Medications

Question 1

Warfarin

Answer 1

blood clots
Ø heart attacks and strokes
!!! bleeding

Question 2

Herbal - Enchinacea

Answer 2

heal all
Ø colds, boils, skin issues
!!! allergic S/S

Question 3

Herbal - Kinkgo Biloba

Answer 3

memory problems and dementia

!!! bleeding, dizziness, GI upset

Question 4

Herbal - Garlic

Answer 4

high cholesterol and BP

!!! bleeding w/antiplatelet/diabetic drugs

Question 5

Herbal - Glucosamine Sulfate

Answer 5

inflammation

!!! w/ Warfarin = ↑ INR and GI Upset

Question 6

Herbal - Ginseng

Answer 6

promotes well-being/is anti-aging

!!! w/ Warfarin = ↑ INR

Question 7

Herbal - Saw palmetto

Answer 7

prostatic hyperplasia

!!! bleeding

Question 8

Acetaminophen (Tylenol)

Answer 8

nonopiod

Question 9

NSAIDs -Øselective- (4)

Answer 9

nonopiods
Aspirin
Ibuprofen (Motrin)
Naproxen (Naprosyn)
Ketoprofen (Toradol, Orudis)

Question 10

NSAIDs -selective- (1)

Answer 10

nonopid

Celecoxib (Celebrex)

Question 11

Pure Agonists (6)

Answer 11

opiod
Morphine (MS Contin, Kadian, Roxanol, Duramorph)
Fentanyl (Duragesic, Actiq, Fentora)
Hydrocodone (Vicodin)
Oxycodone (OxyContin, Percodan)
Hydromorphone (Dilaudid, Hydromorph)
Methadone
Codeine

Question 12

Adjuvants (fx and 7 types)

Answer 12

BOOST nonopiods
Serotonin-norepinephrine
Antiepileptic
Muscle relaxants
Alpha-2 adrenergics
Local anesthetics/analgesics
NMDA antagonists
Cannabinoids

Question 13

Insulin Secretagogues fx

Answer 13

Block K+ from pancreas, elongating calcium-release stage. Allows ↑ insulin excretion

Question 14

Sulfonylurea Agents (fx + 2 adfx)

Answer 14

Triggers insulin release from beta cells

Hypoglycemia and weight gain

Question 15

Meglinitide Analogs (fx based off + 2 examples)

Answer 15

Insulin Secretagogues w/ Adfx
Repaglinide (Prandin)
Nateglinide (Starlix)

Question 16

Repaglinide (Prandin)

• type of med?-
• give when for what?-
• Adfx 3-

Answer 16

Meglinitide Analog
before meals for post-meal hyperglycemia
Hypoglycemia, Upper Respiratory infections, joint/back pain

Question 17

Nateglinide (Starlix)

• type of med?-
• give when for what?-
• Adfx 1-

Answer 17

Meglinitide Analog
Before meals for mealtime hyperglycemia
Primarily hypoglycemia

Question 18

Methimazole (Ptapazole) and Propylthiouracil (PTU)

Answer 18

inhibit production of thyroid hormones
used for Grave’s dz and ↓hormone levels before surgery
Adfx hypothroidism S/S, leuko/thrombocytopenia, hepatotoxicity

Taken with meals for 1-2 years
Report: fever, sore throat, bruising, jaundice

CAREFUL! Sodium Iodide before PTU can exacerbate S/S

Question 19

Propanolol (Inderal)

Answer 19

beta-adrenergic blocker
treats SNS
Adfx ↑ BP, HR, ECG, hypoglycemia,

Mix with juice to mask taste or drink w/ straw. Take w/ food.
Short-term use only
Report: fever, sore throat, mouth ulcers

Question 20

Calcium Gluconate/Calcium chloride

Answer 20

Emergency treatment of hypocalcemia

Adfx: Hypercalcemia

Question 21

Prednisone (Deltasone)

Answer 21

Reduce post-op edema

Adfx, Hypotension.

Question 22

Furosemide (Lasix)

Answer 22

Reduces swelling due to fluid retention.

Adfx. Hypotension

Question 23

Levothyroxine (Synthoid)

Answer 23

Thyroid hormone replacement therapy
Adfx: ↑ fx of Warfarin (Coumadin), ↑ need for insulin and Digoxin (Lanoxin)
Potential cardiovascular compromise
Take on empty stomach

Question 24

Desmopressin

Answer 24

for nocturia

for Diabetes Insipidus

Question 25

Corticosteroids

Answer 25

from adrenal cortex

stress, immune, inflammation