Meds Flashcards

1
Q

What Narcotic Antagonist MANAGES known or suspected narcotic overdose?

A

Nalmefene (Revex)

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1
Q

Secobarbital is what type of drug &what is it used for?

A

Type: Barbiturate

for: Preanesthetic sedation, convulsive seizures of tetanus

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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
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2
Q

Alprazolam is what type of drug & what is it used for?

A

Type: Benzodiazepine

Used for: Treatment of anxiety & panic attacks

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3
Q

What is the preferred drug for pts switched from parenteral to oral forms after surgery or labor?

A

Pentazocine

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3
Q

Antimanic drugs used with Carbamazepine can lead to?

A

Increased CNS toxicity

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3
Q

Tranylcypromine (Parnate) is what type of drug & what is it used for?

A

Type: MAOI Used for: Adult outpts w/ reactive depression

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4
Q

What Narcotic Antagonists reverses the effect of narcotics?

A

Nalmefene (Revex) & Naloxone (Narcan)

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4
Q

Nortiptyline (Pamelor) is what type of drug & what is it used for?

A

a

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5
Q

What is the daily max dose of acetaminophen for young healthy adults?

A

4 grams

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5
Q

Pentazocine indications?

A
  • Relief of moderate to severe pain - Preanesthetic med - Supplement to surgical anesthesia
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6
Q

Triazolam (Halcion) is what type of drug & what is it used for?

A

Type: Benzo

Used for: Hypnotic, tx of insomnia

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6
Q

Phenobarbital is what type of drug & what is it used for?

A

Type: Barbiturate

Used for: Sedative-hypnotic, control of seizures, preanesthetic

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7
Q

Prototype Atypical Antipsychotic:

A

Clozapine

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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

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9
Q

Why should people w/ high levels of alcohol intake avoid using acetaminophen?

A

It increases the risk for hepatic toxicity

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9
Q

What Narcotic Antagonist DIAGNOSES suspected acute narcotic overdose?

A

Naloxone (Narcan)

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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

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11
Q

Barbiturates will inhibit:

A

Phenytoin (tx seizures)

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11
Q

Imipramine (Tofranil) is what type of drug & what is it used for?

A

a

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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

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14
Q

When should you take ASA & NSAIDs?

A

After the your biggest meal of the day

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14
Q

Venlafaxine (Effexor) is what type of drug & what is it used for?

A

Type: Antidepressant Used for: GAD, SAD, decreases addictive behavior

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15
Q

Fluoxetine indications?

A
  • Tx of depression, OCD, bulimia, PMDD, panic disorders - Unlabeled uses include chronic pain, alcoholism, neuropathies, obesity
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16
Q

Which benzodiazepine can be highly addictive?

A

Alprazolam

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18
Q

Treatment for Serotonin Syndrome include (3):

A
  • Benzos such as Diazepam & Lorazepam = decreases agitation, seizure-like movements, & muscle stiffness - Cyproheptadine (Periactin) = an antihistamine that blocks serotonin production
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19
Q

Meprobamate (Miltown) is what type of drug & what is it used for?

A

Type: Anxiolytic & Hypnotic Used for: Managing acute anxiety for up to 4mos

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20
Q

Phenelzine indications?

A
  • Tx of pts w/ depression who are unresponsive to other antidepressive therapy or in whom other antidepressive therapy is contraindicated
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21
Q

Chlordiazepoxide (Librium) is what type of drug & what is it used for?

A

Type: Benzo Used for: Treatment of anxiety, alcohol w/drawal, & preoperative anxiolytic

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21
Q

Paraldehyde (Paral) is what type of drug & what is it used for?

A

Type: Anxiolytic & Hypnotic Used for: Sedating pts w/ delirium tremens or psychiatric conditions characterized by extreme excitement

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22
Q

What is the daily max dose of acetaminophen for elderly pts?

A

2.5 grams

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22
Q

Amytryptiline (Elavil) is what type of drug & what is it used for?

A

a

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23
Q

Why can you accidentally overdose on acetaminophen?

A

It’s included in a lot of OTC meds

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24
Q

Tricyclic Antidepressants have drug-to-drug interactions w/ (5)?

A

1) MAOIs 2) Cimetidine 3) Fluoxetine 4) Ranitidine 5) Oral anticoagulants

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25
Q

Quetiapine (Seroquel) is what type of drug & what is it used for?

A

Type: Atypical Antipsychotic Used for: Short-term tx of acute manic episodes along with bipolar disorder

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26
Q

Larger doses of the Narcotic Antagonist may be needed to reverse fx on (5):

A

1) Buprenorphine 2) Butorphanol 3) Nalbuphine 4) Pentazocine 5) Propoxyphene

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26
Q

Olanzapine (Zyprexa) is what type of drug & what is it used for?

A

Type: Atypical Antipsychotic Used for: Treating bipolar & agitation

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27
Q

Drug-to-drug interactions of MAOIs & Methyldopa:

A

Sympathomimentic fx increase

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28
Q

Promethazine (Phenergan) is what type of drug & what is it used for?

A

Type: Antihistamine Used for: Preoperative & postoperative med that decreases the need for narcotics & treats insomnia

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29
Q

ASA is what type of drug?

A

Salycilate (pain)

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30
Q

Prototype Barbiturate:

A

Phenobarbital

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31
Q

Isocarboxazid (Marplan) is what type of drug & what is it used for?

A

Type: MAOI Used for: Pts who don’t respond to or can’t take newer, safer antidepressants

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32
Q

Prototype SSRI:

A

Fluoxetine

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33
Q

What is Glutethimide (generic) used for?

A

Short-term tx of insomnia

34
Q

Effects of benzos are DECREASED when taken with (2)?

A

Theophylline & Ranitidine

35
Q

Antimanic drugs used w/ Thiazide diuretics can lead to?

A

Increased risk of lithium toxicity due to NA depletion

37
Q

What is the supply amount given at a time for Clozapine (Clozaril) pts?

A

1 week

37
Q

Methylphenidate indications?

A

Narcolepsy & ADD

38
Q

Diazepam (Valium) is what type of drug & what is it used for?

A

Type: Benzo Used for: Tx of anxiety, alcohol w/drawal, muscle relaxant, antiepileptic, antitetanus, & preoperative anxiolytic

39
Q

Prototype NSAID:

A

Ibuprofen

39
Q

Phenobarbital indications?

A
  • 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
Q

Prochlorperazine (Compazine) is available for what routes (3)?

A

1) Oral 2) Parenteral 3) Rectal

42
Q

Prototype CNS Stimulant:

A

Methylphenidate

43
Q

What is Zolpidem (Ambien) used for?

A

Short-term tx of insomnia

44
Q

What is Zaleplon (Sonata) used for?

A

Short-term tx of insomnia

45
Q

Chloral hydrate (Aquachloral) is what type of drug & what is it used for?

A

Type: Anxiolytic & Hypnotic Used for: Producing nocturnal sedation or preoperative sedation

47
Q

Ibuprofen (Motrin, Advil) is what type of drug?

A

NSAID (pain)

48
Q

Ibuprofen indications?

A
  • Relief of mild to moderate pain - Relief of s&s of rheumatoid arthritis & osteoarthritis - Tx of primary dysmenorrhea - Fever reduction
49
Q

Atomoxetine (Strattera) is what type of drug & what is it used for?

A

Type: CNS Stimulant Used for: Treating ADD

51
Q

What Narcotic Agonist-Antagonist should be avoided in pts w/ sulfa allergy?

A

Nalbuphine (Nubain)

52
Q

Effects of benzos are INCREASED when taken with (2)?

A

Cimetidine & Disulfiram

53
Q

Marilyn Monroe was believed to have overdosed on what drug?

A

Pentobarbital

54
Q

Buprenorphine (Buprenex) is what type of drug & what is it used for?

A

Narcotic Agonist-Antagonist Used for: Mild to moderate pain

56
Q

Trazodone (Desyrel) is what type of drug & what is it used for?

A

Type: Antidepressant Used for: Mainly used for sleep aid. Can cause priapism (prolonged erection lasting >4hrs)

58
Q

Clozapine indications?

A
  • 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
Q

Prototype Tricyclic Antidepressant:

A

Imipramine

60
Q

Temazepam (Restoril) is what type of drug & what is it used for?

A

Type: Benzo Used for: Hypnotic, tx of insomnia

61
Q

Risperidone (Risperdal) is what type of drug & what is it used for?

A

Type: Atypical Antipsychotic Used for: Treating irratibility & aggression w/ autism in children & adolescents, acute manic episodes of bipolar disorder

62
Q

Amobarbital is what type of drug & what is it used for?

A

Type: Barbiturate Used for: Sedative-hypnotic, convulsions, manic rxns

63
Q

What Narcotic Antagonist is used orally in the management of alcohol or narcotic dependence?

A

Naltrexone (ReVia)

64
Q

Naloxone indications?

A
  • Complete or partial reversal of narcotic depression - Dx of suspected opioid overdose
64
Q

Imipramine indications?

A
  • Relief of symptoms of depression - Enuresis in children +6yrs old - Unlabeled consideration – control of chronic pain
65
Q

What other drug is used to help taper a pt off Alprazolam?

A

Diazepam

66
Q

Acetaminophen indications?

A
  • Tx of mild to moderate pain, fever, or s&s of common cold or flu - Musculoskeletal pain associated w/ arthritis & rheumatic disorders
67
Q

Prototype Narcotic Antagonist:

A

Naloxone

68
Q

Celecoxib (Celebrex) is what type of drug?

A

NSAID (pain)

70
Q

Buspirone (BuSpar) is used for?

A

Reduces the s&s of anxiety w/o severe CNS & adverse fx

72
Q

What 4 drugs are used to treat mania/bipolar dz?

A

1) Lithium salts (Lithane, Lithotabs) 2) Lamotrigine (Lamictal) 3) Olanzapine (Zyprexa) 4) Quetiapine (Seroquel)

73
Q

Why is it important to monitor WBC count & compliance with Clozapine (Clozaril)?

A

It can be dangerous to the pt

75
Q

Prototype Narcotic Agonist:

A

Morphine

76
Q

Prototype MAOI

A

Phenelzine

77
Q

Barbiturates will decrease the effectiveness of these drugs (5):

A

1) Anticoagulants 2) Digoxin 3) Tricyclic antidepressants 4) Corticosteroids 5) Oral contraceptives

79
Q

Morphine indications:

A
  • Relief of moderate to severe acute or chronic pain - Part of combo-therapy for severe chronic pain - Intraspinal to reduce intractable pain
80
Q

Phenelzine (Nardil) is what type of drug & what is it used for?

A

Type: MAOI Used for: Some pts who don’t respond to newer, safer antidepressants

82
Q

Lorazepam (Ativan) is what type of drug & what is it used for?

A

Type: Benzo Used for: Anxiety, preanesthetic anxiolytic

83
Q

Clozapine (Clozaril) is what type of drug & what is it used for?

A

Type: Atypical Antipsychotic Used for: Treating schizophrenia

84
Q

Modafinil (Provigil) is what type of drug & what is it used for?

A

Type: CNS Stimulant Used for: Treating narcolepsy

85
Q

Salicylate prototype drug:

A

ASA

86
Q

Pentazocine (Talwin) is what type of drug & what is it used for?

A

Type: Narcotic Agonist-Antagonist Used for: - Relieving moderate to severe pain during labor & delivery - Tx of postpartum pain - Adjunct to general anesthesia

87
Q

Most common SSRI’s (6):

A

1) Fluoxetine (Prozac) 2) Paroxetine (Paxil) 3) Sertraline (Zoloft) 4) Citalopram (Celexa) 5) Duloxetine (Cymbalta) 6) Escitalopram (Lexapro)

88
Q

Prototype Benzodiazepine:

A

Diazepam

89
Q

Nalbuphine (Nubain) is what type of drug & what is it used for?

A

Type: Narcotic Agonist-Antagonist - Treating moderate to severe pain - Adjunct for general anesthesia - Relieves pain during labor & delivery

91
Q

Prototype Narcotic Agonist-Antagonist:

A

Pentazocine

92
Q

Accidental overdose of acetaminophen leads to?

A

Liver failure

94
Q

Methylphenidate (Ritalin & Concerta) is what type of drug & what is it used for?

A

Type: CNS Stimulant Used for: Treating ADD & narcolepsy

95
Q

How many days prior to surgery should you discontinue ASA & NSAIDs?

A

7 days prior

96
Q

What Narcotic Agonists-Antagonists relieves pain during labor & delivery?

A

Nalbuphine (Nubain) & Pentazocine (Talwin)

97
Q

What does NSAID stand for?

A

Nonsteroidal anti-inflammatory drug

98
Q

Halperidol (Haldol) is what type of drug & what is it used for?

A

Type: Antipsychotic Used for: Treating acute psych situations & available IV for use for swallowing difficulties

99
Q

Antimanic drugs used with Haloperidol can lead to?

A

Encephalopathic syndrome

100
Q

Diphenhydramine is what type of drug & what is it used for?

A

Type: Antihistamine Used for: Preoperative & postoperative med that decreases the need for narcotics & treats insomnia

101
Q

Tyramine or pressor amines taken w/ food:

A

Increase BP –> Pts must follow strict diet (most can’t comply)

103
Q

Why should you take ASA & NSAIDs with food?

A

To avoid GI upset

104
Q

Acetaminophen is used for?

A

Pain

105
Q

Butorphanol (Stadol, Stadol NS) is what type of drug & what is it used for?

A

Type: Narcotic Agonist-Antagonist Used for: Moderate to severe pain It is a preoperative med

106
Q

ASA indications?

A
  • Tx of mild to moderate pain, fever, inflammation - Reduction of risk of TIA or CVA - Reduction of risk of MI
107
Q

What antidepressant can be used as a smoking cessation agent?

A

Bupropion

108
Q

Pentobarbital is what type of drug & what is it used for?

A

Type: Barbiturate Used for: Sedative-hypnotic, preanesthetic