pharmacotherapeutics Flashcards
pharm agents used in palliative mgmt of terminal agitation
Benzos, antipsychotics, barbituates, ketamine
pharm agents used in palliative mgmt of anxiety
Benzos, opioids (to slow respirations for air hunger), antipsychotics for elderly, antihistamines for young.
pharm agents used in palliative mgmt of constipation
stimulant laxatives, senna & casanthrol, lactulose/sorbitol/PEG products (osmotic laxatives that draw fluid into the bowels), magnesium citrate, bisacodyl, MOM, cascara, mineral oil
pharm agents used in palliative mgmt of diarrhea
anti motility agents
pharm agents used in palliative mgmt of diminished appetite
megesterol, dronabinol, corticosteroids, cyproheptadine, antidepressants, androgens-oxandrolone
pharm agents used in palliative mgmt of depression
SSRIs, tricyclics, SNRIs, Buproprion
pharm agents used in palliative mgmt of dyspnea/air hunger
opiods, benzos, albuterol, ipratropium, furosemide
pharm agents used in palliative mgmt of hiccoughs
antipsychotics: chlorpromazine.
Major AE: cardiovascular, CNS (seizures)
pharm agents used in palliative mgmt of nausea/vomitting
serotonin receptor antagonist: Ondansetron (AE: HA, constipation); dopamine receptor agonist: prochloroperazine (AE: hypotension)
pharm agents used in palliative mgmt of pruritis
antihistamines. AE: drowsiness, allergic rxn
pharm agents used in palliative mgmt of pain
somatic: NSAIDS, opioid for mild-mod- severe pain, use WHO ladder. AE: respiratory suppression, constipation.
neuropathic: gabapentin, lidocaine patch, tramadol, tricyclic antidepressants. AE: drowsiness, dizziness, serotonin syndrome, anticholinergic effects
pharm agents used in palliative mgmt of terminal delerium
neuroleptics: haloperidol, risperidone
anxiolytics: lorazepam
anesthetics: propofol. AE: hypotension, respiratory depression, dystonia, blurred vision.
