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FNP Review > Sarah Michelle's Pharm Review > Flashcards

Sarah Michelle's Pharm Review Flashcards

1
Q

SSRI choice for the elderly

A

Zoloft, (sertraline) low side effect profile

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2
Q

SSRI that is weight neutral, therefore good for patients with eating disorders such as bulimia

A

Prozac (fluoxetine)

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3
Q

Most sedating of the SSRI’s, also used in menopause and OCD

A

Paxil (paroxetine)

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4
Q

Two common SNRI’s

A
  1. Effexor (venlafaxine)

2. Cymbalta (duloxetine)

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5
Q

Side effect profile of SNRI’s

A

HTN, avoid in patients with HTN

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6
Q

Off label use of tricyclics

A

Treatment of neuropathic pain

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7
Q

What body system is adversely affected by tricyclics?

A

Can cause problems with cardiac conduction

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8
Q

What are MAOI’s reserved for?

A

Refractory or atypical depression

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9
Q

Patient’s taking MAOI’s should avoid

A
  1. Grapefruit juice
  2. Foods high in tyramines
  3. ETOH
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10
Q

HTN crisis can be found in patients taking what antidepressant class?

A

MAOI’s

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11
Q

Toxic lithium level

A

> 2.0

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12
Q

Lithium affects what electrolyte

A

Sodium

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13
Q

Goiter and hypothyroidism are seen in what what medication used to treat bipolar?

A

Lithium

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14
Q

Seizure med associated with hair loss and weight gain

A

Valproic acid

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15
Q

Seizure med associated with gingival hyperplasia and hirsutism

A

Dilantin

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16
Q

Seizure med associated with bone marrow suppression, also treats trigeminal neuralgia

A

Tegratol (carbamazepine)

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17
Q

Seizure/migraine med associated with benefit of weight loss, but also may cause kidney stones

A

Topamax

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18
Q

Tricyclic used for migraine prophylaxis

A

Elavil (amitriptyline)

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19
Q

Triptans should not be used in patients with

A
  1. Uncontrolled HTN
  2. MAOI use
  3. CAD
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20
Q

1st line treatment of bacterial sinusitis

A

Augmentin

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21
Q

1st line treatment for mastitis

A

Dicloxacillin

22
Q

What side effects are the macrolides notorious for?

23
Q

Three CAT B antibiotic classes for pregnant women

A
  1. PCN’s
  2. Cephalosporins
  3. Macrolides
24
Q

Black box warning of Bactrim

25
Q

Antibiotic associated with photosensitivity

A

Tetracyclines

26
Q

Antibiotic used for TB, may turn secretions red

27
Q

Treatment options for purulent cellulitis hint (BCD)

A

Bactrim, Clindamycin, Doxy

28
Q

In term of kidney function and GFR, when should an ACE be discontinued?

A

If the GFR drops 30% of baseline GFR

29
Q

Cardiac drug known to be ototoxic if given to quickly

30
Q

Adverse side effect in men due to spironolactone use

A

Gynecomastia

31
Q

Digoxin therapeutic range

32
Q

Associated with long term effects such as thyroid issues, eye issues, and pulmonary toxicity

A

Amiodarone

33
Q

Toxic digoxin level

34
Q

Electrolyte imbalance that may affect digoxin level

A

Hypokalemia

35
Q

Normal and therapeutic INR

A

1, and 2-3

36
Q

INR level of 5-10, vitamin K?

A

No, unless patient bleeding

37
Q

INR level of > 10, vitamin K?

A

Yes, PO vitamin K, unless patient is bleeding, then IV

38
Q

INR level > 10, vitamin K?

A

Yes, IV vitamin K

39
Q

Associated with spinal hematoma and possible paralysis

A

Black box warning of Lovenox

40
Q

B12 deficiency, osteoporosis, c-diff

A

Associated with long term use of PPI

41
Q

Anti-emetic associated with sedation, anticholinergic effects, tardive dyskinesia, dystonia

42
Q

Hormone replacement that can be given to women without an intact uterus

A

Estrogen only

43
Q

Hormone replacement that can’t be given to women with an intact uterus

A

Estrogen only

44
Q

BPH drug class intended to provide quicker relief of symptoms

A

Alpha blockers, reductase inhibitors take up to 6 months

45
Q

BPH drug class associated with possible erectile dysfunction and is CAT X

A

Reductase inhibitors, specifically finasteride

46
Q

Selenium sulfide shampoo

A

May be used to treat tinea versicolor and tinea capitis

47
Q

Terbinafine

A

Treats tinea capitis and fungal nail infections

48
Q

Griseofulvin

A

Oral antifungal that treats tinea capitis, take with fatty meal

49
Q

Order of asthma medications

A

SABA, L-ICS, LABA, refer

50
Q

Order of COPD medications

A

SABA, LABA, LAMA, combo drugs with ICS, refer

FNP Review (18 decks)

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