Exam 3 Oakley Flashcards

1
Q

Antidepressants drug of choice is?

A

SSRI is always drug of choice

(Prozac/Zoloft)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Valium (diazapam) used for everything except?

A

used for everything EXCEPT analgesic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Main drug for status elipitus

A

Valium (diazapam)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SSRI definition

A

serotonin reuptake inhibitors – and that is they increase neutrophic factor for
helping the neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

antihistamines don’t work well if you already have congestion soooo use

A

pseudofed!!!

AKA Pseudoephedrine -a vasConstrictor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does levadopa work?

A

levadopa tries to get dopamine into brain thru BBB; carbadopa inhibits carboxylase so it doesn’t get metabolized before L-dopa gets to brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

parkinsons is in what part of brain?

A

basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what med you don’t want to give local with epi bc its an inhibitor?

A

Slegritine (aldipril)

*use 3% mepivicaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

dopamine agonist #1 side effect

A

orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

prescribe benzo therapeutically for?

A

anxiety, muscle spaama, insomnia

*NOT for allergic rhinitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

benzo overdose give?

A

flumazenil (Romazicon)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pregnant insomnia use?

A

antihistamine diphenhydramine (Benadryl)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the benzo of choice for ppl with alcohol withdrawal?

A

lorazepam (Ativan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what benzo has burning mouth syndrome?

A

clonazepam (Klonopin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

phenytoin (Dilantin) works as a?

A

Na+ channel blocker

*same as local and carbamazepine/Tegretol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

valproic acid (Depakote) works by?

A

Na+. and GABA

does not block Calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

dantrolene (Dantrium) treats what? How?

A

treats Malignant hyperthermia (neuromalignant problem)
*works by binding ryodine receptors in the muscle and blocks Ca so you don’t get the troponin and myosin doesn’t bind to actin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SSRI are used to treat depression etc, but NOT used for?

A

motion sickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what happens when a pt takes benzo (1st generation histomine)? antihistamine (benadryl)?

20
Q

two main side effects of parkinson drugs?

A

1) dry mouth

2) orthostatic hypotention

21
Q

how does carbamazepine/Tegretol work?

A

Na channel blocker

*just like LA and phenytoin (Dilantin) *

22
Q

skitzophrenic pt side effects

A

sex dysfunction, anticholinergic, bind alpha 1, TMJ discomfort
no excessive salivation

23
Q

skitzophrenic pt side effects

A
sex dysfunction
ANTIcholinergic
bind alpha 1
TMJ discomfort
GI/nausea
ortho hypotention
dry mouth

no excessive salivation bc that is a cholinergic problem

24
Q

why take famotidine (Pepcid)?

A

ulcer***
GI prob
heart burn

25
Got a schizophrenic male, adolescent – what is the best drug for him to take?
risperidone (Risperdal)an atypical antipsychotic
26
what is a side effect we WON'T have for antidepressants such as SSRI?
weight loss
27
haloperidol (Haldol) is a drug for?
tourettes syndrome
28
what is cimetidine (Tagamet) not used for?
- Histamine 2 receptor antagonist - OTC - hepatic enzymes ANSWER is: H1 antagonist used for allergic rhinitis (runny nose)
29
aripiprazole (Abilify) is NOT used for?
NOT used for Parkinsons *used for antipsychothic and antidepressants
30
28 year old taking lithium, what drug don't want to prescribe?
do not prescribe NSAIDS (or thiazide) * tylonal is NOT an NSAID * thiazide but we don't presicribe that
31
Main H1 antagonist, main cause of sedation?
diphenhydramine (Benadryl)
32
what drugs you'd use to treat insomnia
DO NOT USE ropinirole (Requip) -bc it is a dopamine agonist You would use: zolpadin, ambien, Lunesta, rosarium
33
why is lamotrigine (Lamictal) bad? two things!
STEVEN JOHNSONS syndrome - toxic epidermal necrolysis *good bc mood stabolizer
34
when you see 'epileptic drug treating TRIGEMINAL neuralgia' think?
carbamazepine (Tegretol)
35
main gingival hypertension caused by?
phenytoin (Dilantin)
36
how do antihistamines work?
block histamine receptors
37
carbamazepine (Tegretol) treats?
epileptic drug treating TRIGEMINAL neuralgia
38
Gave you a drug that was neuroprotective – found in studies over 7-8 years in parkinsons, and it was to MAOB inhibitor – what metabolite did it protect against
DOPAMINE TO DOPAL!!! Know DOPAL
39
typical and atypical anti-psychotics work for
typical= GOOD on positive= 1st generation atypical= works goof on Negative- 2nd generation
40
how do antihistamines work?
block histamine receptors *do NOT work on dopamine
41
Drug of choice or malignant hyperthermia
dantrolene (Dantrium)
42
Which one of these drugs is a dopamine agonist
Pramapaxoll/Mirapex *** a. Amanatainde - odd ball drug – anti-viral b. Levadopa – dopamine precursor c. Benzatropine - benza d. Pramapaxoll/Mirapex – have two questions on that e. Tocapone – COMT
43
a drug to treat chronic pain of neuropathic origin?
amitriptyline (Elavil)
44
What percent of patients have gingival hyperplasia with phenytoin?
50%
45
main mood stabolizers?
valproic acid (Depakote) and litheum
46
psychosis
CNS disorder -loss of reality