Quiz 3 Flashcards

1
Q

Particulate Antacids

A

increase gastric volume, but does not change pH

NOT USEFUL PRE-OP

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2
Q

Examples of particulate antacids

A

aluminum, magnesium, calcium combos

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3
Q

Nonparticulate (clear) antacids

A

increase gastric volume but makes it less acidic

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4
Q

Examples of nonparticulate antacids

A

sodium citrate, bicitra, polycitra

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5
Q

SCIP measures

A

prophylactic ABX 1 hour before, prophylactic ABX d/c within 24 hours after surgery, controlled serum glucose, postop wound infection diagnosed during hospitalization, appropriate hair removal, normothermia

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6
Q

ABX for ortho surgery

A

Ancef

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7
Q

Where is staph aureus found?

A

skin, eye

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8
Q

What do thiazides do and where do they work?

A

inhibit Na and Cl reabsorption; cortical ascending loop and first part of distal tubule

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9
Q

What to loop diuretics do and where do they work?

A

inhibit Na and Cl reabsorption; medullary ascending limbs of loops of Henle

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10
Q

What do osmotic diuretics do and where do they work?

A

reduce H20 reabsorption by reducing osmotic gradient; medullary loop of Henle, proximal tubules and cortical collecting ducts

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11
Q

What do aldosterone antagonists do and where do they work?

A

block action of aldosterone (inhibit Na Cl absorption and K secretion); cortical collecting ducts

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12
Q

What do K sparing diuretics do and where do they work?

A

inhibit Na, Cl, HCO3 reabsorption and K secretion; distal convoluted tubules

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13
Q

What to CA inhibitors do and where do they work?

A

inhibit reabsorption of HCO3 ions; proximal tubules

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14
Q

What do dopamine receptor agonists do and where do they work?

A

stimulate dopamine 1 receptors; renal tubules

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15
Q

Dermatological side effects of steroids

A

thinning, cushingoid appearance, alopecia, acne, hirsutism, striae, hypertrichosis

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16
Q

eye side effects of steroids

A

cataract, elevated IOP, exopthalmos

17
Q

CV side effects of steroids

A

HTN, perturbation of serum lipoproteins, premature atherosclerotic disease, arrhythmias

18
Q

GI side effects of steroids

A

gastritis, PUD, pancreatitis, steatohepatitis, visceral perforation

19
Q

renal side effects of steroids

A

hypovolemia, fluid volume shift

20
Q

GU and reproductive side effects of steroids

A

amenorrhea, infertility, intrauterine growth retardation

21
Q

bone side effects of steroids

A

osteoporosis, avascular necrosis

22
Q

muscle side effect of steroid

A

myopathy

23
Q

neuropsychiatric side effects of steroids

A

euphoria, dysphoria/depression, insomnia/akathisia, psychosis, psuedo tumor cerebri

24
Q

endocrine side effects of steroids

A

DM, hypothalamic- pituitary- adrenal insufficiency

25
Q

infectious disease side effects of steroids

A

increased risk of infections, opportunistic infections, herpes zoster

26
Q

What medication is used for the stress dose of steroids?

A

Solu-Cortef

27
Q

Side effects of statins

A

GI upset, fatigue, HA, myalgias (most common, can even lead to rhabdo)

28
Q

What president had Addison’s disease?

A

JFK

29
Q

Addison’s disease

A

adrenal insufficiency- insufficient cortisol and aldosterone