random stuff Flashcards
macrobid avoid in
crcl less than 60
biaxin
clarithromycin
stoke tx
iv alteplase (tpa, activase)
temazepam
restoril (only for insomnia
benzos pregnancy category
D
benzo antidote
flumazenil
paroxetine paxil pregnancy category
D
depression drugs that are cypd 2d6 inhibitors
paroxitine (paxil), fluoxetine(prozac), sertraline(zoloft, duloxetine (cymbalta), bupropion (wellbutrin) avoid with tamoxifen! may decrease effects
citalopram celexa max dose because of QT
prolongation
if greater than 60 max dose is ?
40mg/day
20 mg/day
ssri w long t1/2, no tapering off
fluoxetine (prozac)
fluvoxamine brand
luvox only for OCD
venlafaxine snri brand
effexor
desvenlafaxine snri brand
pristiq
milnacripran snri brand
savella
blood pressure difference between snri and ssri
snri hypertension
ssri hypotension
bupropion causes
seizures
mirtazapine main points
weight gain
sedation
qt prolongation
ODT!
bedwetting
imipramine, or desmopressin
robitussin DM or delsym increses
serotonin
MAOIs
isocarboxazid (marplan)
phenelzine (nardil)
tranylcypromine (parnate)
selgeline (emsam)
gold standard bipolar med
lithium if contraindicated
depakote (divalproex)
lithium or divaloproex sodium combined with an antipsychotic is more effective than
monotherapy
vaLProic acid SE
liver failure, pancreatitis
Lamotrigine SE
RASH
carbamazepime SE
looks like TCAs so anticholinergic effects
also HLAb1502 test
aplastic anemia
agranulocytosis
lithium level
0.6-1
lithium with or without food
with food!
lithium pregnancy category
D
meds that increase lithium
nsaids, thiazides, aces
lithium with SSRIS
may cause serotonin syndrome
xanathine oxidase inhibitors
allopurinol (zyloprim, aloprim)
febuxostat (uloric)
no nsaids in
renal and hypertension
allopurinol hlab
5801
allopurinol main SE
rash
allopurinol DI
azathioprine
6mp
warfarin
thiazide + ace
carbamezapime hlab
1502
abacavir hlab
5701
dopamine agonists for parkinsons also approved for RLS
pramipexole (mirapex)
ropinorole (requip xl)
rotigotine (neupro) patch
apomorphine
ceftriaxone do you dose adjust in renal?
NO
carbapenems number 1 side effect
seizures
1st line for chronic angina
BBs
1st line for vasospastic angina (prinzmetals)
ccb
close angle glaucoma (er emergency) treatment
acetazolamide (diamox) iv -sulfa allergy
main two side effects with PTU and methimazole
agranulocytosis and hepatotoxicity
thyroid dosing in age 60 or less no conditions
1.6mcg/kg/day using IBW
thyroid dosing in greater than 60 no conditions
25 to 50 mcg once daily
thyroid dosing in patients with CAD
12.5 to 50 mcg once daily
BB antidote
glucagon
benadryl antidote
atropine
isoniazid antidote
pyridoxine B6
mtx antidote
leucovorin
ttp
brillinta (ticragelor)
niaspan
extended release niacin
less flushing than normal niacin
can cause rhabdo
steroid things to review in a chart
A1C
WBC
Weight
Blood Pressure
Epclusa is used to treat what and what are the compenets
hep C and
med that can cause positive coombs test
macrobid
a pharmacist cant make capsules from what
creams
citalopram increases bleeding risk with
warfarin
integrillin MOA
glycoprotein 11b,111a receptor antagonist
levemir and toujeo pen
42 days
novolog pen
28 days
tresiba pen
56 days
lantus pen
28 days
tradjenta (linagliptin) can cause
pancreatitis
treat PAH and has a boxed warning for embryo fetal toxicity
ambristentan
atripla components
efavirenz, emtriciabine, tenofivir
atripla at ___ on an ___ ____
at bedtime on an empty stomach
causes of CAP
pneumococcus pseudomas mycoplasma pneumoniae moraxella catarhalhalis mrsa legionella h flu
bisphosphonates not used if crcl less than
35
pulmonary capillary wedge pressure reduced most by
lasix (loop)
edoxaban
savyasa - factor xa inhibitor
inr >10 with no bleeding what to do
2.5- 5 mg po vitamin k
plus hold warfarin
ssris and snris can cause hypo
hyponatremia
oral anticoags that do not require bridging
apixaban and rivaroxaban
metformin does not increase
insulin production
for type 1 and type 2 DM
symlin
aspergillosis
vfend- voriconazole
bacterial vaginosis - fishy smell
metronidazole
oral thrush
nystatin swish and swallow
herpes
valacyclovir (valtrex)BID
CLASS II cabinent is for
high risk hazardous drugs
how long is hep c treatment
12 weeks
cap outpatient healthy no combor.
amoxicillin high dose or doxycycline
cap outpatient with comorb.
beta lactam:augmentin, cefuroxime, cefopoxidime
+macrolide or doxycyline
or monotherapy with a respiratory FQ
non severe in patient cap without risk for MRSA or pseudomonas
IV beta lactam (unasyn, cefotaxime, ceftaroline, caftriaxone)
+macrolide
Monotherapy: respiratory FQ
inpatient cap severe without risk for MRSA or pseudomonas
blactam+ macrolide or blactam +FQ
trichomonas
a single 2g dose, or 500mg bid X 7 days of metronidazole (flagyl) or tinidazole (tindamax)
genital herpes
valacyclovir, acyclovir, famicyclovir
Chlamydia
doxycycline 100 mg BIDx7days
or
Azithromycin 1 g single dose (okay if pregnant)
gonorhhea
ceftriaxone 500 mg single IM inj
if chlamydia is not excluded add doxy 100 mg bid x 7 days
syphillis
benzathine PCN G IM (bicillin LA not CR)
2.4 MU IM x1
MI gets antiplatelets not coags
dual therapy asa and plavix
calcium carbonate
40%
calcium citrate
21%
ferrous sulfate
20%
ferrous gluconate
12%
levothyroxine iv po
0.75:1
furosemide iv:po
1:2
morphine IV:PO
10:30
Hydromorphone IV PO
1.5:7.5
the rabai needs prayer for comfort VITAMINS
thiamine B1 riboflavin B2 niacin B3 pyroxidine B6 folate B9 cyanocobalmin B12
TDD for insulin type 1
0.5u/kg/day using total BW
LDL equation
TC-HDL-TG/5
MWQ=
sensitivity requirement/0.05
test for fungus
koh
catapres change
weekly
DAYtrana patch
up to 9 hours/day
apply to hip
duragesic (fentanyl patch)
1 patch every 72 hours
opioid tolerance is
60 mg morphine/day taken for 1 week!
butrans patch
every 7 days
flector (diclofenac) patch
1 patch twice daily
lidoderm patch
12 hours/day
12 hours on 12 hours off
transderm scop
apply 4 hours before exposure, leave on up to 3 days
oxytrol (oxybutynin) for OAB patch
one patch twice a week
minivelle and vivelle dot (estradiol) patches
one patch twice weekly
xulane patch (OC)
one patch each week for 3 weeks then one week off
androderm patch
daily patch, once a dau
exelon (rivastigmine)
for alzheimers dementia
1 patch everyday
neupro (rotigotine patch)
parkinsons or RLS
one patch everyday
emsam (selegiline) depression
one patch everyday
nicoderm
one patch a day
apixiban DVT/PE treatment dose
10mg BID for 7 days, then 5mg bid
pradaxa afib
CRCL >30: 150mg BID
CRCL 15-30: 75mg BID
xarelto DVT/PE treatment dose
CRCL >30: 15mg BID x 21 days then 20 mg QD
xarelto afib dose
crcl >50: 20 mg QD
crcl 15-50: 15 mg QD
edoxaban general dose
60 mg QD
if crcl less than 50 : 30 mg QD
avoid edoxaban if
crcl >95 or <15
cisplatin antidote
amifostine (prevent nephrotoxicity)
doxorubicin antidote
dexrazoxane
zinecard-prevents cardiomyopathy
totect-treats extravasation
flurouricil
leucovorin (enhances efficacy)
fluroouricil or capecitibine antidone
uridine triacetate (vistogaurd) overdose
ifofosfamide
mesna (mesnex)