrenergic Receptors
What Antihypertension subclass is used to treat hypertension, angina pectoris, migraine headaches, and Myocardial Infarctions (MI)? They DILATE
Beta Blockers
What are the 2 main subclasses of Diuretics?
- Loop Diuretics
2. Thiazide Diuretics
What Diuretic subclass increases excretion of Sodium (NA) and Chloride by inhibiting the reabsorption of these ions in the Loop of Henle?
Loop Diuretics
What Diuretics subclass inhibits the reabsorption of Sodium (NA) and Chloride ions in the kidney?
Thiazide Diuretics
What Hyperlipidemia class inhibit an enzyme involved in cholesterol synthesis? (Lowers cholesterol)
HMG-COA Reductase Inhibitors
What Drug class NEUTRALIZES the acidity of the stomach?
Antacids
What drug class REDUCES secretion of gastric acid; Also inhibit Histamine H2 receptors in the stomach?
Histamine H2 Antagonists
What drug class SUPPRESS gastric acid secretion; Also block the final step in the production of gastric acid?
Proton Pump Inhibitors
What drug class decrease intestinal peristalsis?
Antidiarrheal
What drug class creates a de-foaming action which prevents gas pockets in the intestine?
Anti-flatulent
What laxative adds bulk and water to contents f the intestine?
Bulk Producing
What laxative lubricates the intestinal walls and softens the stool?
Emollient
What laxative promotes water retention to soften up stool?
Fecal Softeners
What laxative dehydrates local tissue which causes irritation and increased peristalsis?
Hyperosmolar
What laxative increases peristalsis by direct action to the intestine?
Irritant or stimulant
What laxative pulls water into the intestine, which will increase peristalsis?
Saline
What are the 2 subclasses of antidiabetics?
- Insulin
2. Oral Antidiabetics
What antidiabetic subclass is used for type 1 Diabetes Mellitus and can also be used for SEVERE type 2 diabetes?
Insulin
What are the 2 subclasses of oral antidiabetics?
- Sulfonylureas
2. Biguanides
What oral antidiabetic subclass lower blood glucose by stimulating beta cells of the pancreas to make more insulin?
Sulfonylureas
What oral antidiabetic subclass increases insulin sensitivity in muscle and fat cells?
Biguanides
What antidiabetic class is used to treat ONLY type 2 diabetes not controlled with diet and exercise?
Oral antidiabetics
What drug class is contraindicated for a patient with a server infection and CHF?
Antidiabetics
What are the 2 main classes of hormones?
- Thyroid
2. Contraceptive
What hormone class is used to treat hypothyroidism?
Thyroid hormones
What are the 2 subclasses of contraceptives?
- Estrogens
2. Progestins
What contraceptive subclass inhibits the ovulation process?
Estrogens
What contraceptive subclass prevents maturation of ovarian follicle and ovulation?
Progestins
What hormone class is contraindicated with a risk of thromboembolic disease which is increased in females 35 years or older that use tobacco?
Contraceptives
What is the term for drugs that KILL bacteria?
Bactericidal
What is the term for drugs that slow the multiplication of bacteria?
Bacteriostatic
What antibacterial subclass slows down bacteria growth where the body’s immune system is able to then rid of remaining bacteria? Used to treat UTI’s caused by E-Coli and Staph.
Sulfonamides
Bacteriostatic
What antibacterial subclass works on bacteria that has become resistant to penicillin’s?
Cephalosporines
Bactericidal
Are Penicillin’s bacteriostatic or bactericidal?
Bactericidal
Are Tetracyclines bacteriostatic or bactericidal?
Bacteriostatic
Are Macrolides bacteriostatic or bactericidal?
Bacteriostatic
What antibacterial class is used to treat pneumonia and UTI’s?
Fluoroquinolones
Bactericidal
What antibacterial subclass may have an adverse reaction of tendinitis and tendon rupture?
Flouroquinolones
What antibacterial subclass may have an adverse reaction of Nephrotoxicity, Ototoxicity, and Neurotoxicity?
Aminoglycosides
Bactericidal
What antibacterial subclass is used to treat severe infections and hospital acquired pneumonia?
Carbapenems
What antibacterial subclass is used to treat toxic shock syndrome, bacterial vaginosis, and bite wounds?
Lincosamide
What drug class inhibits viral replication?
Antivirals
What drug class is used to treat Herpes, HIV, Flu, and Hep C?
Antivirals
What drug class is used to treat superficial infections, tinea pedis, tinea crutis, and onychomycosis?
Antifungals
What drug class is used to treat back pain, neck pain, and muscle spasms of the lumber region?
Muscle relaxers
What drug class acts as an anti-inflammatory and helps treat autoimmune disorders?
Corticosteroids
What drug class may cause Cushing’s Syndrome?
Corticosteroids
What drug class has potentially life-threatening adrenal insufficiency that can occur if stopped abruptly?
Corticosteroids
What drug class acts on intracranial blood vessels of the trigeminal system; Causes vasoconstriction to reduce inflammation?
Antimigraine
What are the 2 subclasses of topical drugs used for skin disorders?
- Scabicide
2. Keratolytic
What topical drug subclass paralyzes and KILLS pests?
Scabicide
What topical drug subclass is used to remove warts?
Keratolytic