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Pharm 2 > Exam 5 > Flashcards

Exam 5 Flashcards

1
Q

Carbamide peroxide

A

Otic 💊
Debrox
Foaming action

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2
Q

Ciprodex

A

Otic 💊
Treats otitis externa

Contains dexamethasone and ciprofloxacin
(Steroid & abx)

Steroid helps with pain

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3
Q

Corticosporin Otic

A

Otic 💊
Treats otitis externa

Contains hydrocortisone, neomycin, and polymyxin
(Steroid & abx)

Steroid helps with pain

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4
Q

Otic 👂🏼medication Nursing Implications

A

Not for use in eyes‼️

Gtts for otitis externa or inner ears (only if has ear tubes)

Don’t put in gtts if has a ruptured ear drum 🥁

👶🏻- 👂🏼down and back
👧3yrs +- 👂🏼up and back

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5
Q

What is glaucoma

A

Increase of intraocular pressure
Causing:

Eye pain
Retina destruction
Tunnel vision 👀

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6
Q

Pilocarpine 🚗

A

Glaucoma 💊
Cholinergic medication = pupil constriction to ⬇️pressure

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7
Q

Betaxolol

A

Glaucoma 💊
Beta blocker
⬇️ HR- put pressure 👇🏽on inner canthus to ⬇️ symptoms

Most potent
⬇️ aqueous humor

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8
Q

Timolol

A

Glaucoma 💊
Beta blocker
⬇️ HR- put pressure 👇🏽on inner canthus to ⬇️ symptoms

⬇️ aqueous humor
⬆️outflow of aqueous humor

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9
Q

Tetracaine

A

💊for eye exam 👩🏻‍⚕️
Numbing medicine

Often Use w/ 💊to dilate pupils

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10
Q

Cyclopentolate

A

💊for eye exam 👩🏻‍⚕️
Dilates pupils
Stops accommodation
Wear 🕶️ after

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11
Q

Atropine

A

💊for eye exam 👩🏻‍⚕️
Dilates pupils
Stops accommodation

Use 🕶️after

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12
Q

What is a cataract?

A

Build up of protein in lense
Causing symptoms of:
Foggy vision
Needing ⬆️ light, can’t see in dark
Halos in vision

During surgery use same 💊 as eye exam

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13
Q

Dexamethasone gtts

A

Post cataract surgery 💊

For pain & inflammation
Use for 3-6wks

‼️lowers immune system
👀 watch for 🦠

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14
Q

Artificial tears

A

Post cataract surgery 💊
Lubricating gtt
Use for months post surgery
Use only when needed

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15
Q

Post cataract surgery 💊

A

Dexamethasone gtts (steroid)

Artificial tears, cyclosporine, or red eyes (🧴)

Antibiotic (prevent 🦠)

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16
Q

Post cataract surgery 💊

A

Dexamethasone gtts (steroid)

Artificial tears, cyclosporine, or red eyes (🧴)

Antibiotic (prevent 🦠)

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17
Q

Antibacterial ophthalmic gtts

A

Gentamycin
Erythromycin
Bacitracin
Ciprofloxacin
Sulfacetamide‼️- sulfa allergy

Can use 👁️ gtts in 👂🏼 for ear infx with 👩🏻‍⚕️permission

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18
Q

Eye drops procedure ✔️list

A

Wash 🧼 🙏🏽
🧤
🚫touch 👁️ w/ bottle
💧conjunctival sac

⏰5 min between gtts

👇🏽on tear duct if beta blocker 💊

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19
Q

Eye ointment procedure ✔️ list

A

Wash 🧼 🙏🏽
🧤
🚫touch 👁️ w/ tube
💧conjunctival sac
🎗️ribbon .5 inch
Apply at night 🌛before 🛌

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20
Q

Bacitracin

A

Topical 💊 for impetigo
Warm compress to remove scab 1st

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21
Q

Neomycin & polymyxin

A

Topical 💊 for impetigo
Warm compress to remove scab 1st

Over the counter
May develop rash over ⏳

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22
Q

Mupirocin

A

Topical 💊 for MRSA
Safe for nasal mucosa

MRSA- common in 🐽👃🏽& boils

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23
Q

Silver sulfadiazine

A

Topical 💊 for 🔥
Antibacterial
Sterile- 🧤
Thin layer
Cooling effect- if burns notify 👩🏻‍⚕️

Adverse effect: leukopenia (⬇️healing, watch for 🦠)

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24
Q

Benzoyl peroxide

A

Topical 💊 for acne
Drying action
Use BID
Once daily if face is too dry

⏳4-6 wks for improvement

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25
Q

Clindamycin

A

Topical 💊 for acne
Use in T-zone

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26
Q

Azelaic acid

A

Topical 💊 for acne rosacea 🌹
Adverse effects:
Hypopigmentation
🤎🧡🤎🤍🤎 in darker skin

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27
Q

Tretinoin

A

Topical 💊 for acne
Vitamin A- 🚫🤰🏻
Peels to prevent clogged pores 🕳️
Repairs UV radiation ☢️

⏳2-3 wks for improvement

Wash face💆🏻 -⏳30 min to dry-
💊🧴face

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28
Q

Isotretinoin

A

Topical 💊 for acne
Vitamin A- 🚫🤰🏻
iPledge ✍🏽
For cystic acne
🚫sebaceous gland activity
Use for 4-5 months 📆

Adverse effects:
⬆️triglycerides (nl = <150mg/dL)
Skin dryness & 🔥
👶🏻🧟‍♀️defects

‼️suicidal tendencies

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29
Q

What is iPLEDGE?

A

Program for isotretinoin ✍🏽
🚫starting if🤰🏻
🚫get🤰🏻for 1 month after finishing 💊
Monthly apt for suicide risk ‼️
🤰🏻test before starting & refills
✌🏽forms of BC

1st form of BC:
Must have estrogen
🚫progesterone only
Copper IUD ok
🪢tubes or vasectomy ✂️

2nd BC:
Barrier (condom)

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30
Q

Pimecrolimus

A

Topical 💊 for eczema
Immunosuppressant (👀for🦠)
Not a steroid (no atrophy)

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31
Q

Coal Tar

A

Topical 💊 for psoriasis (🩶plaque)
Cream, shampoo, & 🧼
Antiseptic, antibacterial, antiseptic

Adverse effects:
Photosensitivity 🧢👒☀️
Can stain skin 🫳

32
Q

Salicylic acid

A

Topical 💊 for psoriasis (🩶plaque)
And acne 🌋

Breaks up cebum 🥮
Anti-inflammatory

(aspirin) toxicity
🚨Watch for tinnitus 🔔

33
Q

Organic sunscreen

A

Chemical
UVB

Doesn’t fully protect

34
Q

Inorganic sunscreen

A

Physical screen
UVA and UVB

full protection

35
Q

Sunscreen checklist ✔️

A

30 min before going outside
Every ⏰2 hours
6months 👶🏻 and older

SPF
Protects agains UVB
SPF15 ⬇️ CA risk
SPF30 better protection! Best ✔️
SPF40 💰

36
Q

Lindane

A

Topical 💊 for scabies
Neurotoxic- use for adults
👧🏻- can cause confusion and seizures
🚫face & scalp
🧼off in 8-12 hours

Shampoo 🧴💊 for lice 🪳
🧼10-15 min
Repeat 🔁 9 days
🚫conditioner

37
Q

Permethrin

A

Shampoo 🧴💊 for lice 🪳
- can be used for scabies

Nix brand- 💦wet hair, 🚫conditioner for 2 weeks

RID brand- dry hair, wash off with 💦only, 🚫shampoo for 24hours 🚫conditioner for 2wks

38
Q

Malathion lotion 🧴

A

Lotion🧴💊 for lice 🪳
Let dry naturally
Leave in for 8-12 hours

Harsh, use when permethrin fails ⚠️

39
Q

Crotamiton 🐦‍⬛

A

Cream 💊 for scabies 🫳🏼
Better choice for 👧🏼👧🏻👶🏻
1st application day 1
2nd application 24hrs later ⏰

🛀🏾24 hours after 2nd application
Less neurotoxic

40
Q

Herpes zoster vaccination

A

Live vaccine 💉
50yrs + 👵🏽
Freezer storage

🚫w/ gelatin or neomycin allergy‼️

41
Q

Pneumococcal Vaccination

A

Protects against:
Streptococcal pneumoniae
Bacterial meningitis

Prevnar 13 (👧🏻👦🏻👶🏻)
Pneumovax 23 (👵🏽👴🏼)

42
Q

Influenza Vaccine

A

Mild🍳allergy- 👌🏾
Severe🍳allergy- 🙅🏼‍♂️don’t give

Fluzone & Fluvarin (🕺🏻💃🏻)
1-3 days incubation
Fever common

Flumist (👶🏻👧🏼👦🏻)
-runny 👃🏽 for 2 wks
-🚫👵🏽👴🏼

43
Q

Imovax

A

Rabies: 🦠of nervous system
🧠distriction 💀
Passes via saliva 💦

Rabies vaccine
Treat w/in 24hours 🚨
X3(1st wk), 2wks, 4wks =5 shots
Booster q 2-3 years

44
Q

Rho (D) Immunoglobulin

A

Give to Rh- mom w/ Rh+ dad
28 weeks 🤰🏽
72 hours post partum 👶🏼
IM and IV 💊

45
Q

Malaria can be transmitted by

A

Female mosquito,
🩸transfusion
Mom to baby
Contaminated needle

46
Q

Protect form malaria by

A

Insect repellant
Long sleeve shirts
Pants 👖
Insecticide treated bed net

47
Q

Symptoms of malaria

A

Flu like symptoms 🤒
Joint pain
Dark urine- hemolysis

Sx w/in 1 wk
Any travel? 🌍🗺️

48
Q

Erythrocytic phase of malaria

A

Inside 🩸
Easier to treat

49
Q

Exoerythrocytic phase of malaria

A

In tissue 🫀organs &💪
Needs a cure

50
Q

Travel prophylaxis for Malaria 🌍

A

Chloroquine

1 tablet 1-2 weeks before travel
1 tablet per wk for 4wks post travel
PO w/ water 💦
Take with 🌮🍝🍔
✔️👀acuity
✔️LFT🩸

‼️⬇️seizures threshold
Ocular toxicity

Interaction‼️- valproic acid 🚫

51
Q

Chloroquine

A

Malaria Prevention for travel🌍
Malaria in Erythrocytic phase 🩸
Only IV 💊
PO w/ water 💦
Take with 🌮🍝🍔
✔️LFT🩸
✔️👀acuity- ocular toxicity
‼️⬇️seizures threshold

Interaction‼️- valproic acid 🚫

52
Q

Hydroxychloroquine

A

Malaria PO 💊
Take w/ 💦& 🍔🌮
✔️👀acuity
✔️LFT 🩸
‼️⬇️seizures threshold

For RA & Lupus also

53
Q

Mefloquine

A

Malaria PO 💊
Take w/ 💦& 🌮🍔
‼️⬇️seizures threshold
✔️👀 acuity
✔️LFT🩸

For chloroquine resistant

▪️‼️ Depression, paranoia

54
Q

Pyrimethamine

A

Malaria PO 💊
Drink with 💦
Take w/ 🍔🍝🌮
‼️⬇️seizures threshold
✔️LFT 🩸
👀 acuity

🚫for profalaxesis travel

55
Q

Primaquine

A

Malaria 💊 for erythrocytic 🩸and exoerythrocytic phases
Take with 💦

Only 💊for exoerythrocytic-organ and muscle or 💀

CURATIVE therapy

‼️⬇️seizures threshold

Adverse : Dark colored urine

56
Q

Mebendazole

A

To treat pinworms
-1 tab today, 1 tab 2 weeks later

Roundworms and tapeworms
1 tab daily for 3 days

57
Q

Pyrantel

A

To treat pinworms

58
Q

Albendazole

A

To treat tapeworms

59
Q

Praziquantel

A

To treat Fluke worms

(Come out of 🦶🏼)

60
Q

Metronidazole

A

Treats ameba, trichomoniasis, giardiasis

🚫🍻🍷24hr before or 48hrs after

Adverse:
N/V/D blurred vision, HA

61
Q

Pentamidine

A

Treats PJP 🫁
IV, IM, or inhalation 💨

Adverse effect:
Metallic taste 👅
Bronchosoasm 🫁
Leukopenia 🦠
Severe hypotension 🛌

62
Q

If a patient has white powder anthrax, they should receive?

(Receive by touch)

A

Treat with doxycycline 💊

63
Q

If a patient has fatal bactremia anthrax you should treat with

(Inhalation)

A

Treat with ciprofloxacin

64
Q

What medications do you use to treat Tularemia?

A

🐰🐇
Streptomycin & gentamycin

Sx:
Hemorrhagic inflammation of airway
🫁failure & 💀

65
Q

Bubonic plague should be treated with?

A

Doxycycline
Start w/in 24 hours of symptoms

Not transmitted person to person

(Infected by flea)

66
Q

Pneumonic plaque should be treated with?

A

Streptomycin and gentamycin
Start w/in 24 hours of symptoms

(Aerosol transmitted person to person)

🫁 failure leading to 💀

67
Q

What do you treat smallpox with?

A

No treatment, just supportive care

🤒, rash, mouth sores, toxemia

Vaccine only for military
Live vaccine- 🩹

68
Q

What do you treat Botulinum toxin with?

A

Botulinum antitoxin 💊
Supportive care:
🫁 respiratory care (paralysis)
GI- constipation (enema)

69
Q

What do you use to treat Ricin?

A

Ricin 🫘 has no antidote

Supportive care
Respiratory care (scarred 🫁)
GI care (🩸& failure)

70
Q

How do you treat mustard gas?

A

🛀🏾x3 with 🧼&💦
Intubate for 🫁 damage

Only 💀 due to 🦠 from blisters

71
Q

Penetrate Zinc & Calcium Trisodium

A

IV or inhilation
Treat in first 24 hours
Take daily for months

72
Q

How do you treat Prussian Blue?

A

Symptoms of constipation

Fiber based laxative
Enema

Use fast to ⬇️radiation in body

73
Q

How do you treat exposure to a Dirty Bomb 💣?

A

🚫Potassium iodide is not beneficial

✔️Remove clothes and 🛀🏾

74
Q

Symptoms of Nuclear Bomb?
Treatment?

A

Symptoms:
N/V/D, skin burns 🔥
Hair loss
Mouth ulcers
Cancer

Treatment:
Potassium iodide
Take w/in 48 hours
One ☝🏽 dose
Only protects thyroid
No prescription needed

75
Q

Potassium Iodide

A

✔️Treats Nuclear Bomb💣 symptoms
🚫treat Dirty 💣 symptoms

Take w/in 48 hours
One ☝🏽 dose
Only protects thyroid
No prescription needed

Pharm 2 (6 decks)

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