Review Part 2 Flashcards
What are the five uses of Antacids
Heartburn
Peptic Ulcer
Gastroesophageal reflux. (GERD)
Acid indigestion
Sour Stomach
What are the 5 Histamine H² Antagonist uses?
Gastric hyper secretory conditions.
Acute upper GI bleeding.
Gastroesophageal reflux
Treatment of gastric & duodenal ulcers.
Prevention of stress related ulcers.
What is an example of Proton Pump Inhibitors?
*(the zole)
Omeprazole: Prilosec
Esomeprazole: Nexium (Take at least one hour before meal, preferably beforebreakfast).
Pantoprazole: Protonix
Rebeprazole: Aciphex
(Lansoprazole: Prevacid
Decrease intestinal peristalsis is the action of which drug?
Antidiarrheal
Loperamide is an example of which class of drug?
Antidiarrheal
What are the adverse reactions of Laxatives?
N/V/D
loss of water or electrolytes.
abdominal pain/discomfort,
perianal irritation, fainting, bloating, flatulence, cramps, and weakness
Laxative habit/dependency
obstruction
Excessive or prolonged use may lead to atrophy of the affected tissues is the adverse effect of?
Hemorrhoid agents
Lower blood glucose by stimulating beta cells of pancreas to make more insulin,
is the action of which oral antidiabetic?
Sulfonylureas
reduces hepatic glucose production and increases insulin sensitivity in muscle and fat cell.
is the action of which oral antidiabetic?
Biguanides
lower blood sugar by delaying digestion of carbs and absorption.
is the action of which oral antidiabetic?
Glucosidase inhibitors
which drug stimulates the release of insulin?
Meglitinides
decrease insulin resistance and increase insulin sensitivity.
is the action of which oral antidiabetic?
Thiazolidinediones
Sulfonylureas are not recommended in patients who have allergy to?
sulfonamides.
What is an example of a thyroid hormone?
levothyroxine- Synthroid
Male hormones are called?
testosterone
May result in breast enlargement in males. Testicular atrophy Inhibition of testicular function May risk cardiovascular conditions Impotence
are all adverse reactions of?
Male Hormones
-Testosterone
Protein anabolism, thinning of the cervical mucus, inhibitions of ovulation is the action of which drug?
Contraceptive
Within how many hours must a patient take Levonorgestrel?
72 single or two dose regimens
What bacteria
Requires oxygen to survive?
Aerobic
What is
Able to live without oxygen?
Anaerobic
No oxygen
Drugs that kill bacteria.
Bactericidal:
Homocidal
Drugs that slow or retard the multiplication of bacteria
Bacteriostatic
Allergy to drugs in the same or related group is called?
Cross-sensitivity
Drugs effective against both gram negative (-), and gram positive (+) bacteria
Broad Spectrum:
Nonpathogenic microorganisms within or on the body
Normal flora:
An overgrowth of bacteria or fungal microorganisms not affected by the antibiotic being used for treatment.
Superinfection
The effectiveness of individual antibiotics depends on these factors:
Location of the infection
Ability of the antibiotic to reach the site of infection.
Ability of the bacteria to resist or inactivate the antibiotic
What is an example of drugs containing Sulfonamide chemical group?
Celecoxib
What are two examples of Sulfonamides?
Silver Sulfadiazine: Silvadene (topical)
Trimethoprim/sulfamethoxazole: Bactrim
What are the 11 uses of Penicillin?
Syphilis Intra-Abdominal Infection Gonorrhea Meningitis Anthrax
Acute Sinusitis
Septicemia
Strep Pharyngitis/ Tonsillitis
Cellulitis
Otitis Media
Pneumonia
What are the contraindication/warning/cautions for Penicillin?
History of hypersensitivity to penicillin and or cephalosporin.
What are the 4 uses for Tetracyclines?
Treatment of chlamydia
Rickettsia (rocky mountain spotted fever)
Acne
Malaria Prophylaxis
Pregnancy Class D is a contraindication for?
Tetracyclines
What are the adverse reactions of tetracyclines?
Gastrointestinal upset,
Photosensitivity.
Not given to children younger than 9 because the drug may cause permanent discoloration of the teeth.
What are the uses of Macrolides?
Community acquired pneumonia
Otitis media (Alternate to Amoxicillin)
Chlamydia
Skin infections
H. pylori
Alternative to PCN for Strep throat.
Mycoplasma pneumonia
What is the 1st line therapy for Chlamydia?
Azithromycin
Antiviral drugs have limited use because they are effective against only?
Only a small number of specific vital infections.
Typical anti-viral work by inhibiting viral replication.
What are 4 uses of antivirals?
Herpes Simplex
HIV
Hepatitis C (chronic)
Influenza A and B
What are some topical antifungals?
Clotrimazole
Tolnaftate
What are some systemic antifungals?
Terbinafine: Lamisil
Ketoconazole
Fluconazole: Diflucan
Drowsiness is the most common reaction of which drug?
Methocarbamol or Cyclobenzaprine
They are Muscle Relaxers
Because of the risk of injury caused by drowsiness, patient is monitored before doing any activity
Methocarbamol is an example of?
Muscle relaxers
Serious infections such as tuberculosis and fungal infections are contraindications of which drugs?
Corticosteroids
What are the contraindications/Warnings/Cautions of Antimigraine?
Peripheral vascular disease
Uncontrolled hypertension
Wolff-Parkinson-White syndrome (Specific to Imitrex) or arrhythmias associated with other cardiac accessory conduction pathway disorders.
Coronary vasospasm
Ischemic heart disease
What is used in the treatment of conjunctivitis, corneal ulcer, and other superficial infections of the eye.
Sulfonamides
Antibiotic ointment
what medication is used for conditions such as dry eyes and eye irritation.
Artificial tears,
Lubricates the eyes
What is used for Herpes simplex infection of the eye?
Acyclovir
Antiviral preparations
Prevention of cytomegalovirus infection is achieved by?
Ganciclovir
cytomeGAloVIRus
What are 5 examples of NRT?
Transdermal patch Gum Inhaler Nasal spray Lozenge
Who is responsible for the oversight of the controlled substance program?
The CO
must review and sign all controlled substances inventories.
Who is the Ship’s controlled substance custodian?
The MDR
All CSIB records are maintained for?
3 years
Who countersigns controlled substances prescriptions?
Commanding Officer
or a designated Officer (XO)
CSIB members shall not be involved in?
The direct procurement of controlled substances
Who is responsible for the management, coordination, and execution of the CSIB program?
The Senior CSIB member
When are inventories performed for CSIB?
every 90 days
within 30 days of a transaction
the time of the relief of the CO or MDR
at the request of the CO
Upon direction from higher authority
What are the two forms needed for a CSIB inventory?
NAVMED 6710/22
NAVMED 6710/23
Which NAVMED form do you annotate a destruction of a drug?
NAMVED 6710/5
Which form is used during all destructions, loss or damage of controlled substances?
Financial Liability of Property Loss (DD Form 200)
