pharm condensed kinda Flashcards
what does adenosine treat (a rushing dennys scene)
converts superventricular tachycardia (fast tapping fingers while waiting) to NSR
how does adenosine slow down the heart
slows AV node conduction
how do u give adenosine? (a dennys scene)
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
what should u do after giving IV adenosine
immediate saline flush
what does adenosine cause before reverting to NSR (*manager has to stop everything to calm a hectic dennys scene)
transient asystole but restarts in a couple secs
what symptoms does the pt experience after receiving adenosine (rapid run away push cart hits diner and he thinks hes gonna die)
chest pain and sense of impending doom
how will pt’s skin and breathing look after receiving adenosine
flushed (vasodilation of veins near skin cause flushing) and dyspnea
side effects of adenosine (a dennys scene)
-flushing
-dyspnea
-chest pain
-sense of impending doom
-transient aystole
what pregnancy risk category is adenosine
category C (pregnant woman eating at C rated restaurant)
what cardiac problems are adenosine contraindicated for
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)
what resp issues should u be careful with giving adenosine
asthma
what does atropine (a tropic peein) treat
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)
how does atropine (a tropic peein) work
anticholinergic which works on parasypathetic nervous system
what anticholinergic treats death rattle (built up mucus and saliva in throat when pts dying)
atropine
name common anticholinergic side effects
-constipation
-urinary retention
-confusion
-pupil dilation (mydriasis)
what eye disease is atropine contraindicated for
glaucoma (atropine causes mydriasis which increases ICP)
antidote for atropine
physostigmine
what does digoxin trear
a fib
heart failure
what does digoxin do
increases contraction strength and decreases HR
what imbalance can cause digoxin toxicity
hypokalemia
what does epoetin alfa do
make RBCs
adverse BP effect of epoetin alfa
hypertension
what does alosetron treat
severe diarrhea
how does pregnancy effect the kidneys
increased renal blood flow so accelerated excretion
why do kids get inhaled glucocorticoids instead of oral
oral causes adrenal suppression and stunts growth
what can a rash after taking antiseizure med be
steven johnson syndrome
what is an expected cardio adverse effect of sumatriptan
chest pressure and heavy arms
what does phenazopyridine do
relieves burning and pain from UTI
what can mycins do to bowels
cause persistent diarrhea from superinfection
what does etonogesterel do
birth control
why cant u take st johns wort w meds
makes drugs metabolize faster in liver
what system does theophylline toxicity affect
cns
what does sodium phosphate do
cleanses bowels of stool
what should lupus pt add to their diet
calcium and vitamin D supplements (give selina gomez the D)
what time of day should diuretics be taken
morning
how does valproic acid affect the blood
alters coagulation
what to check in blood when taking valproic acid
ptt
ast
alt
what does valproic acid do the liver
hepatotoxitiy
how does phenytoin affect the heart
slows it down
phenytoin IV should not exceed what rate
50 mg/min
what happens to BP if phenytoin given too quickly
hypotension
how long til nph insulin works
1-2 hrs (nph movie would be 1-2 hrs)
how long til insulin glulisine works
15 mins
how do tb meds affect the eyes
changes visual acuity and color identification (tb pt would be confused at a traffic light)
what does ginko biloba do
dilates blood vessels
how does ginko bilboa affect alzheimers
can help in early stafes
how does zileuton (leukotriene modifiers) affect the liver
increases ALT lvls
what does raloxifene and esrogen drugs increase risk of concerning blood
dvt
pulmonary embolism
stroke
what can hydroxychloroquine toxity cause
vision changes
how do tetracyclines affect rhe skin
photosensitivity
why should a preg pt not in active labor not use misoprostol for peptic ulcer disease
cn cause expulsion og developing fetus
what to give to alcoholic w ataxia, nystagmus, and altered LOC (wernicke-korsakoff sydrome)
thiamine
what is clopidogrel used for
antiplatelet
what does pegloticase treat
severe chronic gout if everything else doesnt work
how is pegloticase given
through IV
what is a severe adverse effect of pegloticase
anaphylaxis
what does dobutamine do
raises low bp by constricts blood to improve cardiac output
what do vassopressors treat
hypotension
whats an adverse effect of interferon beta-1a
flu like symptoms
what does metoclopramide do
treats nausea and vomiting by blocking dopamine
what does ezetimibe treat
hyperlipidemia
when should omeprazole be taken
before meals
what treats acute gout
nsaids
where shoudl subq heparin be administered
into abdomen
what type of drug is fentanyl and what it used for
opioid agonist and break through pain
what endocrine effects to watch for w potassium sparing diuretics
gynecomastia
impotence
irregular periods
hirtuism
what does filgrastim treat
neutropenia
what does linezolid and gram positive antibiotics cause
neuropathy peripherphal and optic
nitroglycerin drug class
vasodilator
what can glucocorticoids cause in stomach
peptic ulcers
what to monitor for in thiazide siureics caused by hypokalemia
muscle weakness
what time should cholesterol meds be taken
evening
what muscle problem is contraindicated for cipro
tendonitis
ecg sign of hypokalemia
u wave presence
ecg sign of hyperkalemia
wide qrs
tall t waves
what can increase lithium
nsaids
when shoudl pt take off nitro patch
evening
phenytoin toxicity sign
enlarged lymphnodes
hep b vaccine allergy
yeast
what can clonzapine cause
high cholesterol
how does gentamicin affect potassium
hypokalemia
how does gentamicin affect breathing
causes apnea
how does gentamicin affect hearing
can impair it
how does gentamicin affect urine
proteinuria
