Drugs part 2 Flashcards
Aldosterone Analog
Low Glucocorticoid effects
For primary adneral insufficiency
Fludrocortison (Mineralocorticoid replacement)
Sensitizes Calcium sensing receptors (CaSR) in parathyroid glans to circulating calcium to lower PTH levels
CinaCALcet
Non-absorbable phosphate binder that prevents phosphate absorption from GI tract for Hyperphosphatemia in CKD.
Sevelamer
↑ Catelcholamines (NE & Dopamine etc.) in the synaptic cleft. For ADHD.
Methylphenidate
Dextroamphetamine
Stimulants
Block Dopamine D2 receptor (↑ cAMP)
High Potency → Neuro/motor symptoms
Low Potency → Anti-cholinergic, Anti- histamine, Anti- alpha 1 effects
Anti-psychotics
High → Haloperidol, Trifluoperazine, Fluphenazine
Low → Chlorpromazine, Thiridazine
Not Well understood.
Most are 5HT & D2 antagonist
For schizophrenia or BP with psychotic symptoms
Atypical Antipsychotics: Apriprazole –apines –peridones –rasidones
Stimulates 5HT1a receptor
Does NOT cause ADDICTION, sedation, tolerance or Etoh interference.
For depression.
Buspirone
Inhibits 5HT (seretonin) reuptake For depression
Fluvoxamine Paroxetine Sertraline Escitalopram Fluoxetine
Inhibit 5HT & NE reuptake
SNRIs:
Venlafaxine
Duloxetine
–nacipran
List the TriCyclic Anti-depressants which inhibit 5HT & NE reuptake
Amitriptyline
Nortriptyline
Imi(pramine)
Non-Selective MAO inhibitors that cause ↑ levels of 5HT, NE, & Dopamine.
Phenelzine
Isocarboxid
Tranylcypromine
Selegiline
For when you’re in the MAO PITS
Anesthetics with ↓ Blood solubility have _____
RAPID induction & recovery time
Anesthetics with ↑ LIPID solubility have ____
↑ Potency
Anesthetics with ↑ Blood solubility have _____
SLOWER induction & recovery time
Anesthetics with ↓ LIPID solubility have ____
↓ Potency
Nitrous Oxide (N2O) has ↓ Blood/Lipid solubility thus __ induction & __ Potency
Rapid
↓
Equation used to determine the amount of inhaled anesthetic needed to knock out 50% of subjects.
Potency = 1/Min. Alveolar Conc.
Higher MAC = Lower potency
Halothane has ↑ Blood/Lipid solubility thus __ induction & __ Potency
Slow
↑
List the common suffixes for inhaled anesthetics
–fluranes
–halothanes
–Nitrous Oxide (N2O)
Inhaled anesthetics __ cerebral blood flow & __ cerebral metabolic demand
↑ flow
↓ metabolism