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Geriatrics Final Exam > Pharmacy Practice and Administration > Flashcards

Pharmacy Practice and Administration Flashcards

1
Q

MOA: Binds to estrogen receptors and suppress LH

A

Black cohosh

*can cause miscarriage

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2
Q

Most effective served hot

A

Echinacea

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3
Q

Used for Menopausal symptoms

A

Black cohosh

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4
Q

Proanthocynidins may inhibit E.Coli from adhering site in the Urinary Tract thus limiting the ability of the bacteria to spread

A

Cranberry

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5
Q

MOA: unknown possibly due to up regulation of TNF-alpha messenger RNA (alkamides) or anti-inflammatory actions

A

Echinacea

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6
Q

Used in Airborne to Tx common cold

A

Echinacea

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7
Q

Flavonoid complex- silymarin extracted from seeds. shown to suppress cell growth and anti-cancer effects

A

Milk thistle

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8
Q

Tx gallbladder and lever complaints

A

Milk thistle

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9
Q

EPA and DHA and ADHD

A

Omega-3 fish oil

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10
Q

Extract of hypericum perforatum flower

A

St. John’s Wort

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11
Q

Similar effects as SSRIs

A

St. John’s Wort

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12
Q

Tx for mild to moderate depression, anxiety, pain

A

St. John’s Wort

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13
Q

Pharmacodynamics: What is the receptor sensitivity to Benzodiazepines, warfarin, opioids?

A

Increased

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14
Q

Pharmacodynamics: What is the sensitivity to beta-blockers?

A

Decreased

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15
Q

Pharmacodynamics: What is the sensitivity to Baroreceptors?

A

Decreased; risk of orthostatic hypotension

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16
Q

Pharmacodynamics: What is the sensitivity to vasodilators, TCA, anithypertensives?

A

Decreased baroreceptor sensitivity; risk of orthostatic hypotension

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17
Q

Pharmacodynamics: Increased risk of Tardive Dyskinesia and pseudoparkinsonism with which agents?

A

Antipsychotics

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18
Q

Pharmacodynamics: Hypokalemia

A

increased digoxin toxicity

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19
Q

Pharmacodynamics: Hyperkalemia

A

NSAIDS, ACEi, K+-sparing

20
Q

Orthostatic hypotension, sedation, extrapyramidal effect

A

Antipsychotics

21
Q

Don’t combine with sulfa drugs, macrolides, quinolones

A

Warfarin

22
Q

Don’t combine with ACE inhibitors

A

Spironolactone

23
Q

Don’t combine with Digoxin

A

Amiodorone

24
Q

Don’t use more than 7Xs per week, or twice per occasion, or with any medications

A

ETOH

25
Q

A in Armor

A

Access the disease state

26
Q

R in Armor

A

Review the current meds profile

27
Q

Can be used to Tx both HTN and angina

A

CaChannel blockers or Beta blockers

28
Q

Can be used to Tx both HTN, HF, and renal protection for diabetics

A

ACE inhibitors

29
Q

Can be used to Tx both HTN and prostate

A

Alpha-blocker

30
Q

Overdose is N/V dizziness, nervous system and visual disturbances, reduced HR, increased RR

A

Black Cohosh

31
Q

Can cause urinary stones from oxalate in tablets

A

Cranberry

32
Q

Taken as a tea. Don’t take if plant allergies

A

Echinacea

33
Q

MOA: Allicin reduced activity of the thiol group found in some enzymes such as CoA and HMG-CoA which are factors in lipid synthesis

A

Garlic

34
Q

N/V, BLEEDING RISK, heartburn, bad breath, body odor

A

Garlic

35
Q

MOA: contains flavonoids and terpenoids which improve blood flow and antioxidant

A

Ginkgo

36
Q

Can be a strong allergen. Used for memory, asthma, anxiety, claudication, tinnutis and vertigo

A

Ginkgo

37
Q

ASA and Coumadin interaction - increases bleeding risk

A

Ginkgo

38
Q

Antidepressant interaction - increased side effects risk

A

Ginkgo

39
Q

Monitor for increased bruising or bleeding especially with ASA or PLAVIX

A

Fish Oil

40
Q

Berries only for men

A

Saw Palmetto

41
Q

MOA: Inhibits 5 alpha reductase. Reduces conversion of testosterone to DHT.

SEs = HA, GI

A

Saw Palmetto

42
Q

Pea Plant, Isoflavones and phytoestrogens

A

Soy

43
Q

MOA: 5HT, dopa, NE reuptake inhibition. Possible antagonism of BZD, GABA receptor

SEs: Paresthesias, HA, Nausea, withdraw same as SSRIs

A

St. John’s Wort

44
Q

A1C if older than 65 and newly Dz Diabetes

A

7-7.5

45
Q

A1C if older than 65 and comorbid and sick and may die soon

A

8-9

46
Q

A1C for most adults over 65. Includes 3 comorbidities

A

7.5-8

Geriatrics Final Exam (5 decks)

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