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NSG 470 > Drug Names Exam 1 > Flashcards

Drug Names Exam 1 Flashcards

1
Q

Amitriptyline (Elavil)

A

Tri-cyclic antidepressant

-Side effects include
-Blurred vision, Dry mouth, dizziness, weight gain
-Cardiotoxicity risk

-Very possible to overdose which is deadly
-Start slow with dosage

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2
Q

Nortriptyline (Pamelor)

A

Tri-cyclic antidepressant

-Side effects include
-Blurred vision, Dry mouth, dizziness, weight gain
-Cardiotoxicity risk

-Very possible to overdose which is deadly
-Start slow with dosage

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3
Q

Duloxetine (Cymbalta)

A

-SNRI
-S/E include: Nausea, headache,, elevated BP, Weight gain, tremors

-Fibromyalgia, diabetic neuropath, FDA approved for chronic MS including OA and lower back pain
-May increase bleeding, urinary retention, and increased BP (potential for seizures)
-Need to weigh themselves for concern of weight gain

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4
Q

Venlafaxine (Effexor)

A

-SNRI
-S/E include: Nausea, headache,, elevated BP, Weight gain, tremors
-May increase bleeding, urinary retention, and increased BP (potential for seizures)
-Need to weigh themselves for concern of weight gain

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5
Q

Gabapentin (Neurontin)

A

anti-convulsants

-Used first for neuropathic pain
-Improves analgesia
-Allows for lower doses of narcotics
-Start low and titrate

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6
Q

Pregabalin (Lyrica)

A

anti-convulsants

-Used first for neuropathic pain
-Improves analgesia
-Allows for lower doses of narcotics
-Start low and titrate

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7
Q

Asprin

A

-Abreiviated ASA
-Avoid in children with flu, or viral sx
-May cause bleeding, monitor kidney function, avoid alc
-Sit up 30 min after taking dose
-Dont crush an enteric tab ya dummy

-Max dose is 4000mg per day

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8
Q

Acetaminophen (Tylenol)

A

-Affects liver and kidney so its contraindicated for those with impaired function, alcoholism and use of anticoagulants

-S/E is Anorexia, N+V rash and hepatotoxicity
-Need to access for liver dmg ,monitor LFT (Liver enzymes) and look out for jaundice

-MDD= 4000mg per day

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9
Q

Ibuprofen

A

-NSAID ,relieves inflammation and pain
-Contraindicated in those with hypersensitivity, Liver/ renal disease, use of anticoagulants
-Hypoglycemia with insulin or other drugs like insulin
-Assess for GI upset, bleeding, liver issues, edema
-Need to take with food or milk to avoid those GI issues

-MDD 2400 Kids
-MDD 3200 Adults

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10
Q

Morphine

A

Used often for cancer and other pains

-S/E: resp depression, orthostatic hypotension, constipation, urinary retention, sedation, hallucinations, miosis
-Naloxone for OD
-Monitor vitals and LOC

Instruct pt to avoid benzo and and alc, and notify provider if dizziness or SOB develops

-May need short and long acting morphine for standard and breakthrough pain.

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11
Q

Tissue Plasminogen Activator

A

Clot buster
-Cannot be given more than 3 hours (Ish) after the stroke
-Major concern is bleeding

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12
Q

Clopidogrel (Plavix)

A

Anticoagulant, used in stroke

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13
Q

Atorvastatin

A

Statin, decreases cholesterol levels

-Used in conjunction with other therapies in stroke

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14
Q

Levodopa

A

PD Treatment
Dopaminergic agents

-Acts to increase dopamine within the basal ganglion
-Essentially artificial dopamine
-There is increased tolerance and drug metabolism over time,
-Wearing off effect leading to returning symptoms

-Short half life (90-120 min) needs like 3-6 doses a day
-Tolerance is frequent
-Need to administer between meals for adequate absorption

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15
Q

Carbidopa

A

PD Treatment
Dopaminergic agent
-Also decreases metabolism of levodopa
-Acts to increase dopamine within the basal ganglion
-Essentially artificial dopamine
-There is increased tolerance and drug metabolism over time,
-Wearing off effect leading to returning symptoms

-Short half life (90-120 min) needs like 3-6 doses a day
-Tolerance is frequent
-Need to administer between meals for adequate absorption

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16
Q

bromocroptine (Paradol)

A

PD Treatment
Dopamine Agonist

-Acts to release dopamine, more dopamine in the synapse
-More effective when used in combination with dopaminergic drugs

-Side effects: Orthostatic hypotension, Dyskinesia, Hallucinations

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17
Q

Ropinirole (Requip)

A

PD Treatment
Dopamine Agonist

-Acts to release dopamine, more dopamine in the synapse
-More effective when used in combination with dopaminergic drugs

-Side effects: Orthostatic hypotension, Dyskinesia, Hallucinations

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18
Q

Pramipexole (Mirapex)

A

PD Treatment
Dopamine Agonist

-Acts to release dopamine, more dopamine in the synapse
-More effective when used in combination with dopaminergic drugs

-Side effects: Orthostatic hypotension, Dyskinesia, Hallucinations

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19
Q

Benztropine (Cogentin)

A

PD Treatment
Anti-cholinergic agents

-Decreases Ach, which decreases the excitability
-Helps to control tremors and rigidity
-Drys you out
-Used also in treatment of tardive-dyskinesia

-Side effects: Dry mouth, Constipation, Urinary retention, Confusion

20
Q

Trilhexyphenidyl (Artane)

A

PD Treatment
Anti-cholinergic agents

-Decreases Ach, which decreases the excitability
-Helps to control tremors and rigidity
-Drys you out
-Used also in treatment of tardive-dyskinesia

-Side effects: Dry mouth, Constipation, Urinary retention, Confusion

21
Q

Entacapone (Comtan)

A

PD Treatment
Catechol O-Methyltransferace Inhibitor (COMT)

-Prevents the breakdown of Levodopa, leaving more dopamine in the receptor

-Works best when combined with dopaminergic and dopamine agonist agents

-Side effects: Monitor for dyskinesia when given with levodopa
-Diarrhea
-Causes the urine to turn dark

22
Q

Selegiline

A

Treats PD
Monoamine Oxidase Type B (MAO-B) Inhibitors

-Inhibits Monoxidase B activity, Increasing activity levels
-Reduces “Wear off” effect of levodopa when given with levodopa

*Need to avoid foods with tyramine, can cause hypertensive crisis

23
Q

Rasagine

A

PD treatment
Monoamine Oxidase Type B (MAO-B) Inhibitors

-Inhibits Monoxidase B activity, Increasing activity levels
-Reduces “Wear off” effect of levodopa when given with levodopa

*Need to avoid foods with tyramine, can cause hypertensive crisis

24
Q

Amantadine (Symmetrel)

A

Treats PD
Anti-virals medications

-Stimulates release of dopamine and prevents reuptake
-We dont know why it works

-Side effects: Anxiety, confusion, anticholinergic effects (Dry)

25
Q

Methylprednisolone

A

SCI treatment
-Helps with swelling
-Steroid

26
Q

Norepinephrine, Dopamine

A

SCI treatment
-Vasopressors, increases BP

27
Q

Atropine

A

SCI treatment
Antimuscarinic
-Used to increase contractility for bradycardia

28
Q

Dextran

A

SCI treatment
Plasma expander
-Increases BP

29
Q

Baclofan

A

SCI treatment
-Muscle relaxer, helps with spasticity

30
Q

Dantrolene

A

SCI treatment
-Muscle relaxer, helps with spasticity

31
Q

Valium

A

SCI treatment
-Muscle relaxer, helps with spasticity

32
Q

Heparin/ Lovenox

A

SCI Treatment
anti-coagulants

33
Q

Mannitol

A

Used for TBI
Strong osmotic diuretic to decrease fluids

34
Q

Lasix

A

Used for TBI
Loop diuretic
Decreases volume

35
Q

Phenytoin

A

Used for TBI
-Anticonvulsant, prevents seizures

36
Q

carbamazepine

A

Used for TBI
-Anticonvulsant, prevents seizures

37
Q

benzos

A

Used for TBI
-Anticonvulsant, prevents seizures

38
Q

Sou-medrol

A

-Used for TBI
-Steroid, decreases inflammation

39
Q

Dexamethasone

A

-Used for TBI
-Steroid, decreases inflammation

40
Q

Phenobarbital

A

-Used for TBI
-Barbiturates
-Used for sedation and coma, decreasing ICP

41
Q

Clonidine

A

-Used for BP

-Opiate withdrawal

42
Q

Robaxin

A

-Opiate withdrawal
-Muscle relaxer

43
Q

Methadone

A

-Detox med, opiate used to ween off
-Opiate withdrawal

44
Q

Buprenorphine

A

-Detox med
-Used for opiate withdrawal
-Weaker opiate effects, less likely to overdose
-Long duration of action
-Alleviates craving, milder neonatal withdrawal, increases retention
-Binds to the receptor super well, doesnt allow any other opiate to attach… Except fentanyl which makes this drug useless as all heroin is fentanyl

45
Q

Naltrexone

A

Used for alc withdrawal
-Decreases cravings, decreases use

46
Q

Acamprosate

A

666mg po
-Decreases distress of alc cessation
-Alc withdrawal med

47
Q

Disulfiram

A

250-500 mg po daily
-Alc withdrawal drug

-Causes a person to become violently ill when ingesting alc

NSG 470 (26 decks)

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