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concept 4 > pharm condensed kinda > Flashcards

pharm condensed kinda Flashcards

1
Q

what does adenosine treat (a rushing dennys scene)

A

converts superventricular tachycardia (fast tapping fingers while waiting) to NSR

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2
Q

how does adenosine slow down the heart

A

slows AV node conduction

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3
Q

how do u give adenosine? (a dennys scene)

A

rapid IV push because it has a half life of 10 secs (fast run away push cart in a dennys scene) and follow w a saline flush

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4
Q

what should u do after giving IV adenosine

A

immediate saline flush

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5
Q

what does adenosine cause before reverting to NSR (*manager has to stop everything to calm a hectic dennys scene)

A

transient asystole but restarts in a couple secs

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6
Q

what symptoms does the pt experience after receiving adenosine (rapid run away push cart hits diner and he thinks hes gonna die)

A

chest pain and sense of impending doom

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7
Q

how will pt’s skin and breathing look after receiving adenosine

A

flushed (vasodilation of veins near skin cause flushing) and dyspnea

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8
Q

side effects of adenosine (a dennys scene)

A

-flushing
-dyspnea
-chest pain
-sense of impending doom
-transient aystole

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9
Q

what pregnancy risk category is adenosine

A

category C (pregnant woman eating at C rated restaurant)

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10
Q

what cardiac problems are adenosine contraindicated for

A

2nd and 3rd degree heart block
AV block
atrial flutter
a-fib
(dont give adenosine to a 2nd/3rd degree center who lies on AV block)

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11
Q

what resp issues should u be careful with giving adenosine

A

asthma

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12
Q

what does atropine (a tropic peein) treat

A

bradycardia (slow HR when chilling in the tropics)
heart block (only had enough sun block to put over heart in the tropics)
reduces airway secretions (dry mouth & eyes while in the sun in the tropics)

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13
Q

how does atropine (a tropic peein) work

A

anticholinergic which works on parasypathetic nervous system

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14
Q

what anticholinergic treats death rattle (built up mucus and saliva in throat when pts dying)

A

atropine

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15
Q

name common anticholinergic side effects

A

-constipation
-urinary retention
-confusion
-pupil dilation (mydriasis)

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16
Q

what eye disease is atropine contraindicated for

A

glaucoma (atropine causes mydriasis which increases ICP)

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17
Q

antidote for atropine

A

physostigmine

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18
Q

what does digoxin trear

A

a fib
heart failure

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19
Q

what does digoxin do

A

increases contraction strength and decreases HR

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20
Q

what imbalance can cause digoxin toxicity

A

hypokalemia

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21
Q

what does epoetin alfa do

A

make RBCs

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22
Q

adverse BP effect of epoetin alfa

A

hypertension

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23
Q

what does alosetron treat

A

severe diarrhea

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24
Q

how does pregnancy effect the kidneys

A

increased renal blood flow so accelerated excretion

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25
Q

why do kids get inhaled glucocorticoids instead of oral

A

oral causes adrenal suppression and stunts growth

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26
Q

what can a rash after taking antiseizure med be

A

steven johnson syndrome

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27
Q

what is an expected cardio adverse effect of sumatriptan

A

chest pressure and heavy arms

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28
Q

what does phenazopyridine do

A

relieves burning and pain from UTI

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29
Q

what can mycins do to bowels

A

cause persistent diarrhea from superinfection

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30
Q

what does etonogesterel do

A

birth control

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31
Q

why cant u take st johns wort w meds

A

makes drugs metabolize faster in liver

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32
Q

what system does theophylline toxicity affect

A

cns

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33
Q

what does sodium phosphate do

A

cleanses bowels of stool

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34
Q

what should lupus pt add to their diet

A

calcium and vitamin D supplements (give selina gomez the D)

35
Q

what time of day should diuretics be taken

A

morning

36
Q

how does valproic acid affect the blood

A

alters coagulation

37
Q

what to check in blood when taking valproic acid

A

ptt
ast
alt

38
Q

what does valproic acid do the liver

A

hepatotoxitiy

39
Q

how does phenytoin affect the heart

A

slows it down

40
Q

phenytoin IV should not exceed what rate

A

50 mg/min

41
Q

what happens to BP if phenytoin given too quickly

A

hypotension

42
Q

how long til nph insulin works

A

1-2 hrs (nph movie would be 1-2 hrs)

43
Q

how long til insulin glulisine works

A

15 mins

44
Q

how do tb meds affect the eyes

A

changes visual acuity and color identification (tb pt would be confused at a traffic light)

45
Q

what does ginko biloba do

A

dilates blood vessels

46
Q

how does ginko bilboa affect alzheimers

A

can help in early stafes

47
Q

how does zileuton (leukotriene modifiers) affect the liver

A

increases ALT lvls

48
Q

what does raloxifene and esrogen drugs increase risk of concerning blood

A

dvt
pulmonary embolism
stroke

49
Q

what can hydroxychloroquine toxity cause

A

vision changes

50
Q

how do tetracyclines affect rhe skin

A

photosensitivity

51
Q

why should a preg pt not in active labor not use misoprostol for peptic ulcer disease

A

cn cause expulsion og developing fetus

52
Q

what to give to alcoholic w ataxia, nystagmus, and altered LOC (wernicke-korsakoff sydrome)

A

thiamine

53
Q

what is clopidogrel used for

A

antiplatelet

54
Q

what does pegloticase treat

A

severe chronic gout if everything else doesnt work

55
Q

how is pegloticase given

A

through IV

56
Q

what is a severe adverse effect of pegloticase

A

anaphylaxis

57
Q

what does dobutamine do

A

raises low bp by constricts blood to improve cardiac output

58
Q

what do vassopressors treat

A

hypotension

59
Q

whats an adverse effect of interferon beta-1a

A

flu like symptoms

60
Q

what does metoclopramide do

A

treats nausea and vomiting by blocking dopamine

61
Q

what does ezetimibe treat

A

hyperlipidemia

62
Q

when should omeprazole be taken

A

before meals

63
Q

what treats acute gout

A

nsaids

64
Q

where shoudl subq heparin be administered

A

into abdomen

65
Q

what type of drug is fentanyl and what it used for

A

opioid agonist and break through pain

66
Q

what endocrine effects to watch for w potassium sparing diuretics

A

gynecomastia
impotence
irregular periods
hirtuism

67
Q

what does filgrastim treat

A

neutropenia

68
Q

what does linezolid and gram positive antibiotics cause

A

neuropathy peripherphal and optic

69
Q

nitroglycerin drug class

A

vasodilator

70
Q

what can glucocorticoids cause in stomach

A

peptic ulcers

71
Q

what to monitor for in thiazide siureics caused by hypokalemia

A

muscle weakness

72
Q

what time should cholesterol meds be taken

A

evening

73
Q

what muscle problem is contraindicated for cipro

A

tendonitis

74
Q

ecg sign of hypokalemia

A

u wave presence

75
Q

ecg sign of hyperkalemia

A

wide qrs
tall t waves

76
Q

what can increase lithium

A

nsaids

77
Q

when shoudl pt take off nitro patch

A

evening

78
Q

phenytoin toxicity sign

A

enlarged lymphnodes

79
Q

hep b vaccine allergy

A

yeast

80
Q

what can clonzapine cause

A

high cholesterol

81
Q

how does gentamicin affect potassium

A

hypokalemia

82
Q

how does gentamicin affect breathing

A

causes apnea

83
Q

how does gentamicin affect hearing

A

can impair it

84
Q

how does gentamicin affect urine

A

proteinuria

concept 4 (12 decks)

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