random Flashcards

1
Q

2 SSRI associated with septal heart defect

A

Paroxetine and fluoxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

SSRI safe in breastfeeding

A

Sertraline (zoloft)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

depression mnemonic

A
sigecaps
S - sleep
I- interest
G- guilt
E- energy
C - concentration
A - appetite
P - psychomotor
S-  SI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

NAS and PPHN are associated with which med class

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SSRI and QT

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SSRI and MAOI

A

Serotonin syndrome

MAOI should be withdrawn at least 14 days before starting an SSRI

SSRI at least 5 weeks befores starting MAOI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TCAs overdose

A

wide QRS > 3 squares is pathopneumonic for TCA overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

switching to a TCA from an SSRI how long to wait?

A

2 weeks

except fluoxetine which is 5 weeks due to long half life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TCA for bedwetting

A

imipramine (tofranil)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

NAS is seen in which class

A

SSRI

SNRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

s/s serotonin syndrome

A
ams - agitation confusion disorientation, anxiety, hallucinations, poor concentration
incoordination
myoclonus
hyperreflexia
excessive sweating
tremor
fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

dilantin (phenytoin)if pregnant

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

doxepin (sinlenor) is what class

A

TCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

doxepin is used for what

what effects

A

staying asleep

anticholinergic

side effect is an URI

cardiac toxicity - treat with sodium bicarb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

tegretol (carbamazepine) what genetic

A

HLA-1502 asian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lotronex is approved for

A

IBS -D in women

17
Q

sulfasalazine (Azulfidine) is approved for

A

IBD which includes Crohn and UC

18
Q

TCA role in IBS

A

decreased abd pain

19
Q

dilantin (phenytoin) side effect

A

gingival hyperplasia

20
Q

PUD is linked to what organism

A

H. Pylori

21
Q

treatment for H Pylori

A

2 abx
PPI or H2RA

1st choice is
clarithromycin
amox
PPI

if has PCN allergy give
flagyl
Clarithromycin
PPI

if resitance to clarithromycin is high
 bismuth subsaliclyate
metronidazole
tetracycline
PPI or H2RA
Amox
clarithromycin
flagyl - no alcohol
Bismuth - black tongue
tetracycline - stain teeth
tinidazole - no alcohol
22
Q

Baclofen for CP starts having seizures.

A

withdrawal

23
Q

Baclofen is used in what diseases

A

MS

spinal cord injury

24
Q

cyclobenzaprine (flexeril) has what kind of effects

A

anticholinergic)

25
Q

presentations three or 4 times a year with asthma what to give

A

Alprazolam (xanax)

26
Q

which medication turns urine brown black or dark green

A

Robaxin

27
Q

when you take a bulk lax what do you do

A

take with a full glass of water

28
Q

PPI adverse

A

hypomag

Pneumonia (report fever and cough)

29
Q

what do you give for OCD

A

Paxil (SSRI)

30
Q

sucralfate (carafate) is used for

A

antiulcer med - creates a protective barrier against acid and pepsin - approved for acute and maintenance therapy of duodenal ulcers

31
Q

sucralfate (carafate) may impede absorption of

A
phenytoin
theophylline
digoxin
warfarin
fluoroquinolone abx (cipro)

administer 2 hours apart

32
Q

if you take an antacid while taking sucralfate (carafate) take it how far apart

A

30 min

33
Q

sonata is used for

A

falling asleep at night (short duration)

34
Q

when you have to withdraw anti-epileptic do it over

A

slowly 6 weeks to several months

35
Q

anxiety disorder give

A

daily buspar

36
Q

Omeprazole (prilosec) and antacid how long do you wait

A

no sooner than 1 hour

37
Q

to prevent consitpation

A

colace