Pharmacology 2 (Complete) Flashcards
What hormone plays a large role in keeping bones strong in females?
Estrogen
What drugs are used to treat osteoporosis?
Bisphosphonates
Calcium and Vitamin D
Estrogen
How do bisphosphonates work or osteoporosis?
The inhibit bone re-absorption by osteoclasts.
The prevent bone loss associated with estrogen deficiency
What are three common bisphosphonates?
Actonel - risedronate
Didronel - etidronate
Fosamax - alendronate
What auxiliary label MUST be kept on corticosteroids?
Keep in the fridge, but DO NOT FREEZE
What are the four diagnostic tests that can be done to check glucose levels?
Fasting blood glucose levels
Hemoglobin A1c
Oral glucose tolerance test
Random blood glucose test
What should normal blood glucose levels be between?
4mmol/L and 7mmol/L
What are the three types of diabetes?
Type 1
Type 2
Gestational diabetes
Is there a cure for type 1 diabetes?
No
What are the four main types of insulin?
Rapid acting
Short acting
Intermediate acting
Long acting
What are some examples of rapid acting insulin?
Humalog and NovoRapid
What is an example of short acting insulin?
Humilin R
What is an example of intermediate acting insulin?
Humulin N, Novolin
What is an example of long acting insulin?
Lantus, Levemir
What are two examples of premixed versions of insulin?
Humulin 30/70
Humalog Mix 50/50
What drug classifications are used in the treatment of Type 2 diabetes?
Sulfonylureas Biguanide Thiazoldinediones DPP4 Incretin memetics
What are some examples of sulfonylureas used in the treatment of type 2 diabetes?
Glyburide
Gliclazide
What is a biguanide used to treat type 2 diabetes
Metformin
When does gestational diabetes occur?
During 3-8% of pregnancies
How do blood glucose meters work?
Require a small blood sample to determine current blood sugar level - meters are usually free with the purchase of 100 test strips
What is the lancet in a blood glucose meter?
The needles that are one time use, to poke the fingers to get the blood sample
What do ketostix detect in urine?
Ketones
What do Keto-Diastix detect in urine?
Ketones and glucose
Antibiotics work in what four ways?
- Block protein formation
- Inhibit cell wall formation
- Interfere with DNA
- Prevent folic acid synthesis
What is a bactericidal agent?
It kills invading organisms immediately
What is a bacteriostatic agent?
It inhibits the growth and multiplication of bacteria
Describe sulfonamides
Bacteriostatic
Block a step in the pathway of folic acid
Inhibits DNA synthesis
What are the four main therapeutic uses for sulfonamides?
- UTI’s
- Otitis Media
- Ulcerative Colitis
- Lower respiratory infections
What are some side effects of sulfonamides?
Nausea Rash Vomiting Blood Compications Photosensitivity
What can happen to a patient on sulfonamides if they do not drink enough water?
Kidney damage due to crystalization of drugs in the renal tubules
What auxiliary labels do on sulfonamides?
Drug should be taken with lots of water
Discolouration of urine
Avoid prolonged sun exposure
How do penicillin antibiotics work against bacteria?
They prevent bacteria from forming a rigid cell wall needed for survival
What kind of things are penicillin type antibiotics used to treat?
Abcesses
Otitis media
Pneumonia
Respiratory Infections
What is a major side effect of penicillin type antibiotics?
Diarrhea
What auxiliary label should be included on penicillin type antibiotics?
Take on empty stomach - food slows absorption of drug
What are cephalosporins used to treat?
Oral infections Upper respiratory Sinus infections UTIs Meningitis
What are three examples of first generation cephalosporins?
Duricef - cefadroxil
Ancef - cefazolin
Keflex - cehalexin
Describe the action of tetracyclines?
Broad spectrum antibiotics that inhibit protein synnthesis in bateria by binding to ribosomes
What are tetracyclines used to treat?
Acne
Chronic bronchitis
Lyme disease
What are some side effects of tetracyclines?
Nausea Vomiting Photosensitivity Diarrhea Tooth discolouration
In what populations should tetracyclines be avoided?
Pregnant women, nursing women, and young children because of tooth discolouration and effects on bone growth
What axuiliary labels should be included in tetracyclines?
Antacids should be seperated by several hours
Avoid prolonged sun exposure
Avoid dairy
What antibiotic becomes fatally toxic if consumed after they expire?
Tetracyclines
How do macrolides work against bacteria?
They inhibit protein synthesis by combining with ribosomes
What are macrolides commonly used to treat?
Chlamydia
Influenza
Pneumonia
What are side effects of macrolides?
GI upset
Discoloured urine
After taste
What auxiliary labels should be included with macrolides?
Take with food