Drugs Flashcards

1
Q

ACICLOVIR

A

GROUP - Antiviral.

INDICATION - Herpes, chicken pox, shingles.

IMPLICATIONS ON ASSESSMENT - age, ocular shingles, immuno compromised.

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2
Q

ALENDRONIC ACID

A

GROUP - Bisphosphonates.

INDICATION - Post menopause osteoporosis.

IMPLICATIONS ON ASSESSMENT - Age, ?fracture/ injury, cancer hx - jaw necrosis.

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3
Q

ALLOPURINOL

A

GROUP - Xanthine oxidase inhibitors.

INDICATION - Gout, renal stones, cancer treatment - hyperuricaemia.

IMPLICATION ON ASSESSMENT - Limb pain, swelling, inflammation, redness, back/abdo pain - renal stones, anuria.

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4
Q

ATENOLOL

A

GROUP - Beta blocker.

INDICATION - Hypertension, Arrhythmias, Angina.

IMPLICATION ON ASSESSMENT - Age, chest pain, stroke symptoms.

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5
Q

APIXABAN

A

GROUP - Anticoagulant.

INDICATION - prophylaxis for stroke, VTE (venous thromboembolic event) post hip/knee replacement surgery, treatment for DVT (deep vein thrombosis).

IMPLICATION ON ASSESSMENT - Haemorrhage risk, sudden onset SOB, chest pain, DVT, PE, Stroke, Palpitation.

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6
Q

AZATHIOPRINE

A

GROUP - Steroid/ immunosuppressant antimetabolite.

INDICATION - Organ transplants, IBD, Rheumatoid arthritis, SLE (systemic lupus erythematosus).

IMPLICATION ON ASSESSMENT - Crohns disease, immunosuppressed, rheumatoid arthritis.

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7
Q

BACLOFEN

A

GROUP - GABA-ergic antagonist.

INDICATION - Pain - muscle spasm, gastric distension - palliative care.

IMPLICATION ON ASSESSMENT - MS, palliative care, new pain, back pain, GI issues.

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8
Q

BETAHISTINE

A

GROUP - Histamine analogue.

INDICATION - Vertigo, tinnitus, Meniere’s disease.

IMPLICATION ON ASSESSMENT - ?stroke, dizziness.

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9
Q

BISOPROLOL

A

GROUP - Beta blocker

INDICATION - Hypertension, angina, heart failure.

IMPLICATION ON ASSESSMENT - Chest pain, Stroke, Bradycardia,

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10
Q

CARBAMAZAPINE

A

GROUP - Anti-convulsant

INDICATION - Epilepsy, diabetic neuropathy, nerve pain - trigeminal neuralgia, prophylaxis of manic depressive psychosis.

IMPLICATION ON ASSESSMENT - Seizures, headache, foot issues in diabetic pts.

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11
Q

CARBIMAZOLE

A

GROUP - Anti-thyroid agent

INDICATION - Hyperthyroidism.

IMPLICATION ON ASSESSMENT - risk of acute pancreatitis, sore throat, >bruising/bleeding, neutropenia.

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12
Q

CEFALEXIN

A

GROUP - Antibiotic.

INDICATION - Antibiotic - respiratory tract infections, skin and soft tissue infections, Otitis media, bone and joint infections, dental infections, genito-urinary infections inc. acute prostatitis.

IMPLICATION ON ASSESSMENT - Worsening infection, reactions.

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13
Q

CITALOPRAM

A

GROUP - Antidepressant.

INDICATION - Depression, panic disorder.

IMPLICATION ON ASSESSMENT - Suicidal ideation, recently started on this medication.

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14
Q

CYCLIZINE

A

GROUP - Antiemetic.

INDICATION - Nausea, vomiting, dizziness.

IMPLICATION ON ASSESSMENT - ?stroke, dizziness, ear pain.

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15
Q

DEXAMETHASONE

A

GROUP - NSAIDs

INDICATION - Anti inflammatory, allergic disorders, mild/severe croup, adjunctive treatment of ? bacterial meningitis, palliative care, cerebral oedema, local inflammation of joints. local inflammation of soft tissue, severe/critical C-19.

IMPLICATION ON ASSESSMENT - ?palliative care, GI issues, eye pain, swelling, reactions.

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16
Q

DIAZEPAM

A

GROUP - Benzodiazepines.

INDICATION - anti-convulsant, anxiolytic, sedative, muscle relaxant, amnesic.

IMPLICATION ON ASSESSMENT - muscle spasm, anxiety, sleep disorders, new pain, suicidal ideation, controlled drug.

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17
Q

DICLOFENAC

A

GROUP - NSAIDs

INDICATION - Anti-inflammatory, rheumatic disease, musculoskeletal disorders, gout, migraine.

IMPLICATION ON ASSESSMENT - GI issues, new pain, asthma, contraindications with other drugs.

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18
Q

DIGOXIN

A

GROUP - Cardiac glycoside

INDICATION - Heart disease, supraventricular dysrhythmias (eg atrial fibrillation).

IMPLICATION ON ASSESSMENT - ?Stroke, chest pain, SOB, palpitations, bradycardia, dizziness.

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19
Q

DISULFIRAM

A

GROUP - Alcohol antagonist.

INDICATION - Alcohol dependency.

IMPLICATION ON ASSESSMENT - Alcohol consumption, behaviour change, vomiting.

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20
Q

DOMPERIDONE

A

GROUP - Antiemetic.

INDICATION - Nausea, vomiting.

IMPLICATION ON ASSESSMENT - Excessive vomiting, abdo pain, haematemesis.

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21
Q

FERROUS SULPHATE

A

GROUP - Supplement.

INDICATION - Iron deficient anaemia.

IMPLICATION ON ASSESSMENT - Black stools, abdo pain, diarrhoea, GI discomfort.

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22
Q

FLUOXETINE

A

GROUP - Selective serotonin reuptake inhibitors (SSRIs).

INDICATION - Major depression, bulimia nervosa, anxiety, OCD, menopausal symptoms eg hot flushes esp. in women w/breast cancer.

IMPLICATION ON ASSESSMENT - Suicidal thoughts, behaviour change.

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23
Q

FUROSEMIDE

A

GROUP - Loop diuretic.

INDICATION - Oedema, resistant oedema, resistant hypertension.

IMPLICATION ON ASSESSMENT - Chest pain, new swelling, urinary symptoms.

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24
Q

FUSIDIC ACID

A

GROUP - Antibiotic.

INDICATION - Skin infections, especially staphylococcal infections.

IMPLICATION ON ASSESSMENT - New inflamed skin, wounds, impetigo. Available over the counter.

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25
Q

GABAPENTIN

A

GROUP - Anticonvulsant.

INDICATION - Epilepsy, peripheral neuropathic pain, MS, motor neuron disease. Menopausal symptoms - used for but not licenced for this.

IMPLICATION ON ASSESSMENT - Changes to seizures, new or worsening pain, risk of severe respiratory depression,

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26
Q

GLICAZIDE

A

GROUP - Sulfonylurea class of insulin secretagogues.

INDICATION - Type 2 diabetes.

IMPLICATION ON ASSESSMENT - DKA. polydipsia,
polyuria, hyperosmolar hyperglycaemic state (HHS). Generally unwell, infection.

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27
Q

GLYCERYL TRINITRATE

A

GROUP - Nitrate.

INDICATION - Angina, treatment and prophylaxis.

IMPLICATION ON ASSESSMENT - Changes in angina, chest pain, SOB.

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28
Q

HYOSCINE

A

GROUP - Antiemetic.

INDICATION - Vomiting, palliative care.

IMPLICATION ON ASSESSMENT - ? palliative care, excessive vomiting, worsening pain or symptoms.

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29
Q

INFLIXIMAB

A

GROUP - Tumour necrosis factor- alpha (TNF-alpha) inhibitors.

INDICATION - Crohns, rheumatoid arthritis, psoriatic arthritis.

IMPLICATION ON ASSESSMENT - Immunosuppressed, infection, worsening pain or infection, sepsis.

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30
Q

ISOSORBIDE MONONITRATE

A

GROUP - Nitrate.

INDICATION - Angina, hypertension, heart failure.

IMPLICATION ON ASSESSMENT - ?stroke, chest pain, SOB, oedema.

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31
Q

LACTULOSE

A

GROUP - Laxative.

INDICATION - Constipation.

IMPLICATION ON ASSESSMENT - Abdo pain, vomiting - colour, texture, quantity., faecal overflow.

32
Q

LAMOTRIGINE

A

GROUP -

INDICATION - Epilepsy, bipolar.

IMPLICATION ON ASSESSMENT - Changes to seizures, suicidal ideation, behaviour change.

33
Q

LANSOPRAZOLE

A

GROUP - Proton pump inhibitor.

INDICATION - Helicobacter pylori eradication, reflux, duodenal ulcer, dyspepsia (indigestion), oesophagitis.

IMPLICATION ON ASSESSMENT - Chest pain, abdo pain, vomiting, GI upset.

34
Q

LEVOTHYROXIN

A

GROUP -

INDICATION - HYPERTHYROIDISM.

IMPLICATION ON ASSESSMENT - Dizzy, generally unwell.

35
Q

LISINOPRIL

A

GROUP - Angiotensin converting enzyme inhibitor.

INDICATION - Hypertension, short term post MI, heart failure, renal complications with T2D.

IMPLICATION ON ASSESSMENT - Chest pain, SOB, ? stroke.

36
Q

LITHIAM CARBONATE/PRIADEL

A

GROUP - Anti manic agent.

INDICATION - Prophylaxis of - Mania, Bipolar disorder, Recurrent depression, Aggressive or self harming behaviour.

IMPLICATION ON ASSESSMENT -Suicidal thoughts, Lithium toxicity -vomiting, tremor, withdrawal, thyroid disorder.

37
Q

LORAZEPAM

A

GROUP - Benzodiazepines.

INDICATION - Anxiety.

IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, behaviour change.

38
Q

LOSARTAN

A

GROUP -

INDICATION - Hypertension, Diabetes - nephropathy.

IMPLICATIONS ON ASSESSMENT - Stroke, kidney pain, chest pain, SOB, oedema.

39
Q

MEBENDAZOLE

A

GROUP - Anthelmintic.

INDICATION - Threadworm.

IMPLICATIONS ON ASSESSMENT - Abdo pain, unwell.

40
Q

MEFENAMIC ACID

A

GROUP - NSAIDs.

INDICATION - Period pain, rheumatoid arthritic pain and inflammation, mild to moderate pain.

IMPLICATIONS ON ASSESSMENT - Abdo pain, vaginal bleeding, ?pregnancy, Asthma.

41
Q

MELOXICAM

A

GROUP - NSAIDs.

INDICATION - Exacerbation of osteoarthritis, Ankylosing spondylitis, pain/inflammation relief in juvenile idiopathic arthritis and other muscoskeletal disorders in children intolerant to other NSAIDs (though unlicensed for ages 12+ for this purpose).

IMPLICATIONS ON ASSESSMENT - Worsening pain, SOB - Asthma contra indications.

42
Q

METFORMIN

A

GROUP - Biguanides.

INDICATION - Type 2 diabetes. polycystic ovary syndrome.

IMPLICATIONS ON ASSESSMENT - Vomiting, infection, abdo pain, diabetes - BM?

43
Q

METHOTREXATE

A

GROUP - Immunosuppressant.

INDICATION - Crohn’s disease, mod-severe rheumatoid arthritis, neoplastic diseases, severe psoriasis unresponsive to conventional therapy.

IMPLICATIONS ON ASSESSMENT - Immuno supressed sepsis, crohn’s exacerbation.

44
Q

MIRTAZAPINE

A

GROUP - Antidepressant.

INDICATION - Major depression.

IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, behaviour change, abdo pain, signs of infection.

45
Q

MONTELUKAST

A

GROUP - Leukotriene receptor antagonist (LTRAs).

INDICATION - Prophylaxis of asthma, seasonal allergic rhinitis in asthma patients.

IMPLICATIONS ON ASSESSMENT - SOB, Wheeze.

46
Q

NAPROXEN

A

GROUP - NSAIDs.

INDICATION - Pain and inflammation in rheumatic disease, musculoskeletal disorders (Dysmenorrhoea), acute gout, acute migraine.

IMPLICATIONS ON ASSESSMENT - SOB - asthma, worsening pain, abdo pain or bleeding.

47
Q

NICORANDIL

A

GROUP - Potassium channel activator.

INDICATION - Angina (stable)

IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke, oedema, abdo pain, hyperkalaemia.

48
Q

NITROFURATOIN

A

GROUP - Antibiotic.

INDICATION - Lower UTI, catheter associated UTI, severe/recurrent UTI, prophylaxis of recurrent UTI.

IMPLICATIONS ON ASSESSMENT - Worsening symptoms, blood in urine.

49
Q

NYSTATIN

A

GROUP - Antifungal.

INDICATION - Oral thrush.

IMPLICATIONS ON ASSESSMENT - Reduced fluid intake, mouth swelling, can be bought OTC.

50
Q

OLANZAPINE

A

GROUP - Antipsychotic.

INDICATION - Schizophrenia - combination therapy for mania, bipolar disorder- preventing recurrence, mania- monotherapy, control of agitation and disturbed behaviour in schizophrenia or mania.

IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal ideation, depression.

51
Q

OMEPRAZOLE

A

GROUP - Proton pump inhibitor.

INDICATION - GI tract, reflux, helicobacter pylori, gastric/duodenal ulceration.

IMPLICATIONS ON ASSESSMENT - Abdo pain, vomiting, blood in vomit/faeces.

52
Q

PAROXETINE

A

GROUP - Antidepressant.

INDICATION - Major depression, social anxiety disorder, PTSD, generalised anxiety, OCD, Panic disorder, menopausal symptoms eg hot flushes.

IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal ideation, withdrawal.

53
Q

PERINDOPRIL

A

GROUP - Angiotensin converting enzyme (ACE) inhibitor.

INDICATION - Hypertension, heart failure,

54
Q

PREGABALIN

A

GROUP - anticonvulsant, anxiolytic.

INDICATION - Peripheral and central neuropathic pain, generalised anxiety disorder, epilepsy, restless legs, fibromyalgia.

IMPLICATIONS ON ASSESSMENT - Controlled drug, worsening pain, change in mood/behaviour, change in seizures.

55
Q

PREDNISOLONE

A

GROUP - Corticosteroid.

INDICATION - Asthma, COPD, inflammation, ulcerative colitis, myasthenia gravis, severe croup, suppression of inflammatory and allergic disorders.

IMPLICATIONS ON ASSESSMENT - SOB, sepsis, generally unwell.

56
Q

PRIMIDONE

A

GROUP - Anticonvulsant.

INDICATION - Epilepsy, tremor.

IMPLICATIONS ON ASSESSMENT - Suicidal ideation, changes to seizures.

57
Q

PROCHLORPERAZINE

A

GROUP - Antipsychotic.

INDICATION - Schizophrenia, psychosis, severe anxiety, nausea and vomiting, labyrinthine disorders, migraine.

IMPLICATIONS ON ASSESSMENT - Suicidal ideation, worsening nausea and vomiting, dehydration.

58
Q

PROPANOLOL

A

GROUP - Betablocker.

INDICATION - Hypertension, thyrotoxicosis, anxiety, migraines, palpitations, angina, hypertrophic cardiomyopathy, anxiety tachycardia, tremor, prophylaxis of MI, prophylaxis of migraine, arrhythmia.

IMPLICATIONS ON ASSESSMENT - Palpitations, chest pain, SOB, brady/tachycardia.

59
Q

QUETIAPINE

A

GROUP - Anti psychotic

INDICATION - Schizophrenia, bipolar, depression, mania,

IMPLICATIONS ON ASSESSMENT - Suicidal ideation, behaviour changes.

60
Q

RAMAPRIL

A

GROUP - Angiotensin converting enzyme (ACE) inhibitor.

INDICATION - Hypertension, heart failure, prophylaxis post MI, neuropathy.

IMPLICATIONS ON ASSESSMENT - Chest pain, oedema, SOB, stroke, infection.

61
Q

RANITIDINE

A

GROUP - H2 blocker.

INDICATION - Benign gastric ulceration, Duodenal ulceration, chronic episodic dyspepsia, NSAID-associated gastric/duodenal ulceration, gastro-oesophageal reflux disease, prophylaxis of stress ulceration.

IMPLICATIONS ON ASSESSMENT - Haematemesis, abdo pain, vomiting.

62
Q

RESPIRIDONE

A

GROUP - Anti psychotic.

INDICATION - Schizophrenia, acute and chronic psychosis, mania, persistent aggression in patients with moderate to severe Alzheimer’s dementia.

IMPLICATIONS ON ASSESSMENT - Suicidal ideation

63
Q

SERTRALINE

A

GROUP - Selective serotonin re-uptake inhibitor.

INDICATION - Depressive illness, OCD, panic disorder, PTSD, social anxiety disorder.

IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal thoughts, arrhythmia.

64
Q

SIMVISTATIN

A

GROUP - Statin.

INDICATION - High cholesterol (hypercholesterolaemia), prophylaxis of cardiovascular event in pts with atherosclerotic cardiovascular disease or diabetes mellitus.

IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke.

65
Q

SODIUM VALPORATE / EPILIM

A

GROUP - Anticonvulsant.

INDICATION - Epilepsy.

IMPLICATIONS ON ASSESSMENT - Changes to seizures, generally unwell, headache, liver toxicity.

66
Q

SPIRONOLACTONE

A

GROUP - Aldosterone receptor antagonist.

INDICATION - Oedema, malignant ascites, nephrotic syndrome, oedema in congestive heart failure, mod-severe heart failure, resistant hypertension, primary hyperaldosteronism in patients awaiting surgery.

IMPLICATIONS ON ASSESSMENT - Abdo pain, jaundice, chest pain, SOB, stroke.

67
Q

SULFASALAZINE

A

GROUP - Aminosalicylate.

INDICATION - Ulcerative colitis, crohn’s, rheumatoid arthritis.

IMPLICATIONS ON ASSESSMENT - Immunosuppressed, sepsis, abdo pain.

68
Q

SUMATRIPTAN

A

GROUP - Triptans

INDICATION - Migraine, cluster headache.

IMPLICATIONS ON ASSESSMENT - Worsening or changes to normal headaches.

69
Q

TEMAZEPAM

A

GROUP - Benzodiazepine.

INDICATION - Insomnia, sedation.

IMPLICATIONS ON ASSESSMENT - Controlled drug, respiratory depression,

70
Q

THIAMINE

A

GROUP - Vitamin

INDICATION - Mild to severe alcohol vitamin deficiency.

IMPLICATIONS ON ASSESSMENT - Alcohol related diseases and conditions, alcohol xs.

71
Q

TOPIRAMATE

A

GROUP - Anticonvulsant.

INDICATION - Epilepsy, migraine prophylaxis.

IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, changes to seizures.

72
Q

TRIMETHOPRIM

A

GROUP - Antibiotic.

INDICATION - Prophylaxis of recurrent UTI, respiratory tract infections, shigellosis, invasive salmonella infection, acute diverticulitis, acne, mild to moderate pneumocystis jirovecii, acute prostatitis, lower and catheter associated UTI.

IMPLICATIONS ON ASSESSMENT - Worsening symptoms, reactions.

73
Q

VALSARTEN

A

GROUP - Angiotensin II receptor antagonist.

INDICATION - Hypertension, MI with left ventricular failure/left ventricular systolic dysfunction, hypertension with intravascular volume depletion.

IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke.

74
Q

VENLAFAXINE

A

GROUP - Serotonin and noradrenaline re-uptake inhibitor.

INDICATION - Major depression, generalised anxiety disorder, social anxiety disorder, panic disorder, menopausal symptoms (particularly hot flushes)

IMPLICATIONS ON ASSESSMENT - Suicidal ideation, mood change.

75
Q

WARFARIN

A

GROUP - Vitamin K antagonist.

INDICATION - prophylaxis of embolisation in rheumatic heart disease and AF, prophylaxis after insertion of prosthetic heart valve, prophylaxis and treatment of venous thrombosis and pulmonary embolism, transient ischemic attack.

IMPLICATIONS ON ASSESSMENT - Uncontrolled haemorrhage, clots, pulmonary embolism, DVT, stroke.

76
Q

ZOPICLONE

A

GROUP -

INDICATION -

IMPLICATIONS ON ASSESSMENT -