Pharm Midterm Exam

Question 1

Epinephrine

Answer 1

• dose dependent adrenergic agonist
• B1 and B2 effects, a1 at high doses
• treats anaphylaxis, cardiac arrest, and bronchospasm

Question 2

Dopamine

Answer 2

• dose dependent adrenergic agonist
• B1 effects, a1 at high doses
• treats cariogenic and septic shock

Question 3

Dobutamine

Answer 3

• B1 adrenergic agonist

- treats acute heart failure and support after surgery

Question 4

Norepinephrine

Answer 4

• a1 adrenergic agonist

- treats shock and hypotension

Question 5

Phenylephrine

Answer 5

• a1 adrenergic agonist

- treats shock and hypotension

Question 6

Albuterol

Answer 6

• B2 adrenergic agonist

- treats asthma and COPD

Question 7

Ephedrine

Answer 7

-mixed a and B blocker (direct and indirect)

Question 8

Propanolol

Answer 8

• B1 and B2 blocker

- treats HTN, angina, MI

Question 9

Esmolol

Answer 9

• short acting B1 blocker

- treats SVT and emergent HTN

Question 10

Atenolol

Answer 10

• B1 blocker
• long-lasting (6-7 hours)
• treats HTN, chest pain, acute MI

Question 11

Coreg

Answer 11

• a1, B1, and B2 blocker

- heart failure

Question 12

Lebatalol

Answer 12

• a1, B1, and B2 blocker

- treats HTN

Question 13

atropine

Answer 13

-treats bradycardia

Question 14

Adenosine

Answer 14

• antiarrhythmic

- 1st treatment of SVT

Question 15

Losartan

Answer 15

-ARB

Question 16

Valsartan

Answer 16

-ARB

Question 17

Procainamide

Answer 17

-1a anti arrhythmic

Question 18

Milrinone

Answer 18

• inotrope
• treats heart failure
• also

Question 19

nitroglycerine

Answer 19

-coronary vasodilation

Question 20

-nitroprusside

Answer 20

-systemic vasodilation

Question 21

-nitric oxide

Answer 21

-pulmonary vasodilation

Question 22

presedex

Answer 22

-ventilator removal

Question 23

hydralazine

Answer 23

-arterial vasodilator

Question 24

nicardapine

Answer 24

-Ca channel blocker

Question 25

Benazepril

Answer 25

ACE inhibitor

Question 26

captopril

Answer 26

ACE inhibitor

Question 27

enalopril

Answer 27

ACE inhibitor

Question 28

fosinopril

Answer 28

ACE inhibitor

Question 29

lisinopril

Answer 29

ACE inhinbitor

Question 30

losartan

Answer 30

ARB

Question 31

valsartan

Answer 31

ARB

Question 32

antianginals

Answer 32

- nitroglycerin - beta blockers (metoprolol/atenolol) - Ca channel inhibitors (nicardipine/niphedipine)

Question 33

heart failure progression

Answer 33

- ACE inhibitors - ARBs - Beta blockers - Diuretics - Inotropes

Question 34

antihypertensive progression

Answer 34

- diuretics - beta blockers - ACE inhibitors - ARBS - Ca+ channel blockers - vasodilators

Question 35

antihypertensive progression

Answer 35

- diuretics - beta blockers - ACE inhibitors - ARBS - Ca+ channel blockers - vasodilators

Question 36

milrinone

Answer 36

- phosphodiesterase inhibitor - inotrope - treats heart failure

Question 37

digoxin

Answer 37

- inotrope | - treats heart failure

Question 38

Antiarrhythmic classes

Answer 38

- class 1 - Na+ blockers - class 2 - beta blockers - class 3 - K+ blockers - class 4 - Ca+ blockers

Question 39

quinidine

Answer 39

- 1A antiarrhythmic - Na+ blocker | - slow phase 0 depolarization and repolarization

Question 40

lidocaine

Answer 40

- 1B antiarrhythmic - Na+ blocker - shortens phase 3 repolarization - given after x clamp removal (1-2 mg/kg)

Question 41

propafenone

Answer 41

- 1C antiarrhythmic - Na+ blocker | - significantly slows phase 0

Question 42

antiarrhythmic betablockers

Answer 42

- atenalol/metoprolol | - treat atrial flutter and fibrillation

Question 43

amiodarone

Answer 43

- class 3 antiarrhythmic - K+ channel blocker - prolongs repolarization - treats ventricular arrhythmias

Question 44

diltiazem

Answer 44

- Ca+ channel blocker - class 4 antiarrhythmic - class 6 antihypertensive

Question 45

verapamil

Answer 45

- Ca+ channel blocker - class 4 antiarrhythmic - class 6 antihypertensive

Question 46

acetazolamide

Answer 46

- carbonic anhydrase inhibitor | - PCT diuretic

Question 47

mannitol

Answer 47

- osmotic diuretic | - prevent water absorption in descending loop

Question 48

bumetamide

Answer 48

-loop diuretic

Question 49

ethacrinic acid

Answer 49

loop diuretic

Question 50

furosemide

Answer 50

loop diuretic

Question 51

torsemide

Answer 51

loop diuretic

Question 52

hydrichlorothyazide

Answer 52

- thiazide diuretic | - acts on DCT

Question 53

chlorothiazide

Answer 53

- thiazide diuretic | - acts on DCT

Question 54

spirolactone

Answer 54

-potassium sparing diuretic

Question 55

diazepam

Answer 55

- benzodiazepine - amnestic - treats anxiety, seizures, and muscular disorders

Question 56

versed

Answer 56

- benzodiazepine - general anesthetic - short term anxiety relief

Question 57

sodium thiopental

Answer 57

- barbituate - short acting anesthesia induction - not used anymore

Question 58

propofol

Answer 58

- sedative (non-barb/benzo/opioid) - 1.0 - 2.5 mg/kg for anesthesia - 50 - 200 ug/kg/min maintenance

Question 59

Rocuronium

Answer 59

- non-depolarizing skeletal muscle relaxant - block ach at receptor - rapid onset for intubation

Question 60

vecuronium

Answer 60

- non-depolarizing skeletal muscle relaxant - block ach at receptor - slower than roc

Question 61

succinylcholine

Answer 61

- depolarizing skeletal muscle relaxant | - short-term immediate paralysis

Question 62

papaverine

Answer 62

-anti-spasmolytic

Question 63

dantrolene sodium

Answer 63

- sarcoplasmic reticulum Ca+ channel blocker - treats malignant hyperthermia - 1.0 - 2.5 mg/kg, up to 10