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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
Clindamycin
Topical 💊 for acne Use in T-zone
26
Azelaic acid
Topical 💊 for acne rosacea 🌹 Adverse effects: Hypopigmentation 🤎🧡🤎🤍🤎 in darker skin
27
Tretinoin
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
28
Isotretinoin
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
29
What is iPLEDGE?
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)
30
Pimecrolimus
Topical 💊 for eczema Immunosuppressant (👀for🦠) Not a steroid (no atrophy)
31
Coal Tar
Topical 💊 for psoriasis (🩶plaque) Cream, shampoo, & 🧼 Antiseptic, antibacterial, antiseptic Adverse effects: Photosensitivity 🧢👒☀️ Can stain skin 🫳
32
Salicylic acid
Topical 💊 for psoriasis (🩶plaque) And acne 🌋 Breaks up cebum 🥮 Anti-inflammatory (aspirin) toxicity 🚨Watch for tinnitus 🔔
33
Organic sunscreen
Chemical UVB Doesn't fully protect
34
Inorganic sunscreen
Physical screen UVA and UVB full protection
35
Sunscreen checklist ✔️
30 min before going outside Every ⏰2 hours 6months 👶🏻 and older SPF Protects agains UVB SPF15 ⬇️ CA risk SPF30 better protection! Best ✔️ SPF40 💰
36
Lindane
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
Permethrin
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
Malathion lotion 🧴
Lotion🧴💊 for lice 🪳 Let dry naturally Leave in for 8-12 hours Harsh, use when permethrin fails ⚠️
39
Crotamiton 🐦‍⬛
Cream 💊 for scabies 🫳🏼 Better choice for 👧🏼👧🏻👶🏻 1st application day 1 2nd application 24hrs later ⏰ 🛀🏾24 hours after 2nd application Less neurotoxic
40
Herpes zoster vaccination
Live vaccine 💉 50yrs + 👵🏽 Freezer storage 🚫w/ gelatin or neomycin allergy‼️
41
Pneumococcal Vaccination
Protects against: Streptococcal pneumoniae Bacterial meningitis Prevnar 13 (👧🏻👦🏻👶🏻) Pneumovax 23 (👵🏽👴🏼)
42
Influenza Vaccine
Mild🍳allergy- 👌🏾 Severe🍳allergy- 🙅🏼‍♂️don’t give Fluzone & Fluvarin (🕺🏻💃🏻) 1-3 days incubation Fever common Flumist (👶🏻👧🏼👦🏻) -runny 👃🏽 for 2 wks -🚫👵🏽👴🏼
43
Imovax
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
Rho (D) Immunoglobulin
Give to Rh- mom w/ Rh+ dad 28 weeks 🤰🏽 72 hours post partum 👶🏼 IM and IV 💊
45
Malaria can be transmitted by
Female mosquito, 🩸transfusion Mom to baby Contaminated needle
46
Protect form malaria by
Insect repellant Long sleeve shirts Pants 👖 Insecticide treated bed net
47
Symptoms of malaria
Flu like symptoms 🤒 Joint pain Dark urine- hemolysis Sx w/in 1 wk Any travel? 🌍🗺️
48
Erythrocytic phase of malaria
Inside 🩸 Easier to treat
49
Exoerythrocytic phase of malaria
In tissue 🫀organs &💪 Needs a cure
50
Travel prophylaxis for Malaria 🌍
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
Chloroquine
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
Hydroxychloroquine
Malaria PO 💊 Take w/ 💦& 🍔🌮 ✔️👀acuity ✔️LFT 🩸 ‼️⬇️seizures threshold For RA & Lupus also
53
Mefloquine
Malaria PO 💊 Take w/ 💦& 🌮🍔 ‼️⬇️seizures threshold ✔️👀 acuity ✔️LFT🩸 For chloroquine resistant ▪️‼️ Depression, paranoia
54
Pyrimethamine
Malaria PO 💊 Drink with 💦 Take w/ 🍔🍝🌮 ‼️⬇️seizures threshold ✔️LFT 🩸 👀 acuity 🚫for profalaxesis travel
55
Primaquine
Malaria 💊 for erythrocytic 🩸and exoerythrocytic phases Take with 💦 Only 💊for exoerythrocytic-organ and muscle or 💀 CURATIVE therapy ‼️⬇️seizures threshold Adverse : Dark colored urine
56
Mebendazole
To treat pinworms -1 tab today, 1 tab 2 weeks later Roundworms and tapeworms 1 tab daily for 3 days
57
Pyrantel
To treat pinworms
58
Albendazole
To treat tapeworms
59
Praziquantel
To treat Fluke worms (Come out of 🦶🏼)
60
Metronidazole
Treats ameba, trichomoniasis, giardiasis 🚫🍻🍷24hr before or 48hrs after Adverse: N/V/D blurred vision, HA
61
Pentamidine
Treats PJP 🫁 IV, IM, or inhalation 💨 Adverse effect: Metallic taste 👅 Bronchosoasm 🫁 Leukopenia 🦠 Severe hypotension 🛌
62
If a patient has white powder anthrax, they should receive? (Receive by touch)
Treat with doxycycline 💊
63
If a patient has fatal bactremia anthrax you should treat with (Inhalation)
Treat with ciprofloxacin
64
What medications do you use to treat Tularemia?
🐰🐇 Streptomycin & gentamycin Sx: Hemorrhagic inflammation of airway 🫁failure & 💀
65
Bubonic plague should be treated with?
Doxycycline Start w/in 24 hours of symptoms Not transmitted person to person (Infected by flea)
66
Pneumonic plaque should be treated with?
Streptomycin and gentamycin Start w/in 24 hours of symptoms (Aerosol transmitted person to person) 🫁 failure leading to 💀
67
What do you treat smallpox with?
No treatment, just supportive care 🤒, rash, mouth sores, toxemia Vaccine only for military Live vaccine- 🩹
68
What do you treat Botulinum toxin with?
Botulinum antitoxin 💊 Supportive care: 🫁 respiratory care (paralysis) GI- constipation (enema)
69
What do you use to treat Ricin?
Ricin 🫘 has no antidote Supportive care Respiratory care (scarred 🫁) GI care (🩸& failure)
70
How do you treat mustard gas?
🛀🏾x3 with 🧼&💦 Intubate for 🫁 damage Only 💀 due to 🦠 from blisters
71
Penetrate Zinc & Calcium Trisodium
IV or inhilation Treat in first 24 hours Take daily for months
72
How do you treat Prussian Blue?
Symptoms of constipation Fiber based laxative Enema Use fast to ⬇️radiation in body
73
How do you treat exposure to a Dirty Bomb 💣?
🚫Potassium iodide is not beneficial ✔️Remove clothes and 🛀🏾
74
Symptoms of Nuclear Bomb? Treatment?
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
Potassium Iodide
✔️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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