Pharmacology

Question 1

Heart Attack Acronym – MONA

Answer 1

Morphine - decreases demands of the heart

Oxygen - pt. who is ischemic - more O2 flow to tissues

Nitroglycerin - potent vasodialator

Aspirn - thins pts. blood

Question 2

suffix - tidine

Answer 2

H2 receptor antagonist

(anti Ulcer)

H2 (histomine 2) blocks acid production in the stomach and interstines

** Famotidine

** Ranitidine

Cimetidine - only H2 rec antagonist that can cross the BBB

Question 3

Suffix - zepam

Suffix - zolam

What is the antidote?

Answer 3

Benzodiazepines

(anxiolytics) - decrease anxitety

Diazepam ***antidote is FLUMAZENIL

aloprozolam

Midazolam

Lorazepam

Question 4

Prefix - CEF

Answer 4

Cephalosporins

(antibiotic)

Cefadroxil

Cefaixime

Cefaclor

Cefatibute

Question 5

Prefix - rifa

Answer 5

Antituberculines

**rifaampin

rifaamate

rifater

rifapentine

Question 6

MAOI’s

antimuscarinic / anticholinergic

mnemonic

Answer 6

ABCD’s of antimuscarinic / anticholinergic

Anorexia

Blurry Vision

Constipation / Confusion

Dry Mouth

Stasis of urine

Question 7

MAOI mnemonic

Answer 7

HAHA

Hypotension, orthostatic

Anticholinergic effects

Hypertensive crisis (avoid tyramine foods)

Anxiety, agitation, anorexia

Question 8

Tricyclic antidepressant (TCA)

mnemonic

Answer 8

TCAS

Thrombocytopenia

Cardia (arrythmia, MI, stroke)

Anticholinergic effects (tachycardia, urinary retention dry mouth, etc)

Seizures

Question 9

SSRI mnemonic

Answer 9

BAD SSRI

Body wieght increase Seritonin Syndrome

Anxiety Stimulatioin of the CNS

Dizziness Reproductive dysfuntion

Insomnia

Question 10

SNRI mnemonic

Answer 10

BAD SNRI

Body wieght increase Suicidal thoughts

Anxiety Nausea / vomiting

Dizziness Reproductive dysfuntion

Insomnia

Question 11

What is the antidote for Heparin

Answer 11

Protamine

Question 12

Antipsychotic side effects

mnemonic

Answer 12

iSHADE

impotence

Sedation

Hypotension

Akathisia (inability to sit still)

Dermatological side effects

Extrapyramidal reactions (acute dystonias, rigidity, tremor, tachycardia)

Question 13

Acute Lithium Toxicity symptoms

mnemonic

Answer 13

CAN HAM SUCS

Confusion

An increase of urine & thirst

Nausea

Hand tremors (coarse)

Ataxia (uncoordinated arm & leg movements)

Muscle twitches

Seizures

Uncontrollable eye movements

Coma

Slurred speech

Question 14

Muscarinic Agonist side effects

mnemonic

Answer 14

SLUDGE BAM

Salivation / sweating / secretions

Lacrimation

Urination

Defectation

GI upset

Emesis

Bradycardia

Abdominal cramps

Miosis

Question 15

3rd generation Atypical antipsychotics

Answer 15

• effective against both positive & negative symptoms of schizophrenia
• causes little / no weight gain
• causes no increase in glucose, cholesterol, or triglycerides

Good choice for pts w/ obesity &/or heart disease

Ex. Abilify (Aripiprazole)

Question 16

2nd generation Atypical antipsychotics

Answer 16

• targets both positive & negative symptoms of schizophrenia
• high incidence of weight gain, diabetes, & hyperlipidemia w/ use
• low incidence of tardive dyskinesia
• produces drowsiness
• may cause constipation

Ex. Latuda (Lurasidone); Zyperxa (Olanzapine)