Med A Day

Question 1

Chlorpromazine

Answer 1

Pharm/ Therapeutic class: first gen antipsychotic; antipsychotic
Other meds in class: haloperidol,
Indications: schizophrenia w positive symptoms and bipolar I
Mechanism of action: dopamine antagonist.
Admin Instructions:
Side effects: hallucinations, EPS, tardive dyskinesia,
Contraindications: other antipsychotics? antidepressants?

Question 2

Imipramine

Answer 2

Pharm/ Therapeutic class: Tricyclic antidepressant
Other meds in class: amitriptyline
Indications: depression, neuropathic pain, migraines, dysthymic disorder.
Mechanism of action: Block reuptake of serotonin and norepinephrine.
Admin Instructions: HS
Side effects: Weight gain, anticholinergic effects (dry eyes, mouth, and constipations)
Contraindications:

Question 3

Phenobarbital

Answer 3

Pharm/ Therapeutic class: Barbiturates
Other meds in class:
Indications: anxiety, seizures, insomnia, alcohol withdrawal,
Mechanism of action: enhance GABA
Admin Instructions:
Side effects: Lightheaded, drowsy. Withdrawal - delirium, paranoia, panic, hypertension, seizures.
Contraindications: probably seizures

Question 4

Lidocaine

Answer 4

Pharm/ Therapeutic class: antiarhythmic and local anesthetic
Other meds in class: N/A
Indications: local anesthesia. Post MI
Mechanism of action: nerve block. For <3 blocks excessive electrical conductivity.
Admin Instructions: topically. Don’t rub in.
Side effects: hypotension, N/V, const. tremor
Contraindications: heart block. Liver problems, seizures***.

Question 5

Loperamide

Answer 5

Pharm/ Therapeutic class: antidiarrheal
Other meds in class: N/A
Indications: diarrhea from IBS; acute/chronic diarrhea.
Mechanism of action: binds to opiate receptor in the gut was. Releases prostaglandins and Acetylcholine.
Admin Instructions: N/A
Side effects: diarrhea, lightheadedness, blating
Contraindications: bloody stool, liver problems, pediatric pts <2.

Question 6

Vasopressor

Answer 6

Pharm/ Therapeutic class: Hormone
Other meds in class: N/A
Indications: Diabetes Insidious, hypovolemic shock.
Mechanism of action: artificial ADH
Admin Instructions: IM, nasal for DI
Side effects: Naus, stomach px, skin blanching.
Contraindications: CAD, kidney problems, asthma, seizures/epilepsy.

Question 7

Nifedipine

Answer 7

Pharm/ Therapeutic class: calcium channel blocker
Other meds in class: amlodipine, verapamil
Indications: high blood pressure, angina. Pre-term labor.
Mechanism of action: relaxes blood vessel.
Admin Instructions: Extended release. DO NOT CRUSH.
Side effects: headache, dizziness, muscle cramps, decreased libido.
Adverse: Facial swelling, rash, jaundice, more angina.
Contraindications: unstable angina, HF. liver problems, hypotension***

Question 8

Baclofen

Answer 8

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Question 9

Lorazepam

Answer 9

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Answer 10

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Answer 11

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Answer 12

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Answer 13

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Answer 14

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Answer 15

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