Pharm Flashcards
1
Q
- Tums:
- Drug Type?
- Use?
- MOA?
- SE? (4)
A
- Antacids
- GERD, PUD
- Increase pH
- Constip., rebound acid, Hypercalcemia, renal caliculi
2
Q
- Al + Something:
- Drug Type?
- Use?
- MOA?
- SE? (2)
A
- Antacids
- Widely used
- Binds phosphate in gut to buffer
- Const., CNS toxicity with chronic
3
Q
- Milk of Magnesia:
- Drug Type?
- Use?
- MOA?
- SE? (2)
A
- Antacid
- Conteract Al and Tums
- Neutalize pH
- Osmotic diarrhea, contra in renal dz
4
Q
- Baking Soda:
- Drug Type?
- Use?
- MOA?
- SE? (2)
- Contra? (5)
A
- Antacid
- Potent
- Evolution of CO2
- Na overload, alkalosis
- Pregnant, CHF, Htx, Edema, Renal
5
Q
- Scopolamine
- Drug type?
- Type?
- Use?
- MOA?
- Efficacy?
- SE?
A
- Anti-secretory
- M blocker
- Motion sickness
- M blocker
- Large dose needed
- Can’t see…
6
Q
- Rimantidine/Cimetidine
- Drug type?
- Type?
- Use?
- MOA?
- Efficacy?
- SE overall? (4)
- CIM SE’s?
A
- Anti-secretory
- H2 Blocker
- Gastritis, Nocturnal acid production
- Reversible H2 block
- Less than PPI’s
- Dizzy, HA, COnstip, Diarrhea, decrease ketoconazole
- CNS changes/ gynecomastia/cyp450
7
Q
- Omeprazole/Lasoprazole
- Drug type?
- Type?
- Use?
- MOA?
- Efficacy?
- SE?
- Omep?
A
- Anti-secretory
- PPI
- ZE/GERD/PUD
- Luminal side attack of partietal cells
- 80-95% reduction H+
- Acid rebound, low Ca/Mg = bones/seizures
- CYP activation of Clopedigrel
8
Q
- Misoprostol
- Drug type?
- Type?
- Use?
- MOA?
- Efficacy?
- SE?
A
- Anti-secretory
- PG analogue
- NSAID induced
- Low ph, increase mucus/bicarb
- 4x/day
- Contra in prego/uterine cramp
9
Q
- Sulfacrate
- Drug type?
- Use?
- MOA?
- Efficacy?
- SE?
A
- Anti-secretory
- Ulcer Healing
- Binds nectrotic tissue to heal with mucus; activated by H+ on empy stomach
- 2-4x daily
- Constipation
10
Q
Cisparide:
- Drug type?
- Use? (3)
- MOA?
- SE?
A
- Prokinetic
- Achlasia, Gerd esophagitis, gastro par
- Activates 5HT4 to increase ACH
- Arrythmias!!! Increase QT interval
11
Q
Metoclopramide:
- Drug type?
- Use? (3)
- MOA?
- SE?
- Coordinated propel of? Blocks?
A
- Prokinetic
- Achlasia, Gerd esophagitis, gastro par
- D2 Block to increase ACH
- Tarditive, dystonia, somnelence
- Lumin contents/ nausea
12
Q
- Meclizine/diphen
- Drug type?
- Use?
- MOA?
- SE?
A
- Anti emetic
- Motion sickness
- H1 block at vestib. app
- None
13
Q
Metroclopramide
- Drug type?
- Use?
- MOA?
- SE?
A
- Anti emetic
- Chemo
- D2 block chemo trigger zone
- EPSE’s/ diarrhea
14
Q
Ondansetron
- Drug type?
- Use?
- MOA?
- SE?
A
- Anti emetic
- Post-op/cyto drugs
- Blocks 5HT at CTZ
- HA/GI upset
15
Q
Procerpazine
- Drug type?
- Use?
- MOA?
- SE?
A
- Anti emetic
- Chemo
- D2 block chemo trigger zone
- EPSE’s/ diarrhea
16
Q
Psylium Seed
- Type of drug?
- Class?
- Use?
- MOA?
- SE?
- Guidelines?
A
- Laxative
- Fiber/bulk
- Acute Constipation
- Increase water and bulk
- D-D interaction
- 1st recommendation
17
Q
Mg(OH)2 - Polyethylene glycol
- Type of drug?
- Class?
- Use?
- MOA?
- SE?
- Guidelines?
A
- Laxative
- Saline cathartic
- AC
- Increase fluid volume
- Decreases electrolytes
- Added with fiber 2nd step
18
Q
Bisacodyl
- Type of drug?
- Class?
- Use?
- MOA?
- SE?
- Guidelines?
A
- Laxative
- Irritant/stimulant
- AC/purging for food poison
- Stim. enteric nerves
- Abused/electro
- Try if saline/fiber fail
19
Q
Docusate
- Type of drug?
- Class?
- Use?
- MOA?
- SE?
- Guidelines?
A
- Laxative
- Wetting agent
- AC
- Stool softener
- Not in old/young
- Used with opoid therapy
20
Q
Loperamide
- Type?
- Class?
- MOA?
- Abuse potential?
- Use?
A
- Anti-diarrheals
- Opoid
- H2O absorption
- Low/ little CNS
- Travellers Diarrhea
21
Q
Polycarbaphil
- Type?
- Class?
- MOA?
- Abuse potential?
- Use?
A
- Anti-diarrheals
- Opoid
- H2O absorption
- Low/ little CNS
- Travellers Diarrhea
22
Q
Bismuth/subsalicyclate
- Type?
- Class?
- Does what?
- Use?
A
- Anti-diarrheals
- Absorbant
- Absorbs toxin, nutrients, etc
- After each loose BM
23
Q
Koalin/Pectin
- Type?
- Does what?
- Abuse potential?
- Use?
A
- Anti-diarrheals
- Absorbant
- Absorbs toxin, nutrients, etc
- After each loose BM
24
Q
Tegasorad
- Type?
- Site?
- MOA?
- Used in?
- SE? (4)
A
- IBS
- Stomach/SI
- 5HT4 agonist to increase motility
- Women under 55 with constipation
- Early diarrhea, heart attack, stroke, angina
25
Q
Alsetron
- Type?
- Site?
- MOA?
- Used in?
- SE? (2)
A
- IBS
- Colon
- 5HT3 block to block coloinc motility
- Women with severe IBS diarrhea
- Constipation/Ischemic colitis