REVIEW Flashcards
1
Q
What is the DOD Prescription Form?
A
D 1289
2
Q
What is the Poly-Prescription form?
A
NAVMED 6710/6
3
Q
What do you NOT want to do while filling out a prescription?
A
Do not use shorthand
4
Q
If a DD 1289 is not required, what must you fill out for proper documentation?
A
A proper SOAP note
5
Q
What is the study of drug absorption, distribution, metabolism, and excretion? (Activities of the drug after it enters the body)
A
Pharmacokinetics
6
Q
What is:
A carrier molecule such as a protein or enzyme ACTIVELY moves the drug across the membrane? (ATP)
A
Active absorption
7
Q
What is:
Diffusion of a drug across a membrane from higher concentration to lower concentration?
A
Passive absorption
8
Q
what is:
Drug’s ACTIONS and effects within the body?
A
Pharmacodynamics
9
Q
What is:
A compulsive need to use a substance to obtain a pleasurable experience?
A
Psychological Dependence
10
Q
What is:
A compulsive need to use a substance repeatedly to avoid mild to severe withdrawal symptoms?
A
Physical Dependence
11
Q
What is:
A drug that binds with a receptor to produce the therapeutic effect?
A
Agonist
12
Q
What is:
A drug that binds to a receptor stronger than the agonist?
A
Antagonist (Narcan)
13
Q
What is:
A reaction that occurs when the combined effect of two drugs is equal to the sum of each drug given alone?
A
Additive drug reaction
14
Q
What is:
A drug interaction that occurs when drugs produce an effect greater than the sum of their separate actions?
A
Synergism
15
Q
What sex require smaller doses due to less fat and water ratios?
A
Women
16
Q
What are the 3 oral routes?
A
- Nasogastric (NG)
- Sublingual
- Buccal
17
Q
What drug administration means:
Giving a drug into the body but NOT through the G.I. tract?
A
Parenteral
18
Q
What Parenteral route:
Is placed into the tissues between the skin and muscle?
A
Subcutaneous
19
Q
What Parenteral route:
Is placed directly into the muscle?
A
Intramuscular
20
Q
What Parenteral route:
Is placed directly into the blood via needle?
A
Intravenous
21
Q
What Parenteral route:
Is typically used to administer sensitivity tests, such as TB test?
A
Intradermal
22
Q
What drug route:
Are rapidly absorbed from the skin and have systemic effects?
A
Transdermal
23
Q
What medication class:
Depress the sensory cortex, decrease motor activity, alter cerebellar function, and produce drowsiness, sedation, and hypnosis?
A
Barbiturates
24
Q
Phenobarbital is what class?
A
Barbiturate
25
What are the 2 subclasses of Antianxiety drugs?
1. Benzodiazepines
| 2. Non- Benzodiazepines
26
What subclass:
| Bind to receptors in the GABA receptor complex, which enhances the binding of this inhibitory neurotransmitter?
Benzodiazepines (Benzos)
27
What subclass:
| Act on brain's dopamine and serotonin receptors?
Non-Benzodiazepines
28
What subclass causes a higher risk of dependency when used long term?
Benzos
29
1. Alprazolam
2. Diazepam
3. Lorazepam
Benzos
30
1. Buspirone Hydrochloride (Bu Spar)
2. Hydroxyzine
3. Sertraline (SSRI)
Non-Benzo
31
What is the GO-TO medication class for antidepressants?
SSRI (Selective Serotonin Reuptake Inhibitors)
32
What Antidepressant class:
| Increase serotonin by inhibiting neuronal uptake to the Central Nervous System (CNS)?
SSRI
33
Do not take TCA's and MAOI's within how many days from each other?
Within 14 days
34
What Antidepressant class has MANY MEDICATION INTERACTIONS?
MAOI's
35
Antidepressants may take up to how many weeks for desired effect?
4-6 weeks
36
1. Venlafaxine
| 2. Duloxetine
SNRI's
37
1. Fluoxetine
2. Sertraline
3. Paroxetine
SSRI's
38
What class:
| Block dopamine receptors in the brain; also alter dopamine release and turnover?
Antipsychotics
39
How are Antipsychotics classified?
1. Typical (1st gen)
| 2. Atypical (2nd gen)
40
1. Haloperidol
Antipsychotic drug
41
What class:
| A reduction of excitability of the neurons in the brain?
anticonvulsant
42
Using Benzos and Non-Benzos for this class? (reduce excitability)
Anticonvulsants
43
1. Prochlorperazine (Phenothiazine)
2. Ondansetron
3. Promethazine
Antiemetics
44
1. Meclizine
2. Diphenhydramine
3. Benzodiazepines
Antivertigo
45
What class:
| Produce a local anesthesia by inhibiting transport of ions across neuronal membranes?
Local Anesthetics
46
What medication causes neuro-inhibition and anesthesia, where the patient is dissociated from their surrounding?
Ketamine
47
How much Ketamine should be given for pain control?
20-40 mg IM
48
1. Lidocaine
| 2. Bupivacaine
Local Anesthetics
49
1. propofol
General anesthetic
50
What are:
| The 4 classes of Non-Narcotic Analgesics?
1. Salicylate
2. Non-Salicylate
3. NSAIDS
4. Urinary analgesic
51
What non-narcotic analgesic class MAY cause Reye Syndrome in children with chickenpox or flu?
Salicylates
52
1. Aspirin
Salicylate
53
1. Relieve mild to moderate pain
2. Reduce body temperature
3. Arthritis
Non-Salicylate
54
1. Acetaminophen
| 2. Benzocaine-Menthol
Non-Salicylates
55
What non-narcotic analgesic class:
| Inhibit COX-1 and COX-2 which is responsible for prostaglandin synthesis?
NSAIDS
56
1. Anti-Inflammatory
2. Analgesic
3. Antipyretic
NSAIDS
57
1. Ibuprofen
2. Ketorolac
3. Naproxen
4. Meloxicam
5. Mobic
NSAIDS
58
1. Phenazopyridine
Urinary Analgesic
59
What medication may turn urine a reddish orange color?
Phenazopyridine (Urinary Analgesic)
60
What class:
| Alters the perception of and response to pain?
Narcotic Analgesics
61
DO NOT give this drug class to a patient with a head injury or increased ICP?
Narcotic Analgesics
62
1. Codeine
2. Fentanyl
3. Hydromorphone
4. Morphine Sulfate
5. Oxycodone
6. Hydrocodone
Narcotics
63
What medication is a competitive antagonist that bind to opioid receptors?
Naloxone
64
What is a chemical created in the body? Highest amounts are found in basophils and mast cells.
Histamines
65
How do H-1 Antihistamines work?
Bind to H1 receptors in mast cells, smooth muscle, and endothelium in the body as well as in the brain to prevent release of histamine.
66
How do H-2 Antihistamines work?
bind to H-2 histamine receptors in the Upper G.I. tract, primarily in the stomach.
67
1. Diphenhydramine
2. Hydroxyzine
3. Promethazine
1st gen Antihistamines
68
1. Cetirizine HCL
2. Fexofenadine
3. Loratadine
2nd gen Antihistamine
69
1. Oxymetazoline HCL
2. Pseudoephedrine
3. Phenylephrine
Decongestants
70
What drug class:
| contraindicated for patients with cardiac arrhythmia or taking a beta blocker?
Beta 2 Agonist
71
1. Albuterol sulfate
| 2. Levalbuterol HCL
Beta 2 Agonist
72
1. Ipratropium
| 2. Tiotropium
Muscarinic Antagonist
73
What class inhibit the release of substances that cause bronchoconstriction and inflammation from the mast cells in the respiratory tract?
Mast Cell Stabilizer
74
What Class:
| Decrease inflammatory process in the airway through inhibiting multiple different inflammatory cytokines?
Inhaled Corticosteroids
75
1. Budesonide
| 2. Fluticasone
Inhaled Corticosteroids
76
What Class:
| Depress the cough center (central acting)?
Antitussives
77
1. Codeine sulfate
2. Benzonatate
3. Dextromethorphan
4. Diphenhydramine
Antitussives
78
What class:
| Loosen and mobilize thick mucus from respiratory system?
Mucolytic
79
What Class:
| Raise thick mucus from respiratory system?
Expectorant
80
1. Acetylcysteine
Mucolytic
81
1. Guaifenesin
Expectorant
82
Abnormal electric current in the heart?
Cardiac Arrhythmias
83
Antiarrhythmic class:
| Raise the potential threshold? (Lidocaine HCL)
Class 1
84
Antiarrhythmic class:
| Block Beta receptor stimuli (Metoprolol)
Class 2
85
Antiarrhythmic Class:
| Blockade of Na or K channels? (Amiodarone)
Class 3
86
Antiarrhythmic Class:
| Block calcium channels? (Diltiazem)
Class 4
87
What Class:
| Direct relaxing effect on smooth muscle of blood vessels
Nitrates
88
What must you do BEFORE and AFTER giving Nitrates?
Blood Pressure
89
What class:
| Do not give if patient is taking erectile dysfunction medications?
Nitrates
90
4 Classes of Antihypertension medications?
1. Ace Inhibitors
2. Diuretics
3. Calcium channel blockers
4. Beta blockers
91
What antihypertension class:
| Prevents the conversion of Angiotensin 1 to Angiotensin 2? (lungs)
Ace Inhibitors
92
What antihypertension class:
| May cause a dry hacking cough?
Ace Inhibitors
93
1. Lisinopril
| 2. Captopril
Ace Inhibitors
94
1. Nifedipine
2. Felodipine
3. Nicardipine
Calcium channel blockers
95
What receptor is located chiefly in the heart?
Beta 1 adrenergic receptor
96
What receptor is found in the Lungs and smooth muscle (MSK)?
Beta 2 adrenergic receptors
97
1. Metoprolol
2. Propranolol
3. Atenolol
Beta Blockers
98
What are the 2 main classes of Diuretics?
1. Loop
| 2. Thiazide
99
1. Furosemide
Loop Diuretic
100
1. Hydrochlorothiazide
Thiazide Diuretic
101
What inhibit an enzyme involved in cholesterol synthesis?
HMG-COA reductase inhibitors
102
1. Atorvastatin
| 2. Simvastatin
HMG-COA Reductase Inhibitors
103
What gastrointestinal drug class:
| NEUTRALIZE the acidity of the stomach?
Antacids
104
What is the main contraindication for taking Antacids?
Severe abdominal pain from unknown cause.
105
1. Aluminum hydroxide gel
2. Magnesium hydroxide
3. Calcium carbonate
Antacids
106
What gastrointestinal drug class:
| REDUCES the secretion of gastric acid?
Histamine H2 Antagonist
107
1. Cimetidine
2. Famotidine
3. Ranitidine
Histamine H2 Antagonist
108
What gastrointestinal drug class:
| SUPPRESS gastric acid secretion by blocking the final step in the production of gastric acid be the gastric mucosa?
Proton Pump Inhibitors
109
1. Omeprazole
2. Pantoprazole
3. Rabeprazole
4. Lansoprazole
Proton Pump Inhibitors
110
what drug class:
| Decrease intestinal peristalsis?
Antidiarrheal
111
What drug class:
| Contraindicated with diarrhea associated with organisms that can harm the intestinal mucosa?
Antidiarrheal
112
1. Loperamide
Antidiarrheal
113
What drug class:
| Has a defoaming action that disperses and prevents the information of mucus-surrounded gas pockets in the intestine?
Anti-Flatulents
114
1. Simethicone
Anti-Flatulent
115
What Laxative drug class:
| Adds bulk and water to the contents of the intestines?
Bulk-Producing
116
What laxative drug class:
| Lubricate the intestinal walls and soften the stool, enhancing passage of fecal material?
Emollient
117
What laxative drug class:
| Promote water retention in the fecal mass and soften the stool?
Fecal Softener
118
What laxative drug class:
| Dehydrate local tissue causes irritation and increases peristalsis?
Hyperosmolar
119
What laxative drug class:
| increase peristalsis by direct action on the intestine?
Irritant of stimulant
120
What laxative drug class:
Attract of pull water into the intestine, thereby increasing pressure in the intestine followed by an increase in peristalsis?
Saline
121
1. Methylcellulose
Bulk-Forming
122
1. Mineral Oil
Emollient
123
1. Polyethylene Glycol
Hyperosmolar
124
1. Bisacodyl
Irritant or Stimulant
125
1. Magnesium Citrate
Saline
126
What drug Class:
| Is used for inflamed hemorrhoids?
Hemorrhoid Agents
127
1. Hydrocortisone
| 2. Pramoxine
Hemorrhoid Agents
128
What drug class:
| Is used to control Type 1 Diabetes and SOMETIMES type 2 diabetes for severe cases?
Insulin
129
What are the 2 Oral Antidiabetic drug subclasses?
1. Sulfonylureas
| 2. Biguanides
130
What subclass:
| Lower blood glucose by stimulating beta cells of the pancreas to make more insulin?
Sulfonylureas
131
What subclass:
| Reduces hepatic glucose production and increases insulin sensitivity in muscle and fat cells?
Biguanides
132
What Antidiabetic drug class:
| Is used to treat patients with type 2 diabetes only?
Oral antidiabetics
133
What antidiabetic class:
| Can cause severe infection and CHF?
Oral antidiabetics
134
1. Metformin
Biguanides
135
1. Levothyroxine
Thyroid hormones
136
What are the 2 types of contraceptives?
1. Estrogen
| 2. Progestin
137
What type of contraceptive:
| Inhibits ovulation?
Estrogens
138
What type of contraceptive:
| Prevents the maturation of the ovarian follicle and ovulation?
Progestin
139
1. Norethindrone
| 2. Levonorgestrel (Emergency)
Progestin (Progestin only pills) "POPS"
140
What Contraceptive:
| Contraindicated a risk of thromboembolic disease is increased in females 35 years or older that use tobacco?
Oral contraceptives
141
The term for drugs that kill bacteria?
Bactericidal
142
The term for drugs that slow or retard the multiplication of bacteria?
Bacteriostatic
143
What antibacterial drug:
| Is "Bacteriostatic" and often is used to control urinary tract infections caused by E-Coli and Staph?
Sulfonamides
144
1. Silver Sulfadiazine
| 2. Sulfamethoxazole
Sulfonamides
145
1. Amoxicillin
| 2. Amoxicillin/Clavulanate
Penicillin
146
1. Cefazolin
2. Cephalexin
3. Ceftriaxone
Cephalosporines
147
1. Doxycycline
2. Tetracycline
3. Minocycline
Tetracyclines
148
1. Azithromycin
2. Erythromycin
3. Clarithromycin
4. Teithromycin
Macrolides
149
What antibacterial drug:
| Is "bactericidal" and is used to treat pneumonia and UTI's?
Fluoroquinolones
150
What antibacterial drug class:
| May cause tendinitis and tendon rupture?
Fluoroquinolones
151
1. Ciprofloxacin
| 2. Levofloxacin
Fluoroquinolones
152
What antibacterial drug class:
| Is "bactericidal" and may cause Ototoxicity?
Aminoglycosides
153
1. Gentamicin
| 2. Neomycin
Aminoglycosides
154
What antibacterial drug class:
| Is used to treat severe infections with drug resistant organisms and hospital acquired pneumonia?
Carbapenems
155
1. Imipenem
2. Meropenem
3. Ertapenem
Carbapenems
156
What are the 2 types of antiprotozoal therapies?
1. Amebiasis
| 2. Giardiasis
157
What antibacterial drug class:
| Is used to treat toxic shock syndrome, bacterial vaginosis, and bite wounds?
Lincosamide
158
1. Clindamycin
| 2. Lincomycin
Lincosamide
159
1. Acyclovir
2. Vancyclovir
3. Penciclovir
4. Oseltamivir
Antivirals
160
1. Ketoconazole
| 2. Fluconazole
Antifungals
161
1. Cyclobenzaprine
| 2. Diazepam
Muscle Relaxers
162
What drug class:
May have an adverse reaction if abrupt cessation of medication occurs a potentially life-threatening adrenal insufficiency can occur?
Corticosteroids
163
1. Hydrocortisone
2. Prednisone
3. Triamcinolone
4. Methylprednisolone
5. Dexamethasone
Corticosteroids
164
What drug class:
| Act on intracranial blood vessels and sensory nerves of the trigeminal system; causes vasoconstriction?
Antimigraine
165
1. Rizatriptan
| 2. Sumatriptan
Antimigraine
166
What drug class:
| Causes paralysis and death of a pest?
Scabicide
167
1. Permethrin
Scabicide
168
What drug class:
| Is used to remove warts, calluses, corns?
Keratolytic
169
1. Podofilox 0.5% topical solution gel
| 2. Salicylic acid gel 17%
Keratolytic
170
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What subclass of Ophthalmic Preparations:
Are used for the prevention of cytomegalovirus?
```
Antiviral preparations
171
1. Gum
2. Nasal Spray
3. Lozenge
Nicotine Replacement Therapy
172
1. Bupropion
Antidepressant
173
1. Varenicline
Partial nicotine agonist
174
Who is responsible for the oversight of the CSIB program?
CO
175
Who will maintain custody of all controlled substances authorized for shipboard use?
SMDR
176
The working stock custodian shall maintain a minimum of how many units of issue in the safe at all times?
Minimum of 1 unit of issue
177
All CSIB records must be maintained how long?
3 years
178
The bulk stock custodian must be what personnel?
A commissioned Officer
179
What 3 occasions will a safe combination be changed?
1. Immediately upon turnover
2. Suspicion
3. Every 6 months
180
What is the ONLY justification to give a controlled substance while in homeport?
Only in an emergency situation where treatment will be delayed
181
When can a patient return to work after taking a controlled substance?
8 hours after taking the medication
182
What letter will be used as a prefix for controlled substance prescriptions?
"C"
183
What is the minimum amount of CSIB members for a ship of 100 personnel or more and what are their ranks?
- Minimum of 3 members
- 2 must be a commissioned officers
- 1 MAY BE an E-7 or above
184
What is the minimum amount of CSIB members for a ship of less than 100 personnel and what are their ranks?
- Minimum of 2 members
- 1 Commissioned Officer
- 1 Chief petty officer
185
All CSIB members must score a minimum of what % on the CSIB test?
90% or above
186
What 5 occasions will the CSIB members perform inventories?
1. At least quarterly
2. Within 1 month of any transaction
3. At the time of the relief of the CO, or SMDR
4. At the request of the CO
5. Upon direction from higher authority
187
What is the NAVMED 6710/22?
Coversheet
188
What is the NAVMED 6710/23?
Audit
189
What is the DEA Form 106?
Theft of significant loss of any controlled substance
190
How many CSIB members must be present for destruction of medications?
minimum of 3 members
| SENIOR MEMBER MUST BE PRESENT
191
What dietary supplement can be associated with a stroke if over used?
Creatine
192
What drug class:
| Can lead to Parkinson like symptoms, Akathisia, and dystonia?
Antipsychotics
193
What antiemetic medication block the effects of serotonin in the HT3 receptor sites?
Ondansetron
194
What medication if used more than 3 days consecutively can cause rebound congestion?
Oxymetazoline
195
What is a broncho constrictive substance released by the body during inflammation?
Leukotriene
196
The effectiveness of antibiotics depend on what 3 factors?
1. Location of infection
2. Ability to reach the infection
3. Ability of bacteria to resist or inactivate the antibiotic
