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Felder 3rd semester > Final > Flashcards

Final Flashcards

0
Q

When can we see improvement of thyroid therapy?

A

Within 10-14 days

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1
Q

What is the goal of levothyroxine (synthroid)?

A

Return to euthyroid state.

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2
Q

How should levothyroxine be taken?

A

In the morning before breakfast same time each day

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3
Q

Dosage of Levothyroxine

A

50 mcg

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4
Q

What should we avoid when taking levothyroxine and what signs should we look for

A

Avoid iodine

Look for signs of hyperthyroidism

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5
Q

What class is digoxin

A

Cardio tonic

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6
Q

What should we check for when taking digoxin

A

Bradycardia

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7
Q

What is digoxin used for

A

Chf

Arrhythmias

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8
Q

Which route of digoxin has a risk for toxicity

A

IV

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9
Q

Dosage for digoxin

A

0.125-0.25 mcg

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10
Q

What are signs of digoxin toxicity

A 
Visual disturbances (halos)
Bradyarrhythmias
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11
Q

What can increase digoxin toxicity

A

Increased calcium

Hypothyroidism

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12
Q

Therapeutic dose of digoxin

A

0.8-2 nano grams

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13
Q

What drug treats digoxin toxicity

A

Dilantin

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14
Q

What drug treats the Bradyarrhythmia in digoxin toxicity

A

Atropine

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15
Q

What is the antidote for severe digoxin toxicity

A

Digibind

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16
Q

What do betablockers cause?

A 
Rest & digest - decrease blood sugar
Broncho constriction
Wheezing 
Bradyarrthymia
Depression
Impotence
Possible CHF
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17
Q

Propananol commonly causes

A

NVD

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18
Q

Antidote for Coumadin

A

Vitamin K

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19
Q

Antidote for heparin

A

Protamine

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20
Q

Heparin drip is based on

A

PTT

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21
Q

Signs and symptoms of bronchodilators

A

Tremors, tachycardia, increased blood sugar, anxiety

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22
Q

What should we avoid when taking levodopa

A

Vitamin B6

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23
Q

What is the antidote for a Parkinson’s patient who is experiencing freezing

A

Apomorphine

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24
Q

What disorders are Cns stimulants used for

A

ADD & ADHD

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25
Q

What can Cns stimulants cause

A

Dependency and insomnia

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26
Q

Celebrex is a drug that has______ gi toxicity but _____ cardiotoxicity

A

Decrease

Increase

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27
Q

Robaxin, a central acting skeletal relaxant is used as an _____ in the treatment of ______

A

Antispasm

Sprain & strains

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28
Q

Robaxin does what to urine

A

Discolors it greenish black

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29
Q

Baclofen - an anti spastic is used in the treatment of

A

Spinal cord injury

30
Q

MAOI can be used for depression in the form of a

A

Patch

31
Q

MAOI’s given orally is used in the treatment of

A

Parkinson’s

32
Q

Action of MAOI’s

A

Increase dopamine

33
Q

Risk when using MAOI’s

A

Hypertensive crisis

34
Q

Uses for Benadryl

A 
Allergies
Motion sickness
N&V
Parkinson's / EPS
Pre op agent part of general anesthesia
Sedative
35
Q

Scopolamine patch is used for ____ and is administered

A

Motion sickness

Behind the ear - removed / changed every 72 hours

36
Q

Benadryl can cause this in the elderly

A

Paradoxical excitement

37
Q

Nasal decongestants can cause

A

Tachycardia
Increased blood pressure
(Same signs as with epinephrine)

38
Q

What can happen if nasal decongestants are used incorrectly

A

Rebound congestion

39
Q

Drug for nasal decongestant

A

Neosinephrine

40
Q

What are antacids used for

A

Hyper secretion of HCL in diseases like GERD

41
Q

What are antacids composed of

A

Magnesium
Aluminum
Calcium

42
Q

What can magnesium cause

A

Diarrhea

43
Q

What can aluminum cause

A

Constipation

44
Q

Antacid drug

A

Famotidine - Pepcid

45
Q

Side effects of antacids

A

Dizziness and unsteadiness (monitor blood pressure)
Depression of bone marrow
Males can develop gynocomastia, decrease sperm count

46
Q

What should you NOT do when taking an antacid

A

Smoke

47
Q

Antidiarrheal drug

A

Lomotil.

Other - opiates & atropine

48
Q

When is an Antidiarrheal best given

A

After episode of loose stool

49
Q

Antiemetics are best given

A

Prophylactically

50
Q

Example of a salicylate

A

Aspirin

51
Q

Example of a non salicylate

A

Tylenol

Ibuprofen

52
Q

Is Tylenol an NSAID?

A

No because it does not cure inflammation

53
Q

Normal dose of aspirin

A

10-20 mg

54
Q

Prophylactic dose of aspirin

A

81 mg

55
Q

What drug protects stomach lining from

NSAIDs

A

Cytotec

56
Q

Tylenol causes what kind of toxicity

A

Hepatotoxic

57
Q

What is the antidote for Tylenol toxicity

A

Acetylcysteine (Mucomyst)

58
Q

What adverse effect should we be cautious of when using salicylates

A

Salicism

59
Q

Example of loop diuretic that can cause gi toxicity and therefore can be taken with food

A

LASIX

60
Q

What is pyridium used for and what does it do to urine

A

UTI discomfort

Discolors urine red/orange

61
Q

Tofanil is used in the treatment of

A

Enuresis (bed wetting)

62
Q

An antispasmodic can also be called a

A

Anticholinergic

63
Q

Adverse effects when using sulfonamides

A

SJS, TENS, crystalluria, bone marrow suppression.

64
Q

Dose adjustment is needed when taking sulfonamides in patients with

A

Diabetes mellitus because it lowers blood sugar

65
Q

Azithromycin - a Macrolide needs to be further diluted in

A

100-200 ml

66
Q

Cipro should be infused over

A

1 hr through IV

67
Q

Cipro isn’t given to patients under 18 due to the risk of

A

Tendon rupture

68
Q

INH is used in the treatment of

A

TB

69
Q

Amphotericin B commonly causes what symptoms also known as “shake and bake”

A

Fever and chills

70
Q

Nystatin is used for the treatment of _____ and should be administered how

A

Oral candida

Swish and swallow

71
Q

Bio therapy for cancer patients (neoplastic drugs)

A

Epogen - RBC

Neupogen - WBC

72
Q

Drug name for epinephrine

A

Isuprel, adrenalin

73
Q

Short acting rescue therapy bronchodilator

A

Albuterol

Felder 3rd semester (10 decks)

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