part 1 meds Flashcards

1
Q
A
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2
Q

What is Ergotamine used for?

A

Treats migraines by vasoconstriction.

Take at first sign of headache. Avoid in pregnancy and PVD. Monitor for paresthesia or muscle pain.

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3
Q

What is the primary use of Amphotericin B?

A

Antifungal for systemic infections.

Nephrotoxic & hepatotoxic; pre-medicate for fever/chills. Monitor BUN, creatinine, K+, Mg.

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4
Q

What does Epoetin alfa stimulate?

A

Stimulates RBC production.

Used in anemia (CKD, chemo). Monitor Hgb (target <12), BP (risk for HTN), iron stores.

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5
Q

What class of medication is Enalapril?

A

ACE inhibitor for HTN and HF.

Watch for dry cough, hyperkalemia, angioedema. Avoid in pregnancy.

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6
Q

What is the primary action of Clopidogrel?

A

Antiplatelet agent.

Prevents MI/stroke. Monitor for bleeding. Don’t use with NSAIDs or PPI (omeprazole).

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7
Q

What type of antibiotic is Tetracycline?

A

Broad-spectrum antibiotic.

Avoid in pregnancy/kids <8. No dairy, iron, or antacids. Photosensitivity risk.

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8
Q

What generation of cephalosporin is Ceftriaxone?

A

3rd-gen cephalosporin.

Watch for allergy (esp. penicillin), monitor for C. diff. Avoid with calcium in neonates.

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9
Q

What conditions does Epinephrine treat?

A

Anaphylaxis, asthma, cardiac arrest.

Increases HR, BP. Monitor vitals closely. Use in EpiPens — teach IM thigh use.

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10
Q

What is the therapeutic monitoring parameter for Heparin?

A

Monitor PTT (60–80 sec therapeutic).

Antidote: protamine sulfate. Watch for HIT.

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11
Q

What is Lactulose used for?

A

Laxative & reduces ammonia.

Used in hepatic encephalopathy. Monitor for bowel movement and ammonia levels.

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12
Q

What are the risks associated with Prednisone?

A

Risk for hyperglycemia, infection, osteoporosis.

Taper dose. Monitor weight and BP.

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13
Q

What is the maximum dose of Acetaminophen?

A

Max 4g/day.

Hepatotoxic. Antidote: acetylcysteine.

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14
Q

What is the primary use of Valproic acid?

A

Anticonvulsant, bipolar med.

Hepatotoxic, pancreatitis risk. Monitor AST, ALT, amylase.

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15
Q

What is the normal range for BUN?

A

10–20 mg/dL.

Important for assessing kidney function.

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16
Q

What is the therapeutic range for PTT in Heparin therapy?

A

60–80 sec therapeutic.

Used to monitor anticoagulation levels.

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17
Q

What are the normal AST/ALT levels?

A

AST: ~0-35 U/L / ALT: 4-36 U/L.

High levels indicate liver injury.

18
Q

What conditions does Levothyroxine treat?

A

Hypothyroidism treatment.

Take on empty stomach, lifelong therapy. Monitor TSH. Signs of overdose = hyperthyroidism.

19
Q

What should be monitored when a patient is on Sulfasalazine?

A

Monitor CBC.

Can cause agranulocytosis, watch for rash, orange urine.

20
Q

What is a normal finding when using Phenazopyridine?

A

Orange/red urine is normal.

Short-term use only.

21
Q

What is a significant risk of Ciprofloxacin?

A

Risk for Achilles tendon rupture.

Photosensitivity. Avoid dairy and iron.

22
Q

What condition is Metoclopramide used for?

A

Promotes gastric motility.

Risk of tardive dyskinesia. Use in GERD and chemo-related N/V.

23
Q

What does Gemfibrozil do?

A

Lowers triglycerides.

Monitor liver enzymes. Risk for gallstones, myopathy.

24
Q

What does Isoniazid treat?

A

TB med.

Hepatotoxic, peripheral neuropathy (give B6). Avoid alcohol.

25
What are the side effects of Rifampin?
Orange secretions, hepatotoxic. ## Footnote Decreases birth control efficacy.
26
What is the primary use of Allopurinol?
Treats gout. ## Footnote Increase fluids. Monitor for rash (SJS). Take with meals.
27
What is a significant risk associated with Gentamicin?
Ototoxic, nephrotoxic. ## Footnote Monitor peak/trough levels and renal function.
28
What is Zolpidem used for?
Sleep aid. ## Footnote Short-term insomnia use. Risk for confusion, sleep driving.
29
What is Cromolyn Sodium used for?
Asthma prophylaxis. ## Footnote Not for acute attacks. Use regularly. Rinse mouth.
30
What should be monitored when a patient is on Aspirin?
Monitor for bleeding, tinnitus. ## Footnote Risk for Reye’s syndrome in children.
31
What is the primary action of Chlorothiazide?
Diuretic (thiazide). ## Footnote Risk for hypokalemia, dehydration. Monitor I&O, electrolytes.
32
What class of medication is Nifedipine?
CCB for HTN, preterm labor. ## Footnote Monitor BP, avoid grapefruit juice, risk for reflex tachycardia.
33
What should be monitored when using Morphine?
Monitor RR, BP, fall risk. ## Footnote Antidote: naloxone.
34
What does Filgrastim increase?
Increases neutrophils. ## Footnote Monitor WBC count. Used in neutropenia. Can cause bone pain.
35
What is Tamoxifen used for?
Breast cancer treatment. ## Footnote Risk for endometrial cancer, hot flashes, DVT.
36
What should patients do after taking Alendronate?
Sit upright 30 min after taking. ## Footnote Empty stomach with full glass of water.
37
What risks are associated with Hydrochlorothiazide?
Risk for hypokalemia, dehydration. ## Footnote Monitor electrolytes and BP.
38
What is Chlorpromazine used for?
Typical antipsychotic. ## Footnote Watch for EPS, sedation, anticholinergic effects. Monitor for NMS.
39
What is Amantadine used for?
Parkinson’s and flu A. ## Footnote Helps with dyskinesia. Anticholinergic effects. Risk for dizziness, hallucinations.
40
What type of medication is Amitriptyline?
TCA antidepressant. ## Footnote Anticholinergic effects, sedation, orthostatic hypotension. Monitor for suicide risk.