Final Review B2

Question 1

Drugs for IBD

Answer 1

Sulfasalazine

Infliximab

Question 2

Desmopression

Answer 2

DDVAP

Synthetic ADH given for neurogenic DI

Question 3

Demeclocyline

Answer 3

Interferes with renal response to ADH

FOR SIADH

Question 4

Nitroglycerin SE

Answer 4

HA

Hypotension

Reflex Tach

Tolerance

Question 5

digitallis

Answer 5

Increase myocardial contractility and decreases SNS to decrease HR

Toxicity:
Bradycardia
Headache
Dizzy
Confusion
Nausea

Have patients take apical pulse for a full 1 min before administering. If less than 60 hold

Question 6

amiodarone

Answer 6

Blocks all cardiac tissues

Used for PSVT and Afib

BBW: Pulmonary toxicity (Extremely long half life)

Question 7

atropine

Answer 7

Poisons vagus nerve

Given for symptomatic bradycardia

Anticholinergic

Question 8

adenosine

Answer 8

PSVT and TACH

Causes short burst of asystole until sinus rhythm returns

Question 9

dofetilled

Answer 9

Block cardiac ion channel

Given for conversion of afib/aflutter to NSR

TORSADES: ALWAYS ECG MONITOR AT HOSPITAL FIRST

Question 10

Sodium Bicarb

Answer 10

Given for metabolic acidosis

Give when HCO3 is less than 15 goal 18-20

Question 11

calcium carbonate

Answer 11

given for hyperphosphatemia

Question 12

calcitriol

Answer 12

Active from Vitamin D

Used to treat renal osteodystrophy

Cause Hypercal and hypophos

Question 13

finasteride

Answer 13

Mechanical obstruction of urethra

Only works with very in large prostates

Increase hair growth and used to treat baldness

Question 14

Tamsulosin

Answer 14

Alpha 1 adrenergic antagonist

Dynamic obstruction of urethra

Works right away

Abnormal ejaculation

Question 15

sildenafil

Answer 15

Inhibits PDE5

Relief of ED and BPH

Priapism: Erection more than 4 hours call 911

Chest pain = call 911

Contraindicated: Preexisting CV disease or if on nitrate

Question 16

Eye drops

Answer 16

timolol

betaxolol

latanoprost

brimonidine

dorzolamide

Question 17

Penicillins

Answer 17

Inhibits synthesis of cell wall by inhibiting transpeptidases

Cause urticaria

Pruritus and angioedema

Question 18

Cephalosporins

Answer 18

Cross sensitivity with PCN allergy

cefazolin = surgery proph

Question 19

impipenem / cilastin

Answer 19

Complicated infection and can penetrate BBB

Watch for seizures

Question 20

Vancomycin

Answer 20

Given for MDRSA - C/diff

Ototoxicity with high levels

Red Mans:

-Rapid infusion may cause flushing, rash, pruritus, urticaria, tachycardia, hypotension

-Infuse slowly over long period of time

Draw peak and trough levels to keep antibiotic in therapeutic level

Question 21

Aminoglycosides

Answer 21

mycin drugs

Nephrotoxicity and Ototoxicity

Question 22

Should beta lactamase drugs be given first or second

Answer 22

They should always be given first

Question 23

Gentamicin can cause

Answer 23

myasthenia gravis

Question 24

Z pack

Answer 24

azithromycin (Macrolide)

Question 25

Tetracyclines

Answer 25

Discoloration of the permanent teeth and tooth enamel hypoplasia in fetuses and children

Photosensitivity

Question 26

Antibiotic given for C-diff

Answer 26

metronidazole

Question 27

Non sedating antihistamines

Answer 27

Loratadine

Fexofenadine

Cetirizine

Question 27

Albuterol / proventil

Answer 27

Short-acting Beta Adrenergic Agonists

Prevention or relief of bronchospasm related to asthma, bronchitis, or pulmonary condition. Used for prevention of EIA

RESCUE DURG

Watch:
HTN or Hypotension
Bronchospasm
Insomnia
Restlessness
Cardiac stimulation
Tremor

USING MORE than one canister per month indicates inadequate control of asthma

Question 28

Long Acting Beta 2 agonist agent

Answer 28

Salmeterol