Pharmacology Exam 1 Drug List Flashcards

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1
Q

Classification of PHENYLEPHRINE (Neo-Synephrine)

A

TC: Nasal decongestant
PC: Adrenergic (sympathomimetics)

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2
Q

Action/use of PHENYLPHRINE (Neo-Synephrine)

A

Specifically an alpha-adrenergic agonist (fight or flight stimulation)
Nasal decongestant
Maintains a good BP

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3
Q

Side/adverse affects of PHENYLPHRINE (Neo-Synephrine)

A

Intranasal use can cause burning of the mucosa and rebound nasal congestion if used for long periods of time

High doses can elevate BP causing bradycardia (slows heart rate down)

Also maybe anxiety, restlessness, and tremors

BLACKBOX: no IV use

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4
Q

Classification of EPINEPHRINE

A

TC: Anti-allergy and cardiac stimulation
PC: Pure Adrenergic

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5
Q

Action/use of EPINEPHRINE

A

Specifically stimulates alpha receptors (fight or flight stimulation)
Used for cardiac arrest, asthma, allergry reactions such as anaphylaxis in which you would need an epi-pen

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6
Q

Side/adverse affects of EPINEPHRINE

A

Rapid heart rate
Increased blood pressure
Overdose can cause a heart attack

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7
Q

Classification of PRAZOSIN (Minipress)

A

TC: Antihypertensive (lowers BP)
PC: Adrenergic blocker

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8
Q

Action/use of PRAZOSIN (Minipress)

A

Selectively an alpha1 adrenergic anatagonist
Blocks norepinephrine at its receptors
Reduces blood pressure so can be used to treat hypertension
Commonly used in combination with beta blockers or diurectics

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9
Q

Side/adverse effects of PRAZOSIN (Minipress)

A

Like other alpha blockers, tends to cause orthostatic hypotension which is a large drop in BP, so it should be given before bed and the first dose should be very low

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10
Q

Classification of BETHANECHOL (Urecholine)

A

TC: Nonobstructive urinary retention agent
PC: Cholinergic agonist

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11
Q

Action/use of BETHANECHOL (Urecholine)

A

Parasympathomimetic that causes parasympathetic stimulation
Stimulates smooth muscle contractions to clear digestive and urinary tracts, as well as treating nonobstructive urinary retention

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12
Q

Side/adverse effects of BETHANECHOL (Urecholine)

A

Increased salvation, sweating, abdominal cramping, hypotension leading to fainting, belching, diarrhea, diaphoresis (stay close to the bathroom)
*Pts with asthma, epilepsy, parkinsons should not use

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13
Q

Classification of PHYSOSTIGMINE (Antilirium)

A

TC: Antidote for atropine-induced delirium
PC: Acetylcholinesterase inhibitor (so parasympathetic actions will occur)

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14
Q

Action/use of PHYSOSTIGMINE (Antilirium)

A

Parasympathetic that stops the destruction of acetylcholine

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15
Q

Side/adverse effects of PHYSOSTIGMINE (Antilirium)

A

Bradycardia, asytole, restlessness, nervousness, seizures, salivation, urinary frequently, muscle twitching, respiratory paralysis

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16
Q

Classification of ATROPINE

A

TC: Antitode for anticholinesterase poisoning and suppresses abnormal heart rhythms
PC: Cholinergic receptor blocker (induces sympathetic)

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17
Q

Action/use of ATROPINE

A

Blocks acetylcholine and induces fight or flight

as well as raising heart rate

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18
Q

Side/adverse effects of ATROPINE

A

Dry mouth, constipation, urinary retention, increased heart rate, excitement may progress to delirium and even coma

19
Q

Classification of ESCITALOPRAM OXALATE (Lexapro)

A

TC: Antidepressant, anxiolytic (anti anxiety)
PC: SSRI (selective seratonin reuptake inhibitors)

20
Q

Action/use of ESCITALOPRAM OXALATE (Lexapro)

A

Increases seratonin in the body (makes you happy) so used for depression

21
Q

Side/adverse effects of ESCITALOPRAM OXALATE (Lexapro)

A

Dizziness, nausea, dry mouth, insomnia, confusion, sweating, and seizures if you overdose
When you take 2 meds at night it can cause seratonin syndrome

22
Q

Classification of LORAZEPAM (Ativan)

A

TC: Sedative (hypnotic, anxiolytic, anesthetic adjunct)
PC: Inhibits neurotransmitters, benzodiazepine

23
Q

Action/use of LORAZEPAM (Ativan)

A

Binds to GABA receptors and used for sleep, anxiety, and sedation

24
Q

Side/adverse effects of LORAZEPAM (Ativan)

A

Drowsiness, dizziness, sedation, blurred or double vision, nausea, vomiting

25
Q

Classification of ZOLPIDEM (Ambien)

A

TC: Sedative hypnotic
PC: Non benzodiazepine

26
Q

Action/use of ZOLPIDEM (Ambien)

A

Acts of GABA receptor as well, treats short term insomnia

27
Q

Side/adverse effects of ZOLPIDEM (Ambien)

A
Daytime sedation, confusion, dizziness, vomiting, clumsy, unsteady when walking
Schedule IV (may cause dependence)
28
Q

Classification of LIDOCAINE

A

TC: anesthetic, antidysrhythmic (IV route)
PC: sodium channel blocker, amide

29
Q

Action/use of LIDOCAINE

A

Blocks pain impulse
Most commonly injected locally
Blocks sodium channels
**SIDE EFFECTS ARE UNCOMMON

30
Q

Classification of NITROUS OXIDE

A

TC: General anesthetic that works as a sedative
PC: Inhalation of a gaseous drug

31
Q

Action/use of NITROUS OXIDE

A

Suppresses pain in the CNS

Common in dental procedures and surgeries

32
Q

Side/adverse effects of NITROUS OXIDE

A

Adverse signs of stage 2 (start to get restless/moaning/groaning)

33
Q

Classification of MIDAZOLAM (Versed)

A

TC: sedative hypnotic antianxiety
PC: schedule IV (may cause dependence) benzodiazepine

34
Q

Action/use of MIDAZOLAM (Versed)

A

Enhances GABA

Anxiolytic, amnesia, sedation

35
Q

Side/adverse effects of MIDAZOLAM (Versed)

A

Slows respiratory rate

*Black box warning for respiratory depression

36
Q

Classification of FENTANYL (Sublimaze)

A

TC: Analgesic
PC: Opioid

37
Q

Action/use of FENTANYL (Sublimaze)

A

Binds to opioid receptor and inhibits pain pathways

38
Q

Side/adverse effects of FENTANYL (Sublimaze)

A

Drowsiness, nausea, vomiting

39
Q

Classification of PROPOFOL (Diprivan)

A

TC: General anesthetic
PC: Rapid acting, general anesthesia

40
Q

Action/use of PROPOFOL (Diprivan)

A

Used for conscious sedation, inhibits sympathetic nerve activity

41
Q

Side/adverse effects of PROPOFOL (Diprivan)

A

Pain at the injection site, low BP, slow respirations

42
Q

Classifications of SUCCINYLCHOLINE (Anectine)

A

TC: Nueromuscular blocker, skeletal muscle paralytic drug
PC: Acetylcholine receptor blocker, depolarizing blocker

43
Q

Action/use of SUCCINYLCHOLINE (Anectine)

A

Acts on cholinergic receptor sites

Blocks acetylcholine and causes muscle weakness

44
Q

Side/adverse effects of SUCCINYLCHOLINE (Anectine)

A

Can cause paralysis
Hypotension
Urinary retention