General Medication SE and mchanism Flashcards

1
Q

Triptane contraindications

A
coronary artery disease
non controlled hypertension
SSRI
MAO
TCA
Raynaud
Pregancy
Liver or Kidney disease
below 18 and above 65
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2
Q

Glucuronidation

A
Morphine
Oxazepam
Acetaminiphen
CBZ
Lamotrigine (VPA and Sertraline inhibit glucorination)
Zidovudine
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3
Q

Antiepileptic Protein binding

A

CBZ 85%
PYT 90%
VPA 90%

Phenobarbital 60%
Lamotrigine 55%

Primidone 35%
Topamax 15%
Keppra 10%
Ethosuximide 0%

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4
Q

Hypercalcemia

A
anorexia
nausea
vomiting
headache
coma
confusion
Anxiety
MYOCLONUS
HIGH CSF PROTEIN
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5
Q

Hypocalcemia

A
Increased ICP
Come
Depression
Dementia
Paraestheisa
tetany 
SEIZURE
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6
Q

Hypomagnesemia

A
Tetany
Convulsions
Tremor
Apathy
Coma
Commonly with Hypo kalemia and hypo calcemia
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7
Q

Hypermagnesemia

A

Curare like effect: no reflexes
Areflexia
Paralysis
Dilated Pupils

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8
Q

Blocked ACTH release

A

Botulism
Lambert Eaton
Tick Paralysis Neurotoxin
Sea Snales Beta Neurotoxin

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9
Q

Dagibatran Pradaxa

A
no reversal
direct thrombin inhibitor
GI Bleed more than coumadin
RELY: GI and DYSPEPSIA
CI: renal impairment, prosthetic heart valves, CBZ, PHT, Ketoconazole, cyclosporine
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10
Q

Xarelto Rivaroxaban

A
8-12h
direct factor X inh
no reversal
nonvalvular AF and DVT and PE
RECORD AND ROCKET
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11
Q

Apixaban

A

direct factor X

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