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Pharmacology 2 > pharm 201 E1 > Flashcards

pharm 201 E1 Flashcards

1
Q

Prednisone Tx

A

Asthma

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2
Q

Prednisone Class

A

Oral Glucocorticoid

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3
Q

Prednisone AE

A

Adrenal suppression, osteoporosis, hyperglycemia, PUD

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4
Q

Prednisone Contraindications

A

Fungal infections, caution if HTN, TB, DM, CHF, Osteoporosis, impaired liver fx

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5
Q

Budesonide Tx

A

Asthma

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6
Q

Budesonide Class

A

Inhaled Glucocorticoid

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7
Q

Budesonide AE

A

*Oral Candidiasis, adrenal suppression, glaucoma, dysphoria

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8
Q

Budesonide Contraindications

A

Status Asthmaticus, acute asthma attack, susppressed immune system, TB, DM, sytemic steroid use, glaucoma, osteoporosis

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9
Q

Budesonide Nursing

A

*If taking with Beta-2 take Beta-2 first, assess for adrenal insuficiency when changing to inhalation route, take at same time everyday

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10
Q

Montelukast Tx

A

Asthma

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11
Q

Montelukast AE

A

HA, abd pain, gastroenteritis, elevated liver enzymes

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12
Q

Montelukast Contraindications

A

Caution if sever liver disease, sever asthma, tapering systemic steroids

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13
Q

Montelukast Nursing

A

Take at night a the same time, monitor respiratory status, not intended for acute attacks, May take a week or more for therapeutic effects

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14
Q

Albuterol Tx

A

Asthma

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15
Q

Albuterol Class

A

Beta 2 Androgenic Agonist

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16
Q

Albuterol AE

A

tachycardia, tremor, angioedema

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17
Q

Albuterol Contraindications

A

DM, hypersensitivity to levalbuterol

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18
Q

Pilocarpine Tx

A

Glaucoma

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19
Q

Pilocarpine AE

A

*Parasympathetic effects (HypoTN), retinal detachement, decreased visual acuity

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20
Q

Pilocarpine Contraindications

A

Caution in asthma and *bradycardia (HypoTN)

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21
Q

Pilocarpine Nursing

A

*Do not give if brown, give IV Atropine to reverse, can cause myopia, can cause systemic (cholinergic) affect

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22
Q

Pilocarpine Class

A

Cholinergic Agonist

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23
Q

Atropine Tx

A

Dilation of eye for surgery, and reversal drug for Pilocarpine toxicity

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24
Q

Atropine Class

A

Anticholinergic Agent

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25
Q

Atropine AE

A

*Dry mouth, increased IOP, eyelid edema, photophobia, blurred vision *anti-cholinergic effects

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26
Q

Atropine Contra

A

Closed-angle Glaucoma, Down-syndrome, brain damage

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27
Q

Atropine Nursing

A

Causes cycoplegia (paralization & dilation of eye), pt will need sunglasses, compress lacrimal duct during admin (1-2 min)

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28
Q

Timolol Tx

A

Glaucoma

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29
Q

Timolol Class

A

Beta Blocker

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30
Q

Timolol AE

A

*Stinging in eye, heart block, bradycardia, bronchospasm

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31
Q

Timolol Contra

A

AV heart block, sinus bradycardia, cardiogenic shock, cautin if heart failure & asthma, or COPD

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32
Q

Timolol Nursing

A

*Can mask symptoms of hypoglycemia, DOC for Glaucoma, *apply pressure to inner canthus ( 30-60 sec), monitor for respiratory depression, *check heart rate

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33
Q

Levothyroxine Tx

A

Hypothyroidism

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34
Q

Levothyroxine AE

A

Thyrotoxicosis (chest pain, nervousness, tremors), sleeplessness, heat intollerance, diaphoresis

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35
Q

Levothyroxine Contra

A

Acute MI, CVD, or thyrotoxicosis

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36
Q

Levothyroxine Nursing

A

Give on empty stomach (1 hour before meal), give at same time everyday, monitor VS (BP of 140/80 is within range if on HTN meds), Hx weight loss, diet

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37
Q

Methimazole Tx

A

Hyperthyroidism

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38
Q

Methimazole AE

A

Agranulocytosis (depressed immune response), hypothyroidism

39
Q

Methimazole Contra

A

Allergy to tioamidesm impaired liver fx, pregnancy

40
Q

Methimazole Nursing

A

Monitor signs of high or low thyroid, take at same time w/ meals, taper

41
Q

Radioactive Iodine Tx

A

Hyperthyroidism

42
Q

Radioactive Iodine AE

A

Radiation sickness, bone marrow suppression, hypothyroid

43
Q

Radioactive Iodine Contra

A

pregnancy, young children

44
Q

Radioactive Iodine Nursing

A

Avoid coughing, low O2 sat, avoid prolonged intimate contact for 3 days, taken only for a few weeks

45
Q

Insulin Aspart/Lispro (rapid-acting)

A

Starts 15-30 minPeak 1 hourLasts 3-6 hoursCan be mixed, can give IV

46
Q

Humulin R [Regular Insulin] (short-acting)

A

Starts 30-60 minPeak 1-5 hoursLasts 6-10 hourscan be mixed, can give IV

47
Q

NPH (intermediate-acting)

A

Starts 1-2 hoursPeak 6-14 hoursLasts 16-24 hoursDo NOT give IV, can be mixed*cloudy appearance

48
Q

Insulin Determir (Long-acting)

A

Can be given as intermediate, Do NOT give IV, Do NOT mix

49
Q

Insulin Glargine (Long-acting)

A

Starts 1 hourNo peakLasts 24 hoursDo NOT give IV, Do NOT mix

50
Q

Sitagliptin Class

A

Oral Hypoglycemic

51
Q

Sitagliptin AE

A

sore throat, rhinitis, upper respiratory infection, HA, hypoglycemia

52
Q

Sitagliptin Nursing

A

Does not cause weight gain, expensive, can be used alone or combined with Metformin, reduces postprandial effects

53
Q

Acarbose Class

A

Oral Hypoglycemic

54
Q

Acarbose AE

A

Flatulence, cramps, abd distention

55
Q

Acarbose Nursing

A

Take w/ first bite of meal

56
Q

Metformin Class

A

Oral Hypoglycemic

57
Q

Metformin AE

A

Decreased apetite, N & D, metallic taste, lactic acidosis

58
Q

Metformin Contra

A

Liver or renal probblems, excessive ETOH

59
Q

Metformin Nurising

A

Peak 2 hoursexcreted through urine

60
Q

Repaglinide Class

A

Oral Hypoglycemic

61
Q

Repaglinide AE

A

hypoglycemia

62
Q

Repaglinide Nursing

A

Peak 1 hours, pt needs a timely breakfast

63
Q

Exenatide Class

A

Injectable Incretin Mimetic

64
Q

Exenatide Tx

A

DM/Hyperglycemia

65
Q

Exenatide AE

A

hypoglycemia, pancreatitis, mild weight loss, decrease renal fx

66
Q

Exenatide Nursing

A

Peak 2.1 hours after Sub-Q injectionLasts 6 hoursvery good at lowering A1c, promotes saiety

67
Q

General Anesthesia AE

A

*Malignant Hyperthermia (jaw locked, rigidity), resp & cardiac depression (must have mech airway support available), aspiration, hepatotoxicity

68
Q

General Anesthesia D-D

A

*Catecholamines

69
Q

General Anesthesia Nursing

A

Causes loss of ALL sensation

70
Q

Spinal Anesthesia AE

A

*HA, HypoTN (treat with Trendelenburg @ 10-15 degrees), *tachydysrythmias

71
Q

Spinal Anesthesia Nursing

A

Injected into cerebrospinal fluid in subarachnoid space, Reduce risk of HA by keeping pt supine for 12 hours

72
Q

Nitrous Oxide Nursing

A

can cause diffusion hypoxia (treat w/ 100% humidified O2), no post-op N/V, assess respiiratory rate, TCDB, give warming blanket if needed

73
Q

Glipizide Class

A

2nd Gen Sulfonylurea Hypoglycemic

74
Q

Glipizide Tx

A

Diabetes/Hyperglycemia

75
Q

Glipizide AE

A

SJS,

76
Q

Glipizide Nurisng

A

Take 30 min before meal

77
Q

Glipizide Contra

A

Type 1 DM, DKA,

78
Q

Tiotropium Class

A

Anticholinergic

79
Q

Tiotropium AE

A

Anticholinergic effects, increased IOP, blurred vision

80
Q

Tiotropium Contra

A

Glaucoma, prostatic hypertrophy, impaired renal fx

81
Q

Tiotropium Nursing

A

know any difficulty urinating, if no urine after 8 hours, seek Tx w/ another med

82
Q

Isoniazid Tx

A

TB

83
Q

Isoniazid AE

A

p[eripheral Neuritis, optic neuritis, hepatotoxic, Thrombocytopnea, seizures

84
Q

Isoniazid Contra

A

Acute liver disease, caution in impaired renal fx, HIV, ETOH abuse

85
Q

Rifampin Tx

A

TB

86
Q

Rifampin AE

A

Hepatotoxic, Red-orang body secretios, flu-like sndrome, thrombocytopnea

87
Q

Somatropin Class

A

Human Growth Hormone

88
Q

Somatropin AE

A

Hyperglycemia, hypercalciuria (can cause stones)

89
Q

Somatropin Contra

A

Severe Obesity, sleep apnea, upper airway obstruction

90
Q

Somatropin Nursing

A

Should be stopped by the time of epethesial closure of long bones, can be given IM also, monitor for 3 P’s

91
Q

Desmopressin Class

A

ADH

92
Q

Desmopressin AE

A

water intoxication, excessive vasoconstriction

93
Q

Desmopressin Contra

A

CAD, pregnancy

94
Q

Desmopressin Nurisng

A

Monitor for over/dehydration, monitor serum & urine electrolytes & osmolality

Pharmacology 2 (5 decks)

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