Pharm study guide Flashcards
I am an isotonic intravenous saline solution.
0.9 % normal saline (NS) or (NaCl)
I can be given orally or as an enema to treat hyperkalemia. (styrofoam calms big kalema)
Sodium polystyrene sulfonate (potassium exchange resin) - THIS IS KAYEXOLATE
I am a blood product used for patients with coagulation disorders.
Fresh frozen plasma
I am a natural protein used to expand plasma volume
albumin
I am a hypertonic intravenous saline solution.
3% sodium chloride
I am the principle cation located inside cells.
potassium
I am the principle cation located outside cells.
sodium
I am used to increase the oxygen-carrying capacity of an individual’s blood, but I do not contain plasma. (packed so tight there’s no room for plasma)
packed RBC
I am a derivative of sugar, and am used to increase plasma volume by drawing fluid into the intravascular space from the interstitial space.
dextran
I am known as “half normal” saline and am given intravenously.
0.45 % saline solution
montelukast (LTRA) - is it prophyaxis or chronic? (Luke is everywhere)
used for prophylaxis and chronic treatment of asthma
Provide a spacer if the patient has
difficulty coordinating breathing with inhaler activation
furosemide caution - about standing…
caution to rise slowly after lying or sitting to a standing position due to hypotension
60% of adult body weight is water. Death can occur when
20-25% of total body water is lost
pink puffer meds
ACH
triggers bronchoconstriction, mucus secretion and inflammation
montelukast trade name
Singulair®
montelukast is prophylaxis or chronic treatment? (Luke is always with me)
Prophylaxis and chronic treatment of asthma
can use montelukast for children 2 and older for what?
allergic rhinitis. otherwise it’s
montelukast MOA (Luke)
prevent leukotrines from attaching in lungs and circulation
albuterol adverse effects (Al could have anxiety or be calm)
hypo or hypertension, vascular headache, tremors
How long to wait in between albuterol and fluticasone (steroid) inhalations***
several minutes
Acetylcystine - trade name (Ace has mucus)
Mucomyst
Mucomyst*** and trade name (Ace has mucus)
breaks up the mucus in the respiratory tract and reduces its viscosity, making it easier to cough up and clear from the lungs.
Acetylcysteine Solution
normal GFR rates (GFR doesn’t watch 120 min)
90 - 120 mL/min.
Potassium-wasting diuretics ex. (Thia’s wasting is LOC o)
Thiazide and thiazide-like
Loop or high-ceiling
Osmotic
Carbonic-anhydrase inhibitor
loop diuretics ex (I’de do the loop if I were you)
Bumetanide (Bumex®)
Furosemide (Lasix®) *
Ethacrynic acid (edecrin®)
Torsemide (Demadex®)
loop diuretics and diabetes - can cause what?
Hyperglycemia
loop diuretics - risk of what? (pee out what?)
hypokalemia
furosemide used for
hypertension, acute congestive heart failure, edema
furosemide precautions - what happens when you lose too much water? and what else?
dehydration and hyperglycemia
thiazide diuretics - end in
azide, ex Hydrochlorothiazide (HCTZ®)
thiazide diuretics precautions (thia has too much calcium)
hypercalcemia
Hydrochlorothiazide - peak (thia peaked at 46)
4 -6 hours
Hydrochlorothiazide - used for what disorders (thia is insipidous)
diabetes insipidous, hypertension, CHF
Hydrochlorothiazide - when does it not work? (Thia doesn’t like GFR)
when GFR is low
spironolactone peak (spiro is slow as hell)
48 hours
spironolactone MOA (excretes what and retains what)
excretes Na in distal, but retains K and H
mannitol trade name (Oz the man is a troll)
Osmitrol®
mannitol - MOA (man, oz is fast) - think - it’s an osmotic
osmotic diuretic, increases osmotic pressure. RAPID. immediate onset.
mannitol uses (Oz is serious)
serious stuff - elevated ICP, renal failure, spinal cord pressure, intraocular pressure
mannitol precautions (Man, Oz and cold don’t mix)
may crystallize at low temps, filtered IV only
acetazolamide trade name (Zola has diamonds)
Diamox®
acetazolamide type of drug (Ana and Zola)
carbonic anhydrase inhibitor (diuretic)
acetazolamide onset (Zola for just an hour)
1 - 1.5 hrs
acetazolamide uses (Zola on the mountain)
glaucoma, seizures, CHF, edema, altitude sickness.
acetazolamide precautions (Zola has Ca issues too)
hypercalciuria
acetazolamide adverse effects (Zola has kidney stones)
kidney stones. numbness and tingling in the fingers and toes, and taste alterations
(parageusia), especially for carbonated drinks.
take diuretics at what time of day?
morning to avoid nocturia
extracellular
Interstitial fluid (ISF): fluid in space between cells, tissues, and organs
crystalloids ex. (Krystal likes saline and sugar)
saline and dextrose
blood products Pull fluid from (blood is extra)
extravascular space into intravascular space (plasma expanders)
Cryoprecipitate and plasma protein factors (PPF) when (plasma is serious)
Management of acute bleeding (greater than 50% slow blood loss or 20% acutely)
Fresh frozen plasma (FFP) (if it’s frozen, it’s clotting)
Increase clotting factor levels in patients with demonstrated deficiency
PRBC
packed RBCs
PRBCs and whole blood (Packed with oxygen)
To increase oxygen-carrying capacity in patients with anemia, substantial hemoglobin deficits
PRBCs: for blood loss up to____ of total blood volume
PRBCs: for blood loss up to 25% of total blood volume
Whole blood: for blood loss over_____of total blood volume
Whole blood: for blood loss over 25% of total blood volume
colloids are
protein substances, increase COP (colloid osmotic pressure)