drug formulations and patient counseling Flashcards

1
Q

olanzapine (zyprexa) formulations available

A

IR tablet
ODT tablet
short acting injection
long acting injection

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2
Q

ondansetron (zofran) MOA

A

5 HT3 receptor antagonist

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3
Q

zofran formulations

A
IR tablet
ODT tablet
oral solution
oral film
short acting injection
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4
Q

sanusco (granistron)

A

patch!

patch applied before chemotherapy and can prevent nausea for up to 7 days

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5
Q

sorbitol is used as a sweetener in many meds but can cause problems in patients with

A

IBS

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6
Q

____ is used in many ODT, chewable and granule formulations it is a dangerous sweetener in patients wit hphenylketonuria (PKU)

A

phenylananine

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7
Q

onzetra xsail

A

nasal powder for migraine

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8
Q

cotempla xr- odt

A

long acting odt for adhd

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9
Q

ODTs how used

A

placed on the tongue

disingrates rapidly with saliva

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10
Q

ODT examples

A

lamictal ODT- lamotrigine for children
Remeron solutab- mirtazipine, for nausea, dysphagia
Zyrexa Zydis- olanzapine, for non adherence
Ondansetron ODT- nausea, dysphagia

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11
Q

dysphagia

A

difficulty swallowing

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12
Q

if vomiting present use

A

non oral route

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13
Q

zuplenz

A

ondansetron oral film

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14
Q

sublingual or buccal delivery can be with

A

a tablet, film, powder, or spray

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15
Q

examples of sublingual

A

edluar and intermezzo- zolpidem SL tabs (fast onset)
nitrostat- SL (fast onset)
subsys, actiq, fentora -fentanyl (fast onset)

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16
Q

lozenges are used to treat

A

conditions in the oral mucosa

drug is held in the mouth while is slowly dissolves

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17
Q

lozenge example

A

mycelex- clotrimazole troche for oral thrush

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18
Q

chewable tablets examples

A

suprax- cefixime, for children
singulair- montelukast, for kids
lamictal CD- lamotrigine, for kids

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19
Q

granules (can be opened or sprinkled into soft food or water)

A
on applesauce:
adderall XR
coreg CR
dexilant
focalin XR
namenda XR
nexium
ritalin LA
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20
Q

counseling points for granules

A
  • do not chew long acting pellets or beads that are emptied out from capsule
  • do not let the mixture sit too long
  • do not add to anything warm or hot
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21
Q

long acting oral tablets/capsules examples

A

concerta- methylphenidate

detrol la- tolterodine

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22
Q

do not crush or chew long acting formulations

A
XL
XR
ER
LA
SR
CR
CRT
SA
TR
TD
24
time caps 
sprinkles
"cont"
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23
Q

OROS ghost tablet few examples

A
concerta 
cardura xl
procardia xl
asacol hd
delzicol
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24
Q

extended release that can be cut at the score line but not crushed or chewed

A

toprol xl

sinemet CR

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25
Q

bactroban

A

mupirocin oint. for skin infec.

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26
Q

androgel

A

testosterone for systemic effect

used as an alternative to injections

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27
Q

SC injections examples

A
forteo- teriparatide
imitrex- sumatriptan
insulins, glp 1 agonists
lovenox- enoxaparin
tymlos- abaloparatide`
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28
Q

long acting IM injections

A
abilify maintena
haldol
invega sustenna, invega trinza- paliperidone
lupron depot- leuprolide
risperdol consta- risperidone
vivitrol- naltrexone
zyprexa relprevv- olanzapine
29
Q

golimumab (simponi)

A

monthly

30
Q

etanercept (enbrel)

A

weekly

31
Q

adalimumab (humira)

A

every other week (biweekly)

32
Q

enoxaparin and fondaparinux give

A

once or twice daily

in the abdomen greater than 1 inch from navel

33
Q

most patches can be placed

A

upper chest
lower and upper back
upper arm (part facing out)
flanks (sides of the body abdomen level)

34
Q

exelon cannot be applied to the

A

flanks

35
Q

the only patch you can cut

A

lidoderm

36
Q

most patches cannot be covered with

A

tape

37
Q

a few can be taped around the edges

A

fentanyl (duragesic) and buprenorphine (butrans)

can be covered only with the permiited adhesive film dressings (bioclusive and tegaderm)

38
Q

____ comes with its own adhesive cover which goes over the patch to hold it in place

A

catapres tts

39
Q

daytrana is applied on the

A

HIP alternating right and left daily

40
Q

transderm scop is applied behind the

A

ear and needs to be applied at least 4 hours before needed alternating ears every 72 hours

41
Q

vivelle dot apply

A

lower abdomen

42
Q

xulane apply

A

back abdomen buttock

43
Q

oxybutynin apply

A

hip abdomen buttock

44
Q

daytrana (methylphenidate patch) frequency

A

every morning

2 hours prior to school

45
Q

nicoderm patch

A

daily

46
Q

exelon patch (rivastigmine)

A

daily

47
Q

rotigotine

A

daily

48
Q

selgiline patch

A

daily

49
Q

testosterone patch

A

nightly not on scrotum

50
Q

lidocaine patch instructions

A

1-3 patches

on for 12 hours then off for 12 hours as needed

51
Q

nitroglycerin patch

A

on for 12-14 hours then off for 10-12 hours

52
Q

DIclofenac patch

A

twice daily

53
Q

vivelle dot frequency

A

twice weekly

54
Q

oxybutynin patch frequency

A

twice weekly

55
Q

butrans patch

A

weekly

56
Q

clonidine patch (catapres tts)

A

weekly

57
Q

estradiol (climara) patch

A

weekly

58
Q

estradiol/levonorgestrol patch

A

weekly

59
Q

xulane patch

A

weekly for 3 weeks of for 4th week

60
Q

fentanyl(duragesic) and scopalamine patch

A

every 72 hours change patch

61
Q

do not rub skin near ____ injections rubbing can cause severe brusing

A

anticoagulant injections

enoxaparin, fondaparinux

62
Q

injection steps

A
wash hands
prepare injection
clean injection site
inject
discard into sharps
63
Q

-mabs (monoclonal) specifics

A

do not shake (will denature proteins)
avoid exposing to extreme hots or colds
store in fridge
bring to room temp prior to injecting

64
Q

nasal spray counseling

A

1) SHAKE gently and remove cap
2) PRIME before first use, or if its been 7-14 days
3) BLOW YOUR NOSE

4) CLOSE ONE NOSTRIL
5) BREATHE IN through your NOSE, press down
6) BREATHE OUT trough MOUTH
7) wipe with a tissue, replace cap
8) use for labeled number of sprays then discard even if not empty
9) do NOT BLOW your NOSE right after using

65
Q

wait at least _____ minutes to put a second medication in your eye

A

5-10

gels are 10 minutes

66
Q

if the eye drop contains the preservative benzalkonium chloride (BAK) and you wear soft contact lenses remove them prior to insertion and wait __ minutes until you put them back in

A

15 minutes

67
Q

do not drop cold __ into ear

A

ear drops
ear drops that are too cold can cause dizziness
shake or roll bottle in the in your hands for 1-2 minutes

68
Q

for ear drops how is it different adults to children

A

adults pull ear up and back

children less then 3 down and back

69
Q

after administering ear drops keep the ear facing up for about __ minutes to coat the ear canal

A

5 minutes