Meds Flashcards
1
Q
What Narcotic Antagonist MANAGES known or suspected narcotic overdose?
A
Nalmefene (Revex)
1
Q
Secobarbital is what type of drug &what is it used for?
A
Type: Barbiturate
for: Preanesthetic sedation, convulsive seizures of tetanus
1
Q
Diazepam indications:
A
- Management of anxiety disorders - Acute alcohol w/drawal - Muscle relaxation - Tx of tetanus - Antiepileptic adjunct in epilepticus - Preoperative relief of anxiety & tension
2
Q
Alprazolam is what type of drug & what is it used for?
A
Type: Benzodiazepine
Used for: Treatment of anxiety & panic attacks
3
Q
What is the preferred drug for pts switched from parenteral to oral forms after surgery or labor?
A
Pentazocine
3
Q
Antimanic drugs used with Carbamazepine can lead to?
A
Increased CNS toxicity
3
Q
Tranylcypromine (Parnate) is what type of drug & what is it used for?
A
Type: MAOI Used for: Adult outpts w/ reactive depression
4
Q
What Narcotic Antagonists reverses the effect of narcotics?
A
Nalmefene (Revex) & Naloxone (Narcan)
4
Q
Nortiptyline (Pamelor) is what type of drug & what is it used for?
A
a
5
Q
What is the daily max dose of acetaminophen for young healthy adults?
A
4 grams
5
Q
Pentazocine indications?
A
- Relief of moderate to severe pain - Preanesthetic med - Supplement to surgical anesthesia
6
Q
Triazolam (Halcion) is what type of drug & what is it used for?
A
Type: Benzo
Used for: Hypnotic, tx of insomnia
6
Q
Phenobarbital is what type of drug & what is it used for?
A
Type: Barbiturate
Used for: Sedative-hypnotic, control of seizures, preanesthetic
7
Q
Prototype Atypical Antipsychotic:
A
Clozapine
7
Q
Bupropion (Wellbutrin, Zyban) is what type of drug & what is it used for?
A
Type: Antidepressant
Used for: Weakly blocks reuptake of NE, dopamine, & serotonin; Treats depression; At lower doses can be used as a smoking cessation agent
9
Q
Why should people w/ high levels of alcohol intake avoid using acetaminophen?
A
It increases the risk for hepatic toxicity
9
Q
What Narcotic Antagonist DIAGNOSES suspected acute narcotic overdose?
A
Naloxone (Narcan)
10
Q
Prochlorperazine (Compazine) is what type of drug & what is it used for?
A
Type: Antipsychotic Used for: Controlling N&V associated w/ chemo & surgery
11
Q
Barbiturates will inhibit:
A
Phenytoin (tx seizures)
11
Q
Imipramine (Tofranil) is what type of drug & what is it used for?
A
a
12
Q
Chlorpromazine (Thorazine) is what type of drug & what is it used for?
A
Type: Antipsychotic Used for: Decreasing preoperative restlessness, intermittent prophyria, controls N&V, intractable hiccups
14
Q
When should you take ASA & NSAIDs?
A
After the your biggest meal of the day
14
Q
Venlafaxine (Effexor) is what type of drug & what is it used for?
A
Type: Antidepressant Used for: GAD, SAD, decreases addictive behavior
15
Q
Fluoxetine indications?
A
- Tx of depression, OCD, bulimia, PMDD, panic disorders - Unlabeled uses include chronic pain, alcoholism, neuropathies, obesity
16
Which benzodiazepine can be highly addictive?
Alprazolam
18
Treatment for Serotonin Syndrome include (3):
- Benzos such as Diazepam & Lorazepam = decreases agitation, seizure-like movements, & muscle stiffness - Cyproheptadine (Periactin) = an antihistamine that blocks serotonin production
19
Meprobamate (Miltown) is what type of drug & what is it used for?
Type: Anxiolytic & Hypnotic Used for: Managing acute anxiety for up to 4mos
20
Phenelzine indications?
- Tx of pts w/ depression who are unresponsive to other antidepressive therapy or in whom other antidepressive therapy is contraindicated
21
Chlordiazepoxide (Librium) is what type of drug & what is it used for?
Type: Benzo Used for: Treatment of anxiety, alcohol w/drawal, & preoperative anxiolytic
21
Paraldehyde (Paral) is what type of drug & what is it used for?
Type: Anxiolytic & Hypnotic Used for: Sedating pts w/ delirium tremens or psychiatric conditions characterized by extreme excitement
22
What is the daily max dose of acetaminophen for elderly pts?
2.5 grams
22
Amytryptiline (Elavil) is what type of drug & what is it used for?
a
23
Why can you accidentally overdose on acetaminophen?
It's included in a lot of OTC meds
24
Tricyclic Antidepressants have drug-to-drug interactions w/ (5)?
1) MAOIs 2) Cimetidine 3) Fluoxetine 4) Ranitidine 5) Oral anticoagulants
25
Quetiapine (Seroquel) is what type of drug & what is it used for?
Type: Atypical Antipsychotic Used for: Short-term tx of acute manic episodes along with bipolar disorder
26
Larger doses of the Narcotic Antagonist may be needed to reverse fx on (5):
1) Buprenorphine 2) Butorphanol 3) Nalbuphine 4) Pentazocine 5) Propoxyphene
26
Olanzapine (Zyprexa) is what type of drug & what is it used for?
Type: Atypical Antipsychotic Used for: Treating bipolar & agitation
27
Drug-to-drug interactions of MAOIs & Methyldopa:
Sympathomimentic fx increase
28
Promethazine (Phenergan) is what type of drug & what is it used for?
Type: Antihistamine Used for: Preoperative & postoperative med that decreases the need for narcotics & treats insomnia
29
ASA is what type of drug?
Salycilate (pain)
30
Prototype Barbiturate:
Phenobarbital
31
Isocarboxazid (Marplan) is what type of drug & what is it used for?
Type: MAOI Used for: Pts who don't respond to or can't take newer, safer antidepressants
32
Prototype SSRI:
Fluoxetine
33
What is Glutethimide (generic) used for?
Short-term tx of insomnia
34
Effects of benzos are DECREASED when taken with (2)?
Theophylline & Ranitidine
35
Antimanic drugs used w/ Thiazide diuretics can lead to?
Increased risk of lithium toxicity due to NA depletion
37
What is the supply amount given at a time for Clozapine (Clozaril) pts?
1 week
37
Methylphenidate indications?
Narcolepsy & ADD
38
Diazepam (Valium) is what type of drug & what is it used for?
Type: Benzo Used for: Tx of anxiety, alcohol w/drawal, muscle relaxant, antiepileptic, antitetanus, & preoperative anxiolytic
39
Prototype NSAID:
Ibuprofen
39
Phenobarbital indications?
- Sedation - Short-term tx of insomnia - Long-term tx of tonic-clonic seizures & cortical focal seizures - Emergency control of certain acute convulsive episodes - Preanesthetic
41
Prochlorperazine (Compazine) is available for what routes (3)?
1) Oral 2) Parenteral 3) Rectal
42
Prototype CNS Stimulant:
Methylphenidate
43
What is Zolpidem (Ambien) used for?
Short-term tx of insomnia
44
What is Zaleplon (Sonata) used for?
Short-term tx of insomnia
45
Chloral hydrate (Aquachloral) is what type of drug & what is it used for?
Type: Anxiolytic & Hypnotic Used for: Producing nocturnal sedation or preoperative sedation
47
Ibuprofen (Motrin, Advil) is what type of drug?
NSAID (pain)
48
Ibuprofen indications?
- Relief of mild to moderate pain - Relief of s&s of rheumatoid arthritis & osteoarthritis - Tx of primary dysmenorrhea - Fever reduction
49
Atomoxetine (Strattera) is what type of drug & what is it used for?
Type: CNS Stimulant Used for: Treating ADD
51
What Narcotic Agonist-Antagonist should be avoided in pts w/ sulfa allergy?
Nalbuphine (Nubain)
52
Effects of benzos are INCREASED when taken with (2)?
Cimetidine & Disulfiram
53
Marilyn Monroe was believed to have overdosed on what drug?
Pentobarbital
54
Buprenorphine (Buprenex) is what type of drug & what is it used for?
Narcotic Agonist-Antagonist Used for: Mild to moderate pain
56
Trazodone (Desyrel) is what type of drug & what is it used for?
Type: Antidepressant Used for: Mainly used for sleep aid. Can cause priapism (prolonged erection lasting \>4hrs)
58
Clozapine indications?
- Management of severely ill schizophrenics who are unresponsive to standard drugs - Reduction of risk of recurrent suicidal behavior in pts w/ schizophrenia or schizoaffective disorder
59
Prototype Tricyclic Antidepressant:
Imipramine
60
Temazepam (Restoril) is what type of drug & what is it used for?
Type: Benzo Used for: Hypnotic, tx of insomnia
61
Risperidone (Risperdal) is what type of drug & what is it used for?
Type: Atypical Antipsychotic Used for: Treating irratibility & aggression w/ autism in children & adolescents, acute manic episodes of bipolar disorder
62
Amobarbital is what type of drug & what is it used for?
Type: Barbiturate Used for: Sedative-hypnotic, convulsions, manic rxns
63
What Narcotic Antagonist is used orally in the management of alcohol or narcotic dependence?
Naltrexone (ReVia)
64
Naloxone indications?
- Complete or partial reversal of narcotic depression - Dx of suspected opioid overdose
64
Imipramine indications?
- Relief of symptoms of depression - Enuresis in children +6yrs old - Unlabeled consideration -- control of chronic pain
65
What other drug is used to help taper a pt off Alprazolam?
Diazepam
66
Acetaminophen indications?
- Tx of mild to moderate pain, fever, or s&s of common cold or flu - Musculoskeletal pain associated w/ arthritis & rheumatic disorders
67
Prototype Narcotic Antagonist:
Naloxone
68
Celecoxib (Celebrex) is what type of drug?
NSAID (pain)
70
Buspirone (BuSpar) is used for?
Reduces the s&s of anxiety w/o severe CNS & adverse fx
72
What 4 drugs are used to treat mania/bipolar dz?
1) Lithium salts (Lithane, Lithotabs) 2) Lamotrigine (Lamictal) 3) Olanzapine (Zyprexa) 4) Quetiapine (Seroquel)
73
Why is it important to monitor WBC count & compliance with Clozapine (Clozaril)?
It can be dangerous to the pt
75
Prototype Narcotic Agonist:
Morphine
76
Prototype MAOI
Phenelzine
77
Barbiturates will decrease the effectiveness of these drugs (5):
1) Anticoagulants 2) Digoxin 3) Tricyclic antidepressants 4) Corticosteroids 5) Oral contraceptives
79
Morphine indications:
- Relief of moderate to severe acute or chronic pain - Part of combo-therapy for severe chronic pain - Intraspinal to reduce intractable pain
80
Phenelzine (Nardil) is what type of drug & what is it used for?
Type: MAOI Used for: Some pts who don't respond to newer, safer antidepressants
82
Lorazepam (Ativan) is what type of drug & what is it used for?
Type: Benzo Used for: Anxiety, preanesthetic anxiolytic
83
Clozapine (Clozaril) is what type of drug & what is it used for?
Type: Atypical Antipsychotic Used for: Treating schizophrenia
84
Modafinil (Provigil) is what type of drug & what is it used for?
Type: CNS Stimulant Used for: Treating narcolepsy
85
Salicylate prototype drug:
ASA
86
Pentazocine (Talwin) is what type of drug & what is it used for?
Type: Narcotic Agonist-Antagonist Used for: - Relieving moderate to severe pain during labor & delivery - Tx of postpartum pain - Adjunct to general anesthesia
87
Most common SSRI's (6):
1) Fluoxetine (Prozac) 2) Paroxetine (Paxil) 3) Sertraline (Zoloft) 4) Citalopram (Celexa) 5) Duloxetine (Cymbalta) 6) Escitalopram (Lexapro)
88
Prototype Benzodiazepine:
Diazepam
89
Nalbuphine (Nubain) is what type of drug & what is it used for?
Type: Narcotic Agonist-Antagonist - Treating moderate to severe pain - Adjunct for general anesthesia - Relieves pain during labor & delivery
91
Prototype Narcotic Agonist-Antagonist:
Pentazocine
92
Accidental overdose of acetaminophen leads to?
Liver failure
94
Methylphenidate (Ritalin & Concerta) is what type of drug & what is it used for?
Type: CNS Stimulant Used for: Treating ADD & narcolepsy
95
How many days prior to surgery should you discontinue ASA & NSAIDs?
7 days prior
96
What Narcotic Agonists-Antagonists relieves pain during labor & delivery?
Nalbuphine (Nubain) & Pentazocine (Talwin)
97
What does NSAID stand for?
Nonsteroidal anti-inflammatory drug
98
Halperidol (Haldol) is what type of drug & what is it used for?
Type: Antipsychotic Used for: Treating acute psych situations & available IV for use for swallowing difficulties
99
Antimanic drugs used with Haloperidol can lead to?
Encephalopathic syndrome
100
Diphenhydramine is what type of drug & what is it used for?
Type: Antihistamine Used for: Preoperative & postoperative med that decreases the need for narcotics & treats insomnia
101
Tyramine or pressor amines taken w/ food:
Increase BP --\> Pts must follow strict diet (most can't comply)
103
Why should you take ASA & NSAIDs with food?
To avoid GI upset
104
Acetaminophen is used for?
Pain
105
Butorphanol (Stadol, Stadol NS) is what type of drug & what is it used for?
Type: Narcotic Agonist-Antagonist Used for: Moderate to severe pain It is a preoperative med
106
ASA indications?
- Tx of mild to moderate pain, fever, inflammation - Reduction of risk of TIA or CVA - Reduction of risk of MI
107
What antidepressant can be used as a smoking cessation agent?
Bupropion
108
Pentobarbital is what type of drug & what is it used for?
Type: Barbiturate Used for: Sedative-hypnotic, preanesthetic
